REVIEW GUIDE 2026 DIALYSIS EQUIPMENT AND
CLINICAL MONITORING
◉ which of the following hormones is produced by the kidneys?
Answer: erythropoietin
◉ at which stages of chronic kidney disease should a patient being
dialysis?
Answer: 5
◉ which of the following is a genetic disorder that can lead to kidney
failure?
Answer: polycystic kidney disease
◉ which of the following complains by a patient may be an
indication of uremia?
Answer: itching
◉ a patient with a right-sided radiocephalic A fistula (above the
wrist) needs to have blood test in the lab for a number of different
lab test. the blood should be drawn from the
,Answer: left hand
◉ when setting up hemodialysis equipment, the four thing that need
to be checked are [ 1 ] dialysate, [ 2] extracorporeal circuit, [ 3]
dialyzer and, [ 4]
Answer: machine alarm
◉ generally, the optimal dialysate flow rate for hemodialysis should
be
Answer: 1.5 to 2 times the blood flow rate
◉ a patient is receiving hemodialysis with a dialyzer with an
ultrafiltration coefficient [ kuf ] of 10 and a transmembrane pressure
[TMP] of 100 mm hg. how much fluid should the patient lose per
hour of treatment
Answer: 1000 mL
◉ under what circumstances can needle be reused for hemodialysis?
Answer: under no circumstances
◉ if a emergency ( such as a tornado ) occurs and patients need to
be evacuated, which group of patient should be disconnected from
dialysis machine first?
Answer: patients able to ambulate independently
,◉ for patients on hemodialysis a, 1 kg (2.2 lb.) increased in weight in
24 hours is approximately equivalent to fluid retention of
Answer: 1.0 L.
◉ a patient has been advised to avoid foods high in phosphorus.
food that the patient should be advised to limit include.
Answer: dairy products
◉ a patient is scheduled for serum creatinine test and asks the
technician about preparation the day before the test. the patient
should be advised to.
Answer: avoid excessive exercise
◉ which of the following ethnic group is most at risk for
development of kidney failure?
Answer: african american
◉ a patient has buttonhole tracts for access. after the access is
cleaned and prepped for treatment, what is the next step?
Answer: use a crab picker/ aseptic tweezer to remove the scabs
◉ with buttonhole tracts, the technician should apply pressure as
the needle are removed and then for
, Answer: 5 to 10 minutes
◉ if a buttonhole access frequently has long clots that are very
difficult to remove, the most likely reason is
Answer: failure to use 2-finger hold for needle removal
◉ a patient who had an AV fistula in the forearm developed an
aneurysm and has had to have a new AV fistula created in the upper
arm. the patient has a temporary catheter in place for dialysis until
the fistula has matured. which of the following exercise may help
strengthen the AV fistula?
Answer: bicep curl
◉ with buttonhole access sites, what should the technician do to
prevent '' hubbing " ?
Answer: leave 1/16 th to 1/8 inch of the needle exposed
◉ if a patient has a dialyzer clearance rate of 250 mL/ min with 4-
hour treatment, the total volume of blood cleared is
Answer: 60 L.
◉ what is the most important factor in preventing exsanguination
from dialysis line separation?
Answer: access site visible