DaVita ICHD Nurse/PCT Test Exam
Questions With 100% Verified Answers
Cardiac Arrest: -
correct answer ✅Definition: Cessation of heart beat.
Signs/Symptoms: Absence of pulse, lack of respiration,
unresponsiveness
Interventions:Assess ABC's, get help, CPR, return blood, keep access
open, call EMS, maintain patency of needles or CVC ports with NS
Angina -
correct answer ✅Definition: Chest pain or discomfort due to
Coronary Heart Disease. Occurs when heart muscle doesn't get as
much blood as it needs. May also feel discomfort in neck, jaw,
shoulder, back or arm. Uncomfortable pressure, fullness, squeezing
pain in center of chest.
S/S: Chest pain, difficulty breathing, nausea
Interventions: Reduce BFR to 150, reduce UFR, give O2, monitor
cardiac rhythm/VS
,DaVita ICHD Nurse/PCT Test Exam
Questions With 100% Verified Answers
Dialysis Disequilibrium Syndrome (DDS) -
correct answer ✅Definition: A condition in which rapid or drastic
changes in the patient's extracellular fluid affect the brain
S/S: Headache, hypertension, nausea, restlessness,
convulsions/seizures, confusion, blurred vision
Intervention: decrease BFR and DFR, shorter initial treatments,
Hypertension -
correct answer ✅Definition: high blood pressure (Pre-Dialysis:
>140/90; Post> 130/80)
S/S: No symptoms, headache, dizziness, Irritability, Blurred vision,
nervousness, edema secondary to fluid retention
Intervention:Determine cause, maintain fluid balance take
medications as prescribed, notify MD
hypotension -
correct answer ✅Definition: low blood pressure (Systolic: <90,
Diastolic: <60 or drop in systolic more than 20 mm/hg
, DaVita ICHD Nurse/PCT Test Exam
Questions With 100% Verified Answers
S/S: flushing, yawning, dizziness, ear ringing, tachycardia,
anxiousness, nausea/vomiting, cold clammy skin, seizures, cardiac
arrest
Interventions: place pt in supine position, decrease UFR to
minimum, provide drinking water for less severe hypotension, give
100-200 mL saline for severe hypotension, monitor BP, notify RN
Muscle Cramps -
correct answer ✅Definition: painful muscle contractions in
extremities or abdomen typically occurring due to rapid/excessive
fluid removal.
S/S: painful cramps usually occuring later in dialysis
Intervention: massage or apply opposing force, give normal saline
bolus, reduce UFR, assess dry weight
Fever & Chills -
correct answer ✅Definition: Any temp greater than 100° F or
increase over baseline of 2° F with symptoms
Questions With 100% Verified Answers
Cardiac Arrest: -
correct answer ✅Definition: Cessation of heart beat.
Signs/Symptoms: Absence of pulse, lack of respiration,
unresponsiveness
Interventions:Assess ABC's, get help, CPR, return blood, keep access
open, call EMS, maintain patency of needles or CVC ports with NS
Angina -
correct answer ✅Definition: Chest pain or discomfort due to
Coronary Heart Disease. Occurs when heart muscle doesn't get as
much blood as it needs. May also feel discomfort in neck, jaw,
shoulder, back or arm. Uncomfortable pressure, fullness, squeezing
pain in center of chest.
S/S: Chest pain, difficulty breathing, nausea
Interventions: Reduce BFR to 150, reduce UFR, give O2, monitor
cardiac rhythm/VS
,DaVita ICHD Nurse/PCT Test Exam
Questions With 100% Verified Answers
Dialysis Disequilibrium Syndrome (DDS) -
correct answer ✅Definition: A condition in which rapid or drastic
changes in the patient's extracellular fluid affect the brain
S/S: Headache, hypertension, nausea, restlessness,
convulsions/seizures, confusion, blurred vision
Intervention: decrease BFR and DFR, shorter initial treatments,
Hypertension -
correct answer ✅Definition: high blood pressure (Pre-Dialysis:
>140/90; Post> 130/80)
S/S: No symptoms, headache, dizziness, Irritability, Blurred vision,
nervousness, edema secondary to fluid retention
Intervention:Determine cause, maintain fluid balance take
medications as prescribed, notify MD
hypotension -
correct answer ✅Definition: low blood pressure (Systolic: <90,
Diastolic: <60 or drop in systolic more than 20 mm/hg
, DaVita ICHD Nurse/PCT Test Exam
Questions With 100% Verified Answers
S/S: flushing, yawning, dizziness, ear ringing, tachycardia,
anxiousness, nausea/vomiting, cold clammy skin, seizures, cardiac
arrest
Interventions: place pt in supine position, decrease UFR to
minimum, provide drinking water for less severe hypotension, give
100-200 mL saline for severe hypotension, monitor BP, notify RN
Muscle Cramps -
correct answer ✅Definition: painful muscle contractions in
extremities or abdomen typically occurring due to rapid/excessive
fluid removal.
S/S: painful cramps usually occuring later in dialysis
Intervention: massage or apply opposing force, give normal saline
bolus, reduce UFR, assess dry weight
Fever & Chills -
correct answer ✅Definition: Any temp greater than 100° F or
increase over baseline of 2° F with symptoms
