FRESENIUS EXAM QUESTIONS &
ANSWERS
What are the three main blood-borne pathogen's that pose a risk to hemodialysis
patients? - Correct Answers -Hepatitis B, hepatitis C and HIV.
What are the two most common causes of death in hemodialysis patients? - Correct
Answers -Cardiovascular complications and infection.
How is disease spread? - Correct Answers -Direct contact, indirect contact, airborne
and droplets
What technique must be used for cannulation, setting up machines, giving medications,
and removing patient needles? - Correct Answers -Aseptic technique.
How long must you wash your hands - Correct Answers -40 to 60 seconds
How long do you rub your hands when using hand sanitizer? - Correct Answers -30
seconds
What PPE is required when touching the extracorporeal circuit, giving meds,
cannulation and removing needles? - Correct Answers -Gloves, gown and face shield
Do you need to wear gloves when touching the dialysis machine? - Correct Answers -
Yes
What bleach solution is used to clean the dialysis machine and patient chair? - Correct
Answers -1:100 bleach solution
How long does hepatitis B live on surfaces? - Correct Answers -Seven days or more
As a treatment nurse, can you care for a hepatitis B patient while caring for a immune
deficient patient? - Correct Answers -No
What are symptoms of disequilibrium syndrome ? - Correct Answers -Symptoms often
occur during or towards the end of treatment including: headache, nausea,
hypertension, restlessness, irregular pulse, confusion, blurred vision, And seizures.
, What are the interventions when you suspect dialysis disequilibrium syndrome? -
Correct Answers -Notify RN in charge. Assess patient. Decrease the efficiency of the
dialysis treatment as appropriate such as decreasing the blood flow rate, dialysate flow
rate and or the ultrafiltration rate. Notify the physician and administer meds as ordered.
Terminate the treatment if the symptoms are severe.
What are the signs and symptoms of a pyrogenic reaction? - Correct Answers -Fever
and chills at the start of dialysis. Local infection: redness, swelling, tenderness, warmth,
or drainage from the access or other sites
May a dialysis machine being used for a hepatitis B patient be used on anyone else? -
Correct Answers -Not until the patient has been discharged from the center and is no
longer a patient there at which time the machine would need to be thoroughly cleaned
and disinfected inside and out prior to being used for anyone else
Does hepatitis C patients need to be isolated like the hepatitis B? - Correct Answers -No
Can an active tuberculosis patient be dialyzed at an outpatient clinic? - Correct Answers
-No, they must have three consecutive tests that are all negative prior to being able to
be dialyzed outpatient.
How long do you need to clean the top of a multidose vial? - Correct Answers -30
seconds with an alcohol swab
Can you use more than one multidose vial to fill a syringe? - Correct Answers -No, if
there is not enough drug in the first vial you must pull up the remaining medication
needed in a second syringe. Then label them one of two and two of two.
Can you give a medication that was drawn up by someone else? - Correct Answers -No
What does it mean to re-circulate ? - Correct Answers -After priming the extracorporeal
circuit, you attach the arterial and venous lines together to form a loop then check the
dialysate with the phoenix meter. Once the dialysate has passed Phoenix meter test,
attach the red and blue Hansons to fill the dialysate compartment of the dialyzer. The
system stays like this with the blood pump running until you are ready to prime and
hook up the patient.
Can you invert a vial of Epogen? - Correct Answers -No,be careful not to shake the vial
and do not turn the while upside down.
What are the components of a dialysis order? - Correct Answers -Dialyzer type/size,
correct bath, sodium, bicarb, dialysate flow rate, Blood flow rate, needle size, time,
temperature, and OL CV.
What is the purpose of priming The extracorporeal circuit? - Correct Answers -Priming
takes the air and germicide out of the bloodlines and dialyzer.
ANSWERS
What are the three main blood-borne pathogen's that pose a risk to hemodialysis
patients? - Correct Answers -Hepatitis B, hepatitis C and HIV.
What are the two most common causes of death in hemodialysis patients? - Correct
Answers -Cardiovascular complications and infection.
How is disease spread? - Correct Answers -Direct contact, indirect contact, airborne
and droplets
What technique must be used for cannulation, setting up machines, giving medications,
and removing patient needles? - Correct Answers -Aseptic technique.
How long must you wash your hands - Correct Answers -40 to 60 seconds
How long do you rub your hands when using hand sanitizer? - Correct Answers -30
seconds
What PPE is required when touching the extracorporeal circuit, giving meds,
cannulation and removing needles? - Correct Answers -Gloves, gown and face shield
Do you need to wear gloves when touching the dialysis machine? - Correct Answers -
Yes
What bleach solution is used to clean the dialysis machine and patient chair? - Correct
Answers -1:100 bleach solution
How long does hepatitis B live on surfaces? - Correct Answers -Seven days or more
As a treatment nurse, can you care for a hepatitis B patient while caring for a immune
deficient patient? - Correct Answers -No
What are symptoms of disequilibrium syndrome ? - Correct Answers -Symptoms often
occur during or towards the end of treatment including: headache, nausea,
hypertension, restlessness, irregular pulse, confusion, blurred vision, And seizures.
, What are the interventions when you suspect dialysis disequilibrium syndrome? -
Correct Answers -Notify RN in charge. Assess patient. Decrease the efficiency of the
dialysis treatment as appropriate such as decreasing the blood flow rate, dialysate flow
rate and or the ultrafiltration rate. Notify the physician and administer meds as ordered.
Terminate the treatment if the symptoms are severe.
What are the signs and symptoms of a pyrogenic reaction? - Correct Answers -Fever
and chills at the start of dialysis. Local infection: redness, swelling, tenderness, warmth,
or drainage from the access or other sites
May a dialysis machine being used for a hepatitis B patient be used on anyone else? -
Correct Answers -Not until the patient has been discharged from the center and is no
longer a patient there at which time the machine would need to be thoroughly cleaned
and disinfected inside and out prior to being used for anyone else
Does hepatitis C patients need to be isolated like the hepatitis B? - Correct Answers -No
Can an active tuberculosis patient be dialyzed at an outpatient clinic? - Correct Answers
-No, they must have three consecutive tests that are all negative prior to being able to
be dialyzed outpatient.
How long do you need to clean the top of a multidose vial? - Correct Answers -30
seconds with an alcohol swab
Can you use more than one multidose vial to fill a syringe? - Correct Answers -No, if
there is not enough drug in the first vial you must pull up the remaining medication
needed in a second syringe. Then label them one of two and two of two.
Can you give a medication that was drawn up by someone else? - Correct Answers -No
What does it mean to re-circulate ? - Correct Answers -After priming the extracorporeal
circuit, you attach the arterial and venous lines together to form a loop then check the
dialysate with the phoenix meter. Once the dialysate has passed Phoenix meter test,
attach the red and blue Hansons to fill the dialysate compartment of the dialyzer. The
system stays like this with the blood pump running until you are ready to prime and
hook up the patient.
Can you invert a vial of Epogen? - Correct Answers -No,be careful not to shake the vial
and do not turn the while upside down.
What are the components of a dialysis order? - Correct Answers -Dialyzer type/size,
correct bath, sodium, bicarb, dialysate flow rate, Blood flow rate, needle size, time,
temperature, and OL CV.
What is the purpose of priming The extracorporeal circuit? - Correct Answers -Priming
takes the air and germicide out of the bloodlines and dialyzer.
