FRESENIUS EXAM REVIEW
QUESTIONS AND ANSWERS
The role of the RN in a dialysis facility is to implement the ________ and the patient
__________. - Correct Answers -Plan of care
Education plan
The number one cause of chronic renal failure is _______ - Correct Answers -Diabetes
When going from a dirty area to retrieve supplies in a clean area, staff are required to
complete hand hygiene. T/F - Correct Answers -True
Hazardous Material Identification System (HMIS) labels are required on all hazardous
materials, including individual bicarbonate containers. T/F - Correct Answers -True
What solution should be used to disinfect a large blood spill area (greater than 10mLs)?
______ part bleach, ____ parts water solution - Correct Answers -1 part bleach, 10
parts water
The main route of transmission of Hepatitis B in hemodialysis facilities by exposure to
infected ______ and ______ - Correct Answers -Infected blood and bodily fluids
When caring for a patient who is hepatitis B positive, after disconnecting the lines, the
technician MUST perform which 3 actions before documenting? - Correct Answers -
Remove gloves, sanitize hands, and put on a fresh pair of gloves
According to the CDC, patients who are Hepatitis B surface antigen (HBsAg) positive
should be dialyzed in a ________ area of the dialysis center, on a _____________
machine - Correct Answers -Separate
Dedicated
What PPE should you wear when documenting in the isolation room? - Correct Answers
-Wear clean gloves
The dialysis technician has performed a rinse back on a patient and failed to gather all
the supplies needed to disconnect the patient. What 2 things MUST the dialysis
technician do prior to getting clean supplies? - Correct Answers -Remove gloves,
wash/sanitize hands, and retrieve items
,Urine flows through the _______ from the kidneys, to the _________, to the
_________, to the ___________. - Correct Answers -Urinary tract
Ureters
Bladder
Urethra
The transmembrane pressure (TMP) measures the ________ difference across the
dialyzer membrane - Correct Answers -Pressure
_________ is the term used to describe the movement of fluid through a semi-
permeable membrane from a greater to a lesser concentration - Correct Answers -
Osmosis
_______ can be defined as the movement of particles through a semi-permeable
membrane from a greater to a lesser concentration - Correct Answers -Diffusion
A major factor affecting ultrafiltration is - Correct Answers -Pressure
A rise in _______________ during hemodialysis is likely to indicate clotted fibers -
Correct Answers -Transmembrane pressure (TMP)
Water in the dialysate may also be referred to as ___________ water - Correct Answers
-Reverse osmosis (RO) water
A ______________ is considered the access of choice because they have the lowest
complication rate. - Correct Answers -A fistula
A patient with severe hypertension is to start hemodialysis. The patient does not have
diabetes or cardiac problems. What type of access is preferable? - Correct Answers -
Arteriovenous fistula
Counter current flow of blood and dialysate increases the rate of ____________ -
Correct Answers -Diffusion
Use of a disafe filter allows the production of _________ - Correct Answers -Ultrapure
dialysate
_________ is the ability of a substance to conduct an electrical charge. - Correct
Answers -Conductivity
Normal ________ is used to rinse and prime the tubing of the extracorporeal circuit to
remove sterilant and air - Correct Answers -Saline
Air is removed from the extracorporeal circuit before initiating treatment because it may
cause _________ when trapped in the dialyzer - Correct Answers -Clotting
, The most likely cause of contamination of the extracorporeal circuit are _________ in
the prime bucket with ___________ end caps - Correct Answers -Bloodlines
Open
A low-level arterial drip chamber can result in ______ entering the system causing an
air embolism or clotting - Correct Answers -Air
When blood escapes from the dialyzer blood compartment (dialysate fiber) into the
dialysate fluid compartment, this is known as a ____________ - Correct Answers -
Blood leak
Dialysate is used for in center hemodialysis is:
A) sterile
B) non-sterile - Correct Answers -B) non-sterile
Who ultimately determines the dialysate bath used for a patient's treatment? - Correct
Answers -Physician ONLY
Individual acid containers must be ___________ with chemical content - Correct
Answers -Labeled
3 solutes that may be present in a prescribed dialysate solution - Correct Answers -
Sodium bicarbonate, potassium (acid), and calcium
Besides potassium, an electrolyte that is commonly adjusted in the hemodialysis acid
bath is - Correct Answers -Calcium
The 3 ingredients in a dialysate solution/bath are: - Correct Answers -Calcium,
bicarbonate, and RO water
A major complication that can occur when the patient is dialyzed on hypotonic dialysate
is ______ - Correct Answers -Hemolysis
The _______ area of the dialyzer has the most impact on dialyzer clearance - Correct
Answers -Surface
Which of the following would ADVERSELY affect clearance?
A) blood flow rate at 700 ml/min
B) air in dialyzer - Correct Answers -B) air in dialyzer
The online clearance goal for hemodialysis is a spKt/V of ________ - Correct Answers -
1.4
QUESTIONS AND ANSWERS
The role of the RN in a dialysis facility is to implement the ________ and the patient
__________. - Correct Answers -Plan of care
Education plan
The number one cause of chronic renal failure is _______ - Correct Answers -Diabetes
When going from a dirty area to retrieve supplies in a clean area, staff are required to
complete hand hygiene. T/F - Correct Answers -True
Hazardous Material Identification System (HMIS) labels are required on all hazardous
materials, including individual bicarbonate containers. T/F - Correct Answers -True
What solution should be used to disinfect a large blood spill area (greater than 10mLs)?
______ part bleach, ____ parts water solution - Correct Answers -1 part bleach, 10
parts water
The main route of transmission of Hepatitis B in hemodialysis facilities by exposure to
infected ______ and ______ - Correct Answers -Infected blood and bodily fluids
When caring for a patient who is hepatitis B positive, after disconnecting the lines, the
technician MUST perform which 3 actions before documenting? - Correct Answers -
Remove gloves, sanitize hands, and put on a fresh pair of gloves
According to the CDC, patients who are Hepatitis B surface antigen (HBsAg) positive
should be dialyzed in a ________ area of the dialysis center, on a _____________
machine - Correct Answers -Separate
Dedicated
What PPE should you wear when documenting in the isolation room? - Correct Answers
-Wear clean gloves
The dialysis technician has performed a rinse back on a patient and failed to gather all
the supplies needed to disconnect the patient. What 2 things MUST the dialysis
technician do prior to getting clean supplies? - Correct Answers -Remove gloves,
wash/sanitize hands, and retrieve items
,Urine flows through the _______ from the kidneys, to the _________, to the
_________, to the ___________. - Correct Answers -Urinary tract
Ureters
Bladder
Urethra
The transmembrane pressure (TMP) measures the ________ difference across the
dialyzer membrane - Correct Answers -Pressure
_________ is the term used to describe the movement of fluid through a semi-
permeable membrane from a greater to a lesser concentration - Correct Answers -
Osmosis
_______ can be defined as the movement of particles through a semi-permeable
membrane from a greater to a lesser concentration - Correct Answers -Diffusion
A major factor affecting ultrafiltration is - Correct Answers -Pressure
A rise in _______________ during hemodialysis is likely to indicate clotted fibers -
Correct Answers -Transmembrane pressure (TMP)
Water in the dialysate may also be referred to as ___________ water - Correct Answers
-Reverse osmosis (RO) water
A ______________ is considered the access of choice because they have the lowest
complication rate. - Correct Answers -A fistula
A patient with severe hypertension is to start hemodialysis. The patient does not have
diabetes or cardiac problems. What type of access is preferable? - Correct Answers -
Arteriovenous fistula
Counter current flow of blood and dialysate increases the rate of ____________ -
Correct Answers -Diffusion
Use of a disafe filter allows the production of _________ - Correct Answers -Ultrapure
dialysate
_________ is the ability of a substance to conduct an electrical charge. - Correct
Answers -Conductivity
Normal ________ is used to rinse and prime the tubing of the extracorporeal circuit to
remove sterilant and air - Correct Answers -Saline
Air is removed from the extracorporeal circuit before initiating treatment because it may
cause _________ when trapped in the dialyzer - Correct Answers -Clotting
, The most likely cause of contamination of the extracorporeal circuit are _________ in
the prime bucket with ___________ end caps - Correct Answers -Bloodlines
Open
A low-level arterial drip chamber can result in ______ entering the system causing an
air embolism or clotting - Correct Answers -Air
When blood escapes from the dialyzer blood compartment (dialysate fiber) into the
dialysate fluid compartment, this is known as a ____________ - Correct Answers -
Blood leak
Dialysate is used for in center hemodialysis is:
A) sterile
B) non-sterile - Correct Answers -B) non-sterile
Who ultimately determines the dialysate bath used for a patient's treatment? - Correct
Answers -Physician ONLY
Individual acid containers must be ___________ with chemical content - Correct
Answers -Labeled
3 solutes that may be present in a prescribed dialysate solution - Correct Answers -
Sodium bicarbonate, potassium (acid), and calcium
Besides potassium, an electrolyte that is commonly adjusted in the hemodialysis acid
bath is - Correct Answers -Calcium
The 3 ingredients in a dialysate solution/bath are: - Correct Answers -Calcium,
bicarbonate, and RO water
A major complication that can occur when the patient is dialyzed on hypotonic dialysate
is ______ - Correct Answers -Hemolysis
The _______ area of the dialyzer has the most impact on dialyzer clearance - Correct
Answers -Surface
Which of the following would ADVERSELY affect clearance?
A) blood flow rate at 700 ml/min
B) air in dialyzer - Correct Answers -B) air in dialyzer
The online clearance goal for hemodialysis is a spKt/V of ________ - Correct Answers -
1.4
