CLINICAL ANNUAL COMPETENCY EXAM –
FRESENIUS QUESTIONS WITH CORRECT
ANSWERS 2026-2027
Inadequate Heparinization - correct answer-
The adequacy of a dialysis treatment may be compromised by
Post reinfusion and prior to disconnection - correct answer-
Routine post dialysis treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
Chemical content - correct answer-Individual acid containers should be labeled with
Notify the RN - correctBanswer-
The patient complains of pain at the catheter exit site. What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the venous l
ine) - correct answer-
Which of these findings noted on a safety check would indicate that an intervention is needed.
Notify the RN - correct answer-
The patient presentsBto the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in distr
ess. What should be the dialysis technicians immediate action?
Assessment for possible clotting in the dialyzer - correct answer-
Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist th
e staff member in
Circulation of water during the day only - correct answer-
Which of the following would minimize bacterial growth in the water treatment system?
Pressure - correct answer-ABmajor factor affecting ultrafiltration is
, Palpating for a thrill - correct answer-Pre-treatment evaluation of an internal vascular access includes
Hypotension - correct answer-
A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms ar
e most likely to indicate that the patient has
Check the dialysate effluent with a blood leakBtest indicator - correct answer-
If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do nex
t?
Surface area of the dialyzer - correct answer-Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - correct answer-
The patient exhibits signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium - correct answer-Softener tanks remove
Technical must perform a functional test on the machine. - correct answer-
During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine
before the machine is used by another patient?
Low clearance, hold heparin dose - correct answer-
The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood - correct answer-The arterial needle is placed
Priming the dialyzer venous end up - correct answer-
An important factor in achieving adequacy during machine set up is
FRESENIUS QUESTIONS WITH CORRECT
ANSWERS 2026-2027
Inadequate Heparinization - correct answer-
The adequacy of a dialysis treatment may be compromised by
Post reinfusion and prior to disconnection - correct answer-
Routine post dialysis treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
Chemical content - correct answer-Individual acid containers should be labeled with
Notify the RN - correctBanswer-
The patient complains of pain at the catheter exit site. What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the venous l
ine) - correct answer-
Which of these findings noted on a safety check would indicate that an intervention is needed.
Notify the RN - correct answer-
The patient presentsBto the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in distr
ess. What should be the dialysis technicians immediate action?
Assessment for possible clotting in the dialyzer - correct answer-
Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist th
e staff member in
Circulation of water during the day only - correct answer-
Which of the following would minimize bacterial growth in the water treatment system?
Pressure - correct answer-ABmajor factor affecting ultrafiltration is
, Palpating for a thrill - correct answer-Pre-treatment evaluation of an internal vascular access includes
Hypotension - correct answer-
A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms ar
e most likely to indicate that the patient has
Check the dialysate effluent with a blood leakBtest indicator - correct answer-
If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do nex
t?
Surface area of the dialyzer - correct answer-Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - correct answer-
The patient exhibits signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium - correct answer-Softener tanks remove
Technical must perform a functional test on the machine. - correct answer-
During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine
before the machine is used by another patient?
Low clearance, hold heparin dose - correct answer-
The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood - correct answer-The arterial needle is placed
Priming the dialyzer venous end up - correct answer-
An important factor in achieving adequacy during machine set up is
