FRESENIUS ANNUAL COMPETENCY TEST
COMPREHENSIVE STUDY GUIDE 2026 DIALYSIS
CARE AND NEPHROLOGY NURSING
PRINCIPLES
◉ Post reinfusion and prior to disconnection.
Answer: Routine post dialysis treatment documentation on the
patients dialysis treatment record should include patients blood
pressure and temperature both
◉ Chemical content.
Answer: Individual acid containers should be labeled with
◉ Notify the RN.
Answer: 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 line).
Answer: Which of these findings noted on a safety check would
indicate that an intervention is needed.
, ◉ Notify the RN.
Answer: The patient presents to the dialysis center with a pulse rate
of 44/bpm but doesn't appear to be in distress. What should be the
dialysis technicians immediate action?
◉ Assessment for possible clotting in the dialyzer.
Answer: Documentation and interpretation of the KECN (clearance
effective by conductivity) results can assist the staff member in
◉ Circulation of water during the day only.
Answer: Which of the following would minimize bacterial growth in
the water treatment system?
◉ Pressure.
Answer: A major factor affecting ultrafiltration is
◉ Palpating for a thrill.
Answer: Pre-treatment evaluation of an internal vascular access
includes
◉ Hypotension.
Answer: A patient having a dialysis treatment complains of feeling
dizzy, and begins to yawn. These symptoms are most likely to
indicate that the patient has
COMPREHENSIVE STUDY GUIDE 2026 DIALYSIS
CARE AND NEPHROLOGY NURSING
PRINCIPLES
◉ Post reinfusion and prior to disconnection.
Answer: Routine post dialysis treatment documentation on the
patients dialysis treatment record should include patients blood
pressure and temperature both
◉ Chemical content.
Answer: Individual acid containers should be labeled with
◉ Notify the RN.
Answer: 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 line).
Answer: Which of these findings noted on a safety check would
indicate that an intervention is needed.
, ◉ Notify the RN.
Answer: The patient presents to the dialysis center with a pulse rate
of 44/bpm but doesn't appear to be in distress. What should be the
dialysis technicians immediate action?
◉ Assessment for possible clotting in the dialyzer.
Answer: Documentation and interpretation of the KECN (clearance
effective by conductivity) results can assist the staff member in
◉ Circulation of water during the day only.
Answer: Which of the following would minimize bacterial growth in
the water treatment system?
◉ Pressure.
Answer: A major factor affecting ultrafiltration is
◉ Palpating for a thrill.
Answer: Pre-treatment evaluation of an internal vascular access
includes
◉ Hypotension.
Answer: A patient having a dialysis treatment complains of feeling
dizzy, and begins to yawn. These symptoms are most likely to
indicate that the patient has
