FRESENIUS ANNUAL COMPETENCY TEST
REVISION HANDBOOK 2026 INFECTION
CONTROL AND VASCULAR ACCESS
MANAGEMENT
◉ The component of the dialysate that helps treat acidosis is
Answer: bicarbonate.
◉ Chloramines or bleach in the dialysate during dialysis can cause a
patients' death due to
Answer: hemolysis
◉ During the OLC testing, a gradual drop in clearance effectiveness
by conductivity, KeCN, is most likely to indicate the need to
Answer: increase heparin dosage.
◉ Documentation and interpretation of the KeCN results can assist
the staff member in
Answer: assessment for possible clotting in the dialyzer.
◉ Dialysis has been initiated on a patient using a right internal
jugular catheter, as a blood pump is turned to 200, foam begins to
, accumulate in the lines. The patient begins to wheeze, and becomes
SOB. The care givers first action would be
Answer: clamp the venous line
◉ 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.
Answer: Technical must perform a functional test on the machine.
◉ The dialysis technician has performed a rinse back on a patient
and failed to gather all the supplies needed to disconnect the patient.
What must the technician do prior to getting clean supplies?
Answer: Remove gloves, wash hands, and put on clean gloves
◉ An equivalent marker for inflammation as well as an indicator of
future mortality risk and length of hospitalization stay is a body
protein known as?
Answer: Serum albumin
◉ Excessive fluid removal during dialysis, combined with the
patient's taking an antihypertensive med may result in patient
having?
Answer: Hypotension
REVISION HANDBOOK 2026 INFECTION
CONTROL AND VASCULAR ACCESS
MANAGEMENT
◉ The component of the dialysate that helps treat acidosis is
Answer: bicarbonate.
◉ Chloramines or bleach in the dialysate during dialysis can cause a
patients' death due to
Answer: hemolysis
◉ During the OLC testing, a gradual drop in clearance effectiveness
by conductivity, KeCN, is most likely to indicate the need to
Answer: increase heparin dosage.
◉ Documentation and interpretation of the KeCN results can assist
the staff member in
Answer: assessment for possible clotting in the dialyzer.
◉ Dialysis has been initiated on a patient using a right internal
jugular catheter, as a blood pump is turned to 200, foam begins to
, accumulate in the lines. The patient begins to wheeze, and becomes
SOB. The care givers first action would be
Answer: clamp the venous line
◉ 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.
Answer: Technical must perform a functional test on the machine.
◉ The dialysis technician has performed a rinse back on a patient
and failed to gather all the supplies needed to disconnect the patient.
What must the technician do prior to getting clean supplies?
Answer: Remove gloves, wash hands, and put on clean gloves
◉ An equivalent marker for inflammation as well as an indicator of
future mortality risk and length of hospitalization stay is a body
protein known as?
Answer: Serum albumin
◉ Excessive fluid removal during dialysis, combined with the
patient's taking an antihypertensive med may result in patient
having?
Answer: Hypotension
