DAVITA PCT FINAL EXAM 2026-2027
QUESTIONS WITH CORRECT ANSWERS
Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
CORRECT ANSWER -bacteria and endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure. -
CORRECT ANSWER -blockage of arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation -
CORRECT ANSWER --air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? - CORRECT ANSWER -
look at circuit for blood in the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? - CORRECT ANSWER -
Kinking of the arterial blood line between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
CORRECT ANSWER -decrease
what could be the reasons for a conductivity alarm on the dialysis machine - CORRECT ANSWER -
when the dialysate is mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility specific emergenc
y management plan (EMP) and applicable policy and procedures is - CORRECT ANSWER -
Fa or designee
Teammates MUST be able to readily identify patients who may require additional assistance in the
event of an emergency evacuation. This will include patients who need help with or are unable to
- CORRECT ANSWER -both b and c
what is an important action prior to returning a patients blood using the hand crank in the event o
f a power failure ? - CORRECT ANSWER -remove the venous line for the line clamp
Per physician order and based on individual patient needs, CThEroAnCiH c KL iedsns eo yn M DP li as en a s e Mineral and Bon
e Disorder (MBD) is treated with - CORRECT A NS WE RM M - urray: Foundations of Maternal-
phosphate binders, Vit D (Hectorol), and C i n a Nc ael w
c ebt o r n & Women's Health Nursing, 8th Edition
Poor wound healing is directly related to - CORRECT ANSWER -low protein intake
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is th
e best time to take them ? - CORRECT ANSWER -with meal
The definition of Health Literacy is - CORRECT ANSWER -
ability to obtain, read, understand, and use healthcare information in order to make appropriate he
alth decisions and follow instructions for treatment
If you notice that a patient's caretaker is struggling to meet the demands of the patients treatment
, regime you should - CORRECT ANSWER -contact social worker
The Psychosocial Assessment completed by the social worker - CORRECT ANSWER -
an evaluation of a person's mental health, social status, and functional capacity within the commun
ityCompeted initially and annually
The Clinical Pyramid includes : - CORRECT ANSWER -
• The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target W
eight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management, Diabetes Ma
nagement, Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transiti
on of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness • Mortal
ity, Hospitalization /Re-
hospitalization, Patient Experience of Care• What Matters Most • Our patient's health-
related Quality of Life
DaVita Quality Index (DQI) success is achieved - CORRECT ANSWER -
encourage continuous improvement across aboard range of disease management processes (all of t
he above )
What can be the most likely result if the surveyor sees a patient with a covered vascular access -
CORRECT ANSWER -immediate jeopardy
A surveyor asks you a question. Which of the following statements would be a good answer ? -
CORRECT ANSWER -I do not know the answer but I will find out.
Intra-renal causes of AKI - CORRECT ANSWER -
Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomeru
lonephritis, Trauma, Open Heart Surgery
Knowing what caused your patients kidney failure - CORRECT ANSWER -
can cause complications to treatment
A patient with acute kidney injury dialyzes in the out-
patient facility. With regards to the patients target weight, why is being "wet" better that being to
o dry? - CORRECT ANSWER -
The excretory function of the kidneys include - CORRECT ANSWER -
remove access water, urea, and metabolic wastes from the bTl oE oA dC .H Lesson Plan
Murray: Foundations of Maternal-
Acid concentrate replaces the excretory functN
i oenw
MobfoM nrnor&
maW
l M okim
dneeny'sM fHuneac tlitohn MNbuyrMs-ing, 8th Edition
CORRECT ANSWER -
Hemodialysis removes urea, salts, and excess water from the blood normalizing electrolytes, remov
es metabolic acidosis,
Ultrafiltration is defined as - CORRECT ANSWER -
controlled fluid removed by manipulation of hydrostatic pressure
The endocrine functions of the kidneys are - CORRECT ANSWER -
Renin and erythropoietin secretion ,activation of vitamin D
Dialysis replaces only percent of normal kidney function. - CORRECT ANSWER -15%
QUESTIONS WITH CORRECT ANSWERS
Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
CORRECT ANSWER -bacteria and endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure. -
CORRECT ANSWER -blockage of arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation -
CORRECT ANSWER --air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? - CORRECT ANSWER -
look at circuit for blood in the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? - CORRECT ANSWER -
Kinking of the arterial blood line between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
CORRECT ANSWER -decrease
what could be the reasons for a conductivity alarm on the dialysis machine - CORRECT ANSWER -
when the dialysate is mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility specific emergenc
y management plan (EMP) and applicable policy and procedures is - CORRECT ANSWER -
Fa or designee
Teammates MUST be able to readily identify patients who may require additional assistance in the
event of an emergency evacuation. This will include patients who need help with or are unable to
- CORRECT ANSWER -both b and c
what is an important action prior to returning a patients blood using the hand crank in the event o
f a power failure ? - CORRECT ANSWER -remove the venous line for the line clamp
Per physician order and based on individual patient needs, CThEroAnCiH c KL iedsns eo yn M DP li as en a s e Mineral and Bon
e Disorder (MBD) is treated with - CORRECT A NS WE RM M - urray: Foundations of Maternal-
phosphate binders, Vit D (Hectorol), and C i n a Nc ael w
c ebt o r n & Women's Health Nursing, 8th Edition
Poor wound healing is directly related to - CORRECT ANSWER -low protein intake
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is th
e best time to take them ? - CORRECT ANSWER -with meal
The definition of Health Literacy is - CORRECT ANSWER -
ability to obtain, read, understand, and use healthcare information in order to make appropriate he
alth decisions and follow instructions for treatment
If you notice that a patient's caretaker is struggling to meet the demands of the patients treatment
, regime you should - CORRECT ANSWER -contact social worker
The Psychosocial Assessment completed by the social worker - CORRECT ANSWER -
an evaluation of a person's mental health, social status, and functional capacity within the commun
ityCompeted initially and annually
The Clinical Pyramid includes : - CORRECT ANSWER -
• The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target W
eight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management, Diabetes Ma
nagement, Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transiti
on of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness • Mortal
ity, Hospitalization /Re-
hospitalization, Patient Experience of Care• What Matters Most • Our patient's health-
related Quality of Life
DaVita Quality Index (DQI) success is achieved - CORRECT ANSWER -
encourage continuous improvement across aboard range of disease management processes (all of t
he above )
What can be the most likely result if the surveyor sees a patient with a covered vascular access -
CORRECT ANSWER -immediate jeopardy
A surveyor asks you a question. Which of the following statements would be a good answer ? -
CORRECT ANSWER -I do not know the answer but I will find out.
Intra-renal causes of AKI - CORRECT ANSWER -
Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomeru
lonephritis, Trauma, Open Heart Surgery
Knowing what caused your patients kidney failure - CORRECT ANSWER -
can cause complications to treatment
A patient with acute kidney injury dialyzes in the out-
patient facility. With regards to the patients target weight, why is being "wet" better that being to
o dry? - CORRECT ANSWER -
The excretory function of the kidneys include - CORRECT ANSWER -
remove access water, urea, and metabolic wastes from the bTl oE oA dC .H Lesson Plan
Murray: Foundations of Maternal-
Acid concentrate replaces the excretory functN
i oenw
MobfoM nrnor&
maW
l M okim
dneeny'sM fHuneac tlitohn MNbuyrMs-ing, 8th Edition
CORRECT ANSWER -
Hemodialysis removes urea, salts, and excess water from the blood normalizing electrolytes, remov
es metabolic acidosis,
Ultrafiltration is defined as - CORRECT ANSWER -
controlled fluid removed by manipulation of hydrostatic pressure
The endocrine functions of the kidneys are - CORRECT ANSWER -
Renin and erythropoietin secretion ,activation of vitamin D
Dialysis replaces only percent of normal kidney function. - CORRECT ANSWER -15%
