Clinical Annual Competency Exam –
Fresenius 2022
Inadequate Heparinization - answerThe adequacy of a dialysis treatment may be
compromised by
Post reinfusion and prior to disconnection - answerRoutine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood
pressure and temperature both
Chemical content - answerIndividual acid containers should be labeled with
Notify the RN - answerThe 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) - answerWhich of these findings noted on a safety check
would indicate that an intervention is needed.
Notify the RN - answerThe 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 - answerDocumentation and
interpretation of the KECN (clearance effective by conductivity) results can assist the
staff member in
Circulation of water during the day only - answerWhich of the following would minimize
bacterial growth in the water treatment system?
Pressure - answerA major factor affecting ultrafiltration is
Palpating for a thrill - answerPre-treatment evaluation of an internal vascular access
includes
Hypotension - answerA patient having a dialysis treatment complains of feeling dizzy,
and begins to yawn. These symptoms are most likely to indicate that the patient has
Check the dialysate effluent with a blood leak test indicator - answerIf a blood leak
detector alarms a second time and no visible blood is noted, what should the PCT do
next?
Surface area of the dialyzer - answerWhich has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - answerThe patient exhibits signs of
hemolysis. What is the appropriate action to take?
, Clinical Annual Competency Exam –
Fresenius 2022
Calcium and magnesium - answerSoftener tanks remove
Technical must perform a functional test on the machine. - answerDuring 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 - answerThe 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 - answerThe arterial needle is placed
Priming the dialyzer venous end up - answerAn important factor in achieving adequacy
during machine set up is
Ultra Care - answerThe FMC program that utilizes technology to improve our patient
care is
Bicarbonate - answerThe component of the dialysate that helps treat acidosis is
Check the patient blood pressure - answerThe PCT notices the patient yawning toward
the end of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - answerSeveral patients with normal pre-
dialysis temperatures develop sudden chills and a spike in temperature. This situation is
most likely caused by
150 ml/min - answerWhat is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - answerWhat is NOT true
when cannulating a new AVF?
Weekly - answerIf bicarbonate concentrate jugs are used, the frequency for disinfecting
jugs is
Aid in fluid removal - answerUsing the sodium variation module during the dialysis
treatment will
To improve nutritional status and ensure compliance with oral intake and reduce the risk
of morbidity and mortality - answerOral nutrition supplements are given to FMS in-
Fresenius 2022
Inadequate Heparinization - answerThe adequacy of a dialysis treatment may be
compromised by
Post reinfusion and prior to disconnection - answerRoutine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood
pressure and temperature both
Chemical content - answerIndividual acid containers should be labeled with
Notify the RN - answerThe 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) - answerWhich of these findings noted on a safety check
would indicate that an intervention is needed.
Notify the RN - answerThe 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 - answerDocumentation and
interpretation of the KECN (clearance effective by conductivity) results can assist the
staff member in
Circulation of water during the day only - answerWhich of the following would minimize
bacterial growth in the water treatment system?
Pressure - answerA major factor affecting ultrafiltration is
Palpating for a thrill - answerPre-treatment evaluation of an internal vascular access
includes
Hypotension - answerA patient having a dialysis treatment complains of feeling dizzy,
and begins to yawn. These symptoms are most likely to indicate that the patient has
Check the dialysate effluent with a blood leak test indicator - answerIf a blood leak
detector alarms a second time and no visible blood is noted, what should the PCT do
next?
Surface area of the dialyzer - answerWhich has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - answerThe patient exhibits signs of
hemolysis. What is the appropriate action to take?
, Clinical Annual Competency Exam –
Fresenius 2022
Calcium and magnesium - answerSoftener tanks remove
Technical must perform a functional test on the machine. - answerDuring 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 - answerThe 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 - answerThe arterial needle is placed
Priming the dialyzer venous end up - answerAn important factor in achieving adequacy
during machine set up is
Ultra Care - answerThe FMC program that utilizes technology to improve our patient
care is
Bicarbonate - answerThe component of the dialysate that helps treat acidosis is
Check the patient blood pressure - answerThe PCT notices the patient yawning toward
the end of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - answerSeveral patients with normal pre-
dialysis temperatures develop sudden chills and a spike in temperature. This situation is
most likely caused by
150 ml/min - answerWhat is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - answerWhat is NOT true
when cannulating a new AVF?
Weekly - answerIf bicarbonate concentrate jugs are used, the frequency for disinfecting
jugs is
Aid in fluid removal - answerUsing the sodium variation module during the dialysis
treatment will
To improve nutritional status and ensure compliance with oral intake and reduce the risk
of morbidity and mortality - answerOral nutrition supplements are given to FMS in-
