CCHT Dialysis exam 2022| 238 QUESTIONS| WITH
COMPLETE SOLUTIONS
What factors decrease K Correct Answer: Incorrxr pump speed, low BFR
Factors that influence V Correct Answer: Height, weight, age, amputation, sex
BFR for 17G needle Correct Answer: 200-250
BFR for 16G needle Correct Answer: 250-350
BFR FOR 15G needle Correct Answer: 350-450
BFR for 14g needle Correct Answer: >450
Post BUN lab draw steps Correct Answer: Turn off UF, bring down dialysate flow rate to 50,
wait 15 seconds, obtain sample form arterial port
False KT/v (increase) Correct Answer: BFR not decreased, did not wait 15 seconds before
drawing, drew from venous line
Low KT/V causes Correct Answer: Diluted sample(saline)
Why is weight and BP important when monitoring AKI patients Correct Answer: Keep them
wet so they don't dry out!
AKI hypotensionepisodes due to Correct Answer: Less blood flow going to the kidneys causing
ischemia
Why is it important to know what caused PT chronic renal failure? Correct Answer: So we can
treat complications and zone in on things during data collection
When is a pre-treatment assessment by the licensed nurse required? Correct Answer: AKI
patients or state mandate
DQI purpose Correct Answer: A way for facilities to measure performance to improve our Pt
quality of life
When is it okay for a PT to be released from TX Correct Answer: Evaluate effectiveness of the
Tx, and compare pre Tx to post Tx
4 reasons why we document on a medical record Correct Answer: 1. Proof care was rendered
2. Provides data continuity
3. Permanent legal record
4. Communication tool
, When to chart Correct Answer: Medication given, and Pt response
Times for documentation Correct Answer: Pre and post tx
REM may be seen on the test as Correct Answer: AOR
Consequence of sodium overloading Correct Answer: Increased thirst, increased fluid weight
gain, higher UF rate, more hypotension
Foods high in phosphorus Correct Answer: Chocolate, dairy products, legumes, dark pop
Binders work by Correct Answer: Prevention of absorption in the gut(remember magnet)
Diffusion Correct Answer: Higher to lower concentration (down)
Osmosis Correct Answer: Lower to higher, opposite of diffusion
Movement of bicarb from dialysate to blood Correct Answer: Helps normalize body's PH
Bicarb in dialysate acts as a Correct Answer: BUFFER
Excretory Functions of Kidney(to get rid of) Correct Answer: Normalizing electrolytes,
removing waste and fluid
Conditions for coverage Correct Answer: A CMS regulation that the dialysis provider must meet
A surveyor sees a covered vascular access, and this can result in a Correct Answer:
IJ(immediate jeopardy)
What precautions do you take when handling lab specimens Correct Answer: Universal
precautions(everything is infectious)
Lavender tubes Correct Answer: Inverted, no clotting, no shaking
What do you do if a tube breaks in the centrifuge? Correct Answer: Take sleeve out, remove
opposing sleeve
Importance of V tags Correct Answer: Infection control, CMS regulation
Most frequent infectious complicaitons Correct Answer: Vascular access infection
Most common germ we experience Correct Answer: MRSA
Why do we wear gloves? Correct Answer: Reduces risk of hand contamination
COMPLETE SOLUTIONS
What factors decrease K Correct Answer: Incorrxr pump speed, low BFR
Factors that influence V Correct Answer: Height, weight, age, amputation, sex
BFR for 17G needle Correct Answer: 200-250
BFR for 16G needle Correct Answer: 250-350
BFR FOR 15G needle Correct Answer: 350-450
BFR for 14g needle Correct Answer: >450
Post BUN lab draw steps Correct Answer: Turn off UF, bring down dialysate flow rate to 50,
wait 15 seconds, obtain sample form arterial port
False KT/v (increase) Correct Answer: BFR not decreased, did not wait 15 seconds before
drawing, drew from venous line
Low KT/V causes Correct Answer: Diluted sample(saline)
Why is weight and BP important when monitoring AKI patients Correct Answer: Keep them
wet so they don't dry out!
AKI hypotensionepisodes due to Correct Answer: Less blood flow going to the kidneys causing
ischemia
Why is it important to know what caused PT chronic renal failure? Correct Answer: So we can
treat complications and zone in on things during data collection
When is a pre-treatment assessment by the licensed nurse required? Correct Answer: AKI
patients or state mandate
DQI purpose Correct Answer: A way for facilities to measure performance to improve our Pt
quality of life
When is it okay for a PT to be released from TX Correct Answer: Evaluate effectiveness of the
Tx, and compare pre Tx to post Tx
4 reasons why we document on a medical record Correct Answer: 1. Proof care was rendered
2. Provides data continuity
3. Permanent legal record
4. Communication tool
, When to chart Correct Answer: Medication given, and Pt response
Times for documentation Correct Answer: Pre and post tx
REM may be seen on the test as Correct Answer: AOR
Consequence of sodium overloading Correct Answer: Increased thirst, increased fluid weight
gain, higher UF rate, more hypotension
Foods high in phosphorus Correct Answer: Chocolate, dairy products, legumes, dark pop
Binders work by Correct Answer: Prevention of absorption in the gut(remember magnet)
Diffusion Correct Answer: Higher to lower concentration (down)
Osmosis Correct Answer: Lower to higher, opposite of diffusion
Movement of bicarb from dialysate to blood Correct Answer: Helps normalize body's PH
Bicarb in dialysate acts as a Correct Answer: BUFFER
Excretory Functions of Kidney(to get rid of) Correct Answer: Normalizing electrolytes,
removing waste and fluid
Conditions for coverage Correct Answer: A CMS regulation that the dialysis provider must meet
A surveyor sees a covered vascular access, and this can result in a Correct Answer:
IJ(immediate jeopardy)
What precautions do you take when handling lab specimens Correct Answer: Universal
precautions(everything is infectious)
Lavender tubes Correct Answer: Inverted, no clotting, no shaking
What do you do if a tube breaks in the centrifuge? Correct Answer: Take sleeve out, remove
opposing sleeve
Importance of V tags Correct Answer: Infection control, CMS regulation
Most frequent infectious complicaitons Correct Answer: Vascular access infection
Most common germ we experience Correct Answer: MRSA
Why do we wear gloves? Correct Answer: Reduces risk of hand contamination
