New Hire Competency Exam 2023 All Possible Questions
and Answers 2023
Use of a diasafe filter allows the production of
Ultrapure dialysate
During dialysis a patient has cardiac arrest. Which action should be completed on the
dialysis machine before the machine is used by another patient?
Technical must perform a functional test on the machine
Urine flows through the urinary tract from the
Kidneys to the ureters to the bladder to the urethra
When a high venous alarm sounds, where should the staff look to determine the cause?
From the top of the venous chamber through to the end of the venous needle
Which alarm will NOT stop the blood pump?
Blood pressure alarm
What is the purpose of maintaining a log of water quality checks?
To prove safe water has been documented
Which of the following describes the role of the RN in a dialysis facility?
Implement the plan of care in the patient education plan
During the set up of the dialysis machine, a coworker states that the technician has
contaminated the extracorporeal circuit. Which of the following would be the most likely
source of contamination?
The system was set up without wearing full personal protective equipment
Which of the following situations demonstrates correct use of dialysis precautions?
All personal protective equipment is to be worn when disinfecting equipment
When caring for a patient who is hepatitis B positive, after disconnecting the blood lines,
what must the technician do before documenting?
Remove gloves sanitize hands and put on a fresh pair of gloves
The primary cause of anemia in the dialysis patient is
A decrease in the production of erythropoietin
The purpose of the reverse osmosis device is
To provide high-quality high quantity water
A major function affecting ultrafiltration is
Pressure
What is a major complication that can occur when the patient is dialyzed on hypotonic
dialysate?
Hemolysis
Air is removed from the extracorporeal circuit before initiating treatment because air
may
Cause clotting with air trapped in the dialyzer
A patient is being observed her symptoms of uremia which include
A loss of appetite
When should alarm and pressure holding tests be performed on dialysis machines?
Before each treatment
Improperly primed dialyzers in blood lines can increase the risk of
Air embolism and clotting in the dialyzer
, Available weight gain is described as the
Pre-treatment weight minus dry weight
Which of the following increases the rate of diffusion?
Countercurrent flow of dialysate and blood
When a conductivity alarm occurs the
Machine enters bypass mode
What is the number one infection control practice for reducing the transmission of
diseases?
Handwashing
Which of the following has the most impact on dialyzer clearance?
Surface area of the dialyzer
Who ultimately determines the dialysate bath use for a patient treatment?
Physician, only
Dialysis clearance is affected by
Dialysate flow, dialysis treatment time, dialyzer size and blood flow rate
The transmembrane pressure (TMP) measures the pressure
Difference across the dialyzer membrane
Hemolyzed blood could be caused by
An arterial pressure of negative 270
Which of the following would adversely affect clearance?
Air in the dialyzer
When blood escapes from the dialyzer blood compartment into the dialysate fluid
compartment this is known as
A blood leak
The adequacy of a dialysis treatment may be compromised by
Inadequate heparinization
During continuous ambulatory peritoneal dialysis (CAPD), the time the dialysis solution
stays in the abdomen between exchanges is known as the
Dwell time
Which condition is likely to raise the venous pressure?
A venous needle occlusion
In addition to obtaining the patient's blood pressure, pulse, and temperature during the
pre-treatment evaluation, the nurse would also
Check the patient for peripheral edema
Which of the following complications is most likely caused by a kink in the bloodline?
Hemolysis
During the final 30 minutes of dialysis, the patient complains of blurred vision and
dizziness. The caregiver should evaluate for signs of
Hypotension
The online clearance (OLC) spKt/V goal for each treatment is
1.4
When is the correct time to draw a post-BUN?
Before returning the patient's blood
Which group of solutes may be present in a prescribe dialysis solution?
Sodium bicarbonate, potassium, and calcium
and Answers 2023
Use of a diasafe filter allows the production of
Ultrapure dialysate
During dialysis a patient has cardiac arrest. Which action should be completed on the
dialysis machine before the machine is used by another patient?
Technical must perform a functional test on the machine
Urine flows through the urinary tract from the
Kidneys to the ureters to the bladder to the urethra
When a high venous alarm sounds, where should the staff look to determine the cause?
From the top of the venous chamber through to the end of the venous needle
Which alarm will NOT stop the blood pump?
Blood pressure alarm
What is the purpose of maintaining a log of water quality checks?
To prove safe water has been documented
Which of the following describes the role of the RN in a dialysis facility?
Implement the plan of care in the patient education plan
During the set up of the dialysis machine, a coworker states that the technician has
contaminated the extracorporeal circuit. Which of the following would be the most likely
source of contamination?
The system was set up without wearing full personal protective equipment
Which of the following situations demonstrates correct use of dialysis precautions?
All personal protective equipment is to be worn when disinfecting equipment
When caring for a patient who is hepatitis B positive, after disconnecting the blood lines,
what must the technician do before documenting?
Remove gloves sanitize hands and put on a fresh pair of gloves
The primary cause of anemia in the dialysis patient is
A decrease in the production of erythropoietin
The purpose of the reverse osmosis device is
To provide high-quality high quantity water
A major function affecting ultrafiltration is
Pressure
What is a major complication that can occur when the patient is dialyzed on hypotonic
dialysate?
Hemolysis
Air is removed from the extracorporeal circuit before initiating treatment because air
may
Cause clotting with air trapped in the dialyzer
A patient is being observed her symptoms of uremia which include
A loss of appetite
When should alarm and pressure holding tests be performed on dialysis machines?
Before each treatment
Improperly primed dialyzers in blood lines can increase the risk of
Air embolism and clotting in the dialyzer
, Available weight gain is described as the
Pre-treatment weight minus dry weight
Which of the following increases the rate of diffusion?
Countercurrent flow of dialysate and blood
When a conductivity alarm occurs the
Machine enters bypass mode
What is the number one infection control practice for reducing the transmission of
diseases?
Handwashing
Which of the following has the most impact on dialyzer clearance?
Surface area of the dialyzer
Who ultimately determines the dialysate bath use for a patient treatment?
Physician, only
Dialysis clearance is affected by
Dialysate flow, dialysis treatment time, dialyzer size and blood flow rate
The transmembrane pressure (TMP) measures the pressure
Difference across the dialyzer membrane
Hemolyzed blood could be caused by
An arterial pressure of negative 270
Which of the following would adversely affect clearance?
Air in the dialyzer
When blood escapes from the dialyzer blood compartment into the dialysate fluid
compartment this is known as
A blood leak
The adequacy of a dialysis treatment may be compromised by
Inadequate heparinization
During continuous ambulatory peritoneal dialysis (CAPD), the time the dialysis solution
stays in the abdomen between exchanges is known as the
Dwell time
Which condition is likely to raise the venous pressure?
A venous needle occlusion
In addition to obtaining the patient's blood pressure, pulse, and temperature during the
pre-treatment evaluation, the nurse would also
Check the patient for peripheral edema
Which of the following complications is most likely caused by a kink in the bloodline?
Hemolysis
During the final 30 minutes of dialysis, the patient complains of blurred vision and
dizziness. The caregiver should evaluate for signs of
Hypotension
The online clearance (OLC) spKt/V goal for each treatment is
1.4
When is the correct time to draw a post-BUN?
Before returning the patient's blood
Which group of solutes may be present in a prescribe dialysis solution?
Sodium bicarbonate, potassium, and calcium
