Clinical Annual Competency Exam - Fresenius (Complete
Answered 2022/2023 guide)
1. The adequacy of a dialysis treatment may be compromised by: Inadequate
Heparinization
2. Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients blood pressure and temperature
both: Post reinfusion and prior to disconnection
3. Individual acid containers should be labeled with: Chemical content
4. The patient complains of pain at the catheter exit site. What would the PCT
do first?: Notify the RN
5. Which of these findings noted on a safety check would indicate that an
intervention is needed.: Hemosafe is in place and secure on the arterial line
(hemosafe clamp should be secured on the venous line)
6. The 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?: Notify the RN
7. Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in: Assessment for possible
clotting in the dialyzer
8. Which of the following would minimize bacterial growth in the water treat-
ment system?: Circulation of water during the day only
9. A major factor affecting ultrafiltration is: Pressure
10. Pre-treatment evaluation of an internal vascular access includes: Palpat-
ing for a thrill
11. A patient having a dialysis treatment complains of feeling dizzy, and
begins to yawn. These symptoms are most likely to indicate that the patient
has: Hypotension
12. If a blood leak detector alarms a second time and no visible blood is
noted, what should the PCT do next?: Check the dialysate effluent with a blood
leak test indicator
13. Which has the most impact on dialyzer clearance?: Surface area of the
dialyzer
14. The patient exhibits signs of hemolysis. What is the appropriate action to
take?: Turn the blood pump off, clamp the venous line.
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, 15. Softener tanks remove: Calcium and magnesium
16. 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?: Technical must perform a functional test on the machine.
17. The 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: Low clearance, hold heparin dose
18. The arterial needle is placed: Either with or against the flow of blood
19. An important factor in achieving adequacy during machine set up is: -
Priming the dialyzer venous end up
20. The FMC program that utilizes technology to improve our patient care
is: Ultra Care
21. The component of the dialysate that helps treat acidosis is: Bicarbonate
22. The PCT notices the patient yawning toward the end of treatment. The
PCT should take which action immediately: Check the patient blood pressure
23. Several patients with normal pre-dialysis temperatures develop sudden
chills and a spike in temperature. This situation is most likely caused by: -
Presence of endotoxins in the dialysate
24. What is the correct blood flow rate for priming the dialyzer: 150 ml/min
25. What is NOT true when cannulating a new AVF?: Use of a tourniquet is
optional when cannulating a new AVF
26. If bicarbonate concentrate jugs are used, the frequency for disinfecting
jugs is: Weekly
27. Using the sodium variation module during the dialysis treatment will: Aid
in fluid removal
28. Oral nutrition supplements are given to FMS in-center dialysis patients
who are malnourished while they are at the dialysis facility for what reason?-
: To improve nutritional status and ensure compliance with oral intake and reduce
the risk of morbidity and mortality
29. When instructing patients with CKD, who are receiving dialysis, the RN
should include the fact that: Elevated potassium levels may cause changes in
heart rhythm
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Answered 2022/2023 guide)
1. The adequacy of a dialysis treatment may be compromised by: Inadequate
Heparinization
2. Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients blood pressure and temperature
both: Post reinfusion and prior to disconnection
3. Individual acid containers should be labeled with: Chemical content
4. The patient complains of pain at the catheter exit site. What would the PCT
do first?: Notify the RN
5. Which of these findings noted on a safety check would indicate that an
intervention is needed.: Hemosafe is in place and secure on the arterial line
(hemosafe clamp should be secured on the venous line)
6. The 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?: Notify the RN
7. Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in: Assessment for possible
clotting in the dialyzer
8. Which of the following would minimize bacterial growth in the water treat-
ment system?: Circulation of water during the day only
9. A major factor affecting ultrafiltration is: Pressure
10. Pre-treatment evaluation of an internal vascular access includes: Palpat-
ing for a thrill
11. A patient having a dialysis treatment complains of feeling dizzy, and
begins to yawn. These symptoms are most likely to indicate that the patient
has: Hypotension
12. If a blood leak detector alarms a second time and no visible blood is
noted, what should the PCT do next?: Check the dialysate effluent with a blood
leak test indicator
13. Which has the most impact on dialyzer clearance?: Surface area of the
dialyzer
14. The patient exhibits signs of hemolysis. What is the appropriate action to
take?: Turn the blood pump off, clamp the venous line.
1/5
, 15. Softener tanks remove: Calcium and magnesium
16. 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?: Technical must perform a functional test on the machine.
17. The 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: Low clearance, hold heparin dose
18. The arterial needle is placed: Either with or against the flow of blood
19. An important factor in achieving adequacy during machine set up is: -
Priming the dialyzer venous end up
20. The FMC program that utilizes technology to improve our patient care
is: Ultra Care
21. The component of the dialysate that helps treat acidosis is: Bicarbonate
22. The PCT notices the patient yawning toward the end of treatment. The
PCT should take which action immediately: Check the patient blood pressure
23. Several patients with normal pre-dialysis temperatures develop sudden
chills and a spike in temperature. This situation is most likely caused by: -
Presence of endotoxins in the dialysate
24. What is the correct blood flow rate for priming the dialyzer: 150 ml/min
25. What is NOT true when cannulating a new AVF?: Use of a tourniquet is
optional when cannulating a new AVF
26. If bicarbonate concentrate jugs are used, the frequency for disinfecting
jugs is: Weekly
27. Using the sodium variation module during the dialysis treatment will: Aid
in fluid removal
28. Oral nutrition supplements are given to FMS in-center dialysis patients
who are malnourished while they are at the dialysis facility for what reason?-
: To improve nutritional status and ensure compliance with oral intake and reduce
the risk of morbidity and mortality
29. When instructing patients with CKD, who are receiving dialysis, the RN
should include the fact that: Elevated potassium levels may cause changes in
heart rhythm
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