DaVita PCT Final Exam 2022/2023

DaVita PCT Final Exam 2022/2023 1. When dialyzing a patient with acute kidney injury, one task of the patient care teammates is to monitor blood pressure and weight closely. Why is it important? (answer) hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys 2. CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following conditions is an intra-renal cause of CKD (answer) HTN 3. Knowing what caused your patient's CKD (answer) is important because the underly- ing disease could cause health complications that can impact the dialysis treatment 4. When a PCT documents the extent of a patient's edema, for example as +3 (answer) the PCT is preforming an assessment which is not allowed legally 5. When a patient has an irregular heartbeat, (answer) the automatic BP reading may not be accurate 6. Which of the following is a data collection (answer) HR 72 7. at what time should the post treatment data collection be completed (answer) after the treatment has been completed 8. the A in smart communication stands for (answer) actual- just report the facts 9. which of the following events is defined as a near miss (answer) the wrong dialyzer was set up and primed for a patient, but it was caught before dialysis was initiated and the dialyzer was replaced 10. using the approach is one way to fill out an REM (answer) SBAR 11. What is your main priority when returning a patient's blood with the hand crank during a power outage? (answer) you must be vigilant in watching for air in the blood lines 12. what problem will cause an increase in the patient's VP (answer) a clot in the venous drip chamber 13. Which blood test must be performed at regular intervals on patients susceptible to HPB (answer) HBsAg 14. you are dialyzing a patient and the only available HPB surveillance test is a HBsAb of 8. What are the machine disinfection requirements after dialyzing this patient? (answer) the machine must be heat disinfected at the end of each day 15. What is the most common factor contributing to bacteremia in dialysis patients? (answer) use of catheters for HD 16. which infectious disease requires frequent hand washing instead of using alcohol based hand gels (answer) active clostridioides difficile infection 17. What precautions must be used when handling lab specimens? (answer) universal precautions 18. waiting only five seconds between lowering the blood pump speed and drawing the post treatment blood sample could (answer) cause the post treatment BUN reading to be falsely low (wait 15 seconds) 19. which may cause a decrease in the hemoglobin of a patient with ESRD (answer) - infection/inflammation 20. fluid overload and HTN lead to LVH, this means (answer) hypotensive episodes are more likely to occur during the dialysis treatment 21. your role in CKD-MBD management includes (answer) reminding the patient who is eating a snack during dialysis to take his phosphate binder 22. your role in anemia management includes (answer) rinsing back as much of the patient's blood as you can at the termination of each treatment 23. the licensed nurse has delegated a specific task to a PCT, but the PCT gets called away before performing this task. Can the PCT asek another PCT to take over? (answer) no, a task delegated by the licensed nurse to a non-licenced teammate cannot be re-delegated by this teammate 24. the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not performed this task during the last 2.5 months. What is Nicole's responsibili- ty in the delegation communication process? (answer) Nicole is to inform the nurse that she performed the task only infrequently 25. what is the nurse's responsibility in the delegation supervision process?- (answer) to determine the level of supervision needed and to monitor the NAP's perfor- mance of the task accordingly 26. the transport mechanism when particles move from an area of higher solute concentration to an area of lower solute concentration is called (answer) diffu- sion 27. during dialysis, the movement of bicarb from the dialysate into the blood- (answer) helps normalize body pH 28. the kidneys excretory functions include (answer) normalizing electrolytes 29. what distance should be observed between needle tips and away from each other when cannulating an internal vascular access? (answer) 1.5 inches