My Fresenius Exam Review (Knowledge Assess) –
Questions & Answers
The role of the RN in a dialysis facility is to implement the ________ and the patient __________.
Correct Ans - Plan of care
Education plan
The number one cause of chronic renal failure is _______ Correct Ans - Diabetes
When going from a dirty area to retrieve supplies in a clean area, staff are required to
complete ________ __________. Correct Ans - hand hygiene
Hazardous Material Identification System (HMIS) labels are required on all ______ ______,
including individual bicarbonate containers. Correct Ans - hazardous materials
What solution should be used to disinfect a large blood spill area (greater than 10mLs)?
______ part bleach, ____ parts water solution Correct Ans - 1 part bleach, 10 parts
water
The main route of transmission of Hepatitis B in hemodialysis facilities by exposure to
infected ______ and ______ Correct Ans - Infected blood and bodily fluids
When caring for a patient who is hepatitis B positive, after disconnecting the lines, the
technician MUST perform which 3 actions before documenting? Correct Ans -
Remove gloves, sanitize hands, and put on a fresh pair of gloves
According to the CDC, patients who are Hepatitis B surface antigen (HBsAg) positive should
be dialyzed in a ________ area of the dialysis center, on a _____________ machine Correct
Ans - Separate
Dedicated
What PPE should you wear when documenting in the isolation room? Correct Ans -
Wear clean gloves
The dialysis technician has performed a rinse back on a patient and failed to gather all the
supplies needed to disconnect the patient. What 2 things MUST the dialysis technician do
prior to getting clean supplies? Correct Ans - Remove gloves, wash/sanitize hands,
and retrieve items
Urine flows from the ______, through the _________, to the _________, to the ___________ to the
_______. Correct Ans - Kidneys
Ureters
,Bladder
Urethra
The transmembrane pressure (TMP) measures the ________ difference across the dialyzer
membrane Correct Ans - Pressure
_________ is the term used to describe the movement of fluid through an extracorporeal from
an area of low solute concentration to an area of high concentration. Correct Ans -
Osmosis
_______ can be defined as the movement of particles through a semi-permeable membrane
from a greater to a lesser concentration Correct Ans - Diffusion
A major factor affecting ultrafiltration is Correct Ans - Pressure
A rise in _______________ during hemodialysis is likely to indicate clotted fibers Correct
Ans - Transmembrane pressure (TMP)
Water in the dialysate may also be referred to as ___________ water Correct Ans -
Reverse osmosis (RO) water
A ______________ is considered the access of choice because they have the lowest complication
rate. Correct Ans - A fistula
A patient with severe hypertension is to start hemodialysis. The patient does not have
diabetes or cardiac problems. What type of access is preferable? Correct Ans -
Arteriovenous fistula
Counter current flow of blood and dialysate increases the rate of ____________ Correct
Ans - Diffusion
Use of a disafe filter allows the production of _________ Correct Ans - Ultrapure
dialysate
_________ is the ability of a substance to conduct an electrical charge. Correct Ans -
Conductivity
Normal ________ is used to rinse and prime the tubing of the extracorporeal circuit to remove
sterilant and air Correct Ans - Saline
Air is removed from the extracorporeal circuit before initiating treatment because it may
cause _________ when trapped in the dialyzer Correct Ans - Clotting
The most likely cause of contamination of the extracorporeal circuit are _________ in the
prime bucket with ___________ end caps Correct Ans - Bloodlines
Open
, A low-level arterial drip chamber can result in ______ entering the system causing an air
embolism or clotting Correct Ans - Air
When blood escapes from the dialyzer blood compartment (dialysate fiber) into the
dialysate fluid compartment, this is known as a ____________ Correct Ans - Blood leak
Dialysate is used for in center hemodialysis is:
A) sterile
B) non-sterile Correct Ans - B) non-sterile
Who ultimately determines the dialysate bath used for a patient's treatment? Correct
Ans - Physician ONLY
Individual acid containers must be ___________ with chemical content Correct Ans -
Labeled
3 solutes that may be present in a prescribed dialysate solution Correct Ans -
Sodium (bicarbonate)
potassium (acid)
calcium
Besides potassium, an electrolyte that is commonly adjusted in the hemodialysis acid bath
is Correct Ans - Calcium
The 3 ingredients in a dialysate solution/bath are: Correct Ans - Acid, bicarbonate,
and RO water
A major complication that can occur when the patient is dialyzed on hypotonic dialysate is
______ Correct Ans - is Hemolysis
The _______ area of the dialyzer has the most impact on dialyzer clearance Correct Ans -
Surface
Which of the following would ADVERSELY affect clearance?
A) blood flow rate at 700 ml/min
B) air in dialyzer Correct Ans - B) air in dialyzer
The online clearance goal for hemodialysis is a spKt/V of ________ Correct Ans - 1.4
Dialysis is affected by these 4 things:
•Dialysate ________ rate
•Dialysis __________time
•Dialyzer _________ area
Questions & Answers
The role of the RN in a dialysis facility is to implement the ________ and the patient __________.
Correct Ans - Plan of care
Education plan
The number one cause of chronic renal failure is _______ Correct Ans - Diabetes
When going from a dirty area to retrieve supplies in a clean area, staff are required to
complete ________ __________. Correct Ans - hand hygiene
Hazardous Material Identification System (HMIS) labels are required on all ______ ______,
including individual bicarbonate containers. Correct Ans - hazardous materials
What solution should be used to disinfect a large blood spill area (greater than 10mLs)?
______ part bleach, ____ parts water solution Correct Ans - 1 part bleach, 10 parts
water
The main route of transmission of Hepatitis B in hemodialysis facilities by exposure to
infected ______ and ______ Correct Ans - Infected blood and bodily fluids
When caring for a patient who is hepatitis B positive, after disconnecting the lines, the
technician MUST perform which 3 actions before documenting? Correct Ans -
Remove gloves, sanitize hands, and put on a fresh pair of gloves
According to the CDC, patients who are Hepatitis B surface antigen (HBsAg) positive should
be dialyzed in a ________ area of the dialysis center, on a _____________ machine Correct
Ans - Separate
Dedicated
What PPE should you wear when documenting in the isolation room? Correct Ans -
Wear clean gloves
The dialysis technician has performed a rinse back on a patient and failed to gather all the
supplies needed to disconnect the patient. What 2 things MUST the dialysis technician do
prior to getting clean supplies? Correct Ans - Remove gloves, wash/sanitize hands,
and retrieve items
Urine flows from the ______, through the _________, to the _________, to the ___________ to the
_______. Correct Ans - Kidneys
Ureters
,Bladder
Urethra
The transmembrane pressure (TMP) measures the ________ difference across the dialyzer
membrane Correct Ans - Pressure
_________ is the term used to describe the movement of fluid through an extracorporeal from
an area of low solute concentration to an area of high concentration. Correct Ans -
Osmosis
_______ can be defined as the movement of particles through a semi-permeable membrane
from a greater to a lesser concentration Correct Ans - Diffusion
A major factor affecting ultrafiltration is Correct Ans - Pressure
A rise in _______________ during hemodialysis is likely to indicate clotted fibers Correct
Ans - Transmembrane pressure (TMP)
Water in the dialysate may also be referred to as ___________ water Correct Ans -
Reverse osmosis (RO) water
A ______________ is considered the access of choice because they have the lowest complication
rate. Correct Ans - A fistula
A patient with severe hypertension is to start hemodialysis. The patient does not have
diabetes or cardiac problems. What type of access is preferable? Correct Ans -
Arteriovenous fistula
Counter current flow of blood and dialysate increases the rate of ____________ Correct
Ans - Diffusion
Use of a disafe filter allows the production of _________ Correct Ans - Ultrapure
dialysate
_________ is the ability of a substance to conduct an electrical charge. Correct Ans -
Conductivity
Normal ________ is used to rinse and prime the tubing of the extracorporeal circuit to remove
sterilant and air Correct Ans - Saline
Air is removed from the extracorporeal circuit before initiating treatment because it may
cause _________ when trapped in the dialyzer Correct Ans - Clotting
The most likely cause of contamination of the extracorporeal circuit are _________ in the
prime bucket with ___________ end caps Correct Ans - Bloodlines
Open
, A low-level arterial drip chamber can result in ______ entering the system causing an air
embolism or clotting Correct Ans - Air
When blood escapes from the dialyzer blood compartment (dialysate fiber) into the
dialysate fluid compartment, this is known as a ____________ Correct Ans - Blood leak
Dialysate is used for in center hemodialysis is:
A) sterile
B) non-sterile Correct Ans - B) non-sterile
Who ultimately determines the dialysate bath used for a patient's treatment? Correct
Ans - Physician ONLY
Individual acid containers must be ___________ with chemical content Correct Ans -
Labeled
3 solutes that may be present in a prescribed dialysate solution Correct Ans -
Sodium (bicarbonate)
potassium (acid)
calcium
Besides potassium, an electrolyte that is commonly adjusted in the hemodialysis acid bath
is Correct Ans - Calcium
The 3 ingredients in a dialysate solution/bath are: Correct Ans - Acid, bicarbonate,
and RO water
A major complication that can occur when the patient is dialyzed on hypotonic dialysate is
______ Correct Ans - is Hemolysis
The _______ area of the dialyzer has the most impact on dialyzer clearance Correct Ans -
Surface
Which of the following would ADVERSELY affect clearance?
A) blood flow rate at 700 ml/min
B) air in dialyzer Correct Ans - B) air in dialyzer
The online clearance goal for hemodialysis is a spKt/V of ________ Correct Ans - 1.4
Dialysis is affected by these 4 things:
•Dialysate ________ rate
•Dialysis __________time
•Dialyzer _________ area
