Bonent CDC Questions and Answers 2023 Verified
How to manage Pericarditis:
controlled heparinization, increased frequency of dialysis, use of anti-inflammatory
drugs
A pt telephones the clinic to c/o s.o.b. this symptom is indicative of what?
fluid overload
Which organization is primarily concerned with providing the unit staff with
educational oppotunities?
Council of Nephrology Nurses and Technicians of the National Kidney Foundation
All of these are essential to the successful completion of a research project:.
review literature in the problem area, problem definition, obtaining permission of the unit
manager and study subjects
When a pyrogenic reaction occurs, the water tx system should be cultured for:
gram-negative bacteria
If a dialysys machine has been disinfected with formaldehyde, it is important to
test the for residual formaldehyde after rinsing to minimize the risk of :
pt exposure to formaldehyde
In hemodialysis, the most commonly used volume expander is 0.9% NaCI. If this
solution has the same effective osmolality as body fluids it is called:
Isotonic
A possible sequela of hep B is :
Pancreatitis
in the event of a MAJOR fire is discovered in an area occupied by pt's the first
action should be to:
remove the pt's
The greatest impact on the efficiency and safety of a hemodialysis tx is :
educated and motivated staff and properly maintained equipment
Homeostasis is best defined as :
the steady state of internal enviroment
Decreased glomerular filtration rate of the kidney may be due to all of the
following:
shock, dehydration, cardiac decompensation
Hemolysis of red blood cells will occur will occur if:
Hyperthermic fluid is delivered to the dialyzer
The goal of anticoagulation in dialysis is to maintain the degree of
anticoagulation at:
1.5 to 2 times the baseline clotting studies
The normal kidneys compensate for fluid loss by retaining:
Sodium and water
The primary reason for anemia in chronic renal failure is:
decreased erythropoietin production
Performance of a creatinine clearance test requires:
a timed urine collection and a serum creatinine measurement
A cause of hemolysis during dialysis:
Improper dialysate preparation
, Hypertension may be influenced by:
Nephrectomy, fluid overload, sodium retention
Correct needle placement is important in the initiation of dialysis to minimize the
risk of:
recirculation, inadequate blood flow, hematoma formation
Cylers used for peritoneal dialysis are automatic exchange devices which:
regulate instillation and drainage of the dialysis solution
The K in Kt/V stands for:
Kidney
A pt's venous needle falls out the first thing the tech should do is:
turn off the blood pump, clamp the venous line, and put pressure on the puncture site
The following are potential problems associated with use of bicarbonate dialysis:
increase in bacterial growth, dangerous electrolyte concentrations due to concentrate
mix ups, precipitation of calcium and magnesium in the delivery system
The role of renal dietician is best described as:
counseling pt's on the optimum diet for their needs and assisting them in following good
dietary habits
The half life of heparin is 40-90 mins. The elimination of heparin in dialysis pt's is
similar to that of the nonuremic populations. The following is true regarding the
effect of heparin in a dialysis tx:
the "rebound effect" of heparin metabolism increases the incidence of bleeding in this
population
Constipation is a common problem for dialysis patients. The primary reason for
this is:
Medications such as phosphate binders or ferrous sulfate
All of th folowing are relevant factors in ensuring accuracy of the clotted line:
Temp of the ACT tube, volume of blood in the ACT tube, prompt admixing 0f blood and
clotting reagent
What is a mannitol used for?
To support blood pressure by expanding volume
To minimize the risk of injury to improper dialysate, oone step which must be
taken by each facility using bicarbaonate is to:
use key coded/color coded systems for concentrate containers and concentrate uptake
lines
The tech is setting up a dialyser, the test for residual sterilant is positive after a
500 cc normal saline had been infused by recirculation, the technician should find
this as:
Abnormal, rinsing and retesting should be continued per protocol
With subclavian catheters, poor blood flow can be caused by all of the following:
Vascular spasms, an incorrect cannula lumen size, or incorrect placement of the
cannula inside the host vessel
The procedure most likely ordered after placement of a subclavian catheter is:
a chest X-ray to verify catheter placement
Complications associated with arteriovenous fistula for hemodialysis access
include all of the following:
Thrombosis, infection, stenosis, arterial steal syndrome
How to manage Pericarditis:
controlled heparinization, increased frequency of dialysis, use of anti-inflammatory
drugs
A pt telephones the clinic to c/o s.o.b. this symptom is indicative of what?
fluid overload
Which organization is primarily concerned with providing the unit staff with
educational oppotunities?
Council of Nephrology Nurses and Technicians of the National Kidney Foundation
All of these are essential to the successful completion of a research project:.
review literature in the problem area, problem definition, obtaining permission of the unit
manager and study subjects
When a pyrogenic reaction occurs, the water tx system should be cultured for:
gram-negative bacteria
If a dialysys machine has been disinfected with formaldehyde, it is important to
test the for residual formaldehyde after rinsing to minimize the risk of :
pt exposure to formaldehyde
In hemodialysis, the most commonly used volume expander is 0.9% NaCI. If this
solution has the same effective osmolality as body fluids it is called:
Isotonic
A possible sequela of hep B is :
Pancreatitis
in the event of a MAJOR fire is discovered in an area occupied by pt's the first
action should be to:
remove the pt's
The greatest impact on the efficiency and safety of a hemodialysis tx is :
educated and motivated staff and properly maintained equipment
Homeostasis is best defined as :
the steady state of internal enviroment
Decreased glomerular filtration rate of the kidney may be due to all of the
following:
shock, dehydration, cardiac decompensation
Hemolysis of red blood cells will occur will occur if:
Hyperthermic fluid is delivered to the dialyzer
The goal of anticoagulation in dialysis is to maintain the degree of
anticoagulation at:
1.5 to 2 times the baseline clotting studies
The normal kidneys compensate for fluid loss by retaining:
Sodium and water
The primary reason for anemia in chronic renal failure is:
decreased erythropoietin production
Performance of a creatinine clearance test requires:
a timed urine collection and a serum creatinine measurement
A cause of hemolysis during dialysis:
Improper dialysate preparation
, Hypertension may be influenced by:
Nephrectomy, fluid overload, sodium retention
Correct needle placement is important in the initiation of dialysis to minimize the
risk of:
recirculation, inadequate blood flow, hematoma formation
Cylers used for peritoneal dialysis are automatic exchange devices which:
regulate instillation and drainage of the dialysis solution
The K in Kt/V stands for:
Kidney
A pt's venous needle falls out the first thing the tech should do is:
turn off the blood pump, clamp the venous line, and put pressure on the puncture site
The following are potential problems associated with use of bicarbonate dialysis:
increase in bacterial growth, dangerous electrolyte concentrations due to concentrate
mix ups, precipitation of calcium and magnesium in the delivery system
The role of renal dietician is best described as:
counseling pt's on the optimum diet for their needs and assisting them in following good
dietary habits
The half life of heparin is 40-90 mins. The elimination of heparin in dialysis pt's is
similar to that of the nonuremic populations. The following is true regarding the
effect of heparin in a dialysis tx:
the "rebound effect" of heparin metabolism increases the incidence of bleeding in this
population
Constipation is a common problem for dialysis patients. The primary reason for
this is:
Medications such as phosphate binders or ferrous sulfate
All of th folowing are relevant factors in ensuring accuracy of the clotted line:
Temp of the ACT tube, volume of blood in the ACT tube, prompt admixing 0f blood and
clotting reagent
What is a mannitol used for?
To support blood pressure by expanding volume
To minimize the risk of injury to improper dialysate, oone step which must be
taken by each facility using bicarbaonate is to:
use key coded/color coded systems for concentrate containers and concentrate uptake
lines
The tech is setting up a dialyser, the test for residual sterilant is positive after a
500 cc normal saline had been infused by recirculation, the technician should find
this as:
Abnormal, rinsing and retesting should be continued per protocol
With subclavian catheters, poor blood flow can be caused by all of the following:
Vascular spasms, an incorrect cannula lumen size, or incorrect placement of the
cannula inside the host vessel
The procedure most likely ordered after placement of a subclavian catheter is:
a chest X-ray to verify catheter placement
Complications associated with arteriovenous fistula for hemodialysis access
include all of the following:
Thrombosis, infection, stenosis, arterial steal syndrome
