2024 Fresenius PCT EXAM

When washing hands with soap and water, how long must you wash your hands? - ANSWERS 40-60 seconds When cleaning hands with hand sanitizer, how long must you rub your hands? - ANSWERS 20-30 seconds The number one cause of chronic renal failure is - ANSWERS diabetes When gong from a dirty area to retrieve supplies in a clean area, staff are required to complete hand hygiene T/F - ANSWERS true HMIS labels are required on all hazardous materials including individual bicarbonate containers T/F - ANSWERS True The first bleach solution used to clean a large blood spill area (10mL/s) is ? - ANSWERS 1/10 The main route of Hep B in Hemodialysis facilities is by exposure to infected_______ and _______ - ANSWERS infected blood and bodily fluids When caring for a patient who is Hep B positive, after disconnecting the bloodlines, the techinician must perform which 3 actions before documenting - ANSWERS remove gloves, wash/sanitize hands, and put on a fresh pair According to the CDC, patients who are Hep B surface Antigen (HBsAg) positive should be dialyzed in a ___area of the dialysis center, on ___machine - ANSWERS separate area, on a dedicated machine What MUST the dialysis techinician do prior to leaving the patient at the dialysis station to get clean supplies? Remove____, _____hands and ____ retrieve items - ANSWERS Remove gloves, wash/sanitize hands, and put on a fresh pair of gloves The dialysis technician has performed a rinseback 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? - ANSWERS Remove gloves, wash/sanitize hands You must wear a full-face shield, or mask with goggles, when in an area with a risk of - ANSWERS blood splatter Use of a diasafe filter allows the production of - ANSWERS ultrapure dialysate _____is the ability of a substance to conduct electricity and conduct an electrical charge - ANSWERS conductivity Normal _____ is used to rinse and prime the tubing of an extracorporeal circuit to remove sterilant and air - ANSWERS saline Air is removed from the EC before initiating treatment because it may cause _______when trapped in the dialyzer - ANSWERS clotting The most likely cause of contamination of the EC are_____ in the prime bucket with _____ end caps. - ANSWERS bloodlines, open A low-level arterial drip chamber can result in ___entering the system causing an air embolism or clotting. - ANSWERS air When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment, this is known as a _____ - ANSWERS blood leak The final dialysate must have a pH between ____ and ____ - ANSWERS 6.9-7.6 How often should staff clean the dialysis machine with acid? - ANSWERS daily When should alarm and PHT be performed on dialysis machines? - ANSWERS Before each treatment What is removed by normal saline during the priming process? - ANSWERS air in the dialyzer Before the start of treatment, check that the machine's conductivity parameters are set at: - ANSWERS +/- 0.5 mS of the theoretical conductivity /TCD You should disinfect the dialysis machine with heat after doing what? - ANSWERS Cleaning with acid You should test the dialysate for these four things before starting the treatment? - ANSWERS bacteria, conductivity, chlorine/chloramines and pH The wall clock indicates the patient had treatment for 3 hours and the machine indicates only 2.5 hours of treatment. What happened? - ANSWERS The machine was in bypass for 30 minutes Normal saline is used to remove___ and ___ from the EC circuit - ANSWERS sterilant and air