PCT EXAM AND PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS

A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect a. a pseudoaneurysm. b. an Infiltration. c. recirculation. d. stenosis. - ANSWERS,b 61. All of the following may be signs and symptoms of an infected access EXCEPT: a. fever and swelling of the access b. numbness and tingling c. redness and warmth d. tenderness and drainage - ANSWERS,b 62. During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first? a. Apply ice to the area b. Draw blood for a hematocrit c. Insert another needle d. Stop the blood pump - ANSWERS,d 63. Which of these types of vascular accesses has the fewest complications? a. A Scribner shunt b. A synthetic graft c. A subclavian catheter d. An arteriovenous fistula - ANSWERS,d 64. One disadvantage of a fistula is an increase in a. clotting. b. biocompatibility. c. infections. d. in time to mature. - ANSWERS,d 65. One cause of aneurysms and pseudoaneurysms is: a. improper site preparation. b. needle infiltrations. c. poor rotation of sites. d. using tourniquets. - ANSWERS,c 66. What is the desired outcome when the patient performs fistula exercises? a. Aneurysm formation b. Enlargement of the vein c. Increased blood flow to the hand d. Venous stenosis - ANSWERS,b 67. The bruit in an AV fistula or graft is detected by a. feeling (palpating) the access. b. listening with a stethoscope. c. taking a blood pressure. d. the dialysis machine pressure monitors. - ANSWERS,b 68. When cannulating, the tips of the needles should be at least a. 0.0 to 0.5 inches apart b. 0.5 to 1.0 inches apart c. 1.0 to 1.5 inches apart d. 2.0 inches apart - ANSWERS,d 69. The venous needle in an AV fistula a. may be placed in either direction. b. should be placed in an aneurysm. c. should point in the direction of the blood flow. d. should point toward the anastomosis. - ANSWERS,c 70. A true aneurysm can be dangerous because it a. can result in hypertension. b. may cause the patient to have pain in the fingers. c. may cause the access to clot. d. may rupture and cause the patient to bleed profusely. - ANSWERS,d 71. A fistula connects a. a vein to a vein. b. an artery and a vein to synthetic material. c. an artery to an artery. d. an artery to a vein. - ANSWERS,d