Clinical Annual Competency Exam – Fresenius Exam
Questions with Verified Solutions.
1. The adequacy of a dialysis treatment may be compromised by - ANS
Inadequate Heparinization
2. Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients’ blood pressure and temperature
both - ANS Post reinfusion and prior to disconnection
3. Individual acid containers should be labeled with - ANS Chemical content
4. The patient complains of pain at the catheter exit site. What would the PCT do
first? - ANS Notify the RN
5. Which of these findings noted on a safety check would indicate that an
intervention is needed. - ANS Hem safe is in place and secure on the arterial
line (hem safe clamp should be secured on the venous line)
6. The patient presents to the dialysis center with a pulse rate of 44/bpm but
doesn't appear to be in distress. What should be the dialysis technician’s
immediate action? - ANS Notify the RN
7. Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in - ANS Assessment for
possible clotting in the dialyzer
8. Which of the following would minimize bacterial growth in the water treatment
system? - ANS Circulation of water during the day only
9. A major factor affecting ultrafiltration is - ANS Pressure
10. Pre-treatment evaluation of an internal vascular access includes - ANS
Palpating for a thrill
11. A patient having a dialysis treatment complains of feeling dizzy, and begins to
yawn. These symptoms are most likely to indicate that the patient has - ANS
Hypotension
12. If a blood leak detector alarms a second time and no visible blood is noted,
what should the PCT do next? - ANS Check the dialysate effluent with a blood
leak test indicator
13. Which has the most impact on dialyzer clearance? - ANS Surface area of the
dialyzer
14. The patient exhibits signs of hemolysis. What is the appropriate action to
take? - ANS Turn the blood pump off, clamp the venous line.
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, 15. Softener tanks remove - ANS Calcium and magnesium
16. During dialysis a patient has a cardiac arrest. Which action should be
completed on the dialysis machine before the machine is used by another
patient? - ANS Technical must perform a functional test on the machine.
17. The following KECN's are noted: the results indicate a
18. Time KECN. TIME KECN
19. 00:15. 268. 01:45. 243
20. 00:45. 254. 02:15. 240
21. 01:15. 242. 02:45. 238 - ANS Low clearance, hold heparin dose
22. The arterial needle is placed - ANS Either with or against the flow of blood
23. An important factor in achieving adequacy during machine set up is - ANS
Priming the dialyzer venous end up
24. The FMC program that utilizes technology to improve our patient care is -
ANS Ultra Care
25. The component of the dialysate that helps treat acidosis is - ANS Bicarbonate
26. The PCT notices the patient yawning toward the end of treatment. The PCT
should take which action immediately - ANS check the patient blood pressure
27. Several patients with normal pre-dialysis temperatures develop sudden chills
and a spike in temperature. This situation is most likely caused by - ANS
Presence of endotoxins in the dialysate
28. What is the correct blood flow rate for priming the dialyzer - ANS 150 ml/min?
29. What is NOT true when cannula ting a new AVF? - ANS Use of a tourniquet is
optional when cannula ting a new AVF
30. If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is
- ANS Weekly
31. Using the sodium variation module during the dialysis treatment will - ANS Aid
in fluid removal
32. Oral nutrition supplements are given to FMS in-center dialysis patients who
are malnourished while they are at the dialysis facility for what reason? - ANS
To improve nutritional status and ensure compliance with oral intake and
reduce the risk of morbidity and mortality
33. When instructing patients with CKD, who are receiving dialysis, the RN should
include the fact that - ANS Elevated potassium levels may cause changes in
heart rhythm
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Questions with Verified Solutions.
1. The adequacy of a dialysis treatment may be compromised by - ANS
Inadequate Heparinization
2. Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients’ blood pressure and temperature
both - ANS Post reinfusion and prior to disconnection
3. Individual acid containers should be labeled with - ANS Chemical content
4. The patient complains of pain at the catheter exit site. What would the PCT do
first? - ANS Notify the RN
5. Which of these findings noted on a safety check would indicate that an
intervention is needed. - ANS Hem safe is in place and secure on the arterial
line (hem safe clamp should be secured on the venous line)
6. The patient presents to the dialysis center with a pulse rate of 44/bpm but
doesn't appear to be in distress. What should be the dialysis technician’s
immediate action? - ANS Notify the RN
7. Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in - ANS Assessment for
possible clotting in the dialyzer
8. Which of the following would minimize bacterial growth in the water treatment
system? - ANS Circulation of water during the day only
9. A major factor affecting ultrafiltration is - ANS Pressure
10. Pre-treatment evaluation of an internal vascular access includes - ANS
Palpating for a thrill
11. A patient having a dialysis treatment complains of feeling dizzy, and begins to
yawn. These symptoms are most likely to indicate that the patient has - ANS
Hypotension
12. If a blood leak detector alarms a second time and no visible blood is noted,
what should the PCT do next? - ANS Check the dialysate effluent with a blood
leak test indicator
13. Which has the most impact on dialyzer clearance? - ANS Surface area of the
dialyzer
14. The patient exhibits signs of hemolysis. What is the appropriate action to
take? - ANS Turn the blood pump off, clamp the venous line.
Page 1|5
, 15. Softener tanks remove - ANS Calcium and magnesium
16. During dialysis a patient has a cardiac arrest. Which action should be
completed on the dialysis machine before the machine is used by another
patient? - ANS Technical must perform a functional test on the machine.
17. The following KECN's are noted: the results indicate a
18. Time KECN. TIME KECN
19. 00:15. 268. 01:45. 243
20. 00:45. 254. 02:15. 240
21. 01:15. 242. 02:45. 238 - ANS Low clearance, hold heparin dose
22. The arterial needle is placed - ANS Either with or against the flow of blood
23. An important factor in achieving adequacy during machine set up is - ANS
Priming the dialyzer venous end up
24. The FMC program that utilizes technology to improve our patient care is -
ANS Ultra Care
25. The component of the dialysate that helps treat acidosis is - ANS Bicarbonate
26. The PCT notices the patient yawning toward the end of treatment. The PCT
should take which action immediately - ANS check the patient blood pressure
27. Several patients with normal pre-dialysis temperatures develop sudden chills
and a spike in temperature. This situation is most likely caused by - ANS
Presence of endotoxins in the dialysate
28. What is the correct blood flow rate for priming the dialyzer - ANS 150 ml/min?
29. What is NOT true when cannula ting a new AVF? - ANS Use of a tourniquet is
optional when cannula ting a new AVF
30. If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is
- ANS Weekly
31. Using the sodium variation module during the dialysis treatment will - ANS Aid
in fluid removal
32. Oral nutrition supplements are given to FMS in-center dialysis patients who
are malnourished while they are at the dialysis facility for what reason? - ANS
To improve nutritional status and ensure compliance with oral intake and
reduce the risk of morbidity and mortality
33. When instructing patients with CKD, who are receiving dialysis, the RN should
include the fact that - ANS Elevated potassium levels may cause changes in
heart rhythm
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