Davita pct final exam 2023/2024
A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the
patients target weight, why is being "wet" better that being too dry? - correct answer-
a PCT greets a patient and the patient reports feeling short of breath. The PCT notices that
the patients lips have a blue hue. The PCT would: - correct answer-Complete data collection
and PCT must notify the RN if there are any abnormal findings prior to initiation of tx
a recommended intervention for muscle cramps is - correct answer-Turning the UFR off
A standing post- treatment blood pressure reading of __is considered an abnormal finding
and should be reported to a licensed nurse - correct answer-
A surveyor asks you a question. Which of the following statements would be a good answer
? - correct answer-I do not know the answer but I will find out.
Acid concentrate replaces the excretory function of normal kidney function by - correct
answer-Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis,
all documentation on machine set up and pre treatment patient information - correct
answer-Must be entered into the computer before the treatment is initiated
Can you document patient vital signs under another teammate already signed into the
computer? - correct answer-no
Cynthia missed her treatment on Saturday and returns the following Tuesday for her next
scheduled treatment. She complains of feeling weakness in her legs. David, a PCT, gets a
wheelchair for her, helps her weigh in, and brings her back for the nurse to assess prior to
starting her treatment. Which patient complication would the PCT and RN suspect Cynthia is
most likely suffering from? - correct answer-Hyperkalymia
DaVita Quality Index (DQI) success is achieved - correct answer-encourage continuous
improvement across aboard range of disease management processes (all of the above )
Dialysis replaces only ___ percent of normal kidney function. - correct answer-15%
documentation in the medical record - correct answer-Is a permanent legal record of the
care provided
fever caused by a pyrogenic reaction will most likely occur at what time during the treatment
- correct answer-Within 45 to 75 minutes
flipping the artireal vascular access needle - correct answer-s not necessary since all arterial
needles now have a back eye
, For patients with Acute Kidney Injury (AKI)which statement is correct? - correct answer-A
nursing assesment prior to tx initiation is always required
How do you verify that the patient is stable and safe for discharge after the dialysis treatment
? - correct answer-Evaluate the effectiveness of the treatment by comparing data to
pre-dialysis findings PCT's notify the nurse if there are any unusual findings
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - correct
answer-decrease
If you notice that a patient's caretaker is struggling to meet the demands of the patients
treatment regime you should - correct answer-contact social worker
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be
appropriate patient care assignment. - correct answer-caring for HBsAG positive and
hepatitis B susceptible patients at the same time
in the event of a patient experiencing a seizure, the dialysis treatment should be - correct
answer-Discontinued if the seizure is severe or the patient does not respond to treatment
In those states that do not require a nursing assessment to be completed prior to treatment
initiation, the PCT would be required to report abnormal patient data collection findings. -
correct answer-yes
interventions for a patient complaining of chest pain include - correct answer-Placed patient
in a flat supine position place machine into bypass
Intra-renal causes of AKI - correct answer-Ischemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open Heart
Surgery
intredialytic treatment monitoring the data collection is performed every - correct answer-30
minutes
Knowing what caused your patients kidney failure - correct answer-can cause complications
to treatment
left ventricular hypertrophy leads to - correct answer-Hypertension
Per DaVita Policy, fever and chills is defined as: - correct answer-any temperature greater
than 100 or increase over baseline of 2° with symptoms
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral
and Bone Disorder (MBD) is treated with - correct answer-phosphate binders, Vit D
(Hectorol), and Cinacalcet
A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the
patients target weight, why is being "wet" better that being too dry? - correct answer-
a PCT greets a patient and the patient reports feeling short of breath. The PCT notices that
the patients lips have a blue hue. The PCT would: - correct answer-Complete data collection
and PCT must notify the RN if there are any abnormal findings prior to initiation of tx
a recommended intervention for muscle cramps is - correct answer-Turning the UFR off
A standing post- treatment blood pressure reading of __is considered an abnormal finding
and should be reported to a licensed nurse - correct answer-
A surveyor asks you a question. Which of the following statements would be a good answer
? - correct answer-I do not know the answer but I will find out.
Acid concentrate replaces the excretory function of normal kidney function by - correct
answer-Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis,
all documentation on machine set up and pre treatment patient information - correct
answer-Must be entered into the computer before the treatment is initiated
Can you document patient vital signs under another teammate already signed into the
computer? - correct answer-no
Cynthia missed her treatment on Saturday and returns the following Tuesday for her next
scheduled treatment. She complains of feeling weakness in her legs. David, a PCT, gets a
wheelchair for her, helps her weigh in, and brings her back for the nurse to assess prior to
starting her treatment. Which patient complication would the PCT and RN suspect Cynthia is
most likely suffering from? - correct answer-Hyperkalymia
DaVita Quality Index (DQI) success is achieved - correct answer-encourage continuous
improvement across aboard range of disease management processes (all of the above )
Dialysis replaces only ___ percent of normal kidney function. - correct answer-15%
documentation in the medical record - correct answer-Is a permanent legal record of the
care provided
fever caused by a pyrogenic reaction will most likely occur at what time during the treatment
- correct answer-Within 45 to 75 minutes
flipping the artireal vascular access needle - correct answer-s not necessary since all arterial
needles now have a back eye
, For patients with Acute Kidney Injury (AKI)which statement is correct? - correct answer-A
nursing assesment prior to tx initiation is always required
How do you verify that the patient is stable and safe for discharge after the dialysis treatment
? - correct answer-Evaluate the effectiveness of the treatment by comparing data to
pre-dialysis findings PCT's notify the nurse if there are any unusual findings
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - correct
answer-decrease
If you notice that a patient's caretaker is struggling to meet the demands of the patients
treatment regime you should - correct answer-contact social worker
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be
appropriate patient care assignment. - correct answer-caring for HBsAG positive and
hepatitis B susceptible patients at the same time
in the event of a patient experiencing a seizure, the dialysis treatment should be - correct
answer-Discontinued if the seizure is severe or the patient does not respond to treatment
In those states that do not require a nursing assessment to be completed prior to treatment
initiation, the PCT would be required to report abnormal patient data collection findings. -
correct answer-yes
interventions for a patient complaining of chest pain include - correct answer-Placed patient
in a flat supine position place machine into bypass
Intra-renal causes of AKI - correct answer-Ischemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open Heart
Surgery
intredialytic treatment monitoring the data collection is performed every - correct answer-30
minutes
Knowing what caused your patients kidney failure - correct answer-can cause complications
to treatment
left ventricular hypertrophy leads to - correct answer-Hypertension
Per DaVita Policy, fever and chills is defined as: - correct answer-any temperature greater
than 100 or increase over baseline of 2° with symptoms
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral
and Bone Disorder (MBD) is treated with - correct answer-phosphate binders, Vit D
(Hectorol), and Cinacalcet
