100 question Davita - finals 2022
*** Dialysis replaces only ---- percent of normal kidney function - correct answer-15%
*** If clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - correct
answer-decrease
*** 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
*** Intra-renal causes of Acute Kidney Injury (AKI) - correct answer-Sepsis, trauma,
anaphylaxis, drugs, Acute Glomerulonephritis
*** Left Ventricular Hypertrophy leads to - correct answer-ischemic heart disease arrhythmia,
myocardial infarction, and sudden death
*** Per DaVita policy, fever is defined as - correct answer-Any temperature greater than
100F or increase over baseline of 2F with symptoms
*** Per the Centers for Disease Control and Prevention (CDC), which is the most common
factor contributing to bacterial infections in dialysis patients? - correct answer-the use of
catheters for hemodialysis
*** Post treatment data collection and assessment is performed - correct answer-After the
treatment is terminated
*** Prior to use, how should the medication preparation surface area be disinfected? -
correct answer-With 1:100 bleach solution and disposable wipes
*** Scrubbing of each hub as part of CVC care is done for: - correct answer-15 seconds
*** The endocrine functions of the kidneys are - correct answer-Renin and erythropoietin
secretion, activation of vitamin D**
*** The maximum ultra-filtration (UF) rate should not exceed ______ because it may lead to
hypotensive episodes which increases the risk of organ stunning or mortality.F - correct
answer-13 mL/kg/hr
*** The nephrologist orders a blood flow rate (BFR) of 450 ml/min for a patient with an
established AV Fistula. What needle gauge would be appropriate for this BFR? - correct
answer-15 gauge
*** To assist in survey readiness you should - correct answer-all of the above
, *** To prevent the formation of aneurysms and pseudoaneurysms the following should be
practiced - correct answer-Good needle site rotation and complete needle site clotting
techniques
*** Ultrafiltration is defined as - correct answer-Controlled fluid removal by manipulation of
hydrostatic pressure
*** Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
correct answer-Bacteria and endotoxins
*** What amount of fluid weight is considered excessive? - correct answer-Greater than 5%
*** What could be the reason(s) for a conductivity alarm on the dialysis machine? - correct
answer-all of the anove
*** What is the acceptable mg/L or parts per million (ppm) limit for Total Chlorine in the water
leaving the carbon filter? - correct answer-Less than or equal to 0.1 ppm or mg/L
*** What is the most likely reason for a blood leak detector alarm during recirculation? -
correct answer-Air bubbles in dialysate or a dirty sensor
*** What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients? - correct answer-Counter-current flow
*** Which infectious disease requires frequent hand-washing instead of using alcohol based
hand gels? - correct answer-Active Clostridioides difficile infection (C-diff)
*** Which of the following factors would decrease the K of the Kt/V formula? - correct
answer-inadequate anticoagulation
*** Which statement is true regarding the "Reasonable and Prudent" Standard of Care? -
correct answer-When supervising patient care technicians and other non-licensed personnel,
it is the responsibility of the licensed nurse to ensure these teammates also meet the
Standard of Care.
*** You are assisting a patient to step onto the scale by holding the patient's hand. Such a
casual contact - correct answer-Does not require wearing gloves but you must perform hand
hygiene afterwards
A patient with acute kidney injury (AKI) dialyzes in the out-patient facility. With regards to the
patient's target weight, why is being "wet" better than being too dry? - correct answer-Being
wet helps avoid hypovolemia and hypotensive episodes
A patient's target weight is: - correct answer-both A & B
- Prescribed and determined by physician order.
- Modified by physician based on patient tolerance
*** Dialysis replaces only ---- percent of normal kidney function - correct answer-15%
*** If clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - correct
answer-decrease
*** 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
*** Intra-renal causes of Acute Kidney Injury (AKI) - correct answer-Sepsis, trauma,
anaphylaxis, drugs, Acute Glomerulonephritis
*** Left Ventricular Hypertrophy leads to - correct answer-ischemic heart disease arrhythmia,
myocardial infarction, and sudden death
*** Per DaVita policy, fever is defined as - correct answer-Any temperature greater than
100F or increase over baseline of 2F with symptoms
*** Per the Centers for Disease Control and Prevention (CDC), which is the most common
factor contributing to bacterial infections in dialysis patients? - correct answer-the use of
catheters for hemodialysis
*** Post treatment data collection and assessment is performed - correct answer-After the
treatment is terminated
*** Prior to use, how should the medication preparation surface area be disinfected? -
correct answer-With 1:100 bleach solution and disposable wipes
*** Scrubbing of each hub as part of CVC care is done for: - correct answer-15 seconds
*** The endocrine functions of the kidneys are - correct answer-Renin and erythropoietin
secretion, activation of vitamin D**
*** The maximum ultra-filtration (UF) rate should not exceed ______ because it may lead to
hypotensive episodes which increases the risk of organ stunning or mortality.F - correct
answer-13 mL/kg/hr
*** The nephrologist orders a blood flow rate (BFR) of 450 ml/min for a patient with an
established AV Fistula. What needle gauge would be appropriate for this BFR? - correct
answer-15 gauge
*** To assist in survey readiness you should - correct answer-all of the above
, *** To prevent the formation of aneurysms and pseudoaneurysms the following should be
practiced - correct answer-Good needle site rotation and complete needle site clotting
techniques
*** Ultrafiltration is defined as - correct answer-Controlled fluid removal by manipulation of
hydrostatic pressure
*** Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
correct answer-Bacteria and endotoxins
*** What amount of fluid weight is considered excessive? - correct answer-Greater than 5%
*** What could be the reason(s) for a conductivity alarm on the dialysis machine? - correct
answer-all of the anove
*** What is the acceptable mg/L or parts per million (ppm) limit for Total Chlorine in the water
leaving the carbon filter? - correct answer-Less than or equal to 0.1 ppm or mg/L
*** What is the most likely reason for a blood leak detector alarm during recirculation? -
correct answer-Air bubbles in dialysate or a dirty sensor
*** What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients? - correct answer-Counter-current flow
*** Which infectious disease requires frequent hand-washing instead of using alcohol based
hand gels? - correct answer-Active Clostridioides difficile infection (C-diff)
*** Which of the following factors would decrease the K of the Kt/V formula? - correct
answer-inadequate anticoagulation
*** Which statement is true regarding the "Reasonable and Prudent" Standard of Care? -
correct answer-When supervising patient care technicians and other non-licensed personnel,
it is the responsibility of the licensed nurse to ensure these teammates also meet the
Standard of Care.
*** You are assisting a patient to step onto the scale by holding the patient's hand. Such a
casual contact - correct answer-Does not require wearing gloves but you must perform hand
hygiene afterwards
A patient with acute kidney injury (AKI) dialyzes in the out-patient facility. With regards to the
patient's target weight, why is being "wet" better than being too dry? - correct answer-Being
wet helps avoid hypovolemia and hypotensive episodes
A patient's target weight is: - correct answer-both A & B
- Prescribed and determined by physician order.
- Modified by physician based on patient tolerance
