Clinical Annual Competency Exam -
Fresenius
- -Which letters in the acronym COLT
- 0.10 ppm - -Which total chlorine reading is UNACCEPTABLE?
- 1:10 bleach water solution - -What solution should be used to disinfect
a large blood spill area (greater than 10 mLs)
- 10 minutes - -According to AAMI standards the required exposure time
of water to the carbon filters to effectively remove chlorine and
chloramine is
- 15 minutes - -How long must the reverse osmosis machine (RO) run
prior to collecting samples for water testing?
- 150 ml/min - -What is the correct blood flow rate for priming the
dialyzer
- After the completion of the last patient treatment - -Following FMC
policy, when should the second hardness test be completed
- Aid in fluid removal - -Using the sodium variation module during the
dialysis treatment will
- Albumin, Hgb, Phosphorous, Adequacy, Catheter Rate - -The QSR is a
monthly report detailing quality outcomes as primary or secondary.
Primary quality outcomes are those that have the highest impact on
patient survival. These include
- Assessment for possible clotting in the dialyzer - -Documentation and
interpretation of the KECN (clearance effective by conductivity) results can
assist the staff member in
- Bananas, orange juice, and salt substitute - -What has the highest
potassium content
- Bicarbonate - -The component of the dialysate that helps treat acidosis
is
- Calcium and magnesium - -Softener tanks remove
- Check the dialysate effluent with a blood leak test indicator - -If a
blood leak detector alarms a second time and no visible blood is noted,
what should the PCT do next?
, - Check the patient blood pressure - -The PCT notices the patient
yawning toward the end of treatment. The PCT should take which action
immediately
- Chemical content - -Individual acid containers should be labeled with
- Chlorine and chloramines - -The carbon tank removes
- Circulation of water during the day only - -Which of the following would
minimize bacterial growth in the water treatment system?
- Clamp the venous line - -Dialysis has been initiated on a patient using
a right internal jugular catheter, as the blood pump is turned up to 200
ml/min, foam begins to accumulate in the lines. The patient begins to
wheeze, and becomes short of breath. The care givers FIRST action would
be to
- Dialyzer primed at 300 ml/min - -What factor is most likely to affect
dialysis adequacy
- Disinfect with 1:100 bleach water and rinse with RO water until
negative for bleach - -If the bicarbonate jugs have been in storage and
are needed for emergency use, what action must be taken prior to use?
- Either with or against the flow of blood - -The arterial needle is placed
- Elevated potassium levels may cause changes in heart rhythm - -
When instructing patients with CKD, who are receiving dialysis, the RN
should include the fact that
- Examine both patient arms for the presence of an access - -Prior to
applying the blood pressure cuff on a new patient, the PCT should
- Gloves, full face shield or mask and protective eyewear with side shield
and fluid resistant gown - -What PPE is required when performing
venipuncture?
- Hazardous materials identification system (HMIS) labels - -Individual
bicarbonate containers must be labeled with
- Hemolysis - -A patient begins to experience shortness of breath, chest
pain, and sudden hypotension, the blood is bright red and translucent. The
complication most likely occurring is
- Hemolysis - -Blood pump occlusion and kinked lines would most likely
cause which complication during hemodialysis?
Fresenius
- -Which letters in the acronym COLT
- 0.10 ppm - -Which total chlorine reading is UNACCEPTABLE?
- 1:10 bleach water solution - -What solution should be used to disinfect
a large blood spill area (greater than 10 mLs)
- 10 minutes - -According to AAMI standards the required exposure time
of water to the carbon filters to effectively remove chlorine and
chloramine is
- 15 minutes - -How long must the reverse osmosis machine (RO) run
prior to collecting samples for water testing?
- 150 ml/min - -What is the correct blood flow rate for priming the
dialyzer
- After the completion of the last patient treatment - -Following FMC
policy, when should the second hardness test be completed
- Aid in fluid removal - -Using the sodium variation module during the
dialysis treatment will
- Albumin, Hgb, Phosphorous, Adequacy, Catheter Rate - -The QSR is a
monthly report detailing quality outcomes as primary or secondary.
Primary quality outcomes are those that have the highest impact on
patient survival. These include
- Assessment for possible clotting in the dialyzer - -Documentation and
interpretation of the KECN (clearance effective by conductivity) results can
assist the staff member in
- Bananas, orange juice, and salt substitute - -What has the highest
potassium content
- Bicarbonate - -The component of the dialysate that helps treat acidosis
is
- Calcium and magnesium - -Softener tanks remove
- Check the dialysate effluent with a blood leak test indicator - -If a
blood leak detector alarms a second time and no visible blood is noted,
what should the PCT do next?
, - Check the patient blood pressure - -The PCT notices the patient
yawning toward the end of treatment. The PCT should take which action
immediately
- Chemical content - -Individual acid containers should be labeled with
- Chlorine and chloramines - -The carbon tank removes
- Circulation of water during the day only - -Which of the following would
minimize bacterial growth in the water treatment system?
- Clamp the venous line - -Dialysis has been initiated on a patient using
a right internal jugular catheter, as the blood pump is turned up to 200
ml/min, foam begins to accumulate in the lines. The patient begins to
wheeze, and becomes short of breath. The care givers FIRST action would
be to
- Dialyzer primed at 300 ml/min - -What factor is most likely to affect
dialysis adequacy
- Disinfect with 1:100 bleach water and rinse with RO water until
negative for bleach - -If the bicarbonate jugs have been in storage and
are needed for emergency use, what action must be taken prior to use?
- Either with or against the flow of blood - -The arterial needle is placed
- Elevated potassium levels may cause changes in heart rhythm - -
When instructing patients with CKD, who are receiving dialysis, the RN
should include the fact that
- Examine both patient arms for the presence of an access - -Prior to
applying the blood pressure cuff on a new patient, the PCT should
- Gloves, full face shield or mask and protective eyewear with side shield
and fluid resistant gown - -What PPE is required when performing
venipuncture?
- Hazardous materials identification system (HMIS) labels - -Individual
bicarbonate containers must be labeled with
- Hemolysis - -A patient begins to experience shortness of breath, chest
pain, and sudden hypotension, the blood is bright red and translucent. The
complication most likely occurring is
- Hemolysis - -Blood pump occlusion and kinked lines would most likely
cause which complication during hemodialysis?
