DAVITA PCT FINAL EXAM, PRACTICE EXAM AND STUDY
GUIDE NEWEST 2024 ACTUAL EXAM 400 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
ANSWER: bacteria and endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure.
- ANSWER: blockage of arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation -
ANSWER: -air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? - ANSWER:
look at circuit for blood in the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? - ANSWER: Kinking of
the arterial blood line between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
ANSWER: decrease
what could be the reasons for a conductivity alarm on the dialysis machine -
ANSWER: when the dialysate is mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility
specific emergency management plan (EMP) and applicable policy and procedures is
- ANSWER: Fa or designee
Teammates MUST be able to readily identify patients who may require additional
assistance in the event of an emergency evacuation. This will include patients who
need help with or are unable to - ANSWER: both b and c
what is an important action prior to returning a patients blood using the hand crank
in the event of a power failure ? - ANSWER: remove the venous line for the line
clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease
Mineral and Bone Disorder (MBD) is treated with - ANSWER: phosphate binders, Vit
D (Hectorol), and Cinacalcet
Poor wound healing is directly related to - ANSWER: low protein intake
, Phosphate binders are prescribed to prevent phosphorus in meals from being
absorbed. When is the best time to take them ? - ANSWER: with meal
The definition of Health Literacy is - ANSWER: ability to obtain, read, understand,
and use healthcare information in order to make appropriate health decisions and
follow instructions for treatment
If you notice that a patient's caretaker is struggling to meet the demands of the
patients treatment regime you should - ANSWER: contact social worker
The Psychosocial Assessment completed by the social worker - ANSWER: an
evaluation of a person's mental health, social status, and functional capacity within
the communityCompeted initially and annually
The Clinical Pyramid includes : - ANSWER: • The Fundamentals: Immunizations, Iron,
Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.•
Complex Programs: Fluid Management, Infection Management, Diabetes
Management, Med Management, CVCManagement, Palliative / EOL Care, Infection
Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.•
Measures of Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient
Experience of Care• What Matters Most • Our patient's health-related Quality of Life
DaVita Quality Index (DQI) success is achieved - ANSWER: encourage continuous
improvement across aboard range of disease management processes (all of the
above )
What can be the most likely result if the surveyor sees a patient with a covered
vascular access - ANSWER: immediate jeopardy
A surveyor asks you a question. Which of the following statements would be a good
answer ? - ANSWER: I do not know the answer but I will find out.
Intra-renal causes of AKI - ANSWER: Ischemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma,
Open Heart Surgery
Knowing what caused your patients kidney failure - ANSWER: can cause
complications to treatment
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? - ANSWER:
The excretory function of the kidneys include - ANSWER: remove access water, urea,
and metabolic wastes from the blood.
GUIDE NEWEST 2024 ACTUAL EXAM 400 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
ANSWER: bacteria and endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure.
- ANSWER: blockage of arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation -
ANSWER: -air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? - ANSWER:
look at circuit for blood in the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? - ANSWER: Kinking of
the arterial blood line between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
ANSWER: decrease
what could be the reasons for a conductivity alarm on the dialysis machine -
ANSWER: when the dialysate is mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility
specific emergency management plan (EMP) and applicable policy and procedures is
- ANSWER: Fa or designee
Teammates MUST be able to readily identify patients who may require additional
assistance in the event of an emergency evacuation. This will include patients who
need help with or are unable to - ANSWER: both b and c
what is an important action prior to returning a patients blood using the hand crank
in the event of a power failure ? - ANSWER: remove the venous line for the line
clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease
Mineral and Bone Disorder (MBD) is treated with - ANSWER: phosphate binders, Vit
D (Hectorol), and Cinacalcet
Poor wound healing is directly related to - ANSWER: low protein intake
, Phosphate binders are prescribed to prevent phosphorus in meals from being
absorbed. When is the best time to take them ? - ANSWER: with meal
The definition of Health Literacy is - ANSWER: ability to obtain, read, understand,
and use healthcare information in order to make appropriate health decisions and
follow instructions for treatment
If you notice that a patient's caretaker is struggling to meet the demands of the
patients treatment regime you should - ANSWER: contact social worker
The Psychosocial Assessment completed by the social worker - ANSWER: an
evaluation of a person's mental health, social status, and functional capacity within
the communityCompeted initially and annually
The Clinical Pyramid includes : - ANSWER: • The Fundamentals: Immunizations, Iron,
Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.•
Complex Programs: Fluid Management, Infection Management, Diabetes
Management, Med Management, CVCManagement, Palliative / EOL Care, Infection
Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.•
Measures of Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient
Experience of Care• What Matters Most • Our patient's health-related Quality of Life
DaVita Quality Index (DQI) success is achieved - ANSWER: encourage continuous
improvement across aboard range of disease management processes (all of the
above )
What can be the most likely result if the surveyor sees a patient with a covered
vascular access - ANSWER: immediate jeopardy
A surveyor asks you a question. Which of the following statements would be a good
answer ? - ANSWER: I do not know the answer but I will find out.
Intra-renal causes of AKI - ANSWER: Ischemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma,
Open Heart Surgery
Knowing what caused your patients kidney failure - ANSWER: can cause
complications to treatment
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? - ANSWER:
The excretory function of the kidneys include - ANSWER: remove access water, urea,
and metabolic wastes from the blood.
