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+
Why are dialysis patients at increased risk for acquiring a HAI at the facility? -
ANSWER: they are immunosuppressed, it's 2nd most common cause of death, we
have prolonged access to their blood
What is the most common route for transmitting HAIs? - ANSWER: contact
What is the most important intervention against HAIs? - ANSWER: hand hygiene
What germ causes most infections in hemodialysis patients? - ANSWER: MRSA,
which can stay on surfaces for days, especially plastic and vinyl
Why is it so important to wear gloves? - ANSWER: reduces the risk of hand
contamination
What are V-tags? - ANSWER: interpretive guidance for each state regulation
What are three strategies to reduce infection of CVCs? - ANSWER: facemasks, clean
gloves, avoid touching exposed surfaces
Who can use handwashing sinks? - ANSWER: anyone as long as they remain solely
for handwashing
How can you tell if a sink is for handwashing? - ANSWER: it's labeled clean
What is important to know about Hep B patients? - ANSWER: cannot care for hep B
positive and susceptible patients at the same time
What are the risks of performing activities your way? - ANSWER: at risk for civil
liability
What is ultrafiltration? - ANSWER: fluid pushed by pressure through a
semipermeable membrane
What is convection? - ANSWER: solutes draged across a semipermeable membrane
by the movement of water
What is diffusion? - ANSWER: particles moving from high to low concentration
What is osmosis? - ANSWER: fluid moving from high to low concentration
, What are the kidneys excretory functions? - ANSWER: normalize electrolytes
What is the function of bicarbonate in the patient's blood? - ANSWER: normalize
body pH
What are the endocrine functions of the kidney? - ANSWER: secrete renin,
erythropoietin and calcitriol
The manual conductivity must match the Fresenius dialysis machine displayed
conductivity within... - ANSWER: +/- 0.4 mS
Why must we document in the medical record? - ANSWER: it's a permanent legal
record
If a patient has swelling in their ankles what should the nurse or PCT (in a state
where they are allowed to assess pre-treatment) do? - ANSWER: note presence of
edema in snappy
When is a pre-treatment assessment by the RN always required? - ANSWER: AKI
patients require a pre-treament assessment everytime
When are safety checks documented? - ANSWER: prior to the start of treatment
When is post treatment data collection completed? - ANSWER: after treatment
termination
What are possible consequences of poor documentation? - ANSWER: you can be left
open to attack on your care
What are three things not included in an REM? - ANSWER: personal opinions,
vendettas, speculation
What can cause high arterial pressure alarms? - ANSWER: kinking of the aterial blood
tubing between access and monitor
What can cause high venous pressure alarms? - ANSWER: clotting in the drip
chamber
Why do we measure pH? - ANSWER: to check the acid/base balance
What can happen if dialysate temperature is too high? - ANSWER: hemolysis if
greater than 42 degrees celsius
What has to be done when handcranking fluid back during a power outage? -
ANSWER: pull the venous line from the clamp
GUIDE NEWEST 2024 ACTUAL EXAM 400 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Why are dialysis patients at increased risk for acquiring a HAI at the facility? -
ANSWER: they are immunosuppressed, it's 2nd most common cause of death, we
have prolonged access to their blood
What is the most common route for transmitting HAIs? - ANSWER: contact
What is the most important intervention against HAIs? - ANSWER: hand hygiene
What germ causes most infections in hemodialysis patients? - ANSWER: MRSA,
which can stay on surfaces for days, especially plastic and vinyl
Why is it so important to wear gloves? - ANSWER: reduces the risk of hand
contamination
What are V-tags? - ANSWER: interpretive guidance for each state regulation
What are three strategies to reduce infection of CVCs? - ANSWER: facemasks, clean
gloves, avoid touching exposed surfaces
Who can use handwashing sinks? - ANSWER: anyone as long as they remain solely
for handwashing
How can you tell if a sink is for handwashing? - ANSWER: it's labeled clean
What is important to know about Hep B patients? - ANSWER: cannot care for hep B
positive and susceptible patients at the same time
What are the risks of performing activities your way? - ANSWER: at risk for civil
liability
What is ultrafiltration? - ANSWER: fluid pushed by pressure through a
semipermeable membrane
What is convection? - ANSWER: solutes draged across a semipermeable membrane
by the movement of water
What is diffusion? - ANSWER: particles moving from high to low concentration
What is osmosis? - ANSWER: fluid moving from high to low concentration
, What are the kidneys excretory functions? - ANSWER: normalize electrolytes
What is the function of bicarbonate in the patient's blood? - ANSWER: normalize
body pH
What are the endocrine functions of the kidney? - ANSWER: secrete renin,
erythropoietin and calcitriol
The manual conductivity must match the Fresenius dialysis machine displayed
conductivity within... - ANSWER: +/- 0.4 mS
Why must we document in the medical record? - ANSWER: it's a permanent legal
record
If a patient has swelling in their ankles what should the nurse or PCT (in a state
where they are allowed to assess pre-treatment) do? - ANSWER: note presence of
edema in snappy
When is a pre-treatment assessment by the RN always required? - ANSWER: AKI
patients require a pre-treament assessment everytime
When are safety checks documented? - ANSWER: prior to the start of treatment
When is post treatment data collection completed? - ANSWER: after treatment
termination
What are possible consequences of poor documentation? - ANSWER: you can be left
open to attack on your care
What are three things not included in an REM? - ANSWER: personal opinions,
vendettas, speculation
What can cause high arterial pressure alarms? - ANSWER: kinking of the aterial blood
tubing between access and monitor
What can cause high venous pressure alarms? - ANSWER: clotting in the drip
chamber
Why do we measure pH? - ANSWER: to check the acid/base balance
What can happen if dialysate temperature is too high? - ANSWER: hemolysis if
greater than 42 degrees celsius
What has to be done when handcranking fluid back during a power outage? -
ANSWER: pull the venous line from the clamp
