DAVITA PCT EXAM LATEST ACTUAL EXAM
To assist in survey readiness you should - ANSWER: -stay current & follow p&p
-assist with internal audits
-maintain a culture of safety
the nephrologist orders a BFR of 450 ml/min with an established AV fistula, what
needle gauge? - ANSWER: 14 gauge
What complications would you expect to see if a patient is exposed to
chlorine/chloramines? - ANSWER: hemolysis
where is pre-treatment assessment by the RN required? - ANSWER: -when is is
mandated by state law
-when PCT reports abnormal findings
-when pt reports unusual symptoms
-when nurse or PCT observes unusual behaviors
when a pt is prescribed topical anesthetic spray, the appropriate time to clean the
cannulation site is - ANSWER: before applying the spray
a PCT greets a pt who reports feeling short of breath, pt lips are blue-toned. PCT
should do what? - ANSWER: not start tx, immediately notify the nurse
the nephrologist has prescribed a 400 BFR for your pt, you would expect the
physician order to also include - ANSWER: 15 gauge
per DaVita policy, fever is defined as - ANSWER: any temp greater than 100 or a
baseline increase over 2 WITH symptoms
what is the most likely reason for a blood leak detector alarm during recirculation? -
ANSWER: air bubbles in dialysate or a dirty sensor
which statements is true regarding the "reasonable & prudent" standard of care -
ANSWER: when supervising PCTs & other non-licensed personnel, it is the
responsibility of the licensed nurse to ensure teammates meet standard of care
The maximum UF rate should not exceed ______ because it may lead to hypotensive
episodes which increases the risk of organ stunting or mortality - ANSWER: 13
mL/kg/hr
In the event of a pt experiencing a seizure, the dialysis tx should be - ANSWER:
discontinued if the seizure is severe or if the pt does not response to tx
flipping the arterial vascular access needle - ANSWER: is not recommended or
necessary since all arterial needles have a back eye
, 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
which infectious disease requires frequent handwashing instead of usuing alcohol
base hand gels - ANSWER: active C-Diff
the definition of Health Literacy is - ANSWER: the degree to which individuals
understand basic health info
intervention for a pt complaining of chest pain includes - ANSWER: -decrease BFR to
150
-decrease UFR
-take vital signs
-administer Rx O2 (nurse)
pt tx time is 3 hrs, has a 10oz coffee, has an IV antibiotic 100 ml, prime/rinseback
400ml, pt 2.2 kg over target weight. What is UF goal? - ANSWER: 1000 (pre-target +
fluids,prime,rinse / tx time)
what is one method surveyors use to verify infection control training and education?
- ANSWER: documentation of infection control training in teammate file
upon completing machine set up and before tx initiation it is important to verify the
Rx & machine settings - ANSWER: -to confirm pt's unique Rx parameters are
programmed correctly into dialysis delivery system (DDS)
-to validate that all safety features
the psychosocial assessment completed by the social worker - ANSWER: is
completed initially and annually
what is an important action prior to returning a pt's blood using the hand crank in an
event of a power failure? - ANSWER: take pt's BP
if your facility dialyzes Hepatitis B positive pt's, which assignment would NOT be an
appropriate patient care assignment - ANSWER: caring for hep susceptible & those
in process of being vaccinated at same time
Cynthia missed her tx on Sat and returns Tues for her next scheduled tx. She
complains of leg weakness. She's given a wheelchair and assessed by a nurse. Which
pt complication would the PCT and RN suspect Cynthia is most likely suffering from?
- ANSWER: hyperkalemia
the excretory fxn of the kidneys includes - ANSWER: -fluid balance
-electrolyte balance
-waste removal
-acid-base balance
To assist in survey readiness you should - ANSWER: -stay current & follow p&p
-assist with internal audits
-maintain a culture of safety
the nephrologist orders a BFR of 450 ml/min with an established AV fistula, what
needle gauge? - ANSWER: 14 gauge
What complications would you expect to see if a patient is exposed to
chlorine/chloramines? - ANSWER: hemolysis
where is pre-treatment assessment by the RN required? - ANSWER: -when is is
mandated by state law
-when PCT reports abnormal findings
-when pt reports unusual symptoms
-when nurse or PCT observes unusual behaviors
when a pt is prescribed topical anesthetic spray, the appropriate time to clean the
cannulation site is - ANSWER: before applying the spray
a PCT greets a pt who reports feeling short of breath, pt lips are blue-toned. PCT
should do what? - ANSWER: not start tx, immediately notify the nurse
the nephrologist has prescribed a 400 BFR for your pt, you would expect the
physician order to also include - ANSWER: 15 gauge
per DaVita policy, fever is defined as - ANSWER: any temp greater than 100 or a
baseline increase over 2 WITH symptoms
what is the most likely reason for a blood leak detector alarm during recirculation? -
ANSWER: air bubbles in dialysate or a dirty sensor
which statements is true regarding the "reasonable & prudent" standard of care -
ANSWER: when supervising PCTs & other non-licensed personnel, it is the
responsibility of the licensed nurse to ensure teammates meet standard of care
The maximum UF rate should not exceed ______ because it may lead to hypotensive
episodes which increases the risk of organ stunting or mortality - ANSWER: 13
mL/kg/hr
In the event of a pt experiencing a seizure, the dialysis tx should be - ANSWER:
discontinued if the seizure is severe or if the pt does not response to tx
flipping the arterial vascular access needle - ANSWER: is not recommended or
necessary since all arterial needles have a back eye
, 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
which infectious disease requires frequent handwashing instead of usuing alcohol
base hand gels - ANSWER: active C-Diff
the definition of Health Literacy is - ANSWER: the degree to which individuals
understand basic health info
intervention for a pt complaining of chest pain includes - ANSWER: -decrease BFR to
150
-decrease UFR
-take vital signs
-administer Rx O2 (nurse)
pt tx time is 3 hrs, has a 10oz coffee, has an IV antibiotic 100 ml, prime/rinseback
400ml, pt 2.2 kg over target weight. What is UF goal? - ANSWER: 1000 (pre-target +
fluids,prime,rinse / tx time)
what is one method surveyors use to verify infection control training and education?
- ANSWER: documentation of infection control training in teammate file
upon completing machine set up and before tx initiation it is important to verify the
Rx & machine settings - ANSWER: -to confirm pt's unique Rx parameters are
programmed correctly into dialysis delivery system (DDS)
-to validate that all safety features
the psychosocial assessment completed by the social worker - ANSWER: is
completed initially and annually
what is an important action prior to returning a pt's blood using the hand crank in an
event of a power failure? - ANSWER: take pt's BP
if your facility dialyzes Hepatitis B positive pt's, which assignment would NOT be an
appropriate patient care assignment - ANSWER: caring for hep susceptible & those
in process of being vaccinated at same time
Cynthia missed her tx on Sat and returns Tues for her next scheduled tx. She
complains of leg weakness. She's given a wheelchair and assessed by a nurse. Which
pt complication would the PCT and RN suspect Cynthia is most likely suffering from?
- ANSWER: hyperkalemia
the excretory fxn of the kidneys includes - ANSWER: -fluid balance
-electrolyte balance
-waste removal
-acid-base balance
