FRESENIUS CLINICAL ANNUAL COMPETENCY EXAM
ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |AGRADE
Adverse events must be documented on the medical record, - ANSWER: QAI, and
Adverse Event Report
The action of Renin is to raise the blood pressure. - ANSWER: to raise the blood
pressure.
According to FMS policy, intravenous medications are permitted to be pre-drawn
how many hours before administration? - ANSWER: 4
According to FMC policy, the safe level for total chlorine is - ANSWER: less than 0.10
ppm
All of the following can contribute to hyperkalemia - ANSWER: Hemolysis, dietary
indiscretion, blood transfusions
The arterial needle is placed - ANSWER: Either with or against the flow of blood
After the placement of a new central venous catheter, the patient suddenly develops
SOB, pain in the side, and unilateral distention of the chest. Suspecting a possible
catheter related complication, in addition to notifying the physician, the RN should? -
ANSWER: Immediately stop Tx
The adequacy of a dialysis Tx may be compromised by? - ANSWER: Inadequate
heparinization
All of the following can contribute to hyperkalemia except - ANSWER: Diarrhea
Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of
SOB, HA, and burning at the needle site. In view of these findings, the care giver
should: - ANSWER: stop blood pump and do not return blood to patient
Certified Clinical Hemodialysis Technicians role in education is to? - ANSWER:
Reinforce
The component of the dialysate that helps treat acidosis is - ANSWER: bicarbonate.
Chloramines or bleach in the dialysate during dialysis can cause a patients' death due
to - ANSWER: hemolysis
During the OLC testing, a gradual drop in clearance effectiveness by conductivity,
KeCN, is most likely to indicate the need to - ANSWER: increase heparin dosage.
, Documentation and interpretation of the KeCN results can assist the staff member in
- ANSWER: assessment for possible clotting in the dialyzer.
Dialysis has been initiated on a patient using a right internal jugular catheter, as a
blood pump is turned to 200, foam begins to accumulate in the lines. The patient
begins to wheeze, and becomes SOB. The care givers first action would be -
ANSWER: clamp the venous line
During dialysis a patient has a cardiac arrest which action should be completed on
the dialysis machine before the machine is used by another patient. - ANSWER:
Technical must perform a functional test on the machine.
The dialysis technician has performed a rinse back on a patient and failed to gather
all the supplies needed to disconnect the patient. What must the technician do prior
to getting clean supplies? - ANSWER: Remove gloves, wash hands, and put on clean
gloves
An equivalent marker for inflammation as well as an indicator of future mortality risk
and length of hospitalization stay is a body protein known as? - ANSWER: Serum
albumin
Excessive fluid removal during dialysis, combined with the patient's taking an
antihypertensive med may result in patient having? - ANSWER: Hypotension
Epogen is a medication used to treat the anemia that accompanies renal failure. The
physician has ordered 8000u each Tx. The facility stocks Epogen 20,000/ml
concentrate. How much should be administered? - ANSWER: 0.4ml
Following FMC policy, when should the first and second hardness test be completed?
- ANSWER: Before the first treatment and after the completion of the last patient's
treatment.
The following KeCN are noted: 0015=268, 0045=254, 0115=242, 0145=243,
0215=238. These results indicate? - ANSWER: A need to increase heparin.
A forty year old patient who has severe HTN, is to start on hemodialysis. No diabetes
or cardiac problems what type of access is preferable. - ANSWER: An arteriovenous
fistula
A fistula is considered the access of choice because fistulas... - ANSWER: Have the
lowest complication rate
Gentamycin, garamycin is used primarily with patients who are on dialysis for -
ANSWER: treating CVP infections.
ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |AGRADE
Adverse events must be documented on the medical record, - ANSWER: QAI, and
Adverse Event Report
The action of Renin is to raise the blood pressure. - ANSWER: to raise the blood
pressure.
According to FMS policy, intravenous medications are permitted to be pre-drawn
how many hours before administration? - ANSWER: 4
According to FMC policy, the safe level for total chlorine is - ANSWER: less than 0.10
ppm
All of the following can contribute to hyperkalemia - ANSWER: Hemolysis, dietary
indiscretion, blood transfusions
The arterial needle is placed - ANSWER: Either with or against the flow of blood
After the placement of a new central venous catheter, the patient suddenly develops
SOB, pain in the side, and unilateral distention of the chest. Suspecting a possible
catheter related complication, in addition to notifying the physician, the RN should? -
ANSWER: Immediately stop Tx
The adequacy of a dialysis Tx may be compromised by? - ANSWER: Inadequate
heparinization
All of the following can contribute to hyperkalemia except - ANSWER: Diarrhea
Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of
SOB, HA, and burning at the needle site. In view of these findings, the care giver
should: - ANSWER: stop blood pump and do not return blood to patient
Certified Clinical Hemodialysis Technicians role in education is to? - ANSWER:
Reinforce
The component of the dialysate that helps treat acidosis is - ANSWER: bicarbonate.
Chloramines or bleach in the dialysate during dialysis can cause a patients' death due
to - ANSWER: hemolysis
During the OLC testing, a gradual drop in clearance effectiveness by conductivity,
KeCN, is most likely to indicate the need to - ANSWER: increase heparin dosage.
, Documentation and interpretation of the KeCN results can assist the staff member in
- ANSWER: assessment for possible clotting in the dialyzer.
Dialysis has been initiated on a patient using a right internal jugular catheter, as a
blood pump is turned to 200, foam begins to accumulate in the lines. The patient
begins to wheeze, and becomes SOB. The care givers first action would be -
ANSWER: clamp the venous line
During dialysis a patient has a cardiac arrest which action should be completed on
the dialysis machine before the machine is used by another patient. - ANSWER:
Technical must perform a functional test on the machine.
The dialysis technician has performed a rinse back on a patient and failed to gather
all the supplies needed to disconnect the patient. What must the technician do prior
to getting clean supplies? - ANSWER: Remove gloves, wash hands, and put on clean
gloves
An equivalent marker for inflammation as well as an indicator of future mortality risk
and length of hospitalization stay is a body protein known as? - ANSWER: Serum
albumin
Excessive fluid removal during dialysis, combined with the patient's taking an
antihypertensive med may result in patient having? - ANSWER: Hypotension
Epogen is a medication used to treat the anemia that accompanies renal failure. The
physician has ordered 8000u each Tx. The facility stocks Epogen 20,000/ml
concentrate. How much should be administered? - ANSWER: 0.4ml
Following FMC policy, when should the first and second hardness test be completed?
- ANSWER: Before the first treatment and after the completion of the last patient's
treatment.
The following KeCN are noted: 0015=268, 0045=254, 0115=242, 0145=243,
0215=238. These results indicate? - ANSWER: A need to increase heparin.
A forty year old patient who has severe HTN, is to start on hemodialysis. No diabetes
or cardiac problems what type of access is preferable. - ANSWER: An arteriovenous
fistula
A fistula is considered the access of choice because fistulas... - ANSWER: Have the
lowest complication rate
Gentamycin, garamycin is used primarily with patients who are on dialysis for -
ANSWER: treating CVP infections.
