FRESENIUS CLINICAL ANNUAL COMPETENCY EXAM
ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |AGRADE
The adequacy of a dialysis treatment may be compromised by - ANSWER:
Inadequate Heparinization
Routine post dialysis treatment documentation on the patients dialysis treatment
record should include patients blood pressure and temperature both - ANSWER: Post
reinfusion and prior to disconnection
Individual acid containers should be labeled with - ANSWER: Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do first?
- ANSWER: Notify the RN
Which of these findings noted on a safety check would indicate that an intervention
is needed. - ANSWER: Hemosafe is in place and secure on the arterial line (hemosafe
clamp should be secured on the venous line)
The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't
appear to be in distress. What should be the dialysis technicians immediate action? -
ANSWER: Notify the RN
Documentation and interpretation of the KECN (clearance effective by conductivity)
results can assist the staff member in - ANSWER: Assessment for possible clotting in
the dialyzer
Which of the following would minimize bacterial growth in the water treatment
system? - ANSWER: Circulation of water during the day only
A major factor affecting ultrafiltration is - ANSWER: Pressure
Pre-treatment evaluation of an internal vascular access includes - ANSWER: Palpating
for a thrill
A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn.
These symptoms are most likely to indicate that the patient has - ANSWER:
Hypotension
If a blood leak detector alarms a second time and no visible blood is noted, what
should the PCT do next? - ANSWER: Check the dialysate effluent with a blood leak
test indicator
, Which has the most impact on dialyzer clearance? - ANSWER: Surface area of the
dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to take? -
ANSWER: Turn the blood pump off, clamp the venous line.
Softener tanks remove - ANSWER: Calcium and magnesium
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 following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238 - ANSWER: Low clearance, hold heparin dose
The arterial needle is placed - ANSWER: Either with or against the flow of blood
An important factor in achieving adequacy during machine set up is - ANSWER:
Priming the dialyzer venous end up
The FMC program that utilizes technology to improve our patient care is - ANSWER:
Ultra Care
The component of the dialysate that helps treat acidosis is - ANSWER: Bicarbonate
The PCT notices the patient yawning toward the end of treatment. The PCT should
take which action immediately - ANSWER: Check the patient blood pressure
Several patients with normal pre-dialysis temperatures develop sudden chills and a
spike in temperature. This situation is most likely caused by - ANSWER: Presence of
endotoxins in the dialysate
What is the correct blood flow rate for priming the dialyzer - ANSWER: 150 ml/min
What is NOT true when cannulating a new AVF? - ANSWER: Use of a tourniquet is
optional when cannulating a new AVF
If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is -
ANSWER: Weekly
Using the sodium variation module during the dialysis treatment will - ANSWER: Aid
in fluid removal
ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |AGRADE
The adequacy of a dialysis treatment may be compromised by - ANSWER:
Inadequate Heparinization
Routine post dialysis treatment documentation on the patients dialysis treatment
record should include patients blood pressure and temperature both - ANSWER: Post
reinfusion and prior to disconnection
Individual acid containers should be labeled with - ANSWER: Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do first?
- ANSWER: Notify the RN
Which of these findings noted on a safety check would indicate that an intervention
is needed. - ANSWER: Hemosafe is in place and secure on the arterial line (hemosafe
clamp should be secured on the venous line)
The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't
appear to be in distress. What should be the dialysis technicians immediate action? -
ANSWER: Notify the RN
Documentation and interpretation of the KECN (clearance effective by conductivity)
results can assist the staff member in - ANSWER: Assessment for possible clotting in
the dialyzer
Which of the following would minimize bacterial growth in the water treatment
system? - ANSWER: Circulation of water during the day only
A major factor affecting ultrafiltration is - ANSWER: Pressure
Pre-treatment evaluation of an internal vascular access includes - ANSWER: Palpating
for a thrill
A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn.
These symptoms are most likely to indicate that the patient has - ANSWER:
Hypotension
If a blood leak detector alarms a second time and no visible blood is noted, what
should the PCT do next? - ANSWER: Check the dialysate effluent with a blood leak
test indicator
, Which has the most impact on dialyzer clearance? - ANSWER: Surface area of the
dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to take? -
ANSWER: Turn the blood pump off, clamp the venous line.
Softener tanks remove - ANSWER: Calcium and magnesium
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 following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238 - ANSWER: Low clearance, hold heparin dose
The arterial needle is placed - ANSWER: Either with or against the flow of blood
An important factor in achieving adequacy during machine set up is - ANSWER:
Priming the dialyzer venous end up
The FMC program that utilizes technology to improve our patient care is - ANSWER:
Ultra Care
The component of the dialysate that helps treat acidosis is - ANSWER: Bicarbonate
The PCT notices the patient yawning toward the end of treatment. The PCT should
take which action immediately - ANSWER: Check the patient blood pressure
Several patients with normal pre-dialysis temperatures develop sudden chills and a
spike in temperature. This situation is most likely caused by - ANSWER: Presence of
endotoxins in the dialysate
What is the correct blood flow rate for priming the dialyzer - ANSWER: 150 ml/min
What is NOT true when cannulating a new AVF? - ANSWER: Use of a tourniquet is
optional when cannulating a new AVF
If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is -
ANSWER: Weekly
Using the sodium variation module during the dialysis treatment will - ANSWER: Aid
in fluid removal
