Certified Dialysis Nurse Test Review Exam Questions and Answers Updated

Certified Dialysis Nurse Test Review
Exam Questions and Answers Updated

-vAbilityvtovprogramvthevcyclervforvthevcorrectvnumbervofvexchanges/night.
-vAbilityvtovsetvthevmachinevtovwarmvthevdialysatevtovbodyvtemperature.
-vAbilityvtovtimevthevfrequencyvofvexchangesvthroughoutvthevnight.
-
vAbilityvtovensurevalarmsvforvinflowvfailure,voverheatingvandvinadequatevdrainagevarevonvan

dvworking.v-vCORRECTvANSWER-
Whichvteachingvpointsvmustvbevmasteredvbyvpatientsvbeforevtheyvcanvperformvtheirvautom
atedvperitonealvdialysisvatvhome?

-
vDialysisvdiscontinuedvuntilvthevcausevofvsymptomsvisvdeterminedv&vthevphysicianvisvnotifie

d
-vDovnotvreturnvblood
-vAdministervO2vforvbreathingvdifficulties
-vIntravenousvantihistaminesvorvepinephrinevmayvbevorderedvforvanaphylaxis
-vBPvsupportvmayvalsovbevnecessaryvforvhypotensionv-vCORRECTvANSWER-
Treatmentvforvdialyzervreactions?

-vDryvpersistentvcough.
-vIrregularvheartvratevandvmusclevweakness.
-vHypotensionv-vCORRECTvANSWER-
WhenvassessingvavCKDvpatient,vwhichvclinicalvfindingsvleadvthevnursevtovsuspectvthevpatie
ntvhasvdevelopedvavsideveffectvtovlisinopril,vanvangiotensin-
convertingvenzymev(ACE)vinhibitor?

-vEdemavnotedvinvabdomenvandvlowervlegs.
-vHypotensionv-vCORRECTvANSWER-
LaboratoryvvaluesvrevealvthatvavCKDvpatient'svalbuminvlevelvisvlow.vThevnursevwillvlikelyvass
essvwhichvsymptomsvofvhypoalbuminemiavinvthisvpatient?

-vInfusionvofvavsmallvamountvofvheparinizedvsalinevsolutionveveryv4-8vhoursvforvthevfirstv1-
3vdaysvpostoperatively.
-
vLowvvolumevinvandvoutvexchangesvwithvheparinizedvsalinevorvdialysatevuntilvtheveffluentvisv

novlongervbloody.vthenvdailyvforv1vtov2vweeks,vandvweeklyvthereaftervuntilvthevpatientvisvund
ergoingvPD.v-
vAvsmallvvolumevofvheparinizedvsolutionvshouldvremainvinvthevperitoneumvtovinhibitvthevform

ationvofvfibrin

,-immediatevdialysisvneed:vFrequent,vlow-volumevexchangesv(500-
1000vmL)varevperformedvusingvavcyclervwithvthevpatientvinvthevsupinevposition.v-
vCORRECTvANSWER-Duringvthevperiodvcalledvcathetervbreak-

in,vwhenvthevperitonealvdialysisvcathetervisvplacedvandvhealingvhasvbegun,vthevnursevshoul
dvanticipatevwhichvprescribedvdialysisvorders?

-
vItvensuresvthevteammatevhasvupvtovdatevcredentialsvonvfilevthatvmeetvinternalvandvexternalvr

egulatoryvrequirements
-vItvisvusedvbyvsurveyorsvduringvCMSvauditsvtovverifyvcredentials
-
vItvisvusedvbyvsurveyorsvduringvCMSvauditsvtovverifyvpropervtrainingvandveducationvhadvbee

nvcompleted
-vItvprovidesvavpathwayvforvavteammatevtovbevpromotedv-vCORRECTvANSWER-
Avteammate'svfilevorvtranscriptvmustvbevkeptvupvtovdatevbyvthevFacilityvAdministratorvorvdele
gatevbecausev(selectvallvthatvapply):

-vlessvthreateningvbutvmorevcommonlyvseenvthanvTypevA
-
vsymptomsvusuallyvoccurvasvsoonvasvthevpatient'svbloodvisvexposedvtovthevdialyzervandvretu

rnedvtovthevpatientv-vCORRECTvANSWER-WhatvisvavTypevBvdialyzervreaction?

-vmeasurevthevvolumevofvdialysatevtovbevinfused,v
-vwarmvthevdialysatevtovbodyvtemperaturevbeforevinfusion,v
-vtimevthevfrequencyvofvexchanges,v
-vcountvthevnumbervofvexchanges
-vmeasurevUF.v-vCORRECTvANSWER-
Whichvteachingvpointsvmustvbevmasteredvbyvpatientsvbeforevtheyvcanvperformvtheirvautom
atedvperitonealvdialysisvatvhome?

-vPDvmayvcausevavfullvfeelingvinvthevabdomen,vresultingvinvavlowervintakevofvcalories
-vPDvpatientsvmayvabsorbv150-1,000vcalories/dayvfromvthevdextrosevinvthevdialysatev-
vCORRECTvANSWER-

Thevnursevisvdiscussingvcaloricvneedsvwithvavpatientvwhovisvonvperitonealvdialysisv(PD).vWh
atvinformationvcanvthevnursevprovidevtovthevpatient?

-vSomevherbalsvcanvbevtoxicvtovthevkidneys.
-vSomevherbalsvcanvaffectvbloodvpressurevcontrol.
-vSomevherbalsvcanvaffectvanticoagulation.v-vCORRECTvANSWER-
Avdialysisvpatientvisvsharingvinformationvaboutvhervfavoritevherbalvremedies.vWhatvreminde
rsvshouldvthevnursevbevpreparedvtovprovidevthevpatient?

-vSometimesvreferredvtovasv"first-usevsyndrome"vbecausevsomevpatientsvdevelopvallergic-
typevsymptomsvwhenvexposedvtovthevdialyzervmembranevforvthevfirstvtime
-vOftenvpresentvwithvanaphylactic-typevsymptoms.

, -vUsuallyvoccurvwithinvthevfirstv5vminutesvofvtreatmentv-vCORRECTvANSWER-
WhatvisvavTypevAvdialyzervreaction?

-
vstandardizedvtestvofvperitonealvmembranevpermeabilityvusedvtovestimatevthevsolutevtransp

ortvcharacteristics,vglucosevabsorption,vandvnetvUF.
-vdonev1vmonthvaftervinitiationvofvdialysis
-v-vCORRECTvANSWER-Whatvisvavperitonealvequilibrationvtestv(PET)

-vStandingvsystolicvBPvgreatervthanv140vmm/Hgvorvlessvthanv90vmm/Hg
-vStandingvdiastolicvBPvgreatervthanv90vmm/Hgvorvlessvthanv50vmm/Hgv-
vCORRECTvANSWER-

PervDaVitavpolicy,vavstandingvpostvtreatmentvbloodvpressurevofv___________visvconsidere
dvanvabnormalvfindingvandvshouldvbevreportedvtovavlicensedvnurse

-vTargetvpostdialysisvweight
-vHowvmuchvfluidvthevpatientvwillvreceivevorallyvand/orvintravenously
-vThevultrafiltrationvcoefficientv(kUF)ofvthevdialyzervthatvisvbeingvused.v-
vCORRECTvANSWER-

Whatvinformationvwouldvthevnursevneedvtovcalculatevthevratevofvultrafiltration?

-
vThevpatientvisvinvfullvchargevofvadministeringvthevperitonealvdialysis,vpreservingvtheirvusualv

lifestyle.
-
vPDvpatientsvdovnotvsuffervtheveffectsvofvrapidvbiochemicalvandvfluidvchangesvcommonvinvhe

modialysis.
-
vTherevisvlessvriskvofvdestabilizingvthevfragilevmentalvequilibriumvofvsomevoldervadultvpatient

s.v-vCORRECTvANSWER-
Whilevprovidingvpatientveducation,vwhichvadvantagesvofvperitonealvdialysisvcanvthevnursevs
harevwithvanvoldervadultvCKDvpatient?

-vtissuesvarevoftenvedematousvandvextremelyvfriable.v
-
vPatientsvwithvinfectionsvandvrejectionvarevalmostvalwaysvcatabolic,vedematous,vandvhypop

roteinemic.v
-
Cardiopulmonaryvandvcardiovascularvsystemsvoftenvlabile,vandvhypotensionvorvcardiacvdy
srhythmiasvandvpulmonaryvcongestionvshouldvbevanticipated.v-vCORRECTvANSWER-
Whenvcaringvforvavpatientvwhovisvexperiencingvavseverevtransplantvrejection,vwhatvcomplic
ationsvshouldvthevnursevanticipate?

-vWhenvmandatedvbyvstatevlawv(pre-
treatmentvinitiationvvsvwithinv1vhourvaftervstartvofvtreatment)