PCT CERTIFICATION ACTUAL EXAM 2024 NEWEST 250
QUESTIONS WITH DETAILED VERIFID ANSWERS (100%
CORRECT) /A+ GRADE ASSURED
A 40 year old patient who has severe hypertension is to start on hemodialysis the
patient does not have diabetic or cardiac problems what type of access is preferable
- ANSWER: An arteriovenous fistula
A potential hazard or incident that has not resulted in any patient injury but had the
potential to do so is referred to as a - ANSWER: Near miss
When instructing patients with chronic kidney disease who are receiving dialysis the
nurse should include the fact that - ANSWER: Elevated potassium levels may cause
changes in heart rhythm
Using the sodium variation module during the dialysis treatment - ANSWER: Aid in
fluid removal
When removing needles from an internal access the needle safety device - ANSWER:
Should be engaged while removing needle from the patients access
Bright cherry soda colored blood is noticed in the dialyzer the patient complains of
shortness of breath headache and biting at the needle site in view of these findings
the care giver should - ANSWER: Stop the blood pump and do not return blood to
patient
What is the correct blood flow rate for priming the dialyzer - ANSWER: 150
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
Following fmc policy when should the second hardness test be completed - ANSWER:
After the completion of the last patient treatment
Which of the following has the most impact on the dialyzer clearance - ANSWER:
Surface area of dialyzer
Documentation and interpretation of the keen clearance effective by conductivity
results can assist the staff member in - ANSWER: Assessment for possible clotting in
the dialyzer
What can result from low level arterial pressure drip chamber - ANSWER: Air
entering the system
How long can mixed bicarbonate be kept for use without medical director approval
and validation - ANSWER: Must be used the same day it is mixed
, The patient care technician observes a patient at the 30 minute safety check what
signs or symptoms will prompt the patients care tech to wake the patient for further
evaluation - ANSWER: The patient does not respond to a verbal question and vital
signs are trending down
A patient begins to experience shortness of breath chest pain and sudden
hypotension the blood is bright red and translucent the complication most likely
occurring is - ANSWER: Hemolysis
What is the correct level for salt in the brine tank - ANSWER: The top level of the salt
pellets in the brine tank must be maintained above the level of the brine solution in
the tank
High phosphorus foods that must be limited or avoided in patients who are on
dialysis are - ANSWER: Beans nuts and dark colas
The quality status report bus a monthly report detailing quality outcomes as a
primary or secondary primary quality outcomes are those that have the highest
impact on a patient survival theses included - ANSWER: Albumin, high , phosphorus
adequacy. Catheter rate
The softener tank works in conjunction with the brine tank using the process of -
ANSWER: Ion exchange
According to aami standards that require exposure time of water to the carbon
filters to effectively remove chlorine and chloramine is - ANSWER: 10 minutes
The patients blood leak detector alarms after verifying the blood pump has stopped
what should the patient care technician do next - ANSWER: Check for blood with
blood leak test indicator
What solution should be used to disinfect a large blood spill area - ANSWER: 1 part
bleach 10 parts water solution
The venous needle must always be placed - ANSWER: With the flow of blood
Prior to applying the blood pressure cuff on a new patient the patient care technician
should - ANSWER: Examine both the patients arms for the presence of an access
The arterial needle is placed - ANSWER: Either with or against the flow of blood
The patient exhibits signs of hemolysis what is the appropriate action to take -
ANSWER: Turn the blood pump off clamp the venous line
QUESTIONS WITH DETAILED VERIFID ANSWERS (100%
CORRECT) /A+ GRADE ASSURED
A 40 year old patient who has severe hypertension is to start on hemodialysis the
patient does not have diabetic or cardiac problems what type of access is preferable
- ANSWER: An arteriovenous fistula
A potential hazard or incident that has not resulted in any patient injury but had the
potential to do so is referred to as a - ANSWER: Near miss
When instructing patients with chronic kidney disease who are receiving dialysis the
nurse should include the fact that - ANSWER: Elevated potassium levels may cause
changes in heart rhythm
Using the sodium variation module during the dialysis treatment - ANSWER: Aid in
fluid removal
When removing needles from an internal access the needle safety device - ANSWER:
Should be engaged while removing needle from the patients access
Bright cherry soda colored blood is noticed in the dialyzer the patient complains of
shortness of breath headache and biting at the needle site in view of these findings
the care giver should - ANSWER: Stop the blood pump and do not return blood to
patient
What is the correct blood flow rate for priming the dialyzer - ANSWER: 150
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
Following fmc policy when should the second hardness test be completed - ANSWER:
After the completion of the last patient treatment
Which of the following has the most impact on the dialyzer clearance - ANSWER:
Surface area of dialyzer
Documentation and interpretation of the keen clearance effective by conductivity
results can assist the staff member in - ANSWER: Assessment for possible clotting in
the dialyzer
What can result from low level arterial pressure drip chamber - ANSWER: Air
entering the system
How long can mixed bicarbonate be kept for use without medical director approval
and validation - ANSWER: Must be used the same day it is mixed
, The patient care technician observes a patient at the 30 minute safety check what
signs or symptoms will prompt the patients care tech to wake the patient for further
evaluation - ANSWER: The patient does not respond to a verbal question and vital
signs are trending down
A patient begins to experience shortness of breath chest pain and sudden
hypotension the blood is bright red and translucent the complication most likely
occurring is - ANSWER: Hemolysis
What is the correct level for salt in the brine tank - ANSWER: The top level of the salt
pellets in the brine tank must be maintained above the level of the brine solution in
the tank
High phosphorus foods that must be limited or avoided in patients who are on
dialysis are - ANSWER: Beans nuts and dark colas
The quality status report bus a monthly report detailing quality outcomes as a
primary or secondary primary quality outcomes are those that have the highest
impact on a patient survival theses included - ANSWER: Albumin, high , phosphorus
adequacy. Catheter rate
The softener tank works in conjunction with the brine tank using the process of -
ANSWER: Ion exchange
According to aami standards that require exposure time of water to the carbon
filters to effectively remove chlorine and chloramine is - ANSWER: 10 minutes
The patients blood leak detector alarms after verifying the blood pump has stopped
what should the patient care technician do next - ANSWER: Check for blood with
blood leak test indicator
What solution should be used to disinfect a large blood spill area - ANSWER: 1 part
bleach 10 parts water solution
The venous needle must always be placed - ANSWER: With the flow of blood
Prior to applying the blood pressure cuff on a new patient the patient care technician
should - ANSWER: Examine both the patients arms for the presence of an access
The arterial needle is placed - ANSWER: Either with or against the flow of blood
The patient exhibits signs of hemolysis what is the appropriate action to take -
ANSWER: Turn the blood pump off clamp the venous line
