FRESENIUS PCT EXAM QUESTIONS AND ANSWERS
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How long must you wash your hands?
40-60 seconds
How long must you sanitize your hands?
20-30 seconds
number one cause of chronic renal failure
diabetes
The first bleach solution used to clean a 10ml+ blood spill
1:10
the main route of transmission for hep B is exposure to
infected blood and bodily fluids
When caring for a hep B positive patient, after disconnecting the bloodlines, the
PCT must perform which 3 actions before documenting?
remove gloves, sanitize hands, don new gloves
Patients who are hep B positive should be dialyzed in a ______ area on a _______
machine
separate, dedicated
what must the PCT do when going from a patient station to retrieve clean
supplies?
remove gloves and sanitize hands
You must wear a full face shield, or mask with goggles, when in an area with a
risk of:
blood spatter
what is dialysate comprised of
acid, bicarb, and RO water
what is the AAMI and what do they do
Association for the Advancement of Medical Instrumentation, they give requirements for
dialysis water
What is the AAMI allowable level for bleach in water?
≤ 0.1 ppm
what is the purpose of the diasafe filter
delivers ultrapure dialysate
What must you wash hands with soap and water
c.diff
hands visibly soiled
after restroom
before eating
who can the buffer zone hold
patients whose antibodies are greater than 10
Air is removed from the extracorporeal circuit before initiating treatment because
it may cause ____ when trapped in the dialyzer.
clotting
, the most likely cause of contamination of the extracorporeal circuit are _____ in
the prime bucket with _____ end caps
blood lines, open
A low-level arterial drip chamber can result in ____ entering the system causing
an air embolism or clotting
air
the ability of a substance to conduct an electrical charge
conductivity
When blood escapes from the dialyzer blood compartment into the dialysate fluid
compartment this is known as a
blood leak
Dialysate pH should be
6.9-7.6
How often is the dialysis machine cleaned with acid
daily to prevent bicarb buildup
When should the alarm/pressure tests be performed
before each treatment
what is removed by saline during the priming process
air and sterilant
the machines conductivity alarm parameters are set ____ from the TCD
+/- 0.5
the allowable variance between the phoenix meter reading and actual
conductivity
+/- 0.3
heat disinfect is used after
acid clean
In addition to safety checks, what tests must you perform to ensure a safe patient
treatment
conductivity and pH
Is dialysate sterile?
No. only the blood is sterile
What can low conductivity cause
a hypotonic solution causing hemolysis
What can high conductivity cause
a hypertonic solution causing crenation
How often is the bleach disinfect/diasafe test performed
weekly (daily in isolation room)
How full should the arterial chamber be
85-95%
How full should the venous chamber be
65-75%
what does countercurrent flow refer to?
blood and dialysate flow in opposite directions
Before applying bp cuff, the PCT needs to
examine both arms for an access
Available weight gain is
100% CORRECT. Buy Quality Materials!
How long must you wash your hands?
40-60 seconds
How long must you sanitize your hands?
20-30 seconds
number one cause of chronic renal failure
diabetes
The first bleach solution used to clean a 10ml+ blood spill
1:10
the main route of transmission for hep B is exposure to
infected blood and bodily fluids
When caring for a hep B positive patient, after disconnecting the bloodlines, the
PCT must perform which 3 actions before documenting?
remove gloves, sanitize hands, don new gloves
Patients who are hep B positive should be dialyzed in a ______ area on a _______
machine
separate, dedicated
what must the PCT do when going from a patient station to retrieve clean
supplies?
remove gloves and sanitize hands
You must wear a full face shield, or mask with goggles, when in an area with a
risk of:
blood spatter
what is dialysate comprised of
acid, bicarb, and RO water
what is the AAMI and what do they do
Association for the Advancement of Medical Instrumentation, they give requirements for
dialysis water
What is the AAMI allowable level for bleach in water?
≤ 0.1 ppm
what is the purpose of the diasafe filter
delivers ultrapure dialysate
What must you wash hands with soap and water
c.diff
hands visibly soiled
after restroom
before eating
who can the buffer zone hold
patients whose antibodies are greater than 10
Air is removed from the extracorporeal circuit before initiating treatment because
it may cause ____ when trapped in the dialyzer.
clotting
, the most likely cause of contamination of the extracorporeal circuit are _____ in
the prime bucket with _____ end caps
blood lines, open
A low-level arterial drip chamber can result in ____ entering the system causing
an air embolism or clotting
air
the ability of a substance to conduct an electrical charge
conductivity
When blood escapes from the dialyzer blood compartment into the dialysate fluid
compartment this is known as a
blood leak
Dialysate pH should be
6.9-7.6
How often is the dialysis machine cleaned with acid
daily to prevent bicarb buildup
When should the alarm/pressure tests be performed
before each treatment
what is removed by saline during the priming process
air and sterilant
the machines conductivity alarm parameters are set ____ from the TCD
+/- 0.5
the allowable variance between the phoenix meter reading and actual
conductivity
+/- 0.3
heat disinfect is used after
acid clean
In addition to safety checks, what tests must you perform to ensure a safe patient
treatment
conductivity and pH
Is dialysate sterile?
No. only the blood is sterile
What can low conductivity cause
a hypotonic solution causing hemolysis
What can high conductivity cause
a hypertonic solution causing crenation
How often is the bleach disinfect/diasafe test performed
weekly (daily in isolation room)
How full should the arterial chamber be
85-95%
How full should the venous chamber be
65-75%
what does countercurrent flow refer to?
blood and dialysate flow in opposite directions
Before applying bp cuff, the PCT needs to
examine both arms for an access
Available weight gain is
