DaVita's PCT Final Module 1-4 Quizzes
complete study Questions with
simplified correct Answers
Ultrafiltration is defined as: - correct answer-Fluid pushed through the semipermeable membrane
If a patient with acute kidney injury (AKI) dialyzes in the outpatient facility, one task of the patient care
teammates is to monitor blood pressure and weight closely. Why is this important? - correct answer-
Hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys.
***The underlying cause of prerenal kidney failure is hypovolemia or poor perfusion. Care must be taken
to understand patients who are at high risk.
Your role in anemia management includes: - correct answer-Rinsing back as much of the patient's blood
as you can at the termination of each treatment.
During dialysis, the movement of bicarbonate from the dialysate into the blood: - correct answer-The
diffusion of bicarbonate helps the patient to achieve acid-base balance by buffering the hydrogen ions.
The transport mechanism when particles move from an area of higher solute concentration to an area of
lower solute concentration is called: - correct answer-Diffusion
Convection: solutes dragged across SPM
Osmosis: low to high
TRUE OR FALSE:
Hemodialysis patients are at increased risk of contracting Hepatitis B. - correct answer-True, the virus can
be transmitted from the use of multidose drug vials and contamination of medical equipment. Dialysis
patients are immuno-suppressed.
A common reason how Hepatitis B is transmitted from a patient to a healthcare worker is: - correct
answer-1. Penetration of the skin by sharps
2. Contact of blood with broken skin or mucous membranes
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an appropriate
patient care assignment? - correct answer-Caring for HBsAg and Hepatitis B susceptible patients at the
same time
Appropriate personal protective equipment (PPE) should be worn whenever there is potential for
contact with blood or bodily fluids, hazardous chemicals, contaminated equipment, and environmental
surfaces. PPE includes: - correct answer-Gloves, gowns, mask and eye protection (full face shield or
goggles).
Handwashing at a designated clean sink should be performed for a minimum of: - correct answer-20
seconds
Contact transmission is the most important route through which infections are spread. Contact
transmission is defined as: - correct answer-Transmission of microorganisms through healthcare workers
hands.
Per the CDC, which is the most common factor contributing to bacteremias in dialysis patients? - correct
answer-The use of catheters for hemodialysis.
Teammates caring for a patient with active Clostridioides difficile (C-diff) infection are required to: -
correct answer-Perform frequent hand washing with antimicrobial soap, as alcohol-based hand gels may
not be effective to eliminate C. Diff.
To prepare a 1:100 bleach solution, you would - correct answer-Add 1 part bleach, 99 parts water.
A 1:10 bleach solution is used to - correct answer-Clean up visible blood or gross blood spills
, According to Policy and Procedure, gowns: - correct answer-Must be fully snapped up (or tied at the neck
and waist) and wrists covered.
Why is a "strikethrough" of an external pressure transducer protector of concern? - correct answer-Fluid
could have entered the machine and contaminated the internal pressure transducer protector providing
a reservoir for microorganisms and causing subsequent patient blood infections.
What is the safe range for dialysate pH? - correct answer-The desired pH range is 6.9-7.6.
What is the correct procedure for residual bleach testing after chemical disinfection of distribution loops
and equipment fluid pathways? - correct answer-Residual bleach testing is performed after bleach
disinfectant and prior to use.
Which is a true statement regarding the monitoring, testing, and verification of conductivity prior to
each patient treatment for all Fresenius machine models and the B Braun system? - correct answer-B
Braun Conductivity: ENDLF, N/A->13.0-15.5 range
Fresenius Conductivity: ?
To avoid bacterial proliferation (rapid reproduction) within the extracorporeal circuit, once primed the
recirculation of saline within the dialyzer and blood lines should not exceed______ prior to initiating the
hemodialysis treatment. - correct answer-2 hours
Machine alarm tests are performed: - correct answer-Before the initiation of each patient treatment.
TRUE OR FALSE?
Procedures provide a step-by-step series of actions, processes, or measures to be taken to implement or
address a particular activity, system, or problem. - correct answer-True
When using an automatic blood pressure cuff on a patient with an irregular heartbeat - correct answer-
The recorded blood pressure may be inaccurate.
This electrolyte plays a major role in muscle contraction and high or low levels can lead to weakness or
cardiac arrest. - correct answer-Potassium
Post-treatment, a patient complains of a headache and there was a noted temperature increase to
98.8°F from the pre-treatment baseline of 96.6°F. What follow up is required before patient discharge? -
correct answer-This is considered a fever which should be investigated
A post treatment patient assessment - correct answer--Is completed to verify that the patient is stable,
to determine the patient's discharge status, and to evaluate the effectiveness of the treatment plan.
-Is compared to the patient's pre treatment assessment findings
-Requires the licensed nurse to notify the physician as needed of changes in patient status
For a patient who can stand, a post-treatment blood pressure reading of _______ is considered an
abnormal finding and should be reported to a licensed nurse, per DaVita Policy - correct answer-Normal
range: 120/80 mm Hg or less
Orthostatic hypotension: drops by at least 20 mmHg during transition from lying down to standing up, or
when diastolic blood pressure (the bottom reading) drops by at least 10mmHg within three minutes after
standing.
What is considered a normal heart rate? - correct answer-60-100 bpm
A patient has an adverse reaction within minutes of treatment initiation. The patient's pre-treatment
data screen shows no patient information entered. What should have occurred prior to initiating
treatment according to DaVita policy and procedure (P&P)? - correct answer-There's no proof that pre-
treatment safety checks were completed or the patient had been properly assessed.
The pre-treatment patient assessment by the licensed nurse is required - correct answer-It is required
before treatment is initiated.
TRUE OR FALSE?
All pre-treatment data findings and machine safety checks are required to be entered into the IT Clinical
System before treatment initiation. - correct answer-True
TRUE OR FALSE?
complete study Questions with
simplified correct Answers
Ultrafiltration is defined as: - correct answer-Fluid pushed through the semipermeable membrane
If a patient with acute kidney injury (AKI) dialyzes in the outpatient facility, one task of the patient care
teammates is to monitor blood pressure and weight closely. Why is this important? - correct answer-
Hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys.
***The underlying cause of prerenal kidney failure is hypovolemia or poor perfusion. Care must be taken
to understand patients who are at high risk.
Your role in anemia management includes: - correct answer-Rinsing back as much of the patient's blood
as you can at the termination of each treatment.
During dialysis, the movement of bicarbonate from the dialysate into the blood: - correct answer-The
diffusion of bicarbonate helps the patient to achieve acid-base balance by buffering the hydrogen ions.
The transport mechanism when particles move from an area of higher solute concentration to an area of
lower solute concentration is called: - correct answer-Diffusion
Convection: solutes dragged across SPM
Osmosis: low to high
TRUE OR FALSE:
Hemodialysis patients are at increased risk of contracting Hepatitis B. - correct answer-True, the virus can
be transmitted from the use of multidose drug vials and contamination of medical equipment. Dialysis
patients are immuno-suppressed.
A common reason how Hepatitis B is transmitted from a patient to a healthcare worker is: - correct
answer-1. Penetration of the skin by sharps
2. Contact of blood with broken skin or mucous membranes
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an appropriate
patient care assignment? - correct answer-Caring for HBsAg and Hepatitis B susceptible patients at the
same time
Appropriate personal protective equipment (PPE) should be worn whenever there is potential for
contact with blood or bodily fluids, hazardous chemicals, contaminated equipment, and environmental
surfaces. PPE includes: - correct answer-Gloves, gowns, mask and eye protection (full face shield or
goggles).
Handwashing at a designated clean sink should be performed for a minimum of: - correct answer-20
seconds
Contact transmission is the most important route through which infections are spread. Contact
transmission is defined as: - correct answer-Transmission of microorganisms through healthcare workers
hands.
Per the CDC, which is the most common factor contributing to bacteremias in dialysis patients? - correct
answer-The use of catheters for hemodialysis.
Teammates caring for a patient with active Clostridioides difficile (C-diff) infection are required to: -
correct answer-Perform frequent hand washing with antimicrobial soap, as alcohol-based hand gels may
not be effective to eliminate C. Diff.
To prepare a 1:100 bleach solution, you would - correct answer-Add 1 part bleach, 99 parts water.
A 1:10 bleach solution is used to - correct answer-Clean up visible blood or gross blood spills
, According to Policy and Procedure, gowns: - correct answer-Must be fully snapped up (or tied at the neck
and waist) and wrists covered.
Why is a "strikethrough" of an external pressure transducer protector of concern? - correct answer-Fluid
could have entered the machine and contaminated the internal pressure transducer protector providing
a reservoir for microorganisms and causing subsequent patient blood infections.
What is the safe range for dialysate pH? - correct answer-The desired pH range is 6.9-7.6.
What is the correct procedure for residual bleach testing after chemical disinfection of distribution loops
and equipment fluid pathways? - correct answer-Residual bleach testing is performed after bleach
disinfectant and prior to use.
Which is a true statement regarding the monitoring, testing, and verification of conductivity prior to
each patient treatment for all Fresenius machine models and the B Braun system? - correct answer-B
Braun Conductivity: ENDLF, N/A->13.0-15.5 range
Fresenius Conductivity: ?
To avoid bacterial proliferation (rapid reproduction) within the extracorporeal circuit, once primed the
recirculation of saline within the dialyzer and blood lines should not exceed______ prior to initiating the
hemodialysis treatment. - correct answer-2 hours
Machine alarm tests are performed: - correct answer-Before the initiation of each patient treatment.
TRUE OR FALSE?
Procedures provide a step-by-step series of actions, processes, or measures to be taken to implement or
address a particular activity, system, or problem. - correct answer-True
When using an automatic blood pressure cuff on a patient with an irregular heartbeat - correct answer-
The recorded blood pressure may be inaccurate.
This electrolyte plays a major role in muscle contraction and high or low levels can lead to weakness or
cardiac arrest. - correct answer-Potassium
Post-treatment, a patient complains of a headache and there was a noted temperature increase to
98.8°F from the pre-treatment baseline of 96.6°F. What follow up is required before patient discharge? -
correct answer-This is considered a fever which should be investigated
A post treatment patient assessment - correct answer--Is completed to verify that the patient is stable,
to determine the patient's discharge status, and to evaluate the effectiveness of the treatment plan.
-Is compared to the patient's pre treatment assessment findings
-Requires the licensed nurse to notify the physician as needed of changes in patient status
For a patient who can stand, a post-treatment blood pressure reading of _______ is considered an
abnormal finding and should be reported to a licensed nurse, per DaVita Policy - correct answer-Normal
range: 120/80 mm Hg or less
Orthostatic hypotension: drops by at least 20 mmHg during transition from lying down to standing up, or
when diastolic blood pressure (the bottom reading) drops by at least 10mmHg within three minutes after
standing.
What is considered a normal heart rate? - correct answer-60-100 bpm
A patient has an adverse reaction within minutes of treatment initiation. The patient's pre-treatment
data screen shows no patient information entered. What should have occurred prior to initiating
treatment according to DaVita policy and procedure (P&P)? - correct answer-There's no proof that pre-
treatment safety checks were completed or the patient had been properly assessed.
The pre-treatment patient assessment by the licensed nurse is required - correct answer-It is required
before treatment is initiated.
TRUE OR FALSE?
All pre-treatment data findings and machine safety checks are required to be entered into the IT Clinical
System before treatment initiation. - correct answer-True
TRUE OR FALSE?
