Davita Final Competency Exam Questions
With Correct Answers
If ca cpatient cwith cacute ckidney cinjury c(AKI) cdialyzes cin cthe coutpatient cfacility, cone
ctask cof cthe cpatient ccare cteammates cis cto cmonitor cblood cpressure c(BP) cand cweight
cclosely. cWhy cis cthis cimportant? c- cCORRECT cANS✔✔Hypovolemia cand
chypotensive cepisodes ccan ccause crenal cischemia cand ccan cfurther cdamage cthe
ckidneys
Chronic ckidney cdisease ccan chave cit's corigin cpre-renal(Before), cintra-renal(During),
cor cpost crenal(after). cWhich cof cthe cfollowing cconditions cis can cintra-renal ccause cof
cCKD? c- cCORRECT cANS✔✔Hypotension
Knowing cwhat ccaused cyour cpatients cCKD... c- cCORRECT cANS✔✔Is cimportant
cbecause cthe cunderlying cdisease ccould ccause chealth ccomplications cthat ccan cimpact
cthe cdialysis ctreatment
Which cof cthe cfollowing cfactors cwould cinfluence cthe cK cof cthe cKt/V cFormula? c-
cCORRECT cANS✔✔Blood cVolume cprocessed c(BVP)
It cis cimportant cthat cpatients cstay cfor ctheir centire ctreatment ctime cbecause cadequate
cdialysis creplaces... c- cCORRECT cANS✔✔Less cthan c15% cof cnormal ckidney cfunction
Waiting conly cfive cseconds cbetween clowering cthe cblood cpump cspeed cand cdrawing
cthe cpost ctreatment cblood csample ccould... c- cCORRECT cANS✔✔Cause cthe cKt/V
creading cto cbe cfalsely chigh
When ca cPCT cdocuments cthe cextent cof ca cpatients cedema, cfor cexample cas c+3... c-
cCORRECT cANS✔✔The cPCT cis cperforming can cassessment, cwhich cis cnot clegally
callowed
When ca cpatient chas can cirregular cheartbeat... c- cCORRECT cANS✔✔The cautomated
coscillometric cBP creading cmay cnot cbe caccurate
A cpatient cpresents cwith can celevated ctemperature cafter cthe cinitiation cof cdialysis.
cThis cis cmost clikely cdue cto... c- cCORRECT cANS✔✔A cPyrogenic creaction
, When cis ca cpre-treatment cassessment cby cthe clicensed cnurse crequired? cCheck call
cthat capply! c- cCORRECT cANS✔✔A) cWhen cit cis cmandated cby cthe cstate
B) cWhen cthe cPCT cperforming ca cdata ccollection cnotices cabnormal cfindings
C) cWhen cthe cpatient creports cunusual csymptoms cto cthe cnurse cprior cto ctreatment
cinitiation
D) cWhen cthe cnurse cobserves cunusual cbehaviors cin ca cpatient centering cthe
ctreatment cfloor.
If ca cpatient chad can cadverse creaction cwithin cthe cfirst ccouple cminutes cof ctreatment
cafter ctreatment cinitiation, cyet cno cpre-treatment cdata chas cbeen centered cinto cthe
ccomputer... c- cCORRECT cANS✔✔There cis cno cproof cthat cpre-treatment csafety
cchecks cwere ccompleted cor cthat cthe cpatient chad cbeen cproperly cassessed.
Which cif cthe cfollowing cis ca cData cCollection? c- cCORRECT cANS✔✔Heart cRate: c72
Why care c'thirst ccontrol cand climiting cinterdialytic cweight cgains' ca cshared
cresponsibility cbetween cthe chealthcare cteam cand cthe cpatient? c- cCORRECT
cANS✔✔Caregivers ccan ccontribute cto csodium cloading cduring cdialysis ccausing
cincreased cthirst cand cfluid cintake cbetween ctreatments
What cdoes cthe cterm c"Wet cCrash" cmean? c- cCORRECT cANS✔✔Fluid coverload
coverstretches cthe cheart cmuscle ctissue c(left cventricular chypertrophy) cresulting cin
cdecreased ccardiac coutput cand clow cBP
What cis cyour cmain cpriority cwhen creturning ca cpatients cblood cwith cthe chand ccrank
cduring ca cpower coutage? c- cCORRECT cANS✔✔You cmust cbe cvigilant cin cwatching
cfor cair cin cthe cblood clines
Your cpatient cdialyzes cfor cfour chours cwith ca cblood cpump cspeed(BFR) cof c400
cml/min. cWhat cis chis ccalculated cBlood cVolume cProcessed(BVP) cat cthe cend cof
ctreatment? c- cCORRECT cANS✔✔96,000 cml cor c96 cliters
What cproblem cwill ccause can cincrease cin cthe cpatients cvenous cpressure? c-
cCORRECT cANS✔✔A cclot cin cthe cdrip cchamber
What cis cthe cmost cfrequent cinfections ccomplication cin cdialysis cpatients? c-
cCORRECT cANS✔✔Bacterial cvascular caccess cinfections
Which cinfections crequires cfrequent chandwashing cinstead cof cusing calcohol cbased
chand cgels c- cCORRECT cANS✔✔Active cClostridioides cdifficile(C. cDiff) cinfection
Contact ctransmission cis cthe cmost cimportant croute cthrough cwhich cinfections care
cspread. cContact ctransmission cis cdefined cas... c- cCORRECT cANS✔✔Transmission
cof cmicroorganisms cthrough chealthcare cworkers chands
With Correct Answers
If ca cpatient cwith cacute ckidney cinjury c(AKI) cdialyzes cin cthe coutpatient cfacility, cone
ctask cof cthe cpatient ccare cteammates cis cto cmonitor cblood cpressure c(BP) cand cweight
cclosely. cWhy cis cthis cimportant? c- cCORRECT cANS✔✔Hypovolemia cand
chypotensive cepisodes ccan ccause crenal cischemia cand ccan cfurther cdamage cthe
ckidneys
Chronic ckidney cdisease ccan chave cit's corigin cpre-renal(Before), cintra-renal(During),
cor cpost crenal(after). cWhich cof cthe cfollowing cconditions cis can cintra-renal ccause cof
cCKD? c- cCORRECT cANS✔✔Hypotension
Knowing cwhat ccaused cyour cpatients cCKD... c- cCORRECT cANS✔✔Is cimportant
cbecause cthe cunderlying cdisease ccould ccause chealth ccomplications cthat ccan cimpact
cthe cdialysis ctreatment
Which cof cthe cfollowing cfactors cwould cinfluence cthe cK cof cthe cKt/V cFormula? c-
cCORRECT cANS✔✔Blood cVolume cprocessed c(BVP)
It cis cimportant cthat cpatients cstay cfor ctheir centire ctreatment ctime cbecause cadequate
cdialysis creplaces... c- cCORRECT cANS✔✔Less cthan c15% cof cnormal ckidney cfunction
Waiting conly cfive cseconds cbetween clowering cthe cblood cpump cspeed cand cdrawing
cthe cpost ctreatment cblood csample ccould... c- cCORRECT cANS✔✔Cause cthe cKt/V
creading cto cbe cfalsely chigh
When ca cPCT cdocuments cthe cextent cof ca cpatients cedema, cfor cexample cas c+3... c-
cCORRECT cANS✔✔The cPCT cis cperforming can cassessment, cwhich cis cnot clegally
callowed
When ca cpatient chas can cirregular cheartbeat... c- cCORRECT cANS✔✔The cautomated
coscillometric cBP creading cmay cnot cbe caccurate
A cpatient cpresents cwith can celevated ctemperature cafter cthe cinitiation cof cdialysis.
cThis cis cmost clikely cdue cto... c- cCORRECT cANS✔✔A cPyrogenic creaction
, When cis ca cpre-treatment cassessment cby cthe clicensed cnurse crequired? cCheck call
cthat capply! c- cCORRECT cANS✔✔A) cWhen cit cis cmandated cby cthe cstate
B) cWhen cthe cPCT cperforming ca cdata ccollection cnotices cabnormal cfindings
C) cWhen cthe cpatient creports cunusual csymptoms cto cthe cnurse cprior cto ctreatment
cinitiation
D) cWhen cthe cnurse cobserves cunusual cbehaviors cin ca cpatient centering cthe
ctreatment cfloor.
If ca cpatient chad can cadverse creaction cwithin cthe cfirst ccouple cminutes cof ctreatment
cafter ctreatment cinitiation, cyet cno cpre-treatment cdata chas cbeen centered cinto cthe
ccomputer... c- cCORRECT cANS✔✔There cis cno cproof cthat cpre-treatment csafety
cchecks cwere ccompleted cor cthat cthe cpatient chad cbeen cproperly cassessed.
Which cif cthe cfollowing cis ca cData cCollection? c- cCORRECT cANS✔✔Heart cRate: c72
Why care c'thirst ccontrol cand climiting cinterdialytic cweight cgains' ca cshared
cresponsibility cbetween cthe chealthcare cteam cand cthe cpatient? c- cCORRECT
cANS✔✔Caregivers ccan ccontribute cto csodium cloading cduring cdialysis ccausing
cincreased cthirst cand cfluid cintake cbetween ctreatments
What cdoes cthe cterm c"Wet cCrash" cmean? c- cCORRECT cANS✔✔Fluid coverload
coverstretches cthe cheart cmuscle ctissue c(left cventricular chypertrophy) cresulting cin
cdecreased ccardiac coutput cand clow cBP
What cis cyour cmain cpriority cwhen creturning ca cpatients cblood cwith cthe chand ccrank
cduring ca cpower coutage? c- cCORRECT cANS✔✔You cmust cbe cvigilant cin cwatching
cfor cair cin cthe cblood clines
Your cpatient cdialyzes cfor cfour chours cwith ca cblood cpump cspeed(BFR) cof c400
cml/min. cWhat cis chis ccalculated cBlood cVolume cProcessed(BVP) cat cthe cend cof
ctreatment? c- cCORRECT cANS✔✔96,000 cml cor c96 cliters
What cproblem cwill ccause can cincrease cin cthe cpatients cvenous cpressure? c-
cCORRECT cANS✔✔A cclot cin cthe cdrip cchamber
What cis cthe cmost cfrequent cinfections ccomplication cin cdialysis cpatients? c-
cCORRECT cANS✔✔Bacterial cvascular caccess cinfections
Which cinfections crequires cfrequent chandwashing cinstead cof cusing calcohol cbased
chand cgels c- cCORRECT cANS✔✔Active cClostridioides cdifficile(C. cDiff) cinfection
Contact ctransmission cis cthe cmost cimportant croute cthrough cwhich cinfections care
cspread. cContact ctransmission cis cdefined cas... c- cCORRECT cANS✔✔Transmission
cof cmicroorganisms cthrough chealthcare cworkers chands
