Final Exam DaVita (RN)
When dialyzing a patient with acute kidney injury, one task of the patient care teammates is to
monitor blood pressure and weight closely. Why is it important? - ANSWER-hypovolemia and
hypotensive episodes can cause renal ischemia and can further damage the kidneys
CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following conditions is an
intra-renal cause of CKD - ANSWER-HTN
Knowing what caused your patient's CKD - ANSWER-is important because the underlying disease
could cause health complications that can impact the dialysis treatment
When a PCT documents the extent of a patient's edema, for example as +3 - ANSWER-the PCT is
preforming an assessment which is not allowed legally
When a patient has an irregular heartbeat, - ANSWER-the automatic BP reading may not be accurate
Which of the following is a data collection - ANSWER-HR 72
at what time should the post treatment data collection be completed - ANSWER-after the treatment
has been completed
the A in smart communication stands for - ANSWER-actual- just report the facts
which of the following events is defined as a near miss - ANSWER-the wrong dialyzer was set up and
primed for a patient, but it was caught before dialysis was initiated and the dialyzer was replaced
using the __________ approach is one way to fill out an REM - ANSWER-SBAR
What is your main priority when returning a patient's blood with the hand crank during a power
outage? - ANSWER-you must be vigilant in watching for air in the blood lines
what problem will cause an increase in the patient's VP - ANSWER-a clot in the venous drip chamber
Which blood test must be performed at regular intervals on patients susceptible to HPB - ANSWER-
HBsAg
who is accountable for appropriate patient and teammate scheduling in the acute setting - ANSWER-
you are dialyzing a patient and the only available HPB surveillance test is a HBsAb of 8. What are the
machine disinfection requirements after dialyzing this patient? - ANSWER-the machine must be heat
disinfected at the end of each day
What is the most common factor contributing to bacteremia in dialysis patients? - ANSWER-use of
catheters for HD
which infectious disease requires frequent hand washing instead of using alcohol based hand gels -
ANSWER-active clostridioides difficile infection
What precautions must be used when handling lab specimens? - ANSWER-universal precautions
, waiting only five seconds between lowering the blood pump speed and drawing the post treatment
blood sample could - ANSWER-cause the post treatment BUN reading to be falsely low (wait 15
seconds)
which may cause a decrease in the hemoglobin of a patient with ESRD - ANSWER-
infection/inflammation
fluid overload and HTN lead to LVH, this means - ANSWER-hypotensive episodes are more likely to
occur during the dialysis treatment
your role in CKD-MBD management includes - ANSWER-reminding the patient who is eating a snack
during dialysis to take his phosphate binder
your role in anemia management includes - ANSWER-rinsing back as much of the patient's blood as
you can at the termination of each treatment
the licensed nurse has delegated a specific task to a PCT, but the PCT gets called away before
performing this task. Can the PCT asek another PCT to take over? - ANSWER-no, a task delegated by
the licensed nurse to a non-licenced teammate cannot be re-delegated by this teammate
the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not performed this task during
the last 2.5 months. What is Nicole's responsibility in the delegation communication process? -
ANSWER-Nicole is to inform the nurse that she performed the task only infrequently
what is the nurse's responsibility in the delegation supervision process? - ANSWER-to determine the
level of supervision needed and to monitor the NAP's performance of the task accordingly
the transport mechanism when particles move from an area of higher solute concentration to an area
of lower solute concentration is called - ANSWER-diffusion
during dialysis, the movement of bicarb from the dialysate into the blood - ANSWER-helps normalize
body pH
the kidneys excretory functions include - ANSWER-normalizing electrolytes
what distance should be observed between needle tips and away from each other when cannulating
an internal vascular access? - ANSWER-1.5 inches
the nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You - ANSWER-ask the
nephrologist to order a 15 gauge needles for the ordered BFR
your patient prefers two places on her AVG to insert the needles because they hurt a lot less than
when you cannulate different sites. You tell the patient - ANSWER-inserting the needles into the same
small area can over time damage your graft
what is the appropriate intervals for total chlorine testing? - ANSWER-prior to the first patient shift
and within every 4 hours
what is acceptable limit for total chlorine in the water leaving the carbon filter - ANSWER-0.1 or less
which is the primary device for purifying the water used in dialysis - ANSWER-the RO
ICEBOAT? - ANSWER-2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
When dialyzing a patient with acute kidney injury, one task of the patient care teammates is to
monitor blood pressure and weight closely. Why is it important? - ANSWER-hypovolemia and
hypotensive episodes can cause renal ischemia and can further damage the kidneys
CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following conditions is an
intra-renal cause of CKD - ANSWER-HTN
Knowing what caused your patient's CKD - ANSWER-is important because the underlying disease
could cause health complications that can impact the dialysis treatment
When a PCT documents the extent of a patient's edema, for example as +3 - ANSWER-the PCT is
preforming an assessment which is not allowed legally
When a patient has an irregular heartbeat, - ANSWER-the automatic BP reading may not be accurate
Which of the following is a data collection - ANSWER-HR 72
at what time should the post treatment data collection be completed - ANSWER-after the treatment
has been completed
the A in smart communication stands for - ANSWER-actual- just report the facts
which of the following events is defined as a near miss - ANSWER-the wrong dialyzer was set up and
primed for a patient, but it was caught before dialysis was initiated and the dialyzer was replaced
using the __________ approach is one way to fill out an REM - ANSWER-SBAR
What is your main priority when returning a patient's blood with the hand crank during a power
outage? - ANSWER-you must be vigilant in watching for air in the blood lines
what problem will cause an increase in the patient's VP - ANSWER-a clot in the venous drip chamber
Which blood test must be performed at regular intervals on patients susceptible to HPB - ANSWER-
HBsAg
who is accountable for appropriate patient and teammate scheduling in the acute setting - ANSWER-
you are dialyzing a patient and the only available HPB surveillance test is a HBsAb of 8. What are the
machine disinfection requirements after dialyzing this patient? - ANSWER-the machine must be heat
disinfected at the end of each day
What is the most common factor contributing to bacteremia in dialysis patients? - ANSWER-use of
catheters for HD
which infectious disease requires frequent hand washing instead of using alcohol based hand gels -
ANSWER-active clostridioides difficile infection
What precautions must be used when handling lab specimens? - ANSWER-universal precautions
, waiting only five seconds between lowering the blood pump speed and drawing the post treatment
blood sample could - ANSWER-cause the post treatment BUN reading to be falsely low (wait 15
seconds)
which may cause a decrease in the hemoglobin of a patient with ESRD - ANSWER-
infection/inflammation
fluid overload and HTN lead to LVH, this means - ANSWER-hypotensive episodes are more likely to
occur during the dialysis treatment
your role in CKD-MBD management includes - ANSWER-reminding the patient who is eating a snack
during dialysis to take his phosphate binder
your role in anemia management includes - ANSWER-rinsing back as much of the patient's blood as
you can at the termination of each treatment
the licensed nurse has delegated a specific task to a PCT, but the PCT gets called away before
performing this task. Can the PCT asek another PCT to take over? - ANSWER-no, a task delegated by
the licensed nurse to a non-licenced teammate cannot be re-delegated by this teammate
the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not performed this task during
the last 2.5 months. What is Nicole's responsibility in the delegation communication process? -
ANSWER-Nicole is to inform the nurse that she performed the task only infrequently
what is the nurse's responsibility in the delegation supervision process? - ANSWER-to determine the
level of supervision needed and to monitor the NAP's performance of the task accordingly
the transport mechanism when particles move from an area of higher solute concentration to an area
of lower solute concentration is called - ANSWER-diffusion
during dialysis, the movement of bicarb from the dialysate into the blood - ANSWER-helps normalize
body pH
the kidneys excretory functions include - ANSWER-normalizing electrolytes
what distance should be observed between needle tips and away from each other when cannulating
an internal vascular access? - ANSWER-1.5 inches
the nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You - ANSWER-ask the
nephrologist to order a 15 gauge needles for the ordered BFR
your patient prefers two places on her AVG to insert the needles because they hurt a lot less than
when you cannulate different sites. You tell the patient - ANSWER-inserting the needles into the same
small area can over time damage your graft
what is the appropriate intervals for total chlorine testing? - ANSWER-prior to the first patient shift
and within every 4 hours
what is acceptable limit for total chlorine in the water leaving the carbon filter - ANSWER-0.1 or less
which is the primary device for purifying the water used in dialysis - ANSWER-the RO
ICEBOAT? - ANSWER-2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
