Davita pct final exam 2025/2026
A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the
patient's target weight, why is being "wet" better than being too dry? - ANS-
\a PCT greets a patient and the patient reports feeling short of breath. The PCT notices that
the patient's lips have a blue hue. The PCT would: - ANS-Complete data collection and PCT
must notify the RN if there are any abnormal findings prior to initiation of tx
\a recommended intervention for muscle cramps is - ANS-Turning the UFR off
\A standing post- treatment blood pressure reading of __is considered an abnormal finding
and should be reported to a licensed nurse - ANS-
\A surveyor asks you a question. Which of the following statements would be a good answer
? - ANS-I do not know the answer but I will find out.
\Acid concentrate replaces the excretory function of normal kidney function by -
ANS-Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis,
\all documentation on machine set up and pre treatment patient information - ANS-Must be
entered into the computer before the treatment is initiated
\Can you document patient vital signs under another teammate already signed into the
computer? - ANS-no
\Cynthia missed her treatment on Saturday and returns the following Tuesday for her next
scheduled treatment. She complains of feeling weakness in her legs. David, a PCT, gets a
wheelchair for her, helps her weigh in, and brings her back for the nurse to assess prior to
starting her treatment. Which patient complication would the PCT and RN suspect Cynthia is
most likely suffering from? - ANS-Hyperkalymia
\DaVita Quality Index (DQI) success is achieved - ANS-encourage continuous improvement
across aboard range of disease management processes (all of the above )
\Dialysis replaces only ___ percent of normal kidney function. - ANS-15%
\documentation in the medical record - ANS-Is a permanent legal record of the care provided
\fever caused by a pyrogenic reaction will most likely occur at what time during the treatment
- ANS-Within 45 to 75 minutes
\flipping the artireal vascular access needle - ANS-s not necessary since all arterial needles
now have a back eye
\For patients with Acute Kidney Injury (AKI)which statement is correct? - ANS-A nursing
assesment prior to tx initiation is always required
\How do you verify that the patient is stable and safe for discharge after the dialysis
treatment ? - ANS-Evaluate the effectiveness of the treatment by comparing data to
pre-dialysis findings PCT's notify the nurse if there are any unusual findings
\if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
ANS-decrease
\If you notice that a patient's caretaker is struggling to meet the demands of the patients
treatment regime you should - ANS-contact social worker
\If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be
appropriate patient care assignment. - ANS-caring for HBsAG positive and hepatitis B
susceptible patients at the same time
, \in the event of a patient experiencing a seizure, the dialysis treatment should be -
ANS-Discontinued if the seizure is severe or the patient does not respond to treatment
\In those states that do not require a nursing assessment to be completed prior to treatment
initiation, the PCT would be required to report abnormal patient data collection findings. -
ANS-yes
\interventions for a patient complaining of chest pain include - ANS-Placed patient in a flat
supine position place machine into bypass
\Intra-renal causes of AKI - ANS-Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis
Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open Heart Surgery
\intredialytic treatment monitoring the data collection is performed every - ANS-30 minutes
\Knowing what caused your patients kidney failure - ANS-can cause complications to
treatment
\left ventricular hypertrophy leads to - ANS-Hypertension
\Per DaVita Policy, fever and chills is defined as: - ANS-any temperature greater than 100 or
increase over baseline of 2° with symptoms
\Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral
and Bone Disorder (MBD) is treated with - ANS-phosphate binders, Vit D (Hectorol), and
Cinacalcet
\Per the Centers for Disease Control and Prevention (CDC), which is the most important
route by which pathogens are transmitted in health care setting including dialysis centers. -
ANS-contact transmission
\Per The centers for disease control prevention, which is the most common factor
contributing to bacterial infections in dialysis patients? - ANS-the use of catheters for
hemodialysis
\Performing a procedure "your way" rather than following DaVita's P&Ps
a. Carriers no risk of being considered outside the Ordinary Standard of Care as long as
"your way" achieves the same results
b. Can lead to civil liability in the event of an adverse patient outcome
c. May be defended in court by demonstrating that your way is as good as DaVita's P&Ps
d. Is accepted practice since there is no one right way to performing most procedures -
ANS-b
\Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed.
When is the best time to take them ? - ANS-with meal
\Poor wound healing is directly related to - ANS-low protein intake
\post treatment data collection and assessment is performed - ANS-After the tx was
terminated
\Prior to use, how should the medication preparation surface area be disinfected ? -
ANS-with 1:100 bleach solution and disposible wipes
\Scrubbing of each hub as part of CVC care is done for: - ANS-15 seconds
\Teammates MUST be able to readily identify patients who may require additional assistance
in the event of an emergency evacuation. This will include patients who need help with or
are unable to - ANS-both b and c
\the blood flow rate is reduced to 100 ml-min for ___________ before obtaining post dialysis
blood specimen for kt/v - ANS-15 seconds
\The Clinical Pyramid includes : - ANS-• The Fundamentals: Immunizations, Iron, Dialysis
Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex
Programs: Fluid Management, Infection Management, Diabetes Management, Med
Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transition of
A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the
patient's target weight, why is being "wet" better than being too dry? - ANS-
\a PCT greets a patient and the patient reports feeling short of breath. The PCT notices that
the patient's lips have a blue hue. The PCT would: - ANS-Complete data collection and PCT
must notify the RN if there are any abnormal findings prior to initiation of tx
\a recommended intervention for muscle cramps is - ANS-Turning the UFR off
\A standing post- treatment blood pressure reading of __is considered an abnormal finding
and should be reported to a licensed nurse - ANS-
\A surveyor asks you a question. Which of the following statements would be a good answer
? - ANS-I do not know the answer but I will find out.
\Acid concentrate replaces the excretory function of normal kidney function by -
ANS-Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis,
\all documentation on machine set up and pre treatment patient information - ANS-Must be
entered into the computer before the treatment is initiated
\Can you document patient vital signs under another teammate already signed into the
computer? - ANS-no
\Cynthia missed her treatment on Saturday and returns the following Tuesday for her next
scheduled treatment. She complains of feeling weakness in her legs. David, a PCT, gets a
wheelchair for her, helps her weigh in, and brings her back for the nurse to assess prior to
starting her treatment. Which patient complication would the PCT and RN suspect Cynthia is
most likely suffering from? - ANS-Hyperkalymia
\DaVita Quality Index (DQI) success is achieved - ANS-encourage continuous improvement
across aboard range of disease management processes (all of the above )
\Dialysis replaces only ___ percent of normal kidney function. - ANS-15%
\documentation in the medical record - ANS-Is a permanent legal record of the care provided
\fever caused by a pyrogenic reaction will most likely occur at what time during the treatment
- ANS-Within 45 to 75 minutes
\flipping the artireal vascular access needle - ANS-s not necessary since all arterial needles
now have a back eye
\For patients with Acute Kidney Injury (AKI)which statement is correct? - ANS-A nursing
assesment prior to tx initiation is always required
\How do you verify that the patient is stable and safe for discharge after the dialysis
treatment ? - ANS-Evaluate the effectiveness of the treatment by comparing data to
pre-dialysis findings PCT's notify the nurse if there are any unusual findings
\if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
ANS-decrease
\If you notice that a patient's caretaker is struggling to meet the demands of the patients
treatment regime you should - ANS-contact social worker
\If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be
appropriate patient care assignment. - ANS-caring for HBsAG positive and hepatitis B
susceptible patients at the same time
, \in the event of a patient experiencing a seizure, the dialysis treatment should be -
ANS-Discontinued if the seizure is severe or the patient does not respond to treatment
\In those states that do not require a nursing assessment to be completed prior to treatment
initiation, the PCT would be required to report abnormal patient data collection findings. -
ANS-yes
\interventions for a patient complaining of chest pain include - ANS-Placed patient in a flat
supine position place machine into bypass
\Intra-renal causes of AKI - ANS-Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis
Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open Heart Surgery
\intredialytic treatment monitoring the data collection is performed every - ANS-30 minutes
\Knowing what caused your patients kidney failure - ANS-can cause complications to
treatment
\left ventricular hypertrophy leads to - ANS-Hypertension
\Per DaVita Policy, fever and chills is defined as: - ANS-any temperature greater than 100 or
increase over baseline of 2° with symptoms
\Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral
and Bone Disorder (MBD) is treated with - ANS-phosphate binders, Vit D (Hectorol), and
Cinacalcet
\Per the Centers for Disease Control and Prevention (CDC), which is the most important
route by which pathogens are transmitted in health care setting including dialysis centers. -
ANS-contact transmission
\Per The centers for disease control prevention, which is the most common factor
contributing to bacterial infections in dialysis patients? - ANS-the use of catheters for
hemodialysis
\Performing a procedure "your way" rather than following DaVita's P&Ps
a. Carriers no risk of being considered outside the Ordinary Standard of Care as long as
"your way" achieves the same results
b. Can lead to civil liability in the event of an adverse patient outcome
c. May be defended in court by demonstrating that your way is as good as DaVita's P&Ps
d. Is accepted practice since there is no one right way to performing most procedures -
ANS-b
\Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed.
When is the best time to take them ? - ANS-with meal
\Poor wound healing is directly related to - ANS-low protein intake
\post treatment data collection and assessment is performed - ANS-After the tx was
terminated
\Prior to use, how should the medication preparation surface area be disinfected ? -
ANS-with 1:100 bleach solution and disposible wipes
\Scrubbing of each hub as part of CVC care is done for: - ANS-15 seconds
\Teammates MUST be able to readily identify patients who may require additional assistance
in the event of an emergency evacuation. This will include patients who need help with or
are unable to - ANS-both b and c
\the blood flow rate is reduced to 100 ml-min for ___________ before obtaining post dialysis
blood specimen for kt/v - ANS-15 seconds
\The Clinical Pyramid includes : - ANS-• The Fundamentals: Immunizations, Iron, Dialysis
Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex
Programs: Fluid Management, Infection Management, Diabetes Management, Med
Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transition of
