DaVita PCT Final Exam
A patient position used for a suspected air embolism is - ANS-Trendelenburg on left side
\A patient target weight is - ANS-Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
\A patient with AKI dialyzes in the out-patient facility. With regards to the patients target
weight, why is this important - ANS-It reduces the risk of hypovolemia and hypotension
episodes
\A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that
the patient's lips are a blue hue. The PCT would: - ANS-Not start treatment, immediately
notify the nurse
\A recommended intervention for muscle cramps is - ANS-Turning the ultrafiltration (UFR)
off.
\A surveyor asks you a question - what's 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-normalizing electrolytes
\Administration of normal saline - ANS-The teammate must remain with the PT to monitor
the process until administration is complete and lines are secure
\All documentation on machine setup and pre-treatment patient information - ANS-a. Must
be entered into the computer before the treatment is initiated
\At what time do you perform water hardness testing - ANS-At the end of the treatment day
\Can you document patient vitals under another teammate already signed in the computer -
ANS-No log in to the computer system under your credentials and document
\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-all of the above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends and
make improvements
\Dialysis replaces only ____ percent of normal kidney function - ANS-15%
\Documentation in the medical record - ANS-Provides data for the continuity and planning of
patient care
\Fever caused by pyrogenic reaction will most likely occur at what time during the treatment -
ANS-within 45 to 75 minutes
\Flipping the arterial vascular access needle - ANS-d. Is not necessary since all arterial
needles have a back eye
\For a patient with AKI, which statement is correct - ANS-A nursing assessment before
treatment initiation is always required
\How do you verify that the patient is stable and safe for discharge after treatment - ANS-All
, Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
\If clotting occurs in a high flux dialyzer, the TMP will - ANS-decrease
\If you notice that a patient's caregiver is struggling to meet the demands of the patients
treatment regime you should? - ANS-Notify the social worker because he/she is there for the
patient and their family
\If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment - ANS-b. Caring for HBsAg and Hepatitis B susceptible
patients at the same time
\In the event a patient experiences a seizure, the dialysis treatment should be -
ANS-Discontinue if the seizure is severe or the patient does not respond to treatments
\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-To the nurse before the treatment initiation
\Interventions for a patient complaining of chest pain include - ANS-decrease BFR to 150
decrease ultrafiltration rate (UFR)
take vital signs
administer oxygen.
\Intra-renal causes of AKI - ANS-Sepsis - trauma - anaphylaxis - drugs - acute
glomerulonephritis
\Intradialytic treatment monitoring and data collection is preformed every.... - ANS-30
minutes
\Knowing what caused your patient's renal failure - ANS-Is important to inquire about
possible problems during data collection and assessment
\left ventricular hypertrophy leads to - ANS-Ischemic heart disease, arrhythmia, myocardial
infarction, and sudden death
\Patient is using CVC and has a new AV fistula present in his lower arm - ANS-Checking for
the bruit and thrill every treatment
\PCT notices that a patient still has considerable edema in her legs when performing the
post treatment data - ANS-Document the noted swelling and that the RN was informed
\Per DaVita policy, fever is defined as - ANS-Any temperature greater than 100° F or
increase over baseline of 2°F with symptoms
\Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral
& Bone Disorder (MBD) is treated with - ANS-Phosphate binders, vitamin D, and Calcitriol
\Per the CDC, which is the most common factor contributing to bacteremias in dialysis
patients? - ANS-b. The use of catheters for hemodialysis
\Per the CDC, which is the most important route by which pathogens are transmitted in
healthcare settings including dialysis centers? - ANS-Contact transmission
\Performing a procedure "your way" rather than following DaVita's P&Ps - ANS-b. Can lead
to civil liability in the event of an adverse patient outcome
\Phosphorus binders are prescribed to prevent phosphorus in meals from being absorbed.
When is the best time to take them - ANS-With a meal
\Poor wound healing is directly related to - ANS-Inadequate protein intake
\Post treatment data collection and assessment is performed - ANS-After the treatment is
terminated
\Prior to use, how should the medication preparation surface area be disinfected ? -
ANS-With 1:100 bleach solution and disposable wipes
A patient position used for a suspected air embolism is - ANS-Trendelenburg on left side
\A patient target weight is - ANS-Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
\A patient with AKI dialyzes in the out-patient facility. With regards to the patients target
weight, why is this important - ANS-It reduces the risk of hypovolemia and hypotension
episodes
\A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that
the patient's lips are a blue hue. The PCT would: - ANS-Not start treatment, immediately
notify the nurse
\A recommended intervention for muscle cramps is - ANS-Turning the ultrafiltration (UFR)
off.
\A surveyor asks you a question - what's 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-normalizing electrolytes
\Administration of normal saline - ANS-The teammate must remain with the PT to monitor
the process until administration is complete and lines are secure
\All documentation on machine setup and pre-treatment patient information - ANS-a. Must
be entered into the computer before the treatment is initiated
\At what time do you perform water hardness testing - ANS-At the end of the treatment day
\Can you document patient vitals under another teammate already signed in the computer -
ANS-No log in to the computer system under your credentials and document
\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-all of the above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends and
make improvements
\Dialysis replaces only ____ percent of normal kidney function - ANS-15%
\Documentation in the medical record - ANS-Provides data for the continuity and planning of
patient care
\Fever caused by pyrogenic reaction will most likely occur at what time during the treatment -
ANS-within 45 to 75 minutes
\Flipping the arterial vascular access needle - ANS-d. Is not necessary since all arterial
needles have a back eye
\For a patient with AKI, which statement is correct - ANS-A nursing assessment before
treatment initiation is always required
\How do you verify that the patient is stable and safe for discharge after treatment - ANS-All
, Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
\If clotting occurs in a high flux dialyzer, the TMP will - ANS-decrease
\If you notice that a patient's caregiver is struggling to meet the demands of the patients
treatment regime you should? - ANS-Notify the social worker because he/she is there for the
patient and their family
\If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment - ANS-b. Caring for HBsAg and Hepatitis B susceptible
patients at the same time
\In the event a patient experiences a seizure, the dialysis treatment should be -
ANS-Discontinue if the seizure is severe or the patient does not respond to treatments
\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-To the nurse before the treatment initiation
\Interventions for a patient complaining of chest pain include - ANS-decrease BFR to 150
decrease ultrafiltration rate (UFR)
take vital signs
administer oxygen.
\Intra-renal causes of AKI - ANS-Sepsis - trauma - anaphylaxis - drugs - acute
glomerulonephritis
\Intradialytic treatment monitoring and data collection is preformed every.... - ANS-30
minutes
\Knowing what caused your patient's renal failure - ANS-Is important to inquire about
possible problems during data collection and assessment
\left ventricular hypertrophy leads to - ANS-Ischemic heart disease, arrhythmia, myocardial
infarction, and sudden death
\Patient is using CVC and has a new AV fistula present in his lower arm - ANS-Checking for
the bruit and thrill every treatment
\PCT notices that a patient still has considerable edema in her legs when performing the
post treatment data - ANS-Document the noted swelling and that the RN was informed
\Per DaVita policy, fever is defined as - ANS-Any temperature greater than 100° F or
increase over baseline of 2°F with symptoms
\Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral
& Bone Disorder (MBD) is treated with - ANS-Phosphate binders, vitamin D, and Calcitriol
\Per the CDC, which is the most common factor contributing to bacteremias in dialysis
patients? - ANS-b. The use of catheters for hemodialysis
\Per the CDC, which is the most important route by which pathogens are transmitted in
healthcare settings including dialysis centers? - ANS-Contact transmission
\Performing a procedure "your way" rather than following DaVita's P&Ps - ANS-b. Can lead
to civil liability in the event of an adverse patient outcome
\Phosphorus binders are prescribed to prevent phosphorus in meals from being absorbed.
When is the best time to take them - ANS-With a meal
\Poor wound healing is directly related to - ANS-Inadequate protein intake
\Post treatment data collection and assessment is performed - ANS-After the treatment is
terminated
\Prior to use, how should the medication preparation surface area be disinfected ? -
ANS-With 1:100 bleach solution and disposable wipes
