DIALYSIS NURSE
ANDERSON
1. Self-care in dialysis treatment is becoming a more popular option. In this option, what are patients allowed
to do for themselves?
A. Set up the machine and dialyzer.
B. Cannulate their own access ports.
C. Clean and sanitize the machine and dialyzer post-session.
D. Test various pieces of equipment and surfaces for HIV.
E. Monitor their own treatments and alarms.: A. Set up the machine and dialyzer.
B. Cannulate their own access ports.
E. Monitor their own treatments and alarms.
2. which team member must always be present to provide supervision during incenter dialysis?
A. medical director for the unit
B. RN
C. NP
D. Case manager: B. RN
3. With the increase in the number of pt who have kidney disease and a decrease in the number of nephrologists,
which team member can help bridge the gap?
A. Administrator of the dialysis unit B case
manager
C. Nurse manager of the unit
D. Nephrology NP: D. Nephrology NP
4. Assuming approval of state and regulatory agencies, which roles can the nurse delegate to the dialysis
technician? SELECT ALL THAT APPLY
A. Provision of tx to a pt with a cvc
B. Cannulation of vascular access C
Administration of IV heparin
D. Provision of learning opportunities for the staff and families: A,B,C
5. If a dialysis technician is credentialed by the National Nephrology Certifica- tion Organization (NNCO), which
items are included in their practice domains, thus can be legally performed under the guidance of the registered
, DIALYSIS NURSE
ANDERSON
nurse? SELECT ALL THAT APPLY
, DIALYSIS NURSE
ANDERSON
A. Water treatment and dialysate preparation.
B. Dialyzer reprocessing.
C. Pharmacological impact on dialysis prescription.
D. Complications of dialysis.: A,B,D
6. Which member of the dialysis team provides psychosocial assessment and emotional support to the patient
with chronic kidney disease?
A. Medical director.
B. Palliative care staff.
C. Registered dietitian.
D. Social worker.: D. Social worker.
7. Prior to starting dialysis, what must be verified by the registered nurse or technician?
A. The patient has provided informed written consent for dialysis.
B. The patient has flushed her port with sterile saline before arrival at the unit.
C. The patient has not eaten any food or consumed any beverages for at least 6 hours.
D. The patient has a driver to pick them up after dialysis has finished.: A. The patient has provided informed
written consent for dialysis.
8. Which external agencies involved in dialysis care provide additional guide- lines and standards in the areas of
infectious disease testing, immunizations, dialysis treatment safety, and infection control?
SELECT ALL THAT APPLY
A. Centers for Disease Control and Prevention (CDC).
B. Centers for Medicare and Medicaid Services (CMS).
C. Association for the Advancement of Medical Instrumentation (AAMI).
D. Council of Nephrology Social Workers.: ABC
9. Prior to passing the Social Security Amendments, treatment for chronic kidney disease (CKD) was available
only to the few who met certain criteria or could afford to pay for their own treatment. The amendments
extended Medicare coverage to almost all patients with CKD. Who signed the amend- ments and in what year?
A. President Lyndon Johnson in 1965.
B. President John Kennedy in 1961.
C. President Richard Nixon in 1972.
D. President Jimmy Carter in in 1979.: C. President Richard Nixon in 1972.
10. In which areas of care has the nonprofit foundation Kidney Disease Improv- ing Global Outcomes
(KDIGO) provided written evidence-based guidelines related to the prevention or management of kidney disease?
SELECT ALL THAT APPLY
, DIALYSIS NURSE
ANDERSON
A. Anemia in CKD.
B. Blood pressure in CKD.
C. Sexual dysfunction in CKD.
D. Diabetes and CKD: ABD
11.Which organization was recently approved by CMS to conduct surveys for Medicare certification fostering
faster approval of dialysis clinics?
A. National Kidney Foundation (NKF).
B. Kidney Disease Improving Global Outcomes (KDIGO).
C. Medicare Bundled Dialysis Prospective Payment System (MBDPPS).
D. National Dialysis Accreditation Commission (NDAC).: D. National Dialysis Accreditation Commission
(NDAC).
12.What is the composition of physiologic saline?
A. Fresh frozen plasma.
B. Albumin.
C. 0.9 g of sodium chloride in 100 mL of water.
D. 10% salt added to one cup (240 mL) of water.: C. 0.9 g of sodium chloride in 100 mL of water.
13.What is the term for a substance that dissolves in water to form ionized particles?
A. Electrolyte.
B. Conductivity.
C. Positivity.
D. Osmosis.: A. Electrolyte.
14.When caring for a patient on dialysis, if the dialysate solution contains too little sodium, the water may shift
into the patient's blood cells, causing which signs or symptoms? SELECT ALL THAT APPLY
A. Hypotension.
B. Cramping.
C. Profound thirst.
D. Headache.: A. Hypotension.
B. Cramping.
15.Which substance is the major plasma buffer, important in dialysis for maintaining a constant
hydrogen ion concentration?
A. Amino Acids.
B. Phosphates.
C. Bicarbonate.
ANDERSON
1. Self-care in dialysis treatment is becoming a more popular option. In this option, what are patients allowed
to do for themselves?
A. Set up the machine and dialyzer.
B. Cannulate their own access ports.
C. Clean and sanitize the machine and dialyzer post-session.
D. Test various pieces of equipment and surfaces for HIV.
E. Monitor their own treatments and alarms.: A. Set up the machine and dialyzer.
B. Cannulate their own access ports.
E. Monitor their own treatments and alarms.
2. which team member must always be present to provide supervision during incenter dialysis?
A. medical director for the unit
B. RN
C. NP
D. Case manager: B. RN
3. With the increase in the number of pt who have kidney disease and a decrease in the number of nephrologists,
which team member can help bridge the gap?
A. Administrator of the dialysis unit B case
manager
C. Nurse manager of the unit
D. Nephrology NP: D. Nephrology NP
4. Assuming approval of state and regulatory agencies, which roles can the nurse delegate to the dialysis
technician? SELECT ALL THAT APPLY
A. Provision of tx to a pt with a cvc
B. Cannulation of vascular access C
Administration of IV heparin
D. Provision of learning opportunities for the staff and families: A,B,C
5. If a dialysis technician is credentialed by the National Nephrology Certifica- tion Organization (NNCO), which
items are included in their practice domains, thus can be legally performed under the guidance of the registered
, DIALYSIS NURSE
ANDERSON
nurse? SELECT ALL THAT APPLY
, DIALYSIS NURSE
ANDERSON
A. Water treatment and dialysate preparation.
B. Dialyzer reprocessing.
C. Pharmacological impact on dialysis prescription.
D. Complications of dialysis.: A,B,D
6. Which member of the dialysis team provides psychosocial assessment and emotional support to the patient
with chronic kidney disease?
A. Medical director.
B. Palliative care staff.
C. Registered dietitian.
D. Social worker.: D. Social worker.
7. Prior to starting dialysis, what must be verified by the registered nurse or technician?
A. The patient has provided informed written consent for dialysis.
B. The patient has flushed her port with sterile saline before arrival at the unit.
C. The patient has not eaten any food or consumed any beverages for at least 6 hours.
D. The patient has a driver to pick them up after dialysis has finished.: A. The patient has provided informed
written consent for dialysis.
8. Which external agencies involved in dialysis care provide additional guide- lines and standards in the areas of
infectious disease testing, immunizations, dialysis treatment safety, and infection control?
SELECT ALL THAT APPLY
A. Centers for Disease Control and Prevention (CDC).
B. Centers for Medicare and Medicaid Services (CMS).
C. Association for the Advancement of Medical Instrumentation (AAMI).
D. Council of Nephrology Social Workers.: ABC
9. Prior to passing the Social Security Amendments, treatment for chronic kidney disease (CKD) was available
only to the few who met certain criteria or could afford to pay for their own treatment. The amendments
extended Medicare coverage to almost all patients with CKD. Who signed the amend- ments and in what year?
A. President Lyndon Johnson in 1965.
B. President John Kennedy in 1961.
C. President Richard Nixon in 1972.
D. President Jimmy Carter in in 1979.: C. President Richard Nixon in 1972.
10. In which areas of care has the nonprofit foundation Kidney Disease Improv- ing Global Outcomes
(KDIGO) provided written evidence-based guidelines related to the prevention or management of kidney disease?
SELECT ALL THAT APPLY
, DIALYSIS NURSE
ANDERSON
A. Anemia in CKD.
B. Blood pressure in CKD.
C. Sexual dysfunction in CKD.
D. Diabetes and CKD: ABD
11.Which organization was recently approved by CMS to conduct surveys for Medicare certification fostering
faster approval of dialysis clinics?
A. National Kidney Foundation (NKF).
B. Kidney Disease Improving Global Outcomes (KDIGO).
C. Medicare Bundled Dialysis Prospective Payment System (MBDPPS).
D. National Dialysis Accreditation Commission (NDAC).: D. National Dialysis Accreditation Commission
(NDAC).
12.What is the composition of physiologic saline?
A. Fresh frozen plasma.
B. Albumin.
C. 0.9 g of sodium chloride in 100 mL of water.
D. 10% salt added to one cup (240 mL) of water.: C. 0.9 g of sodium chloride in 100 mL of water.
13.What is the term for a substance that dissolves in water to form ionized particles?
A. Electrolyte.
B. Conductivity.
C. Positivity.
D. Osmosis.: A. Electrolyte.
14.When caring for a patient on dialysis, if the dialysate solution contains too little sodium, the water may shift
into the patient's blood cells, causing which signs or symptoms? SELECT ALL THAT APPLY
A. Hypotension.
B. Cramping.
C. Profound thirst.
D. Headache.: A. Hypotension.
B. Cramping.
15.Which substance is the major plasma buffer, important in dialysis for maintaining a constant
hydrogen ion concentration?
A. Amino Acids.
B. Phosphates.
C. Bicarbonate.
