Certified Dialysis Nurse Test Review
2025 Questions and Answers
Deferoxamine (Desferal) - ANSWER✔✔-The nurse caring for a dialysis patient with known
aluminum overload should be prepared to administer which medication during the latter part of the
dialysis treatment to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides. - ANSWER✔✔-What are the likely reasons
that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
Charcoal may be used in association with deferoxamine chelation to remove excess aluminum or
iron from body tissues. - ANSWER✔✔-Hemoperfusion is more effective than hemodialysis for
removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac dysrhythmias
and pulmonary congestion should be anticipated. - ANSWER✔✔-When caring for a patient who is
experiencing a severe transplant rejection, what complications should the nurse anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period. - ANSWER✔✔-
When educating a peritoneal dialysis patient about the prescribed icodextrin solution, which teaching
points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF. - ANSWER✔✔-Which teaching points must be mastered by patients before they can
perform their automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-3 days
postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent is no
longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is undergoing PD.
- A small volume of heparinized solution should remain in the peritoneum to inhibit the formation
of fibrin
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
,-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are performed using a
cycler with the patient in the supine position. - ANSWER✔✔-During the period called catheter
break-in, when the peritoneal dialysis catheter is placed and healing has begun, the nurse should
anticipate which prescribed dialysis orders?
rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss. -
ANSWER✔✔-A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. -
ANSWER✔✔-A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. - ANSWER✔✔-When a patient is deciding
between peritoneal dialysis and hemodialysis, what are some of the benefits the staff can share
regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally. - ANSWER✔✔-Which manifestations might
lead the clinician to believe that a patient on PD requires an increased dose of dialysis?
• Active chronic infection or sepsis
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
, • Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen - ANSWER✔✔-Absolute Contraindications to
Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. - ANSWER✔✔-The dialysis nurse should suspect the toddler weighing
less than 20 kg. is experiencing hypotension if these clinical manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD. - ANSWER✔✔-In which areas of care has the nonprofit foundation Kidney
Disease Improving Global Outcomes (KDIGO) provided written evidence-based guidelines related
to the prevention or management of kidney disease?
2019 - National Dialysis Accreditation Commission (NDAC). - ANSWER✔✔-Which organization
was recently approved by CMS to conduct surveys for Medicare certification fostering faster
approval of dialysis clinics?
Hypotension.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 4
2025 Questions and Answers
Deferoxamine (Desferal) - ANSWER✔✔-The nurse caring for a dialysis patient with known
aluminum overload should be prepared to administer which medication during the latter part of the
dialysis treatment to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides. - ANSWER✔✔-What are the likely reasons
that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
Charcoal may be used in association with deferoxamine chelation to remove excess aluminum or
iron from body tissues. - ANSWER✔✔-Hemoperfusion is more effective than hemodialysis for
removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac dysrhythmias
and pulmonary congestion should be anticipated. - ANSWER✔✔-When caring for a patient who is
experiencing a severe transplant rejection, what complications should the nurse anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period. - ANSWER✔✔-
When educating a peritoneal dialysis patient about the prescribed icodextrin solution, which teaching
points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF. - ANSWER✔✔-Which teaching points must be mastered by patients before they can
perform their automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-3 days
postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent is no
longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is undergoing PD.
- A small volume of heparinized solution should remain in the peritoneum to inhibit the formation
of fibrin
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
,-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are performed using a
cycler with the patient in the supine position. - ANSWER✔✔-During the period called catheter
break-in, when the peritoneal dialysis catheter is placed and healing has begun, the nurse should
anticipate which prescribed dialysis orders?
rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss. -
ANSWER✔✔-A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. -
ANSWER✔✔-A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. - ANSWER✔✔-When a patient is deciding
between peritoneal dialysis and hemodialysis, what are some of the benefits the staff can share
regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally. - ANSWER✔✔-Which manifestations might
lead the clinician to believe that a patient on PD requires an increased dose of dialysis?
• Active chronic infection or sepsis
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
, • Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen - ANSWER✔✔-Absolute Contraindications to
Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. - ANSWER✔✔-The dialysis nurse should suspect the toddler weighing
less than 20 kg. is experiencing hypotension if these clinical manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD. - ANSWER✔✔-In which areas of care has the nonprofit foundation Kidney
Disease Improving Global Outcomes (KDIGO) provided written evidence-based guidelines related
to the prevention or management of kidney disease?
2019 - National Dialysis Accreditation Commission (NDAC). - ANSWER✔✔-Which organization
was recently approved by CMS to conduct surveys for Medicare certification fostering faster
approval of dialysis clinics?
Hypotension.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 4
