Certified Dialysis Nurse Test Review Exam
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Deferoxamine (Desferal) - CORRECT 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. - CORRECT 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. - CORRECT 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.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated. - CORRECT
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. -
CORRECT 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. - CORRECT 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
-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are performed
using a cycler with the patient in the supine position. - CORRECT 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. -
CORRECT ANSWER A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. -
CORRECT ANSWER A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. - CORRECT 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. - CORRECT 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
• Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen - CORRECT ANSWER Absolute
Contraindications to Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. - CORRECT 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. - CORRECT 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). - CORRECT
ANSWER Which organization was recently approved by CMS to conduct surveys for
Medicare certification fostering faster approval of dialysis clinics?
Hypotension.
Cramping. - CORRECT ANSWER 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?
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Deferoxamine (Desferal) - CORRECT 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. - CORRECT 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. - CORRECT 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.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated. - CORRECT
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. -
CORRECT 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. - CORRECT 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
-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are performed
using a cycler with the patient in the supine position. - CORRECT 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. -
CORRECT ANSWER A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. -
CORRECT ANSWER A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. - CORRECT 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. - CORRECT 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
• Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen - CORRECT ANSWER Absolute
Contraindications to Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. - CORRECT 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. - CORRECT 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). - CORRECT
ANSWER Which organization was recently approved by CMS to conduct surveys for
Medicare certification fostering faster approval of dialysis clinics?
Hypotension.
Cramping. - CORRECT ANSWER 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?
