Clinical Annual Competency Exam –
Fresenius 60 complete solutions.
Clinical Annual Competency Exam –
Fresenius 60 complete solutions.
The adequacy of a dialysis treatment may be compromised by - ANSWER Inadequate Heparinization
Routine post dialysis treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both - ANSWER Post reinfusion and prior to disconnection
Individual acid containers should be labeled with - ANSWER Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do first? - ANSWER Notify
the RN
Which of these findings noted on a safety check would indicate that an intervention is needed. -
ANSWER Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the
venous line)
The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in
distress. What should be the dialysis technicians immediate action? - ANSWER Notify the RN
Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist
the staff member in - ANSWER Assessment for possible clotting in the dialyzer
Which of the following would minimize bacterial growth in the water treatment system? - ANSWER
Circulation of water during the day only
A major factor affecting ultrafiltration is - ANSWER Pressure
Pre-treatment evaluation of an internal vascular access includes - ANSWER Palpating for a thrill
, Clinical Annual Competency Exam –
Fresenius 60 complete solutions.
A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms
are most likely to indicate that the patient has - ANSWER Hypotension
If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do
next? - ANSWER Check the dialysate effluent with a blood leak test indicator
Which has the most impact on dialyzer clearance? - ANSWER Surface area of the dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to take? - ANSWER Turn the
blood pump off, clamp the venous line.
Softener tanks remove - ANSWER Calcium and magnesium
During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine
before the machine is used by another patient? - ANSWER Technical must perform a functional test on
the machine.
The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238 - ANSWER Low clearance, hold heparin dose
The arterial needle is placed - ANSWER Either with or against the flow of blood
An important factor in achieving adequacy during machine set up is - ANSWER Priming the dialyzer
venous end up
Fresenius 60 complete solutions.
Clinical Annual Competency Exam –
Fresenius 60 complete solutions.
The adequacy of a dialysis treatment may be compromised by - ANSWER Inadequate Heparinization
Routine post dialysis treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both - ANSWER Post reinfusion and prior to disconnection
Individual acid containers should be labeled with - ANSWER Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do first? - ANSWER Notify
the RN
Which of these findings noted on a safety check would indicate that an intervention is needed. -
ANSWER Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the
venous line)
The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in
distress. What should be the dialysis technicians immediate action? - ANSWER Notify the RN
Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist
the staff member in - ANSWER Assessment for possible clotting in the dialyzer
Which of the following would minimize bacterial growth in the water treatment system? - ANSWER
Circulation of water during the day only
A major factor affecting ultrafiltration is - ANSWER Pressure
Pre-treatment evaluation of an internal vascular access includes - ANSWER Palpating for a thrill
, Clinical Annual Competency Exam –
Fresenius 60 complete solutions.
A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms
are most likely to indicate that the patient has - ANSWER Hypotension
If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do
next? - ANSWER Check the dialysate effluent with a blood leak test indicator
Which has the most impact on dialyzer clearance? - ANSWER Surface area of the dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to take? - ANSWER Turn the
blood pump off, clamp the venous line.
Softener tanks remove - ANSWER Calcium and magnesium
During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine
before the machine is used by another patient? - ANSWER Technical must perform a functional test on
the machine.
The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238 - ANSWER Low clearance, hold heparin dose
The arterial needle is placed - ANSWER Either with or against the flow of blood
An important factor in achieving adequacy during machine set up is - ANSWER Priming the dialyzer
venous end up
