Clinical Annual Competency Exam –
Fresenius Rated 100% Correct.
Clinical Annual Competency Exam - Fresenius
Complete Question Guide with Answers
Inadequate Heparinization - Answer The adequacy of a dialysis treatment may be
compromised by
Post reinfusion and prior to disconnection - Answer Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients
blood pressure and temperature both
Chemical content - Answer Individual acid containers should be labeled with
Notify the RN - Answer The patient complains of pain at the catheter exit site. What
would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - Answer Which of these findings noted on a safety
check would indicate that an intervention is needed.
Notify the RN - Answer 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?
Assessment for possible clotting in the dialyzer - Answer Documentation and
interpretation of the KECN (clearance effective by conductivity) results can assist the
staff member in
Circulation of water during the day only - Answer Which of the following would
minimize bacterial growth in the water treatment system?
Pressure - Answer A major factor affecting ultrafiltration is
Palpating for a thrill - Answer Pre-treatment evaluation of an internal vascular access
includes
Hypotension - Answer 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
Check the dialysate effluent with a blood leak test indicator - Answer If a blood leak
detector alarms a second time and no visible blood is noted, what should the PCT do
next?
, Clinical Annual Competency Exam –
Fresenius Rated 100% Correct.
Surface area of the dialyzer - Answer Which has the most impact on dialyzer
clearance?
Turn the blood pump off, clamp the venous line. - Answer The patient exhibits signs
of hemolysis. What is the appropriate action to take?
Calcium and magnesium - Answer Softener tanks remove
Technical must perform a functional test on the machine. - Answer 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?
Low clearance, hold heparin dose - Answer 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
Either with or against the flow of blood - Answer The arterial needle is placed
Priming the dialyzer venous end up - Answer An important factor in achieving
adequacy during machine set up is
Ultra Care - Answer The FMC program that utilizes technology to improve our patient
care is
Bicarbonate - Answer The component of the dialysate that helps treat acidosis is
Check the patient blood pressure - Answer The PCT notices the patient yawning
toward the end of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - Answer Several patients with normal pre-
dialysis temperatures develop sudden chills and a spike in temperature. This
situation is most likely caused by
150 ml/min - Answer What is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - Answer What is NOT
true when cannulating a new AVF?
Weekly - Answer If bicarbonate concentrate jugs are used, the frequency for
disinfecting jugs is
Aid in fluid removal - Answer Using the sodium variation module during the dialysis
treatment will
Fresenius Rated 100% Correct.
Clinical Annual Competency Exam - Fresenius
Complete Question Guide with Answers
Inadequate Heparinization - Answer The adequacy of a dialysis treatment may be
compromised by
Post reinfusion and prior to disconnection - Answer Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients
blood pressure and temperature both
Chemical content - Answer Individual acid containers should be labeled with
Notify the RN - Answer The patient complains of pain at the catheter exit site. What
would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - Answer Which of these findings noted on a safety
check would indicate that an intervention is needed.
Notify the RN - Answer 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?
Assessment for possible clotting in the dialyzer - Answer Documentation and
interpretation of the KECN (clearance effective by conductivity) results can assist the
staff member in
Circulation of water during the day only - Answer Which of the following would
minimize bacterial growth in the water treatment system?
Pressure - Answer A major factor affecting ultrafiltration is
Palpating for a thrill - Answer Pre-treatment evaluation of an internal vascular access
includes
Hypotension - Answer 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
Check the dialysate effluent with a blood leak test indicator - Answer If a blood leak
detector alarms a second time and no visible blood is noted, what should the PCT do
next?
, Clinical Annual Competency Exam –
Fresenius Rated 100% Correct.
Surface area of the dialyzer - Answer Which has the most impact on dialyzer
clearance?
Turn the blood pump off, clamp the venous line. - Answer The patient exhibits signs
of hemolysis. What is the appropriate action to take?
Calcium and magnesium - Answer Softener tanks remove
Technical must perform a functional test on the machine. - Answer 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?
Low clearance, hold heparin dose - Answer 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
Either with or against the flow of blood - Answer The arterial needle is placed
Priming the dialyzer venous end up - Answer An important factor in achieving
adequacy during machine set up is
Ultra Care - Answer The FMC program that utilizes technology to improve our patient
care is
Bicarbonate - Answer The component of the dialysate that helps treat acidosis is
Check the patient blood pressure - Answer The PCT notices the patient yawning
toward the end of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - Answer Several patients with normal pre-
dialysis temperatures develop sudden chills and a spike in temperature. This
situation is most likely caused by
150 ml/min - Answer What is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - Answer What is NOT
true when cannulating a new AVF?
Weekly - Answer If bicarbonate concentrate jugs are used, the frequency for
disinfecting jugs is
Aid in fluid removal - Answer Using the sodium variation module during the dialysis
treatment will
