1|Page
CERTIFIED DIALYSIS NURSE TEST REVIEW LATEST
2025 TEST BANK| COMPLETE 250 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
The majority (more than 80%) of patients with an estimated GFR less
than 60 mL/min/1.732 have which condition/disease?
A. History of heart attacks.
B. Weakness and drooping on one side of the body.
C. Hypertension.
D. Kidney stones treated with lithotripsy - Correct Answer - C.
Hypertension.
Which integumentary changes are commonly seen in patients with
chronic CKD?
1. Brittle nails.
2. Excessive sweating.
3. Ecchymosis (bruising).
4. Increase in number of moles. - Correct Answer - 1 and 3
Among dialysis patients, infections account for about one in ten
fatalities. Which conditions increase a patient's susceptibility to
infection?
1. Diabetes mellitus.
2. Malnutrition.
pg. 1
,2|Page
3. Bone abnormalities.
4. Frequent invasive procedures. - Correct Answer - 1, 2, and 4
What target hemoglobin range was recommended by the KDOQI in
2007 for both dialysis and nondialysis patients receiving erythropoiesis-
stimulating agents (ESA)?
a. 8-9 g/dL.
b. 9.1-10g/dL.
C. 10.1-10.9 g/dL.
d. 11.0-12.0 g/dL. - Correct Answer - d. 11.0-12.0 g/dL.
If a patient is experiencing adverse reactions from the residual toxic
products of ethylene oxide sterilization of the hollow-fiber dialyzer,
what other ways can it be sterilized?
1. Gamma irradiation.
2. High-pressure water hosing.
3. Pure alcohol (99.9%) flushing.
4. Electron beam. - Correct Answer - 1 and 4
Which manifestations would lead the dialysis technician to suspect the
patient is experiencing intradialytic complement activation?
1. Severe anemia (hemoglobin 8.0).
2. Intradialytic hypoxemia.
3. Chest pain.
4. Back pain.
pg. 2
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5. Hemorrhage from mucous membranes. - Correct Answer - 2, 3, and 4
Which factors affect removal of toxins in dialysis?
1. The higher the temperature of dialysate, the greater the removal of
solutes.
2. The slower the dialysate flow rate, the greater the removal of solutes.
3. The slower the blood flow rate, the greater the removal of solutes.
4. The more permeable the membrane, the greater the removal of
solutes. - Correct Answer - 1 and 4
To accomplish solute removal in dialysis, what is needed?
A. Mass transfer.
B. Countercurrent flow.
C. A difference in concentration.
D. High dialysate temperature. - Correct Answer - C. A difference in
concentration.
What modifications to the dialysis procedure can be made to prevent
intradialytic complications associated with fluid removal, like sodium
modeling?
1. Lower the dialysate temperature.
2. Extend treatment times.
3. Check serum sodium levels every 15 minutes.
4. Monitor for delirium frequently. - Correct Answer - 1 and 2
pg. 3
, 4|Page
When preparing the water used for the dialysate and reprocessing of
dialyzers, the CMS Conditions for Coverage (CfCs) require
conventional dialysis to have the maximum level of bacteria less than
colony-forming units (CFU)/mL.
a. 100.
b. 200
c. 250.
d. 300. - Correct Answer - b. 200
How often, at a minimum, is it recommended to cleanse all components
of the water treatment system with an approved disinfectant?
a. Weekly.
b. Bi-weekly.
c. Monthly.
d. Quarterly. - Correct Answer - c. Monthly.
Which person on the interdisciplinary team is responsible for ensuring
the quality of water used for dialysis has met the standards?
a. Medical director.
b. Registered nurse.
c. Nurse manager.
d. Dialysis technician. - Correct Answer - a. Medical director.
What are the most common methods for reducing microbiological
contaminants in the water used during dialysis?
pg. 4
CERTIFIED DIALYSIS NURSE TEST REVIEW LATEST
2025 TEST BANK| COMPLETE 250 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
The majority (more than 80%) of patients with an estimated GFR less
than 60 mL/min/1.732 have which condition/disease?
A. History of heart attacks.
B. Weakness and drooping on one side of the body.
C. Hypertension.
D. Kidney stones treated with lithotripsy - Correct Answer - C.
Hypertension.
Which integumentary changes are commonly seen in patients with
chronic CKD?
1. Brittle nails.
2. Excessive sweating.
3. Ecchymosis (bruising).
4. Increase in number of moles. - Correct Answer - 1 and 3
Among dialysis patients, infections account for about one in ten
fatalities. Which conditions increase a patient's susceptibility to
infection?
1. Diabetes mellitus.
2. Malnutrition.
pg. 1
,2|Page
3. Bone abnormalities.
4. Frequent invasive procedures. - Correct Answer - 1, 2, and 4
What target hemoglobin range was recommended by the KDOQI in
2007 for both dialysis and nondialysis patients receiving erythropoiesis-
stimulating agents (ESA)?
a. 8-9 g/dL.
b. 9.1-10g/dL.
C. 10.1-10.9 g/dL.
d. 11.0-12.0 g/dL. - Correct Answer - d. 11.0-12.0 g/dL.
If a patient is experiencing adverse reactions from the residual toxic
products of ethylene oxide sterilization of the hollow-fiber dialyzer,
what other ways can it be sterilized?
1. Gamma irradiation.
2. High-pressure water hosing.
3. Pure alcohol (99.9%) flushing.
4. Electron beam. - Correct Answer - 1 and 4
Which manifestations would lead the dialysis technician to suspect the
patient is experiencing intradialytic complement activation?
1. Severe anemia (hemoglobin 8.0).
2. Intradialytic hypoxemia.
3. Chest pain.
4. Back pain.
pg. 2
,3|Page
5. Hemorrhage from mucous membranes. - Correct Answer - 2, 3, and 4
Which factors affect removal of toxins in dialysis?
1. The higher the temperature of dialysate, the greater the removal of
solutes.
2. The slower the dialysate flow rate, the greater the removal of solutes.
3. The slower the blood flow rate, the greater the removal of solutes.
4. The more permeable the membrane, the greater the removal of
solutes. - Correct Answer - 1 and 4
To accomplish solute removal in dialysis, what is needed?
A. Mass transfer.
B. Countercurrent flow.
C. A difference in concentration.
D. High dialysate temperature. - Correct Answer - C. A difference in
concentration.
What modifications to the dialysis procedure can be made to prevent
intradialytic complications associated with fluid removal, like sodium
modeling?
1. Lower the dialysate temperature.
2. Extend treatment times.
3. Check serum sodium levels every 15 minutes.
4. Monitor for delirium frequently. - Correct Answer - 1 and 2
pg. 3
, 4|Page
When preparing the water used for the dialysate and reprocessing of
dialyzers, the CMS Conditions for Coverage (CfCs) require
conventional dialysis to have the maximum level of bacteria less than
colony-forming units (CFU)/mL.
a. 100.
b. 200
c. 250.
d. 300. - Correct Answer - b. 200
How often, at a minimum, is it recommended to cleanse all components
of the water treatment system with an approved disinfectant?
a. Weekly.
b. Bi-weekly.
c. Monthly.
d. Quarterly. - Correct Answer - c. Monthly.
Which person on the interdisciplinary team is responsible for ensuring
the quality of water used for dialysis has met the standards?
a. Medical director.
b. Registered nurse.
c. Nurse manager.
d. Dialysis technician. - Correct Answer - a. Medical director.
What are the most common methods for reducing microbiological
contaminants in the water used during dialysis?
pg. 4
