DaVita PCT Final Exam
A patient position used for a suspected air embolism is - ANS - Trendelenburg on left
side
A patient target weight is - ANS - Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
A patient with AKI dialyzes in the out-patient facility. With regards to the patients target
weight, why is this important - ANS - It reduces the risk of hypovolemia and
hypotension episodes
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices
that the patient's lips are a blue hue. The PCT would: - ANS - Not start treatment,
immediately notify the nurse
A recommended intervention for muscle cramps is - ANS - Turning the ultrafiltration
(UFR) off.
A surveyor asks you a question - what's a good answer - ANS - I do not know the
answer but I will find out
Acid concentrate replaces the excretory function of normal kidney function by - ANS -
normalizing electrolytes
Administration of normal saline - ANS - The teammate must remain with the PT to
monitor the process until administration is complete and lines are secure
All documentation on machine setup and pre-treatment patient information - ANS - a.
Must be entered into the computer before the treatment is initiated
At what time do you perform water hardness testing - ANS - At the end of the
treatment day
, Can you document patient vitals under another teammate already signed in the
computer - ANS - No log in to the computer system under your credentials and
document
Cynthia missed her treatment on Saturday and returns the following Tuesday for her
next scheduled treatment. She complains of feeling weakness in her legs. David, a PCT,
gets a wheelchair for her, helps her weigh in, and brings her back for the nurse to
assess prior to starting her treatment. Which patient complication would the PCT and
RN suspect Cynthia is most likely suffering from? - ANS - Hyperkalymia
DaVita Quality Index (DQI) success is achieved - ANS - all of the above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends
and make improvements
Dialysis replaces only ____ percent of normal kidney function - ANS - 15%
Documentation in the medical record - ANS - Provides data for the continuity and
planning of patient care
Fever caused by pyrogenic reaction will most likely occur at what time during the
treatment - ANS - within 45 to 75 minutes
Flipping the arterial vascular access needle - ANS - d. Is not necessary since all
arterial needles have a back eye
For a patient with AKI, which statement is correct - ANS - A nursing assessment
before treatment initiation is always required
How do you verify that the patient is stable and safe for discharge after treatment - ANS
- All
Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
If clotting occurs in a high flux dialyzer, the TMP will - ANS - decrease
A patient position used for a suspected air embolism is - ANS - Trendelenburg on left
side
A patient target weight is - ANS - Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
A patient with AKI dialyzes in the out-patient facility. With regards to the patients target
weight, why is this important - ANS - It reduces the risk of hypovolemia and
hypotension episodes
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices
that the patient's lips are a blue hue. The PCT would: - ANS - Not start treatment,
immediately notify the nurse
A recommended intervention for muscle cramps is - ANS - Turning the ultrafiltration
(UFR) off.
A surveyor asks you a question - what's a good answer - ANS - I do not know the
answer but I will find out
Acid concentrate replaces the excretory function of normal kidney function by - ANS -
normalizing electrolytes
Administration of normal saline - ANS - The teammate must remain with the PT to
monitor the process until administration is complete and lines are secure
All documentation on machine setup and pre-treatment patient information - ANS - a.
Must be entered into the computer before the treatment is initiated
At what time do you perform water hardness testing - ANS - At the end of the
treatment day
, Can you document patient vitals under another teammate already signed in the
computer - ANS - No log in to the computer system under your credentials and
document
Cynthia missed her treatment on Saturday and returns the following Tuesday for her
next scheduled treatment. She complains of feeling weakness in her legs. David, a PCT,
gets a wheelchair for her, helps her weigh in, and brings her back for the nurse to
assess prior to starting her treatment. Which patient complication would the PCT and
RN suspect Cynthia is most likely suffering from? - ANS - Hyperkalymia
DaVita Quality Index (DQI) success is achieved - ANS - all of the above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends
and make improvements
Dialysis replaces only ____ percent of normal kidney function - ANS - 15%
Documentation in the medical record - ANS - Provides data for the continuity and
planning of patient care
Fever caused by pyrogenic reaction will most likely occur at what time during the
treatment - ANS - within 45 to 75 minutes
Flipping the arterial vascular access needle - ANS - d. Is not necessary since all
arterial needles have a back eye
For a patient with AKI, which statement is correct - ANS - A nursing assessment
before treatment initiation is always required
How do you verify that the patient is stable and safe for discharge after treatment - ANS
- All
Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
If clotting occurs in a high flux dialyzer, the TMP will - ANS - decrease
