DAVITA PCT EXAM
a PCT greets a pt who reports feeling short of breath, pt lips are blue-toned. PCT should
do what? - ANS - not start tx, immediately notify the nurse
a pt target weight is - ANS - modified by the nurse based on pt tolerance
a pt with AKI dialyzes in the out-pt facility. with regards to the pt's target weight, why is
being "wet" better than being "dry" - ANS - it reduced the risk of hypovolemia and
hypotensive episodes
a recommended intervention for muscle cramps is - ANS - turning the UFR off
a standing post-tx blood pressure realizing of ______ is considered an abnormal finding
and should be reported to a licensed nurse - ANS - -standing systolic BP greater than
140mm/Hg or less than 90 mm/Hg
-standing diastole BP greater than 90 mm/Hg or less than 50 mm/Hg
a surveyor asks you a question, which of the following statements would be a good
answer? - ANS - i do not know the answer but i will find out
acid concentrate replaces the excretory fxns of normal kidney fxn by - ANS -
normalizing electrolytes
all documentation on machine setup & pre-tx pt info - ANS - must be entered into the
computer before tx is initiated
at what time do you perform water hardness testing - ANS - at the end of the tx day
can you document pt vital signs under another teammate already signed into the
computer - ANS - No, log in under self
Cynthia missed her tx on Sat and returns Tues for her next scheduled tx. She complains
of leg weakness. She's given a wheelchair and assessed by a nurse. Which pt
complication would the PCT and RN suspect Cynthia is most likely suffering from? -
ANS - hyperkalemia
, DaVita quality index (DQI) success of achieved - ANS - -through managing individual
pts first & allowing scores to follow
-through knowing each team member's role in improving DQI scores
-through use of continuous quality improvement process to help identify trends and
make improvements
dialysis replaces only _____ percent of normal kidney fxn - ANS - 15
documentation in the medical record - ANS - provides data for continuity and planning
of patient
fever caused by a pyrogenic rxn will most likely occur at what time during the tx? - ANS
- within 45-75 mins
flipping the arterial vascular access needle - ANS - is not recommended or necessary
since all arterial needles have a back eye
for patient's with AKI which statement is correct - ANS - a nursing assessment before
tx is always required
how do you verify that the pt is stable and safe for discharge after the dialysis tx - ANS
- -evaluate the effectiveness of the tx by comparing pre & post data
-PCTs notify the nurse if there are any abnormal findings
-nurses perform a post tx assessment as required
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - ANS -
decrease
if you notice that a pts caretaker is struggling to meet the demands of the pt tx regime
you should - ANS - notify the social worker bc he/she is there for pts & their families
if your facility dialyzes Hepatitis B positive pt's, which assignment would NOT be an
appropriate patient care assignment - ANS - caring for hep susceptible & those in
process of being vaccinated at same time
In the event of a pt experiencing a seizure, the dialysis tx should be - ANS -
discontinued if the seizure is severe or if the pt does not response to tx
a PCT greets a pt who reports feeling short of breath, pt lips are blue-toned. PCT should
do what? - ANS - not start tx, immediately notify the nurse
a pt target weight is - ANS - modified by the nurse based on pt tolerance
a pt with AKI dialyzes in the out-pt facility. with regards to the pt's target weight, why is
being "wet" better than being "dry" - ANS - it reduced the risk of hypovolemia and
hypotensive episodes
a recommended intervention for muscle cramps is - ANS - turning the UFR off
a standing post-tx blood pressure realizing of ______ is considered an abnormal finding
and should be reported to a licensed nurse - ANS - -standing systolic BP greater than
140mm/Hg or less than 90 mm/Hg
-standing diastole BP greater than 90 mm/Hg or less than 50 mm/Hg
a surveyor asks you a question, which of the following statements would be a good
answer? - ANS - i do not know the answer but i will find out
acid concentrate replaces the excretory fxns of normal kidney fxn by - ANS -
normalizing electrolytes
all documentation on machine setup & pre-tx pt info - ANS - must be entered into the
computer before tx is initiated
at what time do you perform water hardness testing - ANS - at the end of the tx day
can you document pt vital signs under another teammate already signed into the
computer - ANS - No, log in under self
Cynthia missed her tx on Sat and returns Tues for her next scheduled tx. She complains
of leg weakness. She's given a wheelchair and assessed by a nurse. Which pt
complication would the PCT and RN suspect Cynthia is most likely suffering from? -
ANS - hyperkalemia
, DaVita quality index (DQI) success of achieved - ANS - -through managing individual
pts first & allowing scores to follow
-through knowing each team member's role in improving DQI scores
-through use of continuous quality improvement process to help identify trends and
make improvements
dialysis replaces only _____ percent of normal kidney fxn - ANS - 15
documentation in the medical record - ANS - provides data for continuity and planning
of patient
fever caused by a pyrogenic rxn will most likely occur at what time during the tx? - ANS
- within 45-75 mins
flipping the arterial vascular access needle - ANS - is not recommended or necessary
since all arterial needles have a back eye
for patient's with AKI which statement is correct - ANS - a nursing assessment before
tx is always required
how do you verify that the pt is stable and safe for discharge after the dialysis tx - ANS
- -evaluate the effectiveness of the tx by comparing pre & post data
-PCTs notify the nurse if there are any abnormal findings
-nurses perform a post tx assessment as required
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - ANS -
decrease
if you notice that a pts caretaker is struggling to meet the demands of the pt tx regime
you should - ANS - notify the social worker bc he/she is there for pts & their families
if your facility dialyzes Hepatitis B positive pt's, which assignment would NOT be an
appropriate patient care assignment - ANS - caring for hep susceptible & those in
process of being vaccinated at same time
In the event of a pt experiencing a seizure, the dialysis tx should be - ANS -
discontinued if the seizure is severe or if the pt does not response to tx
