DaVita PCT CCHT Exam 2021
"Sodium Loading" leads to interdialytic thirst which leads to the patient - ANS -
"Wet crash" means? - ANS - Fluid overload over stretches the heart muscle tissue
resulting in decreased cardiac output and low BP
A 58-year-old patient who is blind comes to treatment accompanied by his wife. Which
of these approaches should the dialysis technician use when interacting with the
patient? - ANS - Describe the activities in the immediate environment
A dialysis technician observed a drop of blood on the surface of the patient's
hemodialysis machine. Which of these actions should the dialysis technician take? -
ANS - Clean the machine surface immediately
A dialysis technician observes about 30ml of fluid on the floor, a patient's family member
present during initiation of tx, charts lying on bedside tables, and wheels of the
hemodialysis machine locked; on the treatment floor. Which one poses an
environmental risk? - ANS - About one ounce (30ml) fluid on the floor
A female dialysis technician has been caring for a male patient for several months. The
patient tells the dialysis technician that he is lonely and depressed. He asks the dialysis
technician to go out to dinner with him. In addition to politely declining the patient's
invitation, which of these actions should the dialysis technician take? - ANS - Refer
the patient to the social worker
A fistula connects what? - ANS - an artery and a vein
A frequent cause of prolonged bleeding post dialysis unrelated to the to the heparin
dose - ANS - Outflow stenosis
A marker used to determine the middle molecule clearance of a dialyzer is what? - ANS
- Vitamin B12
A mixed bed DI tank contains what? - ANS - cations and anions
, A nephron is made up of what? - ANS - A glomerulus and a tubule system
A patient complains of pain at the venous needle site. The dialysis technician observes
there is swelling distal to the venous needle site and that the venous pressure is rising.
The dialysis technician should suspect? - ANS - An infiltration
A patient tells the technician that the dietitian reviewed high potassium foods with her.
During the conversation she states she routinely eats the following foods. Which one is
highest in potassium? - ANS - bananas
A patient who is to receive their first dialysis treatment is prone to? - ANS - Dialysis
disequilibrium syndrome
A patient's laboratory results indicate the pre-dialysis BUN level was lower than the post
dialysis BUN level. When interpreting these findings, the technician should seek the
answer to which of these questions? - ANS - Was the post dialysis sample drawn
correctly?
A rapid pulse of 104 bpm but any Kate the patient has what? - ANS - Tachycardia
A reason why a dialysis technician is to be certified is: - ANS - It is a CMS requirement
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is a
indication of what? - ANS - Clotting of the extracorporeal circuit
A slow pulse of 54 bpm would indicate the patient has what? - ANS - Bradycardia
A true aneurysm can be dangerous because it: - ANS - May rupture and cause the
patient to bleed profusely
AAMI (Association for the Advancement of Medical Instrumentation) Chemical Analysis
of water used for hemodialysis is tested - ANS - Monthly
AAMI standard for conventional dialysate requires the total microbial count to be less
than what? - ANS - 100 CFU/mL
Adequate dialysis replaces? - ANS - Less than 15% of normal kidney function
Best way to prevent all kinds of infections? - ANS - Hand washing
"Sodium Loading" leads to interdialytic thirst which leads to the patient - ANS -
"Wet crash" means? - ANS - Fluid overload over stretches the heart muscle tissue
resulting in decreased cardiac output and low BP
A 58-year-old patient who is blind comes to treatment accompanied by his wife. Which
of these approaches should the dialysis technician use when interacting with the
patient? - ANS - Describe the activities in the immediate environment
A dialysis technician observed a drop of blood on the surface of the patient's
hemodialysis machine. Which of these actions should the dialysis technician take? -
ANS - Clean the machine surface immediately
A dialysis technician observes about 30ml of fluid on the floor, a patient's family member
present during initiation of tx, charts lying on bedside tables, and wheels of the
hemodialysis machine locked; on the treatment floor. Which one poses an
environmental risk? - ANS - About one ounce (30ml) fluid on the floor
A female dialysis technician has been caring for a male patient for several months. The
patient tells the dialysis technician that he is lonely and depressed. He asks the dialysis
technician to go out to dinner with him. In addition to politely declining the patient's
invitation, which of these actions should the dialysis technician take? - ANS - Refer
the patient to the social worker
A fistula connects what? - ANS - an artery and a vein
A frequent cause of prolonged bleeding post dialysis unrelated to the to the heparin
dose - ANS - Outflow stenosis
A marker used to determine the middle molecule clearance of a dialyzer is what? - ANS
- Vitamin B12
A mixed bed DI tank contains what? - ANS - cations and anions
, A nephron is made up of what? - ANS - A glomerulus and a tubule system
A patient complains of pain at the venous needle site. The dialysis technician observes
there is swelling distal to the venous needle site and that the venous pressure is rising.
The dialysis technician should suspect? - ANS - An infiltration
A patient tells the technician that the dietitian reviewed high potassium foods with her.
During the conversation she states she routinely eats the following foods. Which one is
highest in potassium? - ANS - bananas
A patient who is to receive their first dialysis treatment is prone to? - ANS - Dialysis
disequilibrium syndrome
A patient's laboratory results indicate the pre-dialysis BUN level was lower than the post
dialysis BUN level. When interpreting these findings, the technician should seek the
answer to which of these questions? - ANS - Was the post dialysis sample drawn
correctly?
A rapid pulse of 104 bpm but any Kate the patient has what? - ANS - Tachycardia
A reason why a dialysis technician is to be certified is: - ANS - It is a CMS requirement
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is a
indication of what? - ANS - Clotting of the extracorporeal circuit
A slow pulse of 54 bpm would indicate the patient has what? - ANS - Bradycardia
A true aneurysm can be dangerous because it: - ANS - May rupture and cause the
patient to bleed profusely
AAMI (Association for the Advancement of Medical Instrumentation) Chemical Analysis
of water used for hemodialysis is tested - ANS - Monthly
AAMI standard for conventional dialysate requires the total microbial count to be less
than what? - ANS - 100 CFU/mL
Adequate dialysis replaces? - ANS - Less than 15% of normal kidney function
Best way to prevent all kinds of infections? - ANS - Hand washing
