100 question Davita - finals 2022
*** Dialysis replaces only ---- percent of normal kidney function - ANS - 15%
*** If clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
ANS - decrease
*** In the event of a patient experiencing a seizure, the dialysis treatment should be -
ANS - Discontinued if the seizure is severe or the patient does not respond to
treatment
*** Intra-renal causes of Acute Kidney Injury (AKI) - ANS - Sepsis, trauma,
anaphylaxis, drugs, Acute Glomerulonephritis
*** Left Ventricular Hypertrophy leads to - ANS - ischemic heart disease arrhythmia,
myocardial infarction, and sudden death
*** Per DaVita policy, fever is defined as - ANS - Any temperature greater than 100F
or increase over baseline of 2F with symptoms
*** Per the Centers for Disease Control and Prevention (CDC), which is the most
common factor contributing to bacterial infections in dialysis patients? - ANS - the use
of catheters for hemodialysis
*** Post treatment data collection and assessment is performed - ANS - After the
treatment is terminated
*** Prior to use, how should the medication preparation surface area be disinfected? -
ANS - With 1:100 bleach solution and disposable wipes
*** Scrubbing of each hub as part of CVC care is done for: - ANS - 15 seconds
*** The endocrine functions of the kidneys are - ANS - Renin and erythropoietin
secretion, activation of vitamin D**
, *** The maximum ultra-filtration (UF) rate should not exceed ______ because it may
lead to hypotensive episodes which increases the risk of organ stunning or mortality.F -
ANS - 13 mL/kg/hr
*** The nephrologist orders a blood flow rate (BFR) of 450 ml/min for a patient with an
established AV Fistula. What needle gauge would be appropriate for this BFR? - ANS -
15 gauge
*** To assist in survey readiness you should - ANS - all of the above
*** To prevent the formation of aneurysms and pseudoaneurysms the following should
be practiced - ANS - Good needle site rotation and complete needle site clotting
techniques
*** Ultrafiltration is defined as - ANS - Controlled fluid removal by manipulation of
hydrostatic pressure
*** Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
ANS - Bacteria and endotoxins
*** What amount of fluid weight is considered excessive? - ANS - Greater than 5%
*** What could be the reason(s) for a conductivity alarm on the dialysis machine? - ANS
- all of the anove
*** What is the acceptable mg/L or parts per million (ppm) limit for Total Chlorine in the
water leaving the carbon filter? - ANS - Less than or equal to 0.1 ppm or mg/L
*** What is the most likely reason for a blood leak detector alarm during recirculation? -
ANS - Air bubbles in dialysate or a dirty sensor
*** What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients? - ANS - Counter-current flow
*** Which infectious disease requires frequent hand-washing instead of using alcohol
based hand gels? - ANS - Active Clostridioides difficile infection (C-diff)
*** Which of the following factors would decrease the K of the Kt/V formula? - ANS -
inadequate anticoagulation
*** Dialysis replaces only ---- percent of normal kidney function - ANS - 15%
*** If clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
ANS - decrease
*** In the event of a patient experiencing a seizure, the dialysis treatment should be -
ANS - Discontinued if the seizure is severe or the patient does not respond to
treatment
*** Intra-renal causes of Acute Kidney Injury (AKI) - ANS - Sepsis, trauma,
anaphylaxis, drugs, Acute Glomerulonephritis
*** Left Ventricular Hypertrophy leads to - ANS - ischemic heart disease arrhythmia,
myocardial infarction, and sudden death
*** Per DaVita policy, fever is defined as - ANS - Any temperature greater than 100F
or increase over baseline of 2F with symptoms
*** Per the Centers for Disease Control and Prevention (CDC), which is the most
common factor contributing to bacterial infections in dialysis patients? - ANS - the use
of catheters for hemodialysis
*** Post treatment data collection and assessment is performed - ANS - After the
treatment is terminated
*** Prior to use, how should the medication preparation surface area be disinfected? -
ANS - With 1:100 bleach solution and disposable wipes
*** Scrubbing of each hub as part of CVC care is done for: - ANS - 15 seconds
*** The endocrine functions of the kidneys are - ANS - Renin and erythropoietin
secretion, activation of vitamin D**
, *** The maximum ultra-filtration (UF) rate should not exceed ______ because it may
lead to hypotensive episodes which increases the risk of organ stunning or mortality.F -
ANS - 13 mL/kg/hr
*** The nephrologist orders a blood flow rate (BFR) of 450 ml/min for a patient with an
established AV Fistula. What needle gauge would be appropriate for this BFR? - ANS -
15 gauge
*** To assist in survey readiness you should - ANS - all of the above
*** To prevent the formation of aneurysms and pseudoaneurysms the following should
be practiced - ANS - Good needle site rotation and complete needle site clotting
techniques
*** Ultrafiltration is defined as - ANS - Controlled fluid removal by manipulation of
hydrostatic pressure
*** Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
ANS - Bacteria and endotoxins
*** What amount of fluid weight is considered excessive? - ANS - Greater than 5%
*** What could be the reason(s) for a conductivity alarm on the dialysis machine? - ANS
- all of the anove
*** What is the acceptable mg/L or parts per million (ppm) limit for Total Chlorine in the
water leaving the carbon filter? - ANS - Less than or equal to 0.1 ppm or mg/L
*** What is the most likely reason for a blood leak detector alarm during recirculation? -
ANS - Air bubbles in dialysate or a dirty sensor
*** What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients? - ANS - Counter-current flow
*** Which infectious disease requires frequent hand-washing instead of using alcohol
based hand gels? - ANS - Active Clostridioides difficile infection (C-diff)
*** Which of the following factors would decrease the K of the Kt/V formula? - ANS -
inadequate anticoagulation
