DAVITA FINAL EXAM PRACTICE TEST WITH
STUDY GUIDE QUESTIONS AND ANSWERS NEW
MODIFIED
What is the appropriate blood flow rate of 15 gauged needle per DaVita
policy?
A. 150-250 ml/min
B. 250-350 ml/min
C. 350-450 ml/min
D. >450 ml/min --CORRECT ANSWER--C. 350-450 ml/min
What 2 things assist in replacing fluid removed and prevent clotting during
recirculation of blood in the extracorporeal circuit during treatment
interruption?
A. Saline and heparin
B. Dialysate and saline
C. Heparin and Cathflow Activase
D. Saline and Cathflow Activase --CORRECT ANSWER--A. Saline and
heparin
Page 1 of 48
,The sign that numbing had taken effect and it is time to stop spraying topical
anesthetic on the vascular access cannulation site is when?
A. You observe frosting of the skin
B. You observe reddening of the skin
C. You observe blanching of the skin
D. You observe cyanosis of the skin --CORRECT ANSWER--C. You observe
blanching of the skin
The most common cause of bacterial bloodstream infection in dialysis patients
is:
A. Needle insertion site exposure to unclean environmental areas
B. The use of CVC for hemodialysis
C. Poor needle site rotation when cannulating an internal vascular access
D. Inappropriate skin preparation prior to vascular access cannulation --
CORRECT ANSWER--B. The use of central venous catheters (CVC) for
hemodialysis
During a power failure, prior to returning the patients blood and preforming the
hand crank procedure you should remove the venous blood line from
A. The patients venous access
Page 2 of 48
,B. The air detector clamp
C. The blood pump rotor
D. The drain bucket --CORRECT ANSWER--B. The air detector clamp
Which of the following factors would decrease the K of the Kt/V formula?
A. Increased blood flow rate
B. Patient receiving full treatment time
C. Correct dialyzer
D. Inadequate anticoagulation --CORRECT ANSWER--D. Inadequate
anticoagulation
Convection is defined as:
A. Particles move from an area of higher solute conc to an area of lower solute
con
B. Solutes and fluid are dragged across the semipermeable membrane
C. Controlled fluid removal by manipulation of hydrostatic pressure
D. Fluid moves from an area of lower solute con to an area of higher solute
conc --CORRECT ANSWER--B. Solutes and fluid are dragged across the
semipermeable membrane
Page 3 of 48
, Your patient machine continues to alarm negative arterial pressure. This is
likely to occur due to which of the following?
A. A decrease in dialysate flow rate
B. The venous needle being inappropriately place
C. Separation of the blood tubing from the arterial access
D. An arterial blood line kink between the access and the arterial pressure
monitor --CORRECT ANSWER--An arterial blood line kink between the
access and the arterial pressure monitor
T/F: TMP is directly related to the difference in pressure between the blood
compartment and the dialysate compartment w/n the dialyzer --CORRECT
ANSWER--True
Why is it important to understand what caused your patients kidney failure?
A. It assists in making decisions on the most appropriate treatment modality for
the patient
B. It assists you to understand the possible complication which may occur
during treatment
C. Is is only important if the underlying disease causes additional health
problems
Page 4 of 48
STUDY GUIDE QUESTIONS AND ANSWERS NEW
MODIFIED
What is the appropriate blood flow rate of 15 gauged needle per DaVita
policy?
A. 150-250 ml/min
B. 250-350 ml/min
C. 350-450 ml/min
D. >450 ml/min --CORRECT ANSWER--C. 350-450 ml/min
What 2 things assist in replacing fluid removed and prevent clotting during
recirculation of blood in the extracorporeal circuit during treatment
interruption?
A. Saline and heparin
B. Dialysate and saline
C. Heparin and Cathflow Activase
D. Saline and Cathflow Activase --CORRECT ANSWER--A. Saline and
heparin
Page 1 of 48
,The sign that numbing had taken effect and it is time to stop spraying topical
anesthetic on the vascular access cannulation site is when?
A. You observe frosting of the skin
B. You observe reddening of the skin
C. You observe blanching of the skin
D. You observe cyanosis of the skin --CORRECT ANSWER--C. You observe
blanching of the skin
The most common cause of bacterial bloodstream infection in dialysis patients
is:
A. Needle insertion site exposure to unclean environmental areas
B. The use of CVC for hemodialysis
C. Poor needle site rotation when cannulating an internal vascular access
D. Inappropriate skin preparation prior to vascular access cannulation --
CORRECT ANSWER--B. The use of central venous catheters (CVC) for
hemodialysis
During a power failure, prior to returning the patients blood and preforming the
hand crank procedure you should remove the venous blood line from
A. The patients venous access
Page 2 of 48
,B. The air detector clamp
C. The blood pump rotor
D. The drain bucket --CORRECT ANSWER--B. The air detector clamp
Which of the following factors would decrease the K of the Kt/V formula?
A. Increased blood flow rate
B. Patient receiving full treatment time
C. Correct dialyzer
D. Inadequate anticoagulation --CORRECT ANSWER--D. Inadequate
anticoagulation
Convection is defined as:
A. Particles move from an area of higher solute conc to an area of lower solute
con
B. Solutes and fluid are dragged across the semipermeable membrane
C. Controlled fluid removal by manipulation of hydrostatic pressure
D. Fluid moves from an area of lower solute con to an area of higher solute
conc --CORRECT ANSWER--B. Solutes and fluid are dragged across the
semipermeable membrane
Page 3 of 48
, Your patient machine continues to alarm negative arterial pressure. This is
likely to occur due to which of the following?
A. A decrease in dialysate flow rate
B. The venous needle being inappropriately place
C. Separation of the blood tubing from the arterial access
D. An arterial blood line kink between the access and the arterial pressure
monitor --CORRECT ANSWER--An arterial blood line kink between the
access and the arterial pressure monitor
T/F: TMP is directly related to the difference in pressure between the blood
compartment and the dialysate compartment w/n the dialyzer --CORRECT
ANSWER--True
Why is it important to understand what caused your patients kidney failure?
A. It assists in making decisions on the most appropriate treatment modality for
the patient
B. It assists you to understand the possible complication which may occur
during treatment
C. Is is only important if the underlying disease causes additional health
problems
Page 4 of 48
