Page 1 of 95
FRESENIUS MEDICAL CARE (END OF TRAINING) TEST
2025/2026 ACTUAL QUESTIONS WITH DETAILED
ANSWERS AND A STUDY GUIDE |EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
AV Fistula .......ANSWER......Best type of access for hemodialysis
patient, least infection rate, decrease hospitalization
What is the incidence of clotting in AV Grafts compared to AV
Fistulas? .......ANSWER......Higher incidence of clotting than AV
Fistulas
How does the incidence of infection in AV Grafts compare to AV
Fistulas and catheters? .......ANSWER......Higher incidence of
infection than AV Fistulas but lower than catheters
What is the hospitalization rate for AV Grafts compared to AV
Fistulas? .......ANSWER......More hospitalization than AV Fistulas
,Page 2 of 95
Assessing an internal HD access include look, listen and feel.
What would you look for? .......ANSWER......Wounds, redness,
swelling, bruising, pseudoaneurysm and aneurysms.
Assessing an internal HD access include look, listen and feel.
What do you listen for? .......ANSWER......Bruit, Whistle (stenosis),
absent sounds
Assessing an internal HD access include look, listen and feel.
What do you feel for? .......ANSWER......Temperature, thrill,
abscess
You should wait a minimum of _______ minutes before
attempting cannulation, after 1% lidocaine injection is given
intradermally. .......ANSWER......2 minutes
Fistulas that fail to mature should be evaluated as early as:
.......ANSWER......4-6 weeks
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How far in advance should topical anesthetic (EMLA or Lidocaine)
cream be applied? .......ANSWER......1 hour
Thrill .......ANSWER......sensation of blood flowing in an AV access
(either AVF or AVG)
Bruit .......ANSWER......A swooshing sound caused by the flow of
blood through a fistula or graft
Anastamosis .......ANSWER......The location where an artery and
vein have been surgically connected or where the graft has been
surgically connected to an artery and vein
Aneurysm .......ANSWER......A ballooning or bulging of a weak
spot in a fistula wall, which can occur if the same site is
cannulated over and over again.
The top reasons to use a tourniquet on all fistulas are:
.......ANSWER......Prevents vessel damage and infiltration and
firms up the access for assessment and cannulation
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What would you teach your patient about taking care of their
access at home? .......ANSWER......Do not sleep on access, no tight
clothing, protect access, feel for the thrill and no heavy lifting
What would you teach your patient about taking care of their
access at a Doctor's Office or Hospital? .......ANSWER......No BP
and no sticks on access extremity
What would you teach your patient about taking care of their
access immediately prior to HD treatment?
.......ANSWER......Wash thoroughly with soap and water
What would you teach your patient about taking care of their
access during HD treatment? .......ANSWER......Alert for burning,
bleeding, keep access uncovered at all times, report any
changes to extremity including temp.
FRESENIUS MEDICAL CARE (END OF TRAINING) TEST
2025/2026 ACTUAL QUESTIONS WITH DETAILED
ANSWERS AND A STUDY GUIDE |EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
AV Fistula .......ANSWER......Best type of access for hemodialysis
patient, least infection rate, decrease hospitalization
What is the incidence of clotting in AV Grafts compared to AV
Fistulas? .......ANSWER......Higher incidence of clotting than AV
Fistulas
How does the incidence of infection in AV Grafts compare to AV
Fistulas and catheters? .......ANSWER......Higher incidence of
infection than AV Fistulas but lower than catheters
What is the hospitalization rate for AV Grafts compared to AV
Fistulas? .......ANSWER......More hospitalization than AV Fistulas
,Page 2 of 95
Assessing an internal HD access include look, listen and feel.
What would you look for? .......ANSWER......Wounds, redness,
swelling, bruising, pseudoaneurysm and aneurysms.
Assessing an internal HD access include look, listen and feel.
What do you listen for? .......ANSWER......Bruit, Whistle (stenosis),
absent sounds
Assessing an internal HD access include look, listen and feel.
What do you feel for? .......ANSWER......Temperature, thrill,
abscess
You should wait a minimum of _______ minutes before
attempting cannulation, after 1% lidocaine injection is given
intradermally. .......ANSWER......2 minutes
Fistulas that fail to mature should be evaluated as early as:
.......ANSWER......4-6 weeks
,Page 3 of 95
How far in advance should topical anesthetic (EMLA or Lidocaine)
cream be applied? .......ANSWER......1 hour
Thrill .......ANSWER......sensation of blood flowing in an AV access
(either AVF or AVG)
Bruit .......ANSWER......A swooshing sound caused by the flow of
blood through a fistula or graft
Anastamosis .......ANSWER......The location where an artery and
vein have been surgically connected or where the graft has been
surgically connected to an artery and vein
Aneurysm .......ANSWER......A ballooning or bulging of a weak
spot in a fistula wall, which can occur if the same site is
cannulated over and over again.
The top reasons to use a tourniquet on all fistulas are:
.......ANSWER......Prevents vessel damage and infiltration and
firms up the access for assessment and cannulation
, Page 4 of 95
What would you teach your patient about taking care of their
access at home? .......ANSWER......Do not sleep on access, no tight
clothing, protect access, feel for the thrill and no heavy lifting
What would you teach your patient about taking care of their
access at a Doctor's Office or Hospital? .......ANSWER......No BP
and no sticks on access extremity
What would you teach your patient about taking care of their
access immediately prior to HD treatment?
.......ANSWER......Wash thoroughly with soap and water
What would you teach your patient about taking care of their
access during HD treatment? .......ANSWER......Alert for burning,
bleeding, keep access uncovered at all times, report any
changes to extremity including temp.
