Page 1 of 62
Annual PCT Competency Exam LATEST 2026-2027
ALL 200 QUESTIONS AND CORRECT VERIFIED
ANSWERS JUST RELEASED THIS YEAR
When sodium loading occurs during the dialysis treatment:
It leads to an increase in thirst and larger fluid weight gains with hypertension between
treatments and can contribute to headaches after the treatment
Do you listen to the bruit of the axis, and instead of hearing the typical whoosh with each
heartbeat, you detect a distinctive slam slam sound
This may indicate a stenosis, and should be reported to the nurse
During data collection, Mrs. Sweetland mentions her bowel movements have been looking
quite dark the last two days, and ask if this could be caused by something she ate you:
Inform the nurse to assess Mrs. Sweetland prior to treatment initiation
Which is not an acceptable assignment for a PCT working in a facility that cares for a patient
with hepatitis B infection
Caring for HBV+ and susceptible patients at the same time
Your immediate intervention for a patient experience an anaphylactic reaction is
Stop the blood pump and do not return the blood
1
SUCCESS!
,Page 2 of 62
Attention to infection control, proper hand, hygiene, cleaning, and disinfection procedures are
of upmost importance in the dialysis setting. Which of the following statement is true?
MRSA bacteria can survive on surfaces especially plastic and vinyl for days
Over-the-counter medications:
Do not require an order but should be approved by the nephrologist
The patient's face, vascular. Access site and bloodline connections should be visible to staff
member throughout the dialysis treatment. This is:
CMS requirement
Intervention for a patient complaining of chest pain/angina include
Your patience calculated UF goal exceeds the maximum UFR ordered by the nephrologist.
What is the correct response in regards to fluid removal
Why do we measure the pH of the dialysis solution?
To verify it's acid base balance is within the acceptable range
Your patient is complaining of cramps and you have already administered 100 ML saline bolus,
but the patient is still cramping. Which of the following is not an acceptable intervention
Applying a glove filled with hot water
2
SUCCESS!
,Page 3 of 62
What is the correct procedure for drawing a post BUN lab specimen at the completion of the
dialysis treatment
Turn off or decrease to 50 ml/hr, decrease DFR to 300 ml/min or place in bypass, reduce BFR to
100 ml/min, wait 15 seconds and draw the sample from the arterial line
Per Davita policy, prior to each medication, preparation, the medication, preparation, surface
area:
Is to be disinfected with a 1:100 bleach solution or approved disinfectant
How long may a vascular Access clamp stay in place before checking your bleeding has
stopped?
5-10 minutes
Your facility experiences a power outage and you're required to manually rinse back your
patience. What must you do prior to using the handcrank?
Replace the normal saline bag with a full new one to comply with safety requirements.
Your patient complains of pain at the Venus needle site, tingling around the lips and difficulty
breathing. These are signs and symptoms of?
A disinfectant infusion
An opened multidose vial, maybe kept for
28 DAYS
3
SUCCESS!
, Page 4 of 62
Lavender tubes:
Must be inverted a minimum of 8 to 10 times to properly mix in avoiding clotting
To make a 1:10 bleach solution for cleaning gross blood spills you would combine:
1 part bleach with 9 parts water
Mr. howe arrives for his dialysis treatment and tells the PCT he is short of breath and feels
wiped out. The data collection shows the following: current weight: 64 KG target weight: 60
KG BP - 188/122 temperature - 98 Fahrenheit. What action should be taken before initiation
of treatment
Abnormal findings documented and reported to the nurse
Positive finding a patient who has fallen or has witnessed a Patient fall will?
After you initiated, Mr. shoemakers, rinse back, you notice that you forgot to bring a Club for
the patient to wear when holding his needle size. What should you do?
Complete the prince back procedure, then go get the glove
the nephrologist has ordered the use of hemostatic sponges, such as sugar seal for your
patient. What is the correct procedure when using the sponges
Mrs. Jackson complains of shortness of breath. Her pre-dialysis weight is 4.7 KG over the last
post treatment wait. Which of the following should the PCT take first
Inform the nurse assist a patient prior to treatment initiation
4
SUCCESS!
Annual PCT Competency Exam LATEST 2026-2027
ALL 200 QUESTIONS AND CORRECT VERIFIED
ANSWERS JUST RELEASED THIS YEAR
When sodium loading occurs during the dialysis treatment:
It leads to an increase in thirst and larger fluid weight gains with hypertension between
treatments and can contribute to headaches after the treatment
Do you listen to the bruit of the axis, and instead of hearing the typical whoosh with each
heartbeat, you detect a distinctive slam slam sound
This may indicate a stenosis, and should be reported to the nurse
During data collection, Mrs. Sweetland mentions her bowel movements have been looking
quite dark the last two days, and ask if this could be caused by something she ate you:
Inform the nurse to assess Mrs. Sweetland prior to treatment initiation
Which is not an acceptable assignment for a PCT working in a facility that cares for a patient
with hepatitis B infection
Caring for HBV+ and susceptible patients at the same time
Your immediate intervention for a patient experience an anaphylactic reaction is
Stop the blood pump and do not return the blood
1
SUCCESS!
,Page 2 of 62
Attention to infection control, proper hand, hygiene, cleaning, and disinfection procedures are
of upmost importance in the dialysis setting. Which of the following statement is true?
MRSA bacteria can survive on surfaces especially plastic and vinyl for days
Over-the-counter medications:
Do not require an order but should be approved by the nephrologist
The patient's face, vascular. Access site and bloodline connections should be visible to staff
member throughout the dialysis treatment. This is:
CMS requirement
Intervention for a patient complaining of chest pain/angina include
Your patience calculated UF goal exceeds the maximum UFR ordered by the nephrologist.
What is the correct response in regards to fluid removal
Why do we measure the pH of the dialysis solution?
To verify it's acid base balance is within the acceptable range
Your patient is complaining of cramps and you have already administered 100 ML saline bolus,
but the patient is still cramping. Which of the following is not an acceptable intervention
Applying a glove filled with hot water
2
SUCCESS!
,Page 3 of 62
What is the correct procedure for drawing a post BUN lab specimen at the completion of the
dialysis treatment
Turn off or decrease to 50 ml/hr, decrease DFR to 300 ml/min or place in bypass, reduce BFR to
100 ml/min, wait 15 seconds and draw the sample from the arterial line
Per Davita policy, prior to each medication, preparation, the medication, preparation, surface
area:
Is to be disinfected with a 1:100 bleach solution or approved disinfectant
How long may a vascular Access clamp stay in place before checking your bleeding has
stopped?
5-10 minutes
Your facility experiences a power outage and you're required to manually rinse back your
patience. What must you do prior to using the handcrank?
Replace the normal saline bag with a full new one to comply with safety requirements.
Your patient complains of pain at the Venus needle site, tingling around the lips and difficulty
breathing. These are signs and symptoms of?
A disinfectant infusion
An opened multidose vial, maybe kept for
28 DAYS
3
SUCCESS!
, Page 4 of 62
Lavender tubes:
Must be inverted a minimum of 8 to 10 times to properly mix in avoiding clotting
To make a 1:10 bleach solution for cleaning gross blood spills you would combine:
1 part bleach with 9 parts water
Mr. howe arrives for his dialysis treatment and tells the PCT he is short of breath and feels
wiped out. The data collection shows the following: current weight: 64 KG target weight: 60
KG BP - 188/122 temperature - 98 Fahrenheit. What action should be taken before initiation
of treatment
Abnormal findings documented and reported to the nurse
Positive finding a patient who has fallen or has witnessed a Patient fall will?
After you initiated, Mr. shoemakers, rinse back, you notice that you forgot to bring a Club for
the patient to wear when holding his needle size. What should you do?
Complete the prince back procedure, then go get the glove
the nephrologist has ordered the use of hemostatic sponges, such as sugar seal for your
patient. What is the correct procedure when using the sponges
Mrs. Jackson complains of shortness of breath. Her pre-dialysis weight is 4.7 KG over the last
post treatment wait. Which of the following should the PCT take first
Inform the nurse assist a patient prior to treatment initiation
4
SUCCESS!
