1. According to the ESRD federal rules and regulations, the role of the physician in a dialysis facility is:
a. To oversee the overall operations of the dialysis facility.
b. To oversee and supervise the total quality of patient care, continuous quality improvement, and
education and competency of the patient care staff.
c. To assure that the finances of the facility is in order.
d. To supervise the ESRD interdisciplinary team. - ANSWER b
2. The role of the nurse (RN) in a dialysis facility is to:
a. Participate in the interdisciplinary team, serve as a primary nurse or case manager for a group of
patients, participate in direct patient care, and supervise LPN's and technicians. Continual education of
his/her primary patients.
b. To do patient care and assist with dialyzer reuse and supervise technicians.
c. To do primary nursing and case management and social services.
d. It is the responsibility of the RN to oversee patient care, but they need not participate in patient care
seeing that the level of RN functioning has increased over the years. - ANSWER a
3. A patient becomes momentarily angry and begins cursing during the dialysis procedure, as a
technician/LPN/LVN your first response is:
a. To tell the patient that you do not have to tolerate their behavior.
b. Run directly to the nurse manager and complain about patient abuse.
c. Remain calm and seek assistance from the supervising nurse.
d. Call 911. - ANSWER c
4. According to the Federal ESRD regulation, the head nurse or nurse manager is responsible for:
a. Coordination and supervision of all patient care staff, serves as director of nursing. Primary
responsibilities are technical operations of the facility.
b. The head nurse or nurse manager works directly under the supervision of the medical director and
has little responsibility for unit operations.
,c. Coordination and supervision of all patient care staff, serves as director of nursing. In some instances,
he/she may be responsible for the financial operation of the facility. In cooperation with the Medical
Director, he/she is responsible to the overall quality of patient care administered at the facility.
d. The nurse manager/head nurse has total responsibility for the operation of the facility. - ANSWER c
5. The administrator of the dialysis facility is responsible for:
a. Overall responsibility of patient care and unit operations.
b. Overall financial management of the facility. Assures that the facility, medical director, physicians and
staff are properly credentialed and that the federal rules and regulations, as well as all state and local
regulations are being followed and adhered to.
c. Testing and certification of all dialysis staffing, supervision of medical records and maintenance of
facility contracts, ie maintains report with vendors.
d. Supervision of the practice of the Nephrologists as well as all clinical staff. - ANSWER b
6. The dietitian of the facility is responsible for:
a. Writing dietary orders and assuring that patient's laboratory values remain within normal limits.
b. Reviewing monthly lab results and counseling patients and their families concerning how they can
maintain and improve their level of wellness by following the physician's dietary orders. Works with
interdisciplinary team and patient to develop plans of care.
c. Advises staff on how they may assists patients in improving their laboratory results.
d. Advises physician on how he/she should write their orders for the benefit of the patient. - ANSWER b
7. The social worker role in the dialysis facility is:
a. To solve psychosocial problems for patients and their families.
b. To work with patients, their families, and the interdisciplinary team to help the patient adjust to End
Stage Renal Disease and to help resolve financial and psychosocial issues the patient might face.
c. To counsel patients during the difficult time of adjustment to dialysis.
d. To provide crisis intervention, only, for End Stage Renal Disease patients and their families. - ANSWER
b
8. The role of the dialysis technician/LPN/LVN varies between two major roles in the dialysis facility.
Those roles are:
, a. To function as an independent practitioner, without supervision.
b. To be restricted to set-up, tear down and cleaning of dialysis equipment.
c. To work in a machine maintenance, dialyzer reuse role or a patient care role under the delegation and
supervision of licensed physicians or registered nurses.
d. To work in machine maintenance, dialyzer reuse role or a patient care role under the delegation and
supervision of the renal administrator. - ANSWER c
9. What are some of the knowledge and abilities that are required of the dialysis technician/LPN/LVN?
a. Patient care technicians should have good general knowledge of renal pathology and physiology.
b. Patient care technicians need not know renal anatomy and physiology.
c. Patient care technicians are only required to know the practical applications of dialysis knowledge.
d. The knowledge of a patient care technician is expected to be on par with that of a registered nurse. -
ANSWER a
10. The national organization(s) that have set established standards of practice for hemodialysis
technicians is (are):
a. The National Association of Nephrology Technologists.
b. The Board of Nephrology Examiners-Nursing and Technology.
c. BONENT, ANNA, and NANT.
d. The American Association of Medical Instrumentation. - ANSWER c
11. A new patient has arrived for his hemodialysis treatment. He has dialyzed several times. Looking in
his chart, you notice that the patient has not signed his hemodialysis consent. Your response to this
situation would be:
a. Initiate hemodialysis, because it is not your job to assure that the patient has a signed consent on file.
b. Take the consent to the patient and ask him to sign it in your presence and then initiate his treatment.
c. Tell the patient that he has been dialyzed illegally and should see his attorney.
d. Inform the nurse in charge that consent has not been signed by the patient. - ANSWER d
12. Patients with End Stage Renal Disease have established rights and responsibilities. A patient arrives
for his dialysis treatment. Upon checking his pre-dialysis weight, you notice that the patient has an
interdialytic water weight gain of 5 Kg. The patient's base weight is 65 Kg. Concerned for the patient,
a. To oversee the overall operations of the dialysis facility.
b. To oversee and supervise the total quality of patient care, continuous quality improvement, and
education and competency of the patient care staff.
c. To assure that the finances of the facility is in order.
d. To supervise the ESRD interdisciplinary team. - ANSWER b
2. The role of the nurse (RN) in a dialysis facility is to:
a. Participate in the interdisciplinary team, serve as a primary nurse or case manager for a group of
patients, participate in direct patient care, and supervise LPN's and technicians. Continual education of
his/her primary patients.
b. To do patient care and assist with dialyzer reuse and supervise technicians.
c. To do primary nursing and case management and social services.
d. It is the responsibility of the RN to oversee patient care, but they need not participate in patient care
seeing that the level of RN functioning has increased over the years. - ANSWER a
3. A patient becomes momentarily angry and begins cursing during the dialysis procedure, as a
technician/LPN/LVN your first response is:
a. To tell the patient that you do not have to tolerate their behavior.
b. Run directly to the nurse manager and complain about patient abuse.
c. Remain calm and seek assistance from the supervising nurse.
d. Call 911. - ANSWER c
4. According to the Federal ESRD regulation, the head nurse or nurse manager is responsible for:
a. Coordination and supervision of all patient care staff, serves as director of nursing. Primary
responsibilities are technical operations of the facility.
b. The head nurse or nurse manager works directly under the supervision of the medical director and
has little responsibility for unit operations.
,c. Coordination and supervision of all patient care staff, serves as director of nursing. In some instances,
he/she may be responsible for the financial operation of the facility. In cooperation with the Medical
Director, he/she is responsible to the overall quality of patient care administered at the facility.
d. The nurse manager/head nurse has total responsibility for the operation of the facility. - ANSWER c
5. The administrator of the dialysis facility is responsible for:
a. Overall responsibility of patient care and unit operations.
b. Overall financial management of the facility. Assures that the facility, medical director, physicians and
staff are properly credentialed and that the federal rules and regulations, as well as all state and local
regulations are being followed and adhered to.
c. Testing and certification of all dialysis staffing, supervision of medical records and maintenance of
facility contracts, ie maintains report with vendors.
d. Supervision of the practice of the Nephrologists as well as all clinical staff. - ANSWER b
6. The dietitian of the facility is responsible for:
a. Writing dietary orders and assuring that patient's laboratory values remain within normal limits.
b. Reviewing monthly lab results and counseling patients and their families concerning how they can
maintain and improve their level of wellness by following the physician's dietary orders. Works with
interdisciplinary team and patient to develop plans of care.
c. Advises staff on how they may assists patients in improving their laboratory results.
d. Advises physician on how he/she should write their orders for the benefit of the patient. - ANSWER b
7. The social worker role in the dialysis facility is:
a. To solve psychosocial problems for patients and their families.
b. To work with patients, their families, and the interdisciplinary team to help the patient adjust to End
Stage Renal Disease and to help resolve financial and psychosocial issues the patient might face.
c. To counsel patients during the difficult time of adjustment to dialysis.
d. To provide crisis intervention, only, for End Stage Renal Disease patients and their families. - ANSWER
b
8. The role of the dialysis technician/LPN/LVN varies between two major roles in the dialysis facility.
Those roles are:
, a. To function as an independent practitioner, without supervision.
b. To be restricted to set-up, tear down and cleaning of dialysis equipment.
c. To work in a machine maintenance, dialyzer reuse role or a patient care role under the delegation and
supervision of licensed physicians or registered nurses.
d. To work in machine maintenance, dialyzer reuse role or a patient care role under the delegation and
supervision of the renal administrator. - ANSWER c
9. What are some of the knowledge and abilities that are required of the dialysis technician/LPN/LVN?
a. Patient care technicians should have good general knowledge of renal pathology and physiology.
b. Patient care technicians need not know renal anatomy and physiology.
c. Patient care technicians are only required to know the practical applications of dialysis knowledge.
d. The knowledge of a patient care technician is expected to be on par with that of a registered nurse. -
ANSWER a
10. The national organization(s) that have set established standards of practice for hemodialysis
technicians is (are):
a. The National Association of Nephrology Technologists.
b. The Board of Nephrology Examiners-Nursing and Technology.
c. BONENT, ANNA, and NANT.
d. The American Association of Medical Instrumentation. - ANSWER c
11. A new patient has arrived for his hemodialysis treatment. He has dialyzed several times. Looking in
his chart, you notice that the patient has not signed his hemodialysis consent. Your response to this
situation would be:
a. Initiate hemodialysis, because it is not your job to assure that the patient has a signed consent on file.
b. Take the consent to the patient and ask him to sign it in your presence and then initiate his treatment.
c. Tell the patient that he has been dialyzed illegally and should see his attorney.
d. Inform the nurse in charge that consent has not been signed by the patient. - ANSWER d
12. Patients with End Stage Renal Disease have established rights and responsibilities. A patient arrives
for his dialysis treatment. Upon checking his pre-dialysis weight, you notice that the patient has an
interdialytic water weight gain of 5 Kg. The patient's base weight is 65 Kg. Concerned for the patient,
