annually ANSWER- AAMI Chemical Analysis of water used for hemodialysis is tested
Clean the machine surface immediately ANSWER- A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis
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annually ANSWER- AAMI Chemical Analysis of water used for hemodialysis is tested
Clean the machine surface immediately ANSWER- A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis machine. Which of these actions should the dialysis technician take?
About one ounce (30 ml) fluid is on the floor ANSWER- A dialysis technician observes all of the below on the treatment floor, which one poses an environment risk?
An artery to a vein ANSWER- A fistula connects
Vitamin B12 ANSWER- A marker used to determine the middle molecule clearance of a dialyzer is
Cations and anions ANSWER- A mixed- bed DI tank contains
A glomerulus and a tubule system ANSWER- A nephron is made up of
An infiltration ANSWER- A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect
Dialysis Disequilibrium Syndrome ANSWER- A patient who is to receive their first dialysis treatment is prone to?
bananas ANSWER- A patient tells the technician that the dietician reviewed high potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium?
It's a new Federal regulation ANSWER- A reason why a dialysis technician is to be certified is
Clotting of extracorporeal circuit ANSWER- A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of
Never document something that someone else did ANSWER- A teammate asks you to document the normal saline he just gave to Mr. Smith. You would:
May rupture and cause the patient to bleed profusely ANSWER- A true aneurysm can be dangerous because it
Was the predialysis sample drawn from the venous port? ANSWER- A patient's laboratory results indicate that the predialysis BUN level was lower than the post dialysis BUN level. When interpreting these findings the technician should seek the answer to which of these questions?
Tachycardia ANSWER- A rapid pulse of 104 beats/minute would indicate that the patient has:
500 ANSWER- A patient's dry weight is 154.0 (70kg) and the patient's pre treatment weight is 158.4. (72kg). For a four- hour treatment, how many mL/ hour must the patient lose to reach dry weight?
200 CFU/mL ANSWER- AAMI standards for the total microbial count of dialysate shall not exceed:
3-5% of EDW ANSWER- Acceptable interdialytic weight gains are
Less than two (2) EU/mL ANSWER- According to AAMI the standard level for endotoxins levels is
4/15/2010 ANSWER- According to the new Conditions for Coverage, all dialysis technicians are to be certified by a national certifying agency or state specific certification by:
Nutritional ANSWER- Albumin is an important test that tells about the patient's
Vitamin B12 ANSWER- All of the following are phosphate binders except:
numbness and tingling ANSWER- All of the following may be signs and symptoms of an infected access except:
The absence of disease producing organisms ANSWER- Asepsis is defined as
1,385 mL/hr ANSWER- Based on Mrs Smith's total amount of fluid to be removed, what is the ultrafiltration rate per hour (mL/hr) for her 4 hour treatment?
Discard the needle ANSWER- Before a hemodialysis treatment, the technician removes the cap from the fistula needle and accidentally touches the chair with the tip of the needle. Which of these actions should the technician take first?
Hemolysis ANSWER- Dialysate that is too hot will cause
Weight at which the patient has no edema or fluid in the lungs and BP is normal ANSWER- Dry weight is defined as the
Disconnection of the bloodline ANSWER- During a hemodialysis treatment the technician responds to a low venous pressure alarm. The most likely cause for this alarm is:
Blood ANSWER- Biohazardous waste includes any material exposed to:
Diffusion ANSWER- Decreasing the patient's prescribed blood flow rate affects the rate of
Stop the pump ANSWER- During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first?
Between 7.0 and 7.4 ANSWER- Dialysate pH should be:
Clamp the venous line ANSWER- During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drop chamber. The immediate action of the dialysis technician should be to:
How have you been since your last dialysis treatment? ANSWER- During predialysis data collection, it would be best for the technician to ask the patient which of these questions?
Take the patient's temperature ANSWER- During the hemodialysis treatment, a patient complains of feeling chilled. In addition to getting the patient a blanket, which of these actions should the technician take?
Notify the equipment technician ANSWER- During the set up of a hemodialysis machine, the alarm test for conductivity fails. Which of these actions should the dialysis technician take?
Indicators of the adequacy of the renal replacement therapy ANSWER- ESRD specific tests such as BUN, Creatinine, and URR are
Ultrafiltration ANSWER- Excess fluid is forced out of the blood and into the dialysate during dialysis by which principle
Percent rejection ANSWER- Feed conductivity- product conductivity divided by x 100 is the formula calculation of
The ultrafiltration rate ANSWER- Fluid to be removed divided by the treatment time tells us
Inadequate dialyzer priming ANSWER- Germicide rebound occurs due to:
Anaphylaxis (severe allergic reaction) ANSWER- Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of:
Cardiac arrest ANSWER- Hyperkalemia can lead to
Hemoglobin ANSWER- If the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum level of:
Check dialyzer for total cell volume ANSWER- In reuse, the blood path integrity is tested to
Subcutaneous ANSWER- Lidocaine is administered
Higher hospitalization and death rates ANSWER- Low albumin levels in the dialysis patient have been linked with:
Digoxin ANSWER- Medications that dialyze easily are all except
Psychomotor ANSWER- Mr. Jones demonstrates how to wash his aces. This is an example of which adult learning principle?
Milk of Magnesia ANSWER- Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr Jones should avoid which medication?
Cognitive ANSWER- Mr. Roberts verbalized how to hand crank his blood pump in the event of an emergency. This is an example of which adult principle?
Notify the nurse of the need for an assessment ANSWER- Mrs. Smith arrives for dialysis treatment complaining of shortness of breath. Her pre dialysis weight is 4.7 kilograms above the last post treatment weight. The dialysis technician reweighed and verified the weight. Which of the actions should the dialysis technician take next?
5,540 mL ANSWER- Mrs Smith dry weight is 62 kg. Her pretreatment weight when she came in for treatment on Monday was 67 kg. The priming saline amount is 240 mL, the rinseback amount is 200mL, fluid from medication is 100 mL, and she is not allowed any fluids during treatment. What is the total amount of fluid weight to be removed during her treatment?
Trendelenburg position on left side ANSWER- Ms Foster complains of shortness of breath. While calling for the nurse the dialysis technician notices there is air in the extracorporeal circuit she/he should place Ms Foster in:
Air ANSWER- One reason that normal saline is used to rinse and prime the extracorporeal circuit prior to treatment is to remove:
7.0-7.25 ANSWER- Normal body pH is
Time to mature ANSWER- One disadvantage of a fistula is an increase in
Poor rotation of sites ANSWER- One cause of aneurysms and pseudoaneurysms is
Blood pump has stopped ANSWER- The air detector alarms during treatment. If the machine is working properly, the dialysis technician should expect which of these events to have occurred?
Sterilant infusion ANSWER- Pain at the venous needle site, along with respiratory difficulty and chest pain could be an indicator of:
Hypertension ANSWER- One sign and symptom of fluid overload is
Hypo-osmole ANSWER- Solutions that have a higher similarity than body fluids are called?
Numbness and tingling ANSWER- Symptoms of hyperkalemia (high potassium) may include
Before treatment, after treatment, and after giving heparin ANSWER- The accuracy of lab results depends on adherence to proper lab draw technique. You must ensure that labs are drawn:
Dialysis Disequilibrium Syndrome ANSWER- Short frequent hemodialysis treatments in patient's with high BUN (blood Urea Nitrogen) are performed to prevent:
An infection ANSWER- Prior cannulation a technician notices the skin over the patient's fistula is reddened and warm to touch. These symptoms are most likely due to:
Epogen ANSWER- A medication used to treat anemia is
Teammate ANSWER- The most important monitor in the dialysis setting is:
Infection ANSWER- The most frequent cause of death in the first year post transplant is:
12-20 breaths per min ANSWER- The normal range of resting respirations in an adult is
Diabetes ANSWER- The leading cause of chronic kidney disease for adults in the United States:
24 hours ANSWER- The minimum dwell time to achieve sterilization with the chemical Renalin is
Cleansing of the hands ANSWER- The most important intervention to prevent the spread of infection is
Osmosis ANSWER- The movement of fluid from the tissue towards a higher concentration of sodium in the blood is an example of
Nephron ANSWER- The functional unit of the kidney, or the structure in the kidney that does the work, is the
Listening with a stethoscope ANSWER- The bruit in a Av fistula or graft is detected by
Temperature and transmembrane pressure ANSWER- The hemodialysis machine continuously monitors many parameters. Which of these parameters must be verified by an external measuring device?
65% ANSWER- The National standard, based on the KDOQI (kidney Disease Outcomes Quality Initiative) guidelines, for the Urea Reduction Rate (URR) is a ratio greater than:
Peritonitis ANSWER- The most common complication in Peritoneal dialysis is:
Patient ANSWER- The most important member of the patient care team is the
Zemplar ANSWER- The medication used to improve calcium absorption is:
6 months ANSWER- The minimum amount of experience required to take the NNCC certifying exam is:
1.0 to 1.5 liters per day ANSWER- The usual fluid allowance for a person with kidney failure is
AAMI ANSWER- The organization that sets the standards for dialysis water quality is called
Performance of the dialyzer ANSWER- Total cell volume (TCV) is an indirect measure of the:
Before each patient shift or every four hours ANSWER- Total chlorine levels in the water are tested
Increase the rate of waste removal ANSWER- The purpose of using counter-current flow is to
Osmosis ANSWER- Water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by which principle
Operates on the principle of ion exchange ANSWER- The water softener
80% ANSWER- The TCV should be no less than
Edema and shortness of breath ANSWER- What are the typical signs of fluid overload
A thrill ANSWER- To determine the latency of an arteriovenous vascular access, the dialysis technician should initially feel for the presence of
Transmembrane pressure ANSWER- Ultrafiltration is influenced by
Diffusion ANSWER- Waste products are removed during dialysis by which principle
Calcium and magnesium ANSWER- The water softener removes
Residual Sterilant ANSWER- The reprocessed dialyzer is carefully rinsed prior to patient use to remove
Endotoxin ANSWER- The part of the cell wall of bacteria that, when released, can cause fever in hemodialysis patient's is:
Should point in the direction of the blood flow ANSWER- The venous needle in an AV fistula
Transmembrane pressure ANSWER- The total pressure that exists across the dialyzer membrane is called
Aluminum ANSWER- The substance that may be added to the municipal drinking water to make it clearer is:
Kt/V ANSWER- Which of the following is the most accurate measure of dialysis adequacy?
Bicarbonate ANSWER- Which of the following component in dialysate is used to correct metabolic acidosis?
Kinking of the venous blood line ANSWER- Which of the following is most likely to cause a high venous pressure alarm?
Hemoglobin/Hematocrit ANSWER- What lab tests are used to monitor anemia in the ESRD patient?
Cognitive ANSWER- Which learning domain is knowledge based?
Cranberry juice colored blood in the venous line ANSWER- Which of the following is the classic sign of hemolysis?
Ice Cream ANSWER- Which food below is highest in phosphorus?
O.9% normal saline ANSWER- When fluid replacement is necessary during the hemodialysis treatment, which of the following solutions is used?
Elevated hematocrit ANSWER- Which of the following is not a symptom of uremia?
Removing too much fluid ANSWER- Which of the following is a cause of hypotension during and after dialysis treatments?
Dialysis quality water ANSWER- Which of the following is considered to be safe water for dialysis?
18 gauge ANSWER- Which of the following is the largest needle?
Using a bath that will provide a greater concentration gradient ANSWER- Which of the following actions would increase diffusion during dialysis?
Urea ANSWER- Which of the following diffuses from the patient's blood during dialysis?
Handwashing ANSWER- What is the most important activity that the dialysis technician can perform to prevent the spread of infectious disease in the dialysis clinic?
2.0 inches apart ANSWER- When cannulating. The tips of the needles should be at least
Hypotension and cramping ANSWER- Which of the following symptoms would indicate a need to increase the estimated dry weight (EDW)?
2.0 ANSWER- Your patient is to receive 2000 units of heparin. The vial you are using is 1000 u/ml heparin. How many mls will you draw up for this patient?
An arteriovenous fistula ANSWER- Which of these types of vascular accesses has the fewest complications?
Tighten all connections ANSWER- Which of the following is used to prevent air in the bloodlines?
AAMI ANSWER- Which organization set the standards and recommendations for dialyzer reprocessing?
Venous needle is against the wall of the vessel ANSWER- Which of the follow
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