Fresenius PCT Practice Test Questions and Answers Graded A+

Fresenius PCT Practice Test Questions and Answers Graded A+ Which of the following would keep KECN values stable during treatment: a. missed heparin dose b. BFR set as prescribed c. clotting in dialyzer d. poor art ...

Fresenius PCT Practice Test Questions and Answers Graded A+ Which of the following would keep KECN values stable during treatment: a. missed heparin dose b. BFR set as prescribed c. clotting in dialyzer d. poor arterial flow from the access ✔✔BFR set as prescribed What should you do with a sharps container in the event of a flood? ✔✔lock, seal and place them in a bio-hazard storage room What type of access has the lowest complication rate? ✔✔fistula What must you do when using the emergency hand crank during a power outage? ✔✔check to ensure 300 mLs of normal saline is in the bag What term is used to define a failure to follow established procedure, treatment prescription, or an event that causes patient injury or death? ✔✔adverse event What does a near miss do? ✔✔Helps identify a risk to patient safety and reduce the risk of patient injury. A patient begins to experience faintness, double vision and clammy hands. What is the cause? ✔✔hypotension What is the path of the urine flow through the urinary tract? ✔✔Urine flows from the kidneys to the ureters to the bladder to the urethra. What is Fresenius Medical Care's goal for spkt/v? ✔✔1.4 Which of the following is correct about KECN testing? 1. Sodium is used to estimate clearance of urea 2. The result of an OLC is know as KECN with accepted rate of 300-400 3. OLC tests are treated are 8 times per treatment 4. OLC are used to project serum levels ✔✔Sodium is used to estimate clearance of urea Which is the following is true about dialysate? 1. It contains chlorine 2. It is ultrapure 3. It is sterile 4. It contains urea ✔✔It is ultrapure What does a yellow AMP light indicate? ✔✔Projected spkt/v is less than 1.4 Which of the following is true about Ultra Low Total Chlorine Testing? ✔✔the sample cup must be rinsed three times What is the limit for Total Chlorine? ✔✔< 0.1 ppm (parts per million) What PPE should you wear when disinfecting a dialysis station or cleaning a blood spill? ✔✔gloves, gown and face shield You should check both arms for a fistula or graft before taking what vital sign? ✔✔blood pressure When should you replace the venous line during treatment? a. If the arterial pressure goes to - 250 b. If a large clot is seen in the venous line c. Should never be replaced during treatment d. Venous pressure is half the BFR ✔✔If a large clot is seen in the venous line Which should be reported to the RN? ✔✔BP 165/102 Where in the circuit should you look to determine what the cause of an venous alarm? a. the dialyzer b. the venous chamber to the venous needle c. blood pump only d. from the arterial needle to the blood bump ✔✔the venous chamber to the venous needle After treatment, a patient's blood pressure has dropped from 135/90 to 94/68. What should you do? ✔✔notify RN What must you do when leaving a dirty area and going to a clean area and get supplies? ✔✔remove gloves and perform hand hygiene What is the safe range when testing for dialysate pH? ✔✔6.9 - 7.6 Dialysate with high conductivity will cause ______. Dialysate with low conductivity will cause _______. ✔✔crenation, hemolysis When is hand santizer okay to be used? ✔✔after leaving patient station Where must hepatitis B positive patient be dialyzed? ✔✔isolation room Where should be dialyze a hep B susceptible patient? ✔✔Outside the buffer zone AWAY from the isolation room What concentration of bleach should be used to clean a blood spill to clean a blood spill greater than 10 mL. ✔✔1:10 Which of the following statements is correct about clamps? a. clamps must be soaked in 1:100 bleach solution for 20 minutes b. clamps can be used for 30 minutes at a time c. clamps do not require a doctor's order d. two clamps can be used if a patient cannot hold both sites ✔✔clamps must be soaked in 1:100 bleach solution for 20 minutes What is the function of dialysis? ✔✔remove excess fluid and waste removal You must apply a tourniquet before cannulating which type of access? ✔✔fistula What is the number one cause of chronic kidney disease? ✔✔diabetes What is the term used for pre-treatment weight minus estimated dry weight? ✔✔AW (available weight) Arterial pressure should be no more than what? ✔✔- 250 Kinks in the blood line, a high dialysate temperature and low conductivity dialysate can cause which complication? ✔✔hemolysis If the needle infiltrates, what should do first? ✔✔stop the blood pump Which machine alarms does not stop the blood pump? ✔✔conductivity Which of the following occurs when the machine goes into bypass? a. blood pump stops b. RTD clock stops c. cleaning continues d. UF clock stops ✔✔RTD clock stops Which of the following could cause air to enter the blood lines and dialyzer? a. saline line double clamped b. clots in venous chamber c. tight connection between needles and bloodlines d. low arterial chamber level ✔✔low arterial chamber level What is defined of a measurement of how well a solution is able to carry an electrical charge? ✔✔conductivity Which of the following is incorrect about re-infusing blood during treatment termination: a. arterial blood is returned before venous blood b. staff members can leave the patient's chair side if the patient is alert c. the blood bump should be set at 150 to 200 during re-infusion d. if the saline bag empties it could cause an air embolism ✔✔staff members can leave the patient's chair side if the patient is alert What do you use to prime the circuit? ✔✔normal saline Air in the dialyzer will cause what? ✔✔clotting How much saline should be in the bag at ALL times? ✔✔300 mL Which of the following statements about the fistula needle safety is correct? a. if a safety device is used, the needle does not have to go in a sharps container b. the use of safety on needles is optional c. safety devices should be engaged as needle is being removed d. safety device should be engaged AFTER the needle has been removed ✔✔safety devices should be engaged as needle is being removed Why is a BUN taken pre and post treatment? ✔✔to evaluate the efficacy patient's treatment What should you do first when drawing a post BUN? ✔✔turn UF rate and DFR off During treatment, transducer protectors must be kept _____ and ________. ✔✔dry, unclamped Which of the following is true about sharps containers? a. they do not require a lid b. unused needles do not have to be placed in a sharps container c. they can be shaken to condense content d. they should be emptied when they are 2/3 to 3/4 full ✔✔they should be emptied when they are 2/3 to 3/4 full Which vascular access needle can be placed WITH the flow of blood? a. venous needle only b. both arterial and venous needle c. neither arterial or venous d. arterial needle only ✔✔both arterial and venous needle What do you use to prime the circuit with? ✔✔normal saline What is the safe range of pH for dialysate? ✔✔6.9 - 7.6 Which of the following is included in Fresenius Medical Care's mission statement? a. developing the best dialysis products b. increasing financial stability of the company c. adopting the practices of other successful medical facilities d. improving the quality of life of patients ✔✔improving the quality of life of patients Calculate the target weight for a patient with the following pre-treatment information: EDW: 75.5 kg Pre-treatment weight: 77.0 kg Prime: 500 mL ✔✔77.0 kg - 75.5 kg = 1.5 + .5 = 2 Which of the following is correct regarding machine disinfection: a. heat disinfection is completed weekly b. acid disinfection is completed daily c. bleach disinfection is completed daily d. heat disinfection is completed bi-weekly ✔✔acid disinfection is completed daily Which vascular access needle can be placed against the flow of blood? ✔✔arterial needle