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2025 DAVITA FINAL EXAM | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | LATEST, Exams of Nursing

DeVry University-Texas Nursing

2025 DAVITA FINAL EXAM | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | LATEST EXAM | ALREADY GRADED A+

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2024/2025

Available from 03/08/2025

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2025 DAVITA FINAL EXAM | ALL QUESTIONS AND

CORRECT ANSWERS | VERIFIED ANSWERS | LATEST

EXAM | ALREADY GRADED A+

On a survey, a covered access can result in which type of deficiency?

-Standard

-Condition

-Immediate Jeopardy

-No deficiency ---------CORRECT ANSWER-----------------Immediate

jeopardy

If your patient does not receive an intradialytic heparin infusion, what

should be done with the heparin line?

-Knot the line

-Clamp the line

-Clamp and knot the line

-Nothing needs to be done ---------CORRECT ANSWER-----------------Clamp

and knot the line

When is the post treatment data collection & assessment performed?

-Within 5 minutes prior to terminating the treatment

-During rinse back

-After treatment is terminated

-As time permits immediately prior to or right after treatment termination ----

-----CORRECT ANSWER-----------------After treatment is terminated

Documentation in the patient medical record includes all the following

except:

-Your electronic signature, including credentials

-Facts & observations, no opinions

-Patient education & instructions and patient agreement or rejection

Partial preview of the text

Download 2025 DAVITA FINAL EXAM | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | LATEST and more Exams Nursing in PDF only on Docsity!

2025 DAVITA FINAL EXAM | ALL QUESTIONS AND

CORRECT ANSWERS | VERIFIED ANSWERS | LATEST

EXAM | ALREADY GRADED A+

On a survey, a covered access can result in which type of deficiency?

Standard
Condition
Immediate Jeopardy
No deficiency ---------CORRECT ANSWER-----------------Immediate jeopardy If your patient does not receive an intradialytic heparin infusion, what should be done with the heparin line?
Knot the line
Clamp the line
Clamp and knot the line
Nothing needs to be done ---------CORRECT ANSWER-----------------Clamp and knot the line When is the post treatment data collection & assessment performed?
Within 5 minutes prior to terminating the treatment
During rinse back
After treatment is terminated
As time permits immediately prior to or right after treatment termination ---- -----CORRECT ANSWER-----------------After treatment is terminated Documentation in the patient medical record includes all the following except:
Your electronic signature, including credentials
Facts & observations, no opinions
Patient education & instructions and patient agreement or rejection

Vendettas, placing blame on others ---------CORRECT ANSWER------------- ----Vendettas, placing blame on others What would be considered an abnormal post-treatment BP for a patient who can stand?
Systolic > 140 or < 90, Diastolic > 90 or < 50.
Systolic > 180 or < 100, Diastolic > 100 or < 60.
if it didn't improve since pre-treatment ---------CORRECT ANSWER---------- -------Systolic > 140 or < 90, Diastolic > 90 or < 50. What is the most common type of infectious complication in a Hemodialysis patients?
Pyrogenic Reactions
Pneumonia
Urinary Tract Infections
Vascular Access Infection ---------CORRECT ANSWER----------------- Vascular access infection What is the most common factor contributing to Blood Stream Infections (BSI) in Hemodialysis patients?
- Patient touching chairside table during dialysis
The use of Central Venous Catheters (CVCs)
Not using the rope ladder method
Patient not wearing gloves when holding - --------CORRECT ANSWER------ -----------The use of CVCs Which of the following is the unacceptable limit for water endotoxin result per DaVita policy? Less than 1 EU/ml 200 cfu Less than 0.12 EU/ml

When cannulating an arteriovenous fistula (AVF)/arteriovenous graft (AVG), the needle tips should be ---------CORRECT ANSWER----------------- 1 1/2 inch apart Hemodialysis Delivery System: The manual conductivity must match the dialysis delivery system displayed conductivity of +/- 0.4 mS 6.9-7.

5 ---------CORRECT ANSWER-----------------+/- 0.4 mS Hemodialysis Delivery System: The acceptable range for proportioned dialysate pH is? 6 .9-7. +/ - 0.4 mS

0.01 ---------CORRECT ANSWER-----------------6.9-7. Before drawing the post-treatment Blood Urea Nitrogen (BUN) adequacy lab, adjustments to the dialysate flow rate (DFR) must include: 300 - 500ml/per min 150 - 250ml/per min 100 - 200ml/per min 600 - 800ml/per min ---------CORRECT ANSWER----------------- 300 - 500 ml/per min Handwashing at a designated clean sink should be performed for a minimum of: No sweat, you're still learning! 20 seconds

1 minute 30 seconds 10 seconds ---------CORRECT ANSWER-----------------20 seconds Why is a strike through of an external pressure transducer protector of concern

could cause infection
could cause seizures
could cause low BP ---------CORRECT ANSWER-----------------Could cause infections When using an automatic blood pressure cuff in a patient with an irregular heart beat
Pressures would be lower
pressures would be higher
pressures stay the same ---------CORRECT ANSWER----------------- Pressure will be lower What is considered a normal heart rate
60 - 100
12 - 20 80 - 100 40 - 90 ---------CORRECT ANSWER----------------- 60 - 100 bpm Removing to much fluid during treatment may cause
hypertension
fever
hypovolumia
septic ---------CORRECT ANSWER-----------------Hypovolumia

This replaces the excretory function off normalizing electrolytes

epogen
hectorol
acid concentrate
IDPN ---------CORRECT ANSWER-----------------Acids concentrate Ischemic heart disease, arrythmias, myocardial infarction and sudden death can occur as a result of:
First Use Syndrome
Mineral Bone Disorder (MBD)
Left Ventricular Hypertrophy (LVH)
Clotted dialyzer ---------CORRECT ANSWER-----------------Left ventricle hypertrophy What problem will cause an increase in Venous Pressure?
Clotting of the venous drip chamber
- Decreased Blood Flow Rate (BFR)
- Saline Infusion
- Separation of the blood tubing from the venous needle ---------CORRECT ANSWER-----------------Clothing of the venous drop chamber Clamped lines, a kink in the arterial line, clotting, hypotension, and increased BFR would cause:
More negative pre-pump arterial pressure
Less negative pre-pump arterial pressure
More positive venous pressure
Less positive venous pressure ---------CORRECT ANSWER----------------- More negative pre pump arterial pressure

You're assisting a patient into their treatment chair, casual contact:

Requires wearing gloves and HH after
Does not require wearing gloves but HH after
Does not require gloves or HH
We are not permitted to hold their hand ---------CORRECT ANSWER-------- ---------Does not require glove change but HH after When a patient gains more than this percent of their TW in between treatments, it's considered excessive IDWG:
Greater than 10% of TW
Greater than 2% of TW
Greater than 5% of TW
Greater than 7% of TW ---------CORRECT ANSWER-----------------Greater then 5% of TW When should phosphate binders be taken?
Whenever they want
With all meals and snacks
After they eat their meal
Only on dialysis days ---------CORRECT ANSWER-----------------With all meals and snacks Fluid, electrolyte, acid base balance, and waste removal are these:
Excretory
Endocrine ---------CORRECT ANSWER-----------------Excretory When is a pre-treatment assessment by the licensed nurse required?
All new patients
All AKI patients
Abnormal findings on data collection
When it's a state regulation

This is the sign that the topical anesthetic spray is working:

Patient tells you their skin feels numb
The skin frosts
The skin blanches
The skin is reddened ---------CORRECT ANSWER-----------------The blanching of the skin Why is it not necessary to the flip arterial needle? (Flip for a cause not just because)
You should always flip the arterial needle
The arterial needle has a back-eye
Because the venous needle will help pull the blood
Which one is the arterial needle? ---------CORRECT ANSWER----------------
The arterial needle has a back eye These steps are completed for recirculation during treatment interruption, such as a bathroom break:
The saline line remains open and the heparin pump remains on.
The saline line remains clamped and the heparin pump remains on.
The saline line remains open and the heparin line is clamped. --------- CORRECT ANSWER-----------------The saline bag remains open and the heparin pump remains on Why is the patient placed in a supine position (as flat as possible) for CVC care?
This position allows for easier visualization of the CVC site
Decreases blood flow through the CVC and reduces the risk of hemorrhage
Prevents clean barriers from falling off
Increases pressure within the central veins and reduces the risk of air embolism. ---------CORRECT ANSWER-----------------Increases pressure within the central veins and reduces the risk of air embolism.

During CVC care, this is the required length of time to perform the "HUB SCRUB" :

30 seconds
10 seconds
60 seconds
15 seconds ---------CORRECT ANSWER----------------- 15 What is an intervention for muscle cramps?
A glove filled with hot water
Increase the Ultrafiltration Rate
Increase the Blood Flow Rate
Decrease/ turn off the Ultrafiltration Rate ---------CORRECT ANSWER------ -----------Decrease/ turn off the UFR This is an example of DATA Collection:
Lung sounds clear & equal bilaterally
- 3 edema bilateral lower extremities
Bowel sounds present upon auscultation
Bilateral lower extremity edema, RN notified ---------CORRECT ANSWER-----------------Bilateral lower extremity edema, RN notified What is an intervention for a patient experiencing chest pain/angina?
Call physician immediately
Do nothing, continue treatment
Decrease BFR to 150ml/min
Increase UF goal ---------CORRECT ANSWER-----------------Decrease BFR to 150ml/min

Always discontinue immediately and call 911
if the patient doesn't have a seizure history
Patient's hypotension was treated but they're still seizing
There is never a need to stop dialysis ---------CORRECT ANSWER---------- -------Patients hypotension is treated but is still seizing When is alcohol-based hand sanitizer inappropriate for hand hygiene?
Caring for a patient with MRSA
Caring for a patient that has bedbugs
Caring for an active C-Diff patient, or your hands/gloves are visibly soiled.
You can never use hand sanitizer ---------CORRECT ANSWER----------------
Caring for an active C-Diff patient, or your hands/gloves are visibly soiled. It is acceptable for a TM to care for a:
HBAg+ patient at the same time as a patient that has < 10 mlU/mL HBsAb (a susceptible patient)
HB$Ag+ patient at the same time as a patient that has ≥ 10 mIU/mL HBsAb
HBAg+ patient at the same time as a patient with unknown HBsAb status
None of the above ---------CORRECT ANSWER-----------------HB$Ag+ patient at the same time as a patient that has ≥ 10 mIU/mL HBsAb The provider ordered a BFR of 300 for a patient with an AVF. You would expect the order to include:
14 gauge needles
15 gauge needles
16 gauge needles
17 gauge needles ---------CORRECT ANSWER-----------------16 gauge What is the CMS recommended maximum UFR/hr?
15 ml/kg/hr
5 ml/kg/hr

13 ml/kg/hr
There is no recommended maximum ---------CORRECT ANSWER----------- ------13 ml/kg/hr How long does the RO need to run before performing a chlorine/chloramine test?
5 minutes
10 minutes
15 minutes
20 minutes ---------CORRECT ANSWER-----------------15 min When is the daily water hardness test performed?
Once a week
Daily, before the facility opens
Every 4 hours during the treatment day
Daily, at the end of the treatment day ---------CORRECT ANSWER----------- ------Daily, at the end of treatment day At the minimum, how often are water and dialysate cultures for bacteria and endotoxin levels collected?
Quarterly
Weekly
Monthly
Yearly ---------CORRECT ANSWER-----------------Monthly What are a few reasons for a machine conductivity alarm?
Equipment failure, debris in the line, incorrect concentrate preparation
If the pH is in range this is not a problem
Arterial needle fell out
Venous line is kinked ---------CORRECT ANSWER-----------------Equipment failure, debris in the line, incorrect concentrate preparation

What is the definition of Ultrafiltration?

Controlled fluid removal by manipulation of hydrostatic pressure
Fluid moves from lower solute concentration to higher solute concentration.
Particles move from an area of higher solute concentration to an area of lower solute concentration.
Solutes dragged across the semipermeable membrane along with fluid. --- ------CORRECT ANSWER-----------------Controlled fluid removal by manipulation of hydrostatic pressure What is the definition of Convection?
Controlled fluid removal by manipulation of hydrostatic pressure
Fluid moves from lower solute concentration to higher solute concentration.
Particles move from an area of higher solute concentration to an area of lower solute concentration.
Solutes dragged across the semipermeable membrane along with fluid. --- ------CORRECT ANSWER-----------------Solutes dragged across the semipermeable membrane along with fluid What is the definition of Diffusion?
Controlled fluid removal by manipulation of hydrostatic pressure.
Fluid moves from lower solute concentration to higher solute concentration.
Particles move from an area of higher solute concentration to an area of lower solute concentration.
Solutes dragged across the semipermeable membrane along with fluid. --- ------CORRECT ANSWER-----------------Particles move from an area of higher solute concentration to an area of lower solute concentration. What is the definition of Osmosis?
Controlled fluid removal by manipulation of hydrostatic pressure.

Fluid moves from lower solute concentration to higher solute concentration.
Particles move from an area of higher solute concentration to an area of lower solute concentration.
Solutes dragged across the semipermeable membrane along with fluid. --- ------CORRECT ANSWER-----------------Fluid moves from lower solute concentration to higher solute concentrate For an AKI Patient - Why is leaving them "a little wet" post-tx better than them being too dry?
Because they won't complain of cramping
Being wet stimulates the kidneys to make urine
To prevent hypovolemia and hypotension
Being over their TW is not a concern because they're going to recover function. ---------CORRECT ANSWER-----------------To prevent hypovolemia and hypotension What would cause the 'K' (clearance) of the Kt/V formula to be decreased?
An amputation
Staying on treatment for longer than prescribed
Inadequate anticoagulation
Increased BFR ---------CORRECT ANSWER-----------------Inadequate anticoagulation What would influence the 't of the Kt/V formula?
An amputation
Cutting treatment time from prescribed time
Adequate anticoagulation
Increased BFR ---------CORRECT ANSWER-----------------Cutting treatment time from prescribed time What would influence the 'V' of the Kt/V formula?

Avoiding salt overload during the dialysis treatment
Avoiding unnecessary blood loss such as repeat lab draws
Reminding the patient who is eating a snack during dialysis to take their phosphate binder as prescribed ---------CORRECT ANSWER----------------- Reminding the patient who is eating a snack during dialysis to take their phosphate binder as prescribed Which of the following is likely to cause a drop in the patient's albumin (protein status)?
Drinking at least one can of Ensure a day
Taking their prescribed binders with every meal
Dialyzing on the wrong dialysate concentration
Getting a healthcare associated infection (HAI) ---------CORRECT ANSWER-----------------Getting a healthcare associated infection (HAI) When taken with meals, how do phosphate binders work?
They dissolve phosphorus molecules making them easier to dialyze off
They prevent the phosphorus in food from being absorbed
They bind phosphorus to calcium in the blood rendering the phosphorus inactive
They bind phosphorus to the bones preventing it from accumulating in the blood ---------CORRECT ANSWER-----------------They prevent the phosphorus in food from being absorbed Symptoms of hyperkalemia (high potassium) include? Select all that apply:
Extreme muscle weakness
Increased or decreased heart rate, possible dyshythmia
Cardiac arrest
Numbness/tingling in the extremities ---------CORRECT ANSWER------------ -----All

The patient care technician can execute all of the following quality measures except

Inform physician of medication related side effects
Encourage placement of permanent access (AVF/AVG).
Explain to patient the benefit of attending all treatments.
Respond to dialysis related complications. ---------CORRECT ANSWER---- -------------Inform physician of medication related side effects If one of a centers quality indicators shows underperformance, an action plan will be identified to improve performance. Patient Safety and Clinical Outcomes indicators should be considered
Equal to other quality indicators
As low level priority
As medium level priority
As high level priority ---------CORRECT ANSWER-----------------High level priority To assist in survey readiness you should
- Know and follow policies and procedures
Take initiative, attend homerooms, practice interviews, and take accountability
Understand the content included within the Core Survey Manual (ex. V- tags)
All of the above ---------CORRECT ANSWER-----------------All of the above The patient's face, vascular access, blood line, and all connections must be visible during treatment because it:
Provides visibility of patient's condition
Reduces occurrence of blood line - disconnection or needle displacement resulting in blood loss
Avoids an immediate jeopardy survey citation by a CMS surveyor
- All of the above ---------CORRECT ANSWER-----------------All of the above