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BONENT Review Exam VERIFIED QUESTIONS AND CORRECT
ANSWERS 2025.
When the hemodialysis machine detects a blood leak, there will be an audio and visual alarm and the A. blood pump will stop. B. air detector will alarm C. machine will go into bipass D. conductivity alarm will occur - Correct Answer>>A Management of pericarditis might include all of the following EXPECT? A. Controlled heparinization during dialysis. B. Agressive blood pressure control. C. Increased frequency of dialysis. D. Use of anti-inflammatory drugs. - Correct Answer>>B A patient telephones the dialysis unit to complain of shortness of breath. The technician is concerned because she realizes thst this symptom is indicative of? A. Cardiac problems B. Disequilibrium syndrome C. Fluid overload D. High serum potassium - Correct Answer>>C Which of the following organizations is primarily concerned with providing the dialysis unit staff with educational opportunities for continued professional growth and development? A. Council of nephrology nurses and technicians (CNNT) of the national kidney foundation.
B. American society of artifical internal organs (ASAIO) C. American kidney fund. (AKF) D. American society if nephrology (ASN) - Correct Answer>>A Which of the following is NOT essential to the successful completion of a research project? A. Review of the literature in the problem area B. Publication of results C problem of definition D. Obtaining permission of the unit manager and the study subject. - Correct Answer>>B Which of the following statements concerning feedback is INCORRECT? A. It should be given as soon after job performance as possible B. It is ineffective when negative C. Is should be specific, description, and clear. D. Is should be given when requested - Correct Answer>>B When a pyrogenic reaction occurs, the water treatment system should be cultured for A. Viruses B. Gram- negative bacteria C. Spores D gram- positive bacteria - Correct Answer>>B In the event of a natural diaster ( earthquake, fire, flood) the primary responsibility of the technicians in the dialysis setting Is the protection of the? A. Dialysis staff
B. Shut off all utilities C. Extinguish the fire D. Pull the fire alarm - Correct Answer>>A Which of the following had the greatest impact in the efficiency and safety of a hemodialysis treatment? A. Adequate professional supervision and ancillary personnel. B. Adequate personnel ratios, good supervision, and up to date equipment. C. educsted and motivated staff and properly maintained equipment. D. Automated modular systems with factory set limitations which can decrease operator error. - Correct Answer>>C Homeostasis can best be defined as? A the steady state of internal environment B. A holistic approach in medicine C. A balance between nature and man D. The state of physical and psychological well being - Correct Answer>>A Decreased glomerular filtration rate of the kidney may be due all of the following EXCEPT? A. Shock B. Dehydration C. Fluid overload D. Cardiac decomposition - Correct Answer>>C
Hemolysis of red blood cells will occur if which of the following types of dialyzing fluids is delivered to the dialyzer? A. Hypertonic B. Hypothermic C hyperthermic D. Hypoglycemic - Correct Answer>>C The dose of heparin required to achieve anticoagulation varies widely among patients. In general however the goal of anticoagulation in dialysis is to maintain the degree of anticoagulation at? A. Normal baseline clotting studies B. 1.5-2 times baseline clotting studies C. Five times baseline clotting studies D. Ten times baseline clotting studies - Correct Answer>>B The normal kidneys compensate for fluid loss by retaining which of the following? A sodium and water B. Urea and creatinine C. Chloride and bicarbonate D. Creatinine and potassium - Correct Answer>>A The primary reason for anemia in chronic renal failure is? A. Platelet dysfunction B. Increased bleeding tendencies C. Loss of blood during hemodialysis D. Decreased erythropoietin production - Correct Answer>>D Performance of creatine clearance test requires?
C. Offer patients exercise while in hemodialysis D. Regulate instill action and drainage of the dialysis solution - Correct Answer>>D The best way to define the term anastomosis is? A. Surgical connection B. Ballooning or bulging of a weak spot in a blood vessel C. Opening of a narrowed blood vessel using a catheter and balloon D. Same site cannulation - Correct Answer>>A In the expression kt/v the "k" dtsnd for? A. Kidney B. Kinetic modeling C. Serum potassium D. Urea clearance of the dialyzer - Correct Answer>>D A patients venous needle falls out. The first thing the technician would do is A. Notify the charge nurse B. Clamp the venous line, reinsert needle and restart treatment. C. Turn off blood pump, Clamp venous line, and put pressure on the puncture site. D. Assess the patients blood loss and notify the physician - Correct Answer>>C All of the are potential problems associated with the use of bicarbonate dialysate EXCEPT?
A. Increased risk of bacterial growth B. Dangerous electrolyte concentrations due to concentrate mix up C. Precipitation of calcium and magnesium in the delivery system D. Carbon dioxide levels in the bicarbonate dialysate becoming dangerously high - Correct Answer>>D A patient who has gone on high-efficiency dialysis now dialyzes for 3 hours per session instead of 4. Which of the following findings would indicate that the current prescription is inadequate? A. an increased sense of well-being, a kt/v value less < or equal to 1.1 a midweek bun value < or equal to 75 blood pressure= 128/84 mm Hg, and a PCR value of 1.0. ' B. a decrease in the midweek BUN value from 85 to 70 decreased incidence of cramps, and a decreased estimated dry weight. C. a lean weight gain of 2.0 kg absense of edema, blood pressure 238/70mm Hg and a calculated PCR value of 0.75. D. A kt/v value = 0.8 routine Qb = 400 cc/mm absense of edema and increased hematocrit value. - Correct Answer>>D. The role of the renal dietician is best described as? A. preparing list of food patients need to avoid.
All of the following are relevant factors in ensuring the accuracy of the activated clotting line ACT EXCEPT for? A. Temperature of the ACT tube B. Patients hematocrit value C. volume of blood in the ACT tube. D. prompt admixing of blood and clotting reagent - Correct Answer>>B For which of the following purposes is mannitol used? A. to support blood pressure by expanding volume.] B. to decrease clotting C. to relieve symptoms of restlessness in the elderly D. to relieve muscle cramps - Correct Answer>>A To minimize risk of injury to improper dialysate, one step which must be taken by each facility using bicarbonate dialysis is to? A. rely on pH monitors on delivery systems to assure proper concentrate/hookups B. use large jugs, then conserve dialysate by pouring half empty jugs together. C. Use key coded and/or color coded systems for concentrate containers and concentrate uptake lines D. Mix powdered bicarbonate the night before treaments to avoid early morning confusion. - Correct Answer>>C The technician is setting up a dialyzer. The test for a residual sterilant is positive after 500 cc normal saline has been infused by recirculation. The technician should find this as? A. normal nothing needs to be done.
B. abnormal the test should be repeated with a fresh test strip C. abnormal the dialyzer should be discarded D. abnormal rinsing and retesting should be continued per protocol. - Correct Answer>>D Which subclavian catheters poor blood flow can be caused by all of the following EXCEPT? A. vascular spasms B. an incorrect cannula lumen size C. blood pump set higher then 150 ml/mm D. incorrect placement of the cannula within the host vessel - Correct Answer>>C The procedure most likely ordered after placement of a subclavian catheter is? A. Chest X-ray to verify catheter placement B. CAT scan to rule out pulmonary embolism. C. Echocardiogram to verify catheter placement. D. Pulmonary scan to assess degrees of recirculation in the new access. - Correct Answer>>A Complcations associated with arteriovenous fistula for hemodialysis access included which of the following? A. infections, aneurysm, hypovolemia, hypoxia B. stenosis, thrombosis, hypovolemia, hypoxia C. Thrombosis, infection, stenosis, arterial steal syndrome D. Arterial steal syndrome, infection, epistaxis, hyperkalemia. - Correct Answer>>C
A. hyperglycemia B. hypoglycemia C. weight loss D. hypocalcemia - Correct Answer>>A Two and one half hours into a hemodialysis treatment, a patient experiences a drop in his blood pressure. Which of the following is the least common cause if hypotension during dialysis A. Excessive fluid removal B. an unstable cardiovascular system C. increased dietary intake of sodium D. taking amithypertensive medication shortly before treatment. - Correct Answer>>C An often overlooked patient monitoring technique is A. using continuous weight monitoring devises B. observing the patient for yawning, warmth, and restlessness C. asking a family member to sit with the patient D. inserting Swan-ganz catheters easily into the venous trap. - Correct Answer>>B which of the following laboratory findings is NOT affected by dietary intake and is used as an indicator of renal failure A. sodium level B. potassium level C. creatinine level
D. blood urea nitrogen value - Correct Answer>>C Clotting of vascular access is sometimes treated with thrombolytic agents or systemic anticoagulants. Nurses and technicians administering hemodialysis treatments to patients treated with such agents need to be aware of which of the following potential complications A. shock B. sepsis C. arrhythmia D. hemorrhage - Correct Answer>>D Uremic pericarditis presents as A. Bounding pulses, Hyperkalemia, and uremia B. Pulmonary emboli, Hypokalemia, and uremia C. decreased cardiac size and hypertension D. dyspnea, chest pain, pericardial friction rub, and uremia - Correct Answer>>D The most effective treatment for muscle cramping during dialysis treatment is to inject a bolus of A. hypertonic saline into the injection port on the venous blood line. B. hypertonic saline into the blood line through the arterial injection port. C. dextrose 26% into the bloodline through the venous injection port
C. he designed and applied the first clinically successful artificial kidney D. he first described uremia and did fundamental studies on nutrition in renal disease - Correct Answer>>C The best way to establish hemostasis after dialysis is to apply? A. moderate pressure over the puncture site B. a pressure dressing for 30 minutes C. enough pressure to occlude the vessel D. firm pressure proximal to the puncture site - Correct Answer>>A The BEST way to ensure that the technicians documentation on the patients flow sheet is complete and accurate is to A. chart as soon as possible B. document promptly at the end of the shift C. keep notes at the patients bedside and chat them at the end of the patients treatment D. make notes throughout the day on worksheets then refer to them when documenting at the end of the shift - Correct Answer>>A according to federal law, the reused dialyzer MUST be labeled with the? A. patients name, the number of previous uses, and the date of the last reprocessing B. patients name, ultrafiltration coefficient, and the patients social security number
C. patients name, social security number and diagnosis D. patients social security number, pressure test results and blood type - Correct Answer>>A AAMI standard call for a test to be performed to verify dialyzer performance? A. once weekly B. after five reuses C. for every dialyzer processed D. at regular intervals determined by the facility - Correct Answer>>C Chloramines are MOST EFFECTIVELY removed by which of the following components of eater treatment system? A. ionization B. Ultrafiltration C. activated carbon D. reverse osmosis - Correct Answer>>C According to federal law regarding the handling of concentrated toxic substances associated with dialyzer reuse, which of the following items of personal protective wear should be used? A. gloves, aprons, and respiration (when appropriate) B. eye shield, show covers, and aprons C. whatever the worker considers appropriate D. gloves ,eye shields, respirators, ( when appropriate) and impervious aprons - Correct Answer>>D
Which of the following organizations is primarily concerned with testing the competency of dialysis nurses and technicians in their chosen specialty? A. american kidney fund B. american society of artificial internal organs C. board of nephrology examiners nursing and technology (BONENT) D. counsil of nephrology nurses and technicians (CNNT) of the national kidney foundation - Correct Answer>>C Key steps in the research process include all of the following EXCEPT? A. analyzing data B. identifying the problem C. developing the study design D. eliminating unusual variation - Correct Answer>>B The best method of disinfecting dialysis machines to prevent heavy bacterial growth and buildup in the blood detector, pressure reducer and blood pump is to? A. heat to 80 degrees for 60 minutes B. rinse the unit 30-60 minutes C. use ultraviolet irradiation for 30-60 minutes D. use proper concentrations of disinfecting agents over recommended periods of time - Correct Answer>>D Which of the following recommended by the centers for disease control
A. universal isolation practices and segregation of patients positive for hepatitis b antigen B. quarterly screening of health care personal for HBsAg and HIV C. discard disposables, including dialyzers, used for all patients positive for HBsAg and HIV D. universal isolation practices and segregation of patients with AIDS and ARC - Correct Answer>>A system of water treatment that removes pyrogens as well as solutes is called? A. sediment filtration B. reverse osmosis C.softening D. deionization - Correct Answer>>B which of the following is responsible for the ultimate disposal of medical waste A. EPA superfund B. contractor who hauled it away C. municipal waste disposal authority D. facility at which it originated - Correct Answer>>D the maximum allowable electrical leakage from the chassis of a dialysis machine is A. 50 microamperes B. 100 microamperes C 200 microamperes
