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DAVITA FINAL EXAM PRACTICE
TEST ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS
GUARANTEED PASS
"what happens when arterial pressure becomes greater than -260 - CORRECT ANSWER=> hemolysis" "what happens if total Cl is collected before the minimum time the RO should be operating - CORRECT ANSWER=> rsults could be falsely negative" "what happens to the TMP if clotting occurs in the dialyzer - CORRECT ANSWER=> it decrease" "what happens when bleach an parecitc acid are mixed - CORRECT ANSWER=> a toxic cl gas is produced" "wjat is a good adequacy goal for 3 times per week HD - CORRECT ANSWER=> KTV of atleast 1. URR of at least 65%" "what is KDQOL 36 used - CORRECT ANSWER=> to asses physical health, mental health effects in dialy living symptoms burden of kidney disease" "what not to include in AOR - CORRECT ANSWER=> personal opinion specu;ation vendettas" "what shou;d you do if pt needs a bathroom break - CORRECT ANSWER=> return blood and recirculate machine" "when is a pyrogenic reaction most likely to occur - CORRECT ANSWER=> during the first 45- mins"
"when is risidual bleach testing done - CORRECT ANSWER=> after bleach dis infection and prior to use" "when to chart in medical record - CORRECT ANSWER=> change in baseline assesment or pt condition procedure or treatment medication administration pt teaching care plan" "when to give hep b booster - CORRECT ANSWER=> when HBsAB drops 10" "when to use directing communication - CORRECT ANSWER=> when trainning pts" "when to use folowing communication - CORRECT ANSWER=> when pt need time to process or digest something" "when to use guiding communication - CORRECT ANSWER=> when creating an action plan" "what bacteria requires hand washing instead of alcohol rub - CORRECT ANSWER=> c diff" "which direction should arterial needle be placed - CORRECT ANSWER=> anti or retro who cares" "which direction should the venous needle be placed - CORRECT ANSWER=> antegrade with flow of blood" "who educate pt on treatment modality - CORRECT ANSWER=> neph, SW and CN" "to evaluate if pt is stable before discharge - CORRECT ANSWER=> nurse must complete post treatment assessment" "pre treatment required by nurse? - CORRECT ANSWER=> if abnormal findings for AKI pt pretreatment always required" "if a pt with acute kidney injury dialyses in the out pt facility one task of the pt care TM is to monnitor blood pressure and weight closely why? - CORRECT ANSWER=> HYPOvolemia and HYPO tensives episode can cause RENAL ISCHEMIA and can further damage the kidneys"
"the transport mechanism when particles move from an area of higher solute concetration to an area of lower solute concentration is called - CORRECT ANSWER=> diffusion" "during dialysis the movent of bicarb from the dialysate into the blood - CORRECT ANSWER=> helps normalize ph" "the kineys excretory function include - CORRECT ANSWER=> nomalizing electrolytes" "chlorine/chloramine testing can be found in - CORRECT ANSWER=> the sample port from the primary carbon filter" "hardness testing removes - CORRECT ANSWER=> calcium and magnesium" "excess calcium and magnesium in water used for dialysis - CORRECT ANSWER=> muscle weakness" "what removes chlorine and chloramines - CORRECT ANSWER=> carbon tanks" "arterial pressure more positive - CORRECT ANSWER=> seperation of blood tubing from arterial access" "venous pressure more positive - CORRECT ANSWER=> clotting in drip chamber" "venous pressure more negative - CORRECT ANSWER=> severely clotted dialyzer" "role davitas pnp play - CORRECT ANSWER=> best demonstrated practice standard of care" "purpose of DQI - CORRECT ANSWER=> encourage continuous improvement accross a broad range of disease management" "consequences of fluid overload - CORRECT ANSWER=> increased mortality" "consequences of hypovolemia during treatment - CORRECT ANSWER=> ischemia and damage to vital organs" "KDQOL 36 - CORRECT ANSWER=> identifies barriers"
"hyperkalemia - CORRECT ANSWER=> muscle weakness abmormal HR" "4 key elements affect CKD MBD - CORRECT ANSWER=> soft tissue calcification" "ultrafiltration - CORRECT ANSWER=> fluid forced through semipermeable membrane" "covection - CORRECT ANSWER=> slolutes and solvent move" "vtags - CORRECT ANSWER=> state specific regulations to be met with a condition such as infection providing interpretive guidance for each regulation" "when is the pretreatment assessment by the licensed nurse required - CORRECT ANSWER=> when it is mandated by the state when the pct performing a data collection notices abnormal findings when the patient reports unusual symptoms to the nurse prior treatment initiation when the nurse observes unusual behaviors in a patient entering the treatment floor ALL OF THE ABOVE" "data collection - CORRECT ANSWER=> heart rate:72" "fluid overload and hypertension lead to LVH this means - CORRECT ANSWER=> hypotensive episodes are more likely to occur during treatment" "your role in ckd-mbd management includes - CORRECT ANSWER=> reminding the patient who is eating a snack during dialysis to take his phosphate binders" "your role in anemia management - CORRECT ANSWER=> rinsing back as much as other patients blood as you can at the termination of each treatment" “During a power failure, prior to returning the patients blood and preforming the hand crank procedure you should remove the venous blood line from A. The patients venous access B. The air detector clamp C. The blood pump rotor D. The drain bucket - CORRECT ANSWER=> B. The air detector clamp" "Which of the following factors would decrease the K of the Kt/V formula?
"The most common cause of bacterial bloodstream infection in dialysis patients is: A. Needle insertion site exposure to unclean environmental areas B. The use of CVC for hemodialysis C. Poor needle site rotation when cannulating an internal vascular access D. Inappropriate skin preparation prior to vascular access cannulation - CORRECT ANSWER=> B. The use of central venous catheters (CVC) for hemodialysis" "Your patient machine continues to alarm negative arterial pressure. This is likely to occur due to which of the following? A. A decrease in dialysate flow rate B. The venous needle being inappropriately place C. Separation of the blood tubing from the arterial access D. An arterial blood line kink between the access and the arterial pressure monitor - CORRECT ANSWER=> An arterial blood line kink between the access and the arterial pressure monitor" "T/F: TMP is directly related to the difference in pressure between the blood compartment and the dialysate compartment w/n the dialyzer - CORRECT ANSWER=> True" "Why is it important to understand what caused your patients kidney failure? A. It assists in making decisions on the most appropriate treatment modality for the patient B. It assists you to understand the possible complication which may occur during treatment C. Is is only important if the underlying disease causes additional health problems D. It is not necessary because it does not affect the dialysis treatment - CORRECT ANSWER=> B. It assists you to understand the possible complications which may occur during treatment" "T/F: At the end of treatment, your patient reports having chills and has a temperature of 101F which is 2F over the patients baseline from the start of treatment. This patient has fever - CORRECT ANSWER=> True" "If your facility dialyzer Hepatitis B positive patients, which assignment would NOT be an appropriate patient care assignment? A. Caring for HBsAg positive and Hepatitis B immune patients at the same time B. Caring for Hepatitis B susceptible patients and those in the process of receiving the vaccination at the same time
C. Caring for Hepatitis B immune and susceptible patients at the same time D. Caring for HBsAg positive and Hepatitis B susceptible patients at the same time - CORRECT ANSWER=> D. Caring for HBsAg positive and Hepatitis B susceptible patients at the same time" "Your patients prescribed treatment time is 4 hours. He brings a 20oz, Slurpee (600ml) with him to his treatment. The prime/rinse back is 400ml and hi is 3.0kg (3000ml) over his target weight. What is the hourly UF? A. 500 ml/hr B. 700 ml/hr C. 1000 ml/hr D. 400 ml/hr - CORRECT ANSWER=> C. 1000 ml/hr" "If your patient has a seizure during treatment and does not respond to interventions. What is the first action you should take? A. Ensure the patients chair is locked and stand by, the seizure will pass B. Discontinue treatment, notify nephrologist, contact EMS for patient transport to the ER C. Hold patients arms and legs to prevent injury D. Immediately stop treatment and dial emergency medical services - CORRECT ANSWER=> B. Discontinue treatment, notify nephrologist, contact EMS for patient transport to the ER" "You are assisting a patient to step onto the scale by holding the patients hand. Such a causal contact which A. Does not require wearing gloves but you most perform HH afterwards B. Requires wearing gloves and HH afterwards C. Requires neither gloves, nor HH since there is no contact w/ blood or bodily fluids D. Requires gloves only, with out performing HH when discarding gloves - CORRECT ANSWER=> A. Does not require wearing gloves but you most perform HH afterwards" "A teammates file or transcript must be kept up to date by the FA because: A. It ensures the teammate has updated credentials on file that meet internal and external regulatory requirements B. It is used by surveyors during CMS audits to verify credentials C. It is used by surveyors during CMS audits to verify proper training and education had been completed
A. Methicillin-resistant Staphylococcus aureus (MRSA) B. C-Diff Clostridioides Difficile C. Vancomycin-resistant Enterococcus (vrE) D. Hepatitis B - CORRECT ANSWER=> B. C-Diff Clostridioides Difficile" "Air bubbles in the dialysate or a dirty sensor will cause a A. Blood leak detector alarm B. High conductivity alarm C. TMP alarm D. Low conductivity alarm - CORRECT ANSWER=> A. Blood leak detector alarm" "Ischemic heart disease, arrhythmia, myocardial infarction and sudden death may occur due to what patient complication? A. Pericarditis B. Fluid Overload C. Bloodstream infection D. LVH - CORRECT ANSWER=> D. LVH" "What statement is true about Povidone Iodine? A. Effective contact time is 30 sec and air dying time is 1 min B. Effective contact time is 60 sec and drying time is 1 min C. Effective contact time is 60 seconds and air drying time is 3 mins D. Effective contact time is 30 seconds and air drying time is 2 mins - CORRECT ANSWER=> D. Effective contact time is 30 seconds and air drying time is 2 mins" "When is pretreatment assessment by the licensed nurse required? A. When mandated by the state law B. When the PCT performing a data collection and notices abnormal findings of when the nurse or PCT observe unusual behaviors C. When the patient reports unusual symptoms to the nurse or PCT before treatment initiation D. All the above - CORRECT ANSWER=> D. All the above"
“Which of the following statements is not an underlying assumption of self management - CORRECT ANSWER=> People with complex chronic kidney conditions such ass ESRD have more difficulties with successful self management" "Which of the following is a basic principle of self management - CORRECT ANSWER=> Dealing with the consequences of the illness rather than just the physical disease its self" "Andragogy takes into account - CORRECT ANSWER=> That adults desire to take responsibility for what they learn" "In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks after creation should be considered mandatory - CORRECT ANSWER=> true" "Vessel mapping should be performed on all new patients when possible - CORRECT ANSWER=> true" "The goal of vascular mapping is to assure that every new patient receives a fistula if possible - CORRECT ANSWER=> true" "A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel). - CORRECT ANSWER=> inflow" "The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%. - CORRECT ANSWER=> false 84-98%" "Venous stenosis is the most common cause of late fistula loss. - CORRECT ANSWER=> true" "Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an inflow stenosis (inability for blood to enter the access) - CORRECT ANSWER=> true" "A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula. - CORRECT ANSWER=> true" "A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction. - CORRECT ANSWER=> true" "The most serious catheter related complication is infection - CORRECT ANSWER=> true"
