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Temple University
Fresenius Medical Care Patient Care
Technician PCT Certification
Fresenius Hemodialysis Technician
Certification Exam
Course Title and Number: CPCT Certification Exam Exam Title: CPCT Certification Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
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Fresenius Medical Care Patient Care
Technician PCT Certification
Fresenius PCT Practice Test Exam Review
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - The dialysis technician has performed a rinse-back on a patient and failed to gather all of the supplies needed to disconnect the patient. What MUST the dialysis technician do prior to getting clean supplies? - =Answer>> Remove gloves, wash/sanitize hands, and retrieve supplies A cannulation method where two new sites are chosen for needle placement every treatment is - =Answer>> Rope ladder technique Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature. - =Answer>> post reinfusion and prior to disconnection What reading on the reverse osmosis ( RO ) machine indicates the level of water quality? - =Answer>> Total Dissolved Solids Pre-treatment evaluation of an internal vascular access includes - =Answer>> palpating for a thrill Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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D. have the lowest complication rate The following KECNs are noted. These results indicate a TIME KECN TIME KECN 00:15 268 01:45 243 00:45 254 02:15 240 01:15 242 02:45 238 - =Answer>> Low clearance, need for further heparinization According to FMS policy, the safe level for total chlorine is - =Answer>> less than 0.10ppm If the second GAC ( carbon) filter exceeds the acceptable limit for total chlorine, what is the next step? - =Answer>> notify nurse in charge to stop treatment The ratio of bleach to water in the solution used to disinfect external surfaces and equipment is - =Answer>> 60 mls of bleach to 6 liters of water What notification process would alert the staff of poor water quality during the dialysis treatment? - =Answer>> remote total dissolved solids (TDS) alarms in the treatment room The patient exhibits signs of hemolysis, what is the appropriate action to take? - =Answer>> Turn blood pump off, clamp the venous lines Chloramines or bleach in the dialysate during dialysis can cause a patient death due to - =Answer>> hemolysis Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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A patient having dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate that the patient has - =Answer>> Hypotension Which of the following would minimize bacterial growth in the water system? - =Answer>> Circulation of water on a continuous basis Hemolyzed blood could be caused by - =Answer>> An arterial pressure of negative 270 Using the sodium variation module during the dialysis treatment will - =Answer>> aid in fluid removal Concentrate labeling strategies much allow for the positive identification of the contents of mixing tanks, storage tanks, concentrate head tanks, valve panel and the - =Answer>> Bicarbonate/acid jugs How long much the reverse osmosis (RO) run prior to collecting samples for water testing? - =Answer>> 15 mins The patient care technician observes a patient at the 30 min safety check. What signs or symptoms will prompt the patient care tech to wake the patient for further evaluation? - =Answer>> The patient does not respond to a verbal question and vital signs are trending down arterial lines - =Answer>> Red Venous - =Answer>> Blue Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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prompt the patients care tech to wake the patient for further evaluation - =Answer>> The patient does not respond to a verbal question and vital signs are trending down A patient begins to experience shortness of breath chest pain and sudden hypotension the blood is bright red and translucent the complication most likely occurring is - =Answer>> Hemolysis What is the correct level for salt in the brine tank - =Answer>> The top level of the salt pellets in the brine tank must be maintained above the level of the brine solution in the tank High phosphorus foods that must be limited or avoided in patients who are on dialysis are - =Answer>> Beans nuts and dark colas The quality status report bus a monthly report detailing quality outcomes as a primary or secondary primary quality outcomes are those that have the highest impact on a patient survival theses included - =Answer>> Albumin, high , phosphorus adequacy. Catheter rate The softener tank works in conjunction with the brine tank using the process of - =Answer>> Ion exchange According to aami standards that require exposure time of water to the carbon filters to effectively remove chlorine and chloramine is - =Answer>> 10 minutes The patients blood leak detector alarms after verifying the blood pump has stopped what should the patient Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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care technician do next - =Answer>> Check for blood with blood leak test indicator What solution should be used to disinfect a large blood spill area - =Answer>> 1 part bleach 10 parts water solution The venous needle must always be placed - =Answer>> With the flow of blood Prior to applying the blood pressure cuff on a new patient the patient care technician should - =Answer>> Examine both the patients arms for the presence of an access The arterial needle is placed - =Answer>> Either with or against the flow of blood The patient exhibits signs of hemolysis what is the appropriate action to take - =Answer>> Turn the blood pump off clamp the venous line When mixing bicarbonate for dialysis after mixing the bicarbonate for one minute then checking the final full level it is essential to further mix the bicarbonate for - =Answer>> 10 minutes If bicarbonate concentrate jugs are used the frequency for disinfecting jugs is - =Answer>> Weekly A high venous pressure alarm is most likely caused by which of the following - =Answer>> Infiltration of the venous needle Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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of preventing the spread of infection is to - =Answer>> Wash your hand Source water is - =Answer>> Received from the water supplier to make product water for dialysis Excessive fluid removal during dialysis combined with the patients taking an antihypertensive medication may result in the patient having - =Answer>> Hypotension What patient complication may occur from using dialysate with a conductivity breaking of 11.0 ms - =Answer>> Hemolysis The dialysis technician has performed a rinse back on a patient and failed to gather all of the supplies needed to disconnect the patient what must the dialysis technician do prior to getting clean supplies - =Answer>> Remove gloves wash hands and retrieve items During dialysis a patient has a cardiac arrest which action should be completed on the dialysis machine before the Machine is used by another patient - =Answer>> Technical must perform a functional test on the machine Pre treatment evaluation of an internal vascular access includes - =Answer>> Palpating for a thrill In addition to air embolism what complication may potentially occur if the saline bag is left unclamps with the blood pump running during the dialysis treatment - =Answer>> Elevated venous pressure Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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If the bicarbonate jugs have been in storage and are needed for emergency use what action must be taken prior to use - =Answer>> Rinse with ro water for 10 to 15 seconds and air dry Hemolyzed blood could be caused by - =Answer>> An arterial pressure of negative 270 Softener tanks remove the following - =Answer>> Calcium and magnesium If the second gac (carbon) filter exceeds the acceptable limit for total chorine what is the next step - =Answer>> Notify nurse in charge to stop treatment The patient complains of pain at the catheter exit site what would the patient care technician do first - =Answer>> Notify the nurse The patient care technician notice the patient yawning toward the end of treatment the pct should take which action immediately - =Answer>> Check the patients blood pressure What notification process would alert the staff of poor water quality during the dialysis treatment - =Answer>> Remote total dissolved solids tds alarms in the treatment room Which factor is most likely to affect dialysis adequacy - =Answer>> Dialyzer is primed at 300 ml/min Oral nutritional supplements are given to fms in center dialysis patients who are malnourished while they are Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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opposite directions allowing removal of waste throughout the surface area of the dialyzer The patients venous needle has infiltrated and another needle will need to be inserted the caregiver would - =Answer>> Insert the new needle above the infiltrate and apply ice to the area Individual acid containers must be labeled with - =Answer>> Chemical content An important factor in achieving adequacy during machine set up is - =Answer>> Priming the dialyzer venous end up The purpose of an ultraviolet irradiator is to - =Answer>> Destroy bacteria in the water system The fresenius medical care program that utilizes technology to improve our patient care is - =Answer>> Ultra care If the arterial pressure changes from 200 To 250 from the initiation of treatment what would be a possible cause - =Answer>> Hypotension and vasoconstriction The nurse should know that when performing access flow testing bin a graft - =Answer>> A result bod less than 600 should have repeated testing The adequacy of a dialysis treatment may be compel by - =Answer>> Inadequate heparinization Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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KT/V is improved by - =Answer>> Priming the dialyzer at a blood flow rate of 150 One way to establish a patient has orthostatic hypotension is to obtain a patients - =Answer>> Sitting blood pressure followed by the patients standing blood pressure The component of the dialysate that helps tear acidosis is - =Answer>> Bicarbonate Which of the following bid not true when cannulating a new av fistula - =Answer>> Use of a tourniquet is optional when cannulating a new av fistula A cannulating method were two new sites are chosen for needle placement every treatment is called the - =Answer>> Rope and ladder technique The patient presents to the dialysis center with a pulse rate of 44 but does not appear to be in any distress what should be the dialysis technician immediate action - =Answer>> Notify the registered nurse The purpose of the qai program is to improve the quality band appropriateness of patient care this is accomplished byb - =Answer>> Identifying opportunities and resolving problems through the use of the qai process The purpose of ultrafilters is to - =Answer>> Provide a bacterial and endotoxins barrier Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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If a blood leak detector alarms a second time and no visible blood is noted what should the patient care technician do next - =Answer>> Immediately turn off the blood pump What is likely to occur when flipping needles after cannulating - =Answer>> Damage to the intimacy lining of the vessel is likely to occur The patient is 2 hours 15 minutes into a 3 hour treatment the caregiver discovers that the patient is not dialyzing with the prescription dialysate in addition to documenting the event in the treatment record which of the following actions would be most appropriate - =Answer>> Notify the rn immediately to obtain instead complete an adverse event report Which group of solutea may be present in a prescribed dialysate solution - =Answer>> Sodium bicarbonate potassium and calcium Concentrate labeling strategies must allow for the posit indetificaton of the contents of the mixing tanks storage tanks concentrate head thanks valve panels and the - =Answer>> Bicarbonate /acid jugs Which total chlorine reading is unacceptable - =Answer>> 0.10 ppm How long must the reverse osmosis machine run prior to collecting samples for water testing - =Answer>> 15 minutes Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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A 40 year old patient who has severe hypertension is to start on hemodialysis the patient does not have diabetic or cardiac problems what type of access is preferable - =Answer>> An arteriovenous fistula A potential hazard or incident that has not resulted in any patient injury but had the potential to do so is referred to as a - =Answer>> Near miss When instructing patients with chronic kidney disease who are receiving dialysis the nurse should include the fact that - =Answer>> Elevated potassium levels may cause changes in heart rhythm Using the sodium variation module during the dialysis treatment - =Answer>> Aid in fluid removal When removing needles from an internal access the needle safety device - =Answer>> Should be engaged while removing needle from the patients access Bright cherry soda colored blood is noticed in the dialyzer the patient complains of shortness of breath headache and biting at the needle site in view of these findings the care giver should - =Answer>> Stop the blood pump and do not return blood to patient During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine before the machine is used by another patient? - =Answer>> Technician must perform a functional test on the machine Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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red and translucent. The complication MOST LIKELY occurring is - =Answer>> hemolysis The patient complains of pain at the catheter exit site. What would the patient care technician do first? - =Answer>> Notify the nurse A 40-year old patient, who has severe hypotension, is to start on hemodialysis. The patient does not have diabetes or cardiac problems. What type if access is preferable - =Answer>> An arteriovenous fistula Several patients with normal pre-dialysis temperatures develop sudden chills and spike in temperature. This situation is most likely caused by - =Answer>> presence of endotoxins in the dialysate Individual acid containers must be labeled with - =Answer>> chemical content Documentation and interpretation of the KECN ( clearance effective by conductivity ) results can - =Answer>> assessment for possible clotting in the dialyzer KT/V is improved by - =Answer>> Priming the dialyzer at a blood flow rate of 150 ml/min The purpose of an ultraviolet ( UV ) irradiator is to - =Answer>> destroys bacteria in the water system What can result from a low level arterial pressure drip chamber - =Answer>> Air entering the system Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What solution should be used to disinfect a large blood spill area? ( greater than 10 MLs) - =Answer>> 1 part bleach: 10 part water solution The patient care technician (PCT) notices the patient yawning towards the end of the treatment. The PCT should take which action immediately - =Answer>> check the patients blood pressure When mixing bicarbonate for dialysis, after mixing the bicarbonate for one minute, then checking the final fill level, it is essential to further mix the bicarbonate for - =Answer>> 10 mins Softener tanks remove the following - =Answer>> calcium and magnesium Following FMC policy, when should the second harness test be completed - =Answer>> after completion of the last patient treatment Individual bicarbonate containers must be labeled with
- =Answer>> Hazardous Material Identification System ( HMIS ) label Prior to applying the blood pressure cuff on a new patient, the patient care technician should - =Answer>> examine both the patients arms for the presence of an access What patient complication may occur from using dialysate with a conductivity reading of 11.0? - =Answer>> Hemolysis Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
