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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
Instructions:
- Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have completed the Exam.
- This test has a time limit, The test will save and submit automatically when the time expires
- This is Exam which will assess your knowledge on the course Learning Resources.
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Fresenius Medical Care Patient Care
Technician PCT Certification
Fresenius Hemodialysis Technician Review
Exam Questions and Answers | 100% Pass
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - If a venous needle is infiltrated, what would you do? a) insert a second needle below the first venous needle b) insert at second needle above the venous infiltration c) insert a second needle beside the arterial needle d) wait until the swelling improves and use the infiltrated site - =Answer>> B) insert a second needle above the venous infiltration Your patent orders are for a 17 ga needle. You know that a) he will be able to attain a 450mL/min QB b) 17ga needles are used for well developed fistulas c) he will only be able to attain a 250 mL/min- mL/min QB d) needle size does not affect the pump speed - =Answer>> C) he will only be able to attain a 250 mL/min - 300 mL/min QB The only professional organization in the country just for dialysis technicians is a) The National Association of Nephrology Technicians b) The Association of Hemodialysis Technicians c) Technicians for the Advancement of Dialysis Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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d) alternating a dull needle to a sharp needle every other week. - =Answer>> B) Remove the scab, cannulate the same site at the same angle, by the same caregiver with sharp needles for 3-4 weeks to create a tunnel The venous pressure on a dialysis machine starts to rise but the venous needle is not infiltratied. Which items below could be responsible? a) arterial stenosis b) clotting of the venous line c) venospasm d) clotting of the arterial line e) b and c f) all of the above - =Answer>> E) b and c (clotting of the venous line and venospasm) Factors that affect peritoneal membrance permeability include: a) peritonitis infection b) amount of residual renal function c) the ability of the liver to convery lactate to bicarbonate d) nutritional status of the patient - =Answer>> A) peritonitis infection What are the 4 functions of the kidney? - =Answer>> 1) Excretory: kidneys rid the body of waste products & excess fluid and electrolytes
- Regulatory: kidneys maintain acid/base balance, fluid balance, and electrolyte balance
- Filtration: nephrons retain some things and filter out and reabsorb others
- Endocrine: kidneys produce several hormones including renin, erythropoietin, and the also convert the Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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storage form of vitamin D to its active form Calcitriol. Water softener exchanges _____________ and _____________ for sodium by _________________. - =Answer>> Calcium, magnesium, ion exchange Anemia is a condition characterized by unusually low levels of - =Answer>> RBC's (hemoglobin) During a power failure you would return the patients blood via - =Answer>> handcrank (6-10 rotations per min) Max time to handcrank in power failure - =Answer>> 10- minutes Is dialysate sterile? - =Answer>> NO Heparin is a ___________ acting, _________ molecule. - =Answer>> short, large Heparin is given _________ to __________ minutes prior to the initiation of treatment. - =Answer>> 3, Why is heparin given to minutes prior to the initiation of treatment? - =Answer>> In order for it to become systemic throughout the body Venous pressure measures - =Answer>> resistance of blood return Conductivity measures - =Answer>> ability of a substance to conduct heat, electricity or sound Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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The blood lines and dialyzer are primed with what before dialysis is initiated? - =Answer>> Normal Saline What blood test is done before and after hemodialysis treatment to determine adequacy of the treatment? - =Answer>> Pre and Post BUN To ensure safety during treatment, a key point to remind the patient is - =Answer>> to keep their access visible Three assessments that must be completed on a fistula or graft: - =Answer>> Look, Listen, Feel External access refers to - =Answer>> a catheter Internal access refers to - =Answer>> a fistula or a graft Listen for the - =Answer>> Bruit Feel for the - =Answer>> Thrill What do you do to assess if there is good blood flow through an internal access? - =Answer>> Bruit and thrill What part of the water treatment system should NEVER be bypassed - =Answer>> Carbon tanks Chlorine/Chloramines max level? - =Answer>> 0.09 ppm Causes of Acute renal failure - =Answer>> Blood loss, shock, toxicity, injury, dehydration Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Causes of Chronic renal failure - =Answer>> Diabetes, Hypertension, Lupus, Polycystic Kidney Disease, Glomerulonephritis, Goodpasture's syndrome Water Hardness max level - =Answer>> 10 ppm Steps on changing a contaminated transducer - =Answer>> ... pH range: - =Answer>> 6.8-7. Conductivity range: - =Answer>> 13.5-14. What do Carbon tanks/GAC filters do? - =Answer>> Remove total chlorine What is the R/O? - =Answer>> the reverse osmosis, Removes all dissolved solids How does the R/O work? - =Answer>> by reverse osmosis, it relies on the application of pressure and the natural process of osmosis to remove contaminants from water All of the following are possible causes of hypotension - =Answer>> Fluid loss, eating while on dialysis, blood loss, hemolysis, low albumin, temp too hot, Heart Failure, BP meds, disinfectants All of the following are s/s of hypotension - =Answer>> Feeling of impending doom, N/V, feeling hot, dizziness, restlessness, fatigue, decreased LOC, yawning, seizures, cool clammy skin, feeling need to have BM, SOB, blurred vision Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Does Estimated Dry Weight ever change? - =Answer>> Yes, frequently Does Heparin dissolve clots? - =Answer>> No, it prevents Which direction do you place the venous needle? - =Answer>> antegrade - up, with the blood flow Which direction do you place the arterial needle? - =Answer>> antegrade or retrograde What vascular access is the access of choice? - =Answer>> AV Fistula The tips of the arterial and venous fistula needles must be at least ________ inches apart - =Answer>> 2 How do you treat an air embolism in the correct order?
- =Answer>> Clamp lines, off pump, left side, trendelenburg What does COLT stand for and what is it used for? - =Answer>> Clamp lines, off pump, left side, trendelenberg, for treatment of an air embolism What is the anastomosis? - =Answer>> where the vein and artery are connected The angle an AV fistula needle should be inserted - =Answer>> 25-30 degrees The following solutions are used to calibrate the TDS meter - =Answer>> 1500-150- Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What does the TDS meter measure? - =Answer>> the sum of all ions in the water or the total dissolved solids What should you do if your post carbon chlorine test is positive? - =Answer>> Switch to the 2nd tank (never bypass) then test for chlorine every 2 hours, notify technical, the clinic manager and the MD The angle an AV graft needle should be inserted - =Answer>> 45 degrees After an infiltration of the venous needle the second venous needle should be stuck - =Answer>> above the infiltration What technique should be used to prolong graft life? - =Answer>> Rope ladder technique Symptoms of uremia may include - =Answer>> Confusion, uremic "frost", sleep problems, urine breath, itching What do you do for a minor blood leak? - =Answer>> Use hemastick to test for blood, if blood present pull tubing, don't give blood back What do you do for a major blood leak? - =Answer>> Stop treatment, pull tubing, don't give blood back S/S of fluid overload - =Answer>> Edema, SOB, Hypertension, itchy, can't sleep Dialyzing fluid is also known as - =Answer>> Dialysate or bath Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Complications of Uremia - =Answer>> Pericardia, neuropathy, itching, carpal tunnel, , sleep problems, decreased libido What does TMP stand for? - =Answer>> Transmembrane pressure What does TMP or transmembrane pressure mean? - =Answer>> Total amount of pressure (positive and negative) exerted on the dialyzer to remove fluid from the patient What should you think of when there are a lot of TMP alarms? - =Answer>> Too high of a UF goal, Kink in ECC, wet tranducers Post BUN collection order - =Answer>> Turn off UF, Turn off DFR, ↓ BFR to 100 x 15 seconds, Turn off Blood pump, Clamp A & V needle tubing, Collect from Arterial side, Invert tube 5-6 times Why do we use Heparin? - =Answer>> It is short acting, 2- 4 hours is its action, effects are gone by the end of the treatment, large molecule so it isn't dialyzed If patient falls, what should we think first? - =Answer>> Anticoagulant, bleeding Which molecule is used as a "surrogate" marker for urea during OLC? - =Answer>> Sodium, Na Define Clearance - =Answer>> how well blood is cleared of waste products, how well the filter is working, think dialyzer Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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If KECN is decreasing what is happening? - =Answer>> losing dialyzer space, clotting, look at dialyzer If conductivity is 13.5 what is the sodium? - =Answer>> 135 What are AMPS? - =Answer>> Dialysis machine traffic lights, green light if spKT/V ≥ 1.4, if yellow spKT/V < 1. What does IDWG stand for? - =Answer>> Interdialytic weight gains What should you be thinking about if a patient has diarrhea? - =Answer>> losing Potassium - heart issues Why don't we use a 0 K bath in the clinic? - =Answer>> An EKG is needed when manipulating the K Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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