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Fresenius PCT Hemodialysis Technician Certification Exam Questions and Answers | 100% Pass, Exams of Nursing

Temple University (TU)Nursing

Fresenius Medical Care Patient Care Technician PCT Certification 2025-2026 Fresenius PCT Hemodialysis Technician Certification Exam Questions and Answers | 100% Pass Guaranteed | Graded A+ |

Typology: Exams

2023/2024

Available from 01/08/2025

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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:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck!
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Download Fresenius PCT Hemodialysis Technician Certification Exam Questions and Answers | 100% Pass and more Exams Nursing in PDF only on Docsity!

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:

  1. Read each question carefully.
  2. Answer all questions.
  3. Use the provided answer sheet to mark your responses.
  4. Ensure all answers are final before submitting the exam.
  5. Please answer each question below and click Submit when you have completed the Exam.
  6. This test has a time limit, The test will save and submit automatically when the time expires
  7. This is Exam which will assess your knowledge on the course Learning Resources.

Good Luck!

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Fresenius Medical Care Patient Care

Technician PCT Certification

Fresenius PCT Hemodialysis Technician

Certification Exam Questions and Answers |

100% Pass Guaranteed | Graded A+ |

Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - 1.Which of the following foods have the highest potassium content?: ba- nanas, orange juice, and salt substitutes 2.Which of the following letters in the acronym COLT is incorrect when remembering how to treat a patient with a suspected air embolus?: C = clamp arterial bloodline 3.One way to establish a patient has orthostatic hypotension is to obtain the patient's: sitting blood pressure followed by the patient's standing blood pressure

  1. When removing needles from an internal access the needle safety device- : should be used while removing a needle from the patient's access 5.While completing post-dialysis treatment documentation, when must staff members collect the patients blood pressure and temperature readings?: post reinfusion and prior to line disconnection Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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dialysis

  1. Dialysis clearance is affected by: dialysate flow, dialysis treatment time, dia- lyzer size and blood flow rate
  2. Per Fresenius' Chlorine Breakthrough policy, who must sign to resume normal operations after a chlorine breakthrough?: medical director
  3. What needle size has a recommended MAXIMUM blood flow rate of 350 mL/min?: 16 gauge 21.The water room water pathway begins with: city water entering the facility
  4. "source water" is: received from the water supplier to make product water for dialysis
    1. Which group of solutes may be present in a prescribed dialysate solution?- : sodium bicarbonate, potassium and calcium
  5. The reverse osmosis (RO) machine's performance is measured by the: per- cent rejection
  6. Conductivity is best described as the ability of a(n): solution to conduct an electrical current
  7. During dialysis, a patient goes into cardiac arrest. Which action is required before the machine can be used for another patient treatment?: Technical 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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27.Which of the following is NOT true when cannulating a new AV-Fistula?: - use of a tourniquet is optional when cannulating a new AVF

  1. What notification process would alert the staff of poor water quality dur- ing the dialysis treatment?: Remote Total Dissolved Solids (TDS) Alarms in the treatment room 29.A major factor affecting ultrafiltration is: pressure
  2. To properly collect a post BUN sample, it is necessary to: turn off ultrafiltra- tion
  3. Where should the first total chlorine sample of the day be taken from?: Post carbon tank 1 (worker)
  4. If a total chlorine breakthrough is indicated post carbon tank 1 (worker), immediate additional testing should take place at which of the following locations?: Post carbon tank 2 (polisher)
  5. What is the correct amount of water to collect for total chlorine testing using the RPC Ultra-Low Total Chlorine test strips?: 100 mL
  6. A cannulation method where two new sites are chosen for needle place- ment every treatment is called the?: Rope Ladder Technique 35.Which total chlorine reading is UNACCEPTABLE: 0.10 ppm
  7. Why does countercurrent flow within the dialyzer provide the most efficient clearance Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  1. Which of the following laboratory results indicate a patient is protected from Hepatitis B?: HBsAB positive (immune).
  2. What patient complication may occur from using hypnotic dialysate with a conductivity reading of 11.0 mS.?: Hemolysis.
  3. A patient begins to experience shortness of breath, chest pain & sudden hypotension; the blood is bright red and translucent. Which complication is MOST LIKELY occurring?: Hemolysis.
  4. Prior to applying the blood pressure cuff on a new patient, the patient care technician should...: Examine both of the patient's arms for the presence of an access.
  5. Which of the following is correct about access flow testing on a graft?: A result of less than 600ml/min, should have repeated testing.
  6. The adequacy of a dialysis treatment may be compromised by...: Inade- quate heparinization.
  7. During the dialysis treatment, the patient complains of dizziness & begins yawning. These symptoms could indicate the patient is experiencing what complication?: Hypotension.
  8. If the arterial pressure changes from - 200 mmHg to -250 mmHg, what would be a possible cause?: Kink or clamp on the arterial line.
  9. A high venous pressure alarm is MOST likely caused by which of the following>: Infiltration of the venous needle.
  10. Improperly primed dialyzers and Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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bloodlines can increase the risk of...: Air embolism & clotting in the dialyzer.

  1. In addition to air embolism, what complication may occur if the saline bag is left unclamped during treatment?: Dialyzer clotting.
  2. Hemolyzed blood could be caused by...: An arterial pressure of negative 270.
  3. Blood pump occlusion and kinked lines would most likely cause which complication during hemodialysis?: Hemolysis.
  4. The following KECNs are noted throughout a treatment: 268, 243, 254, 242, & 238. What does this indicate?: Low clearance; need for further heparinization.
    1. What can result from a low blood level in the arterial pressure chamber?- : Air entering the system.
  5. Why are Oral Nutritional Supplements, (ONS), given to malnourished patients at dialysis clinics?: To improve nutritional status, ensure compliance with oral intake, and reduce morbidity/mortality risks.
  6. Which of these findings noted on a safety check would indicate that an intervention is needed?: HemoSafe clip is in place and secure on the ARTERIAL line.
  7. Whic of the following is correct about venipuncture clamp use?: Only one clamp should be used at a time to prevent excessive pressure. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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quietly, no changes in VS, connections secure, no unusual findings

  1. The patient complains of pain at the catheter exit site. What would the patient care technician do first?: Notify the nurse
  2. Dialysis has started on a patient using a central venous catheter (CVC). As the blood pump is turned up to 200 mL/min, foam begins to accumulate in the lines. The patient begins to wheeze and becomes short of breath. What should be the staff member's FIRST action?: Clamp the venous line
  3. Bright "cherry soda" colored blood is noticed in the dialyzer during treatment. The patient reports shortness of breath, headache, and burning at the venous needle site. What should the staff member do FIRST?: Stop the blood pump and end treatment without rinsing blood back
  4. The patient shows signs of hemolysis. What should the staff member do FIRST?: Turn the blood pump off and clamp the venous line
  5. When it is suspected that a patient is experiencing an air embolism, what is the staff member's FIRST step?: Clamp the venous bloodline
  6. The patient's venous needle has infiltrated and another needle will need to be inserted. What should the staff member do?: Insert the new needle above the infiltrate and apply ice to the area
  7. The patient is 2 hours and 19 minutes Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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into a 3-hour treatment. The staff member discovers that the patient is not dialyzing with the prescribed dialysate. Which of the following actions should be taken?: Document on treat- ment record. Notify the RN, as this is an adverse event.

  1. If total chlorine breakthrough is noted post reverse osmosis (RO) ma- chine, the first action would be to: not initiate or immediately stop any patient's treatments
  2. A blood leak alarm has occurred. There is no blood visible in the effluent dialysate (red Hansen). The presence of blood can be verified by testing the: effluent dialysate (red Hansen) with a blood leak test indicator
  3. Carbon breakthrough actions include all of the following EXCEPT: testing is required at post worker tank 1 every 30 minutes
  5. What items are placed in sharps containers?: Broken glass, ampules, syringes with needles (used or unused)
    1. When are sharps containers replaced?: When 2/3rds to 3/4ths full. DO NOT shake to condense the contents
  6. What is Hepatitis?: Inflammation of the liver caused by a virus
  7. Hepatitis B: - considered to be very contagious Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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membrane from an area of low solute concentration to an area of high concentration

  1. Diffusion: can be defined as the movement of particles through a semi-perme- able membrane from a greater to a lesser concentration
  2. Ultrafiltration: removes fluid from patients' blood by the use of pressure across the semi- permeable membrane of the dialyzer 95.Adequacy: is how well dialysis is working to clear waste products from the blood
  3. Clearance: is the amount of blood that is completely cleared of a solute in one minute of treatment given a blood flow rate and dialysate flow rate 97.TMP: is the measurement of the pressure across the dialyzer membrane
  4. TCD: theoretical conductivity - the "optimal or perfect" conductivity of the final dialysate 99.Initial Patient Intake: 1. Walk patient into treatment room 2.Weigh patient correctly
    1. Observe patient washing hands & access
    2. Identify - compare photo
    3. Identify signs and symptoms of communicable diseases
    4. Patient Evaluation: Conditions:
    • vital signs Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  • mental status
  • mood
  • skin condition
  • color Complaints:
  • new complaints
  • headache
  • cough
  • dizziness
  • chest pain
  • SOB Changes:
  • condition
  • complaints
  1. Calculate UF Goal: Pre-dialysis weight - Estimated Dry Weight (EDW) + Fluids given during treatment (0.5kg) = Fluid to Remove
  2. Evaluate Access: 1. Perform hand hygiene
  3. Don PPE 3.Disinfect the stethoscope pre-assessment using hand sanitizer or alcohol pad or 1:100 bleach
  4. Note and report unusual findings in ChairSide 5.Disinfect the stethoscope post assessment using hand sanitizer or alcohol pad or 1:100 bleach
  5. Can Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  • reports a high INR
  1. Final Machine Verification: 1. All connections are secure
  2. Dialysate lines are attached properly to the dialyzer 3.There is at least 300 ml of saline In the bag and the saline line is double-clamped
  3. Any unused administration lines are clamped 5.The arterial chamber is 85-95% full and venous chamber is 65-75% full 6.Arterial and venous monitoring transducers are securely connected, not wet with saline, and the transducer clamps are open
  4. Blood pump segment is threaded through the pump properly 8.Venous drip chamber is correctly positioned in its housing and venous bloodline is threaded through venous occluding clamp
  5. No kinks or bends are evident in any of the tubing 10.No air is noted in the dialyzer or bloodlines
  6. Blood Alarm: - stops the blood pump, therefore blood in the line stops circulat- ing Specific Alarms:
  • blood leak
  • air detector
  • venous pressure
  • arterial pressure
  • TMP Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  1. Dialysate: - dialysate goes into bypass; blood pump does NOT stop Specific Alarms:
  • conductivity high (crenation)
  • conductivity low (hemolysis)
  1. Air embolism: Signs and Symptoms:
  • coughing
  • cyanosis
  • chest pain/cardiac arrest
  • SOB
  • loss of consciousness Possible causes:
  • improperly primed blood lines
  • empty IV/NS bag
  • air detector not armed
  • separation of blood lines
  • patient inhales while CVC is open to air
  • pre-safety checks not done properly
  1. Air Embolism Treatment: 1. Clamp venous lines
  2. Off with the blood pump
  3. Left side positioning Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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the dialysis technician do prior to getting clean supplies?: Remove gloves, wash/sanitize hands, and retrieve items

  1. What solution should be used to disinfect a large blood spill area (greater than 10 mLs)?: 1 part bleach: 9 parts water solution
  2. What solution should mix to disinfect the dialysis station?: 1 part bleach: 99 parts water solution
  3. Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the staff member in: assessment for possible clotting in the dialyzer
  4. A 40-year-old patient, who has severe hypertension, is to start on he- modialysis. The patient does not have diabetes or cardiac problems. What type of access is preferable?: an arteriovenous fistula
  5. A patient takes blood pressure medication prior to treatment. During treat- ment, a large amount of fluid is removed. This could result in what complica- tion?: hypotension
  6. After an ARTERIAL needle infiltration, where can a new needle be placed?- : above or below the infiltration
  7. A fistula is considered the access of choice because fistulas: have the lowest complication rate
  8. The venous needle must always be placed: with the flow of blood Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  1. Which of the following foods are high in phosphorus?: beans, nuts, and dark colas
  2. A patient falls after dialysis and is injured. This is considered what type of event?: Adverse event
  3. Chloramines or bleach in the dialysate during dialysis can cause a patient death due to: hemolysis
  4. The arterial needle is placed: either with or against the flow of blood
  5. The patient's blood leak detector alarms. After verifying the blood pump has stopped, what should the patient care technician do next?: Inspect the dialysate effluent (red Hansen) for pink or red-tinged color
  6. If post polisher carbon tank 2 total chlorine results exceed the acceptable limit, what should the staff member do FIRST?: Notify staff to stop treatments
  7. A patient is becoming increasingly angry with the staff. The patient asks to have her treatment shortened by 20 minutes and says, "I don't feel like stay- ing on this machine." Which of these responses is the most appropriate?: "You seem upset; however, it's important to complete the entire treatment to avoid medical problems. Let's talk about why you want to stop the treatment."
  8. Using the sodium variation module during the dialysis treatment: aid in fluid removal
  9. During machine setup, adequacy can be improved by completing which step?: priming Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔