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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 Instructorās Name] Student Name: [Insert Studentās 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.
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- 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 Patient Care Technician PCT
Review Exam Questions and Answers |
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - What is the term used for pre-treatment weight minus estimated dry weight? - =Answer>> AW (available weight) Arterial pressure should be no more than what? - =Answer>> - 250 Kinks in the blood line, a high dialysate temperature and low conductivity dialysate can cause which complication? - =Answer>> hemolysis If the needle infiltrates, what should do first? - =Answer>> stop the blood pump Which machine alarms does not stop the blood pump? - =Answer>> conductivity Which of the following occurs when the machine goes into bypass? a. blood pump stops b. RTD clock stops c. cleaning continues d. UF clock stops - =Answer>> RTD clock stops Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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Which of the following statements about the fistula needle safety is correct? a. if a safety device is used, the needle does not have to go in a sharps container b. the use of safety on needles is optional c. safety devices should be engaged as needle is being removed d. safety device should be engaged AFTER the needle has been removed - =Answer>> safety devices should be engaged as needle is being removed Why is a BUN taken pre and post treatment? - =Answer>> to evaluate the efficacy patient's treatment What should you do first when drawing a post BUN? - =Answer>> turn UF rate and DFR off During treatment, transducer protectors must be kept _____ and ________. - =Answer>> dry, unclamped Which of the following is true about sharps containers? a. they do not require a lid b. unused needles do not have to be placed in a sharps container c. they can be shaken to condense content d. they should be emptied when they are 2/3 to 3/4 full
- =Answer>> they should be emptied when they are 2/3 to 3/4 full Which vascular access needle can be placed WITH the flow of blood? Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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a. venous needle only b. both arterial and venous needle c. neither arterial or venous d. arterial needle only - =Answer>> both arterial and venous needle What do you use to prime the circuit with? - =Answer>> normal saline What is the safe range of pH for dialysate? - =Answer>> 6.9 - 7. Which of the following is included in Fresenius Medical Care's mission statement? a. developing the best dialysis products b. increasing financial stability of the company c. adopting the practices of other successful medical facilities d. improving the quality of life of patients - =Answer>> improving the quality of life of patients Calculate the target weight for a patient with the following pre-treatment information: EDW: 75.5 kg Pre-treatment weight: 77.0 kg Prime: 500 mL - =Answer>> 77.0 kg - 75.5 kg = 1.5 + .5 = 2 Which of the following is correct regarding machine disinfection: a. heat disinfection is completed weekly Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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What does a near miss do? - =Answer>> Helps identify a risk to patient safety and reduce the risk of patient injury. A patient begins to experience faintness, double vision and clammy hands. What is the cause? - =Answer>> hypotension What is the path of the urine flow through the urinary tract? - =Answer>> Urine flows from the kidneys to the ureters to the bladder to the urethra. What is Fresenius Medical Care's goal for spkt/v? - =Answer>> 1. Which of the following is correct about KECN testing?
- Sodium is used to estimate clearance of urea
- The result of an OLC is know as KECN with accepted rate of 300-
- OLC tests are treated are 8 times per treatment
- OLC are used to project serum levels - =Answer>> Sodium is used to estimate clearance of urea Which is the following is true about dialysate?
- It contains chlorine
- It is ultrapure
- It is sterile
- It contains urea - =Answer>> It is ultrapure What does a yellow AMP light indicate? - =Answer>> Projected spkt/v is less than 1. Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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Which of the following is true about Ultra Low Total Chlorine Testing? - =Answer>> the sample cup must be rinsed three times What is the limit for Total Chlorine? - =Answer>> < 0. ppm (parts per million) What PPE should you wear when disinfecting a dialysis station or cleaning a blood spill? - =Answer>> gloves, gown and face shield You should check both arms for a fistula or graft before taking what vital sign? - =Answer>> blood pressure When should you replace the venous line during treatment? a. If the arterial pressure goes to - 250 b. If a large clot is seen in the venous line c. Should never be replaced during treatment d. Venous pressure is half the BFR - =Answer>> If a large clot is seen in the venous line Which should be reported to the RN? - =Answer>> BP 165/ Where in the circuit should you look to determine what the cause of an venous alarm? a. the dialyzer b. the venous chamber to the venous needle c. blood pump only d. from the arterial needle to the blood bump - =Answer>> the venous chamber to the venous needle Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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a. clamps must be soaked in 1:100 bleach solution for 20 minutes b. clamps can be used for 30 minutes at a time c. clamps do not require a doctor's order d. two clamps can be used if a patient cannot hold both sites - =Answer>> clamps must be soaked in 1:100 bleach solution for 20 minutes What is the function of dialysis? - =Answer>> remove excess fluid and waste removal You must apply a tourniquet before cannulating which type of access? - =Answer>> fistula What is the number one cause of chronic kidney disease? - =Answer>> diabetes When washing hands with soap and water, how long must you wash your hands? - =Answer>> 40-60 seconds When cleaning hands with hand sanitizer how long must you rub your hands? - =Answer>> 20-30 seconds The number one cause of chronic renal failure is? - =Answer>> diabetes When going from a dirty area to retrieve supplies in a clean area, staff are required to complete hand hygiene. True or False? - =Answer>> True Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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Hazardous material identification system HMIS labels are required on all hazardous material, including bicarbonate containers. True or False? - =Answer>> True The first bleach solution used to clean a large blood spill area (greater than 10mLs) is _____ parts bleach and _____ parts water solution. - =Answer>> 1, 9 The main route of transmission of Hepatitis B in hemodialysis facilities is exposure to infected ____ and _____. - =Answer>> blood, bodily fluids When caring for a patient who is Hepatitis B positive, after disconnecting the bloodlines, the technician must perform which 3 actions before documenting? - =Answer>> 1. remove gloves
- sanitize/wash hands
- put on new gloves According to the CDC, patients who are Hepatitis B surface antigen (HBsAg) positive should be disliked in a _____ area of the dialysis center, on ____ machine. - =Answer>> separate, dedicated What just the dialysis technician to prior to leaving the patient at the dialysis station to get clean supplies? Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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The most likely cause of contamination of the extracorporeal circuit are ____ in the prime bucket with ____ end caps. - =Answer>> bloodlines, open A low-level arterial drip chamber can result in ____ entering the system causing an air embolism or clotting. - =Answer>> air ____ is the ability of a substance to conduct an electrical charge. - =Answer>> conductivity When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment, this is known as a ____. - =Answer>> blood leak The final dialysate must have a pH between: ____ and ____. - =Answer>> 6.9, 7. How often should the staff clean the dialysis machine with acid? - =Answer>> daily When should alarm and pressure holding tests (PHT) should be performed on dialysis machines? - =Answer>> before each treatment What is removed by normal saline during then priming process? - =Answer>> air in the dialyzer Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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Before the start of treatment, check that the machine's conductivity alarm parameters are set at ____ of the machine's theoretical conductivity. - =Answer>> +/- 0.5mS You should disinfect the dialysis machine with heat after doing what? - =Answer>> cleaning with acid In addition to safety checks, what tests must you perform to endure a safe patient treatment? - =Answer>> meter conductivity and pH Prior to applying the blood pressure cuff in a new patient, the PCT should ____ both the patient's arms for the presence of an ____. - =Answer>> examine, access Available weight gain is described as the pre-treatment weight minus ____? - =Answer>> dry weight A red and warm vascular access may be a sign of ____?
- =Answer>> infection Pre-treatment evaluation of an internal vascular access includes palpating for a ____. - =Answer>> thrill What 3 items of PPE are required when performing a venipuncture? - =Answer>> gloves, full face shield/mask, fluid resistant gown Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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You should apply the access needle safety devices as the needle is being ____. - =Answer>> removed An arterial pressure reading of ____ can cause blood to hemolyze. - =Answer>> - Normal saline is used to remove____ and _____ from the extracorpeal circuit - =Answer>> Sterilant & Air What can result from a low-level arterial pressure drip chamber? - =Answer>> AIR entering the system A major complication that can occur when the patient Dialyzed on a HYPOtonic dialysate. - =Answer>> hemolysis Access _______ can jeopardize the adequacy of the dialysis treatment - =Answer>> Recirculation Clotting fibers and air pockets decrease the surface area of the dialyzer. Which had the most impact on? - =Answer>> Clearence What is the online Clearance (OlC) spKt/V goal for each treatment? - =Answer>> 1. Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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The group of symptoms that include feelings of faintness, double vision, perspiration, irritability, and hunger may be associated with what complications? - =Answer>> Hypoglycemia The adequacy of a dialysis TX may be compromised by inadequate - =Answer>> Heparinization Is the term used to describe the movement of fluid through an extracorporeal form an area of low solute concentration to and area of high concentration. - =Answer>> Osmosis Can be defined as the movement of particles through a semi-permeable meme range from a greater to lesser concentration. - =Answer>> Diffusion Water in the dialysate may be referred to as ______ water. - =Answer>> reverse osmosis A major factor affecting ultra filtration. - =Answer>> Pressure A patient with severe hypertension is to start dialysis. The patient does not have diabetes or cardiac problems. What type of access is preferable? - =Answer>> arteriovenous fistula (AVF) Need Writing š¤Help? We've Got You Covered! ā 100% NO A I or Plagiarism Guaranteedš¤
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The venous chamber must be how full at the start of treatment? - =Answer>> 65%-75% The final dialysate must have a pH between... - =Answer>> 6.9-7. Before the start of treatment, check the machine's conductivity alarm parameters are set at - =Answer>> +-
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