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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.
- Answer all questions.
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- Ensure all answers are final before submitting the exam.
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Fresenius Medical Care Patient Care
Technician PCT Certification
Fresenius PCT Final Exam Review Questions
and Answers | 100% Pass Guaranteed |
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - The patient presents to the dialysis center with a pulse rate of 44/min but does not appear to be in any distress. What should be the PCTs immediate action? - =Answer>> notify rn during dialysis the patients ___ and ___ should be uncovered - =Answer>> access, face What can a low level arterial chamber cause? - =Answer>> air entering the system What is the first thing you do if the needle infiltrates? - =Answer>> stop the blood pump If a large clot is noticed in the venous chamber what should you do? - =Answer>> replace the venous line The venous pressure begins to rise but the venous needle is not infiltrated. What is the most likely cause?
- =Answer>> a clotted venous line the condition most likely to raise the venous pressure - =Answer>> venous needle occlusion Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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hunger may be associated with - =Answer>> hypoglycemia The primary cause of anemia in a dialysis patient is - =Answer>> a decrease in the production of erythropoietin what happens when the dialysate flow stops during treatment? - =Answer>> the patients blood is no longer being cleaned Which alarm will NOT stop the blood pump? - =Answer>> Blood pressure alarm a patient begins to experience shortness of breath, chest pain, and sudden hypotension, the blood is bright red and translucent. what complication is most likely occurring? - =Answer>> hemolysis Chloramines or bleach in the dialysate during dialysis can cause a patient death due to - =Answer>> hemolysis why shouldn't you leave the patient's side while returning the blood? - =Answer>> to avoid infusion of too much saline/an air embolism to properly collect a post BUN sample, it is necessary to turn off the - =Answer>> UF rate To determine the adequacy of dialysis treatment, evaluate the ____ lab values - =Answer>> BUN When a conductivity alarm occurs, the machine enters - =Answer>> bypass mode Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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When teaching a patient about the prevention of hypotension during treatment, the nurse should instruct the patient to measure their daily ___ including foods that ___ at room temperature - =Answer>> food intake, melt A rise in TMP during hemodialysis is likely to indicate __________. - =Answer>> clotted fibers sharps containers must be replaced when they are ____full - =Answer>> 2/3 - 3/4ths Draw PRE-treatment lab samples after _____ and before ____ is administered. - =Answer>> cannulation, heparin draw POST-treatment labs after ____ and before the patient's blood is ____ - =Answer>> treatment, returned You should draw samples for BUN immediately after treatment ends because BUN levels - =Answer>> will change quickly which line do you draw lab samples from - =Answer>> arterial Draw pre and post BUN samples on the same... - =Answer>> day The wall clock indicates the patient has had 3 hours of treatment and the machine indicates only 2 1/2 hours treatment. What happened? - =Answer>> the machine was in bypass for 30 minutes Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Reporting a patient event is a ______ requirement that provides opportunity to identify, report and evaluated. - =Answer>> regulatory Failure to report _____ or _____can result in an patient event, and an increase of patient injury. - =Answer>> errors, near misses A ____is defined as any time there is failure to follow established procedures, treatment prescriptions, or an event that causes patient injury or death - =Answer>> patient event During dialysis a patient has a cardiac arrest. What action should be completed on the dialysis machine before the machine is used by another patient? Technical must perform _____on the machine. - =Answer>> a functional test To prepare for a disaster such as a hurricane or possible flooding, staff should lock down _____seal ______and secure all in the locked ___ - =Answer>> lids on sharps containers, boxes/bags, biohazard storage room Items that should be discarded in a sharps container are ______________, _____________, and ___________. - =Answer>> needles, ampules, broken glass The purpose of maintaining a log of water quality checks is to prove ____ has been documented. - =Answer>> safe water a blood leak alarm has occurred. There is no blood visible in the effluent dialysate. the presence of blood Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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can be verified with - =Answer>> a blood leak test indication the olc goal for each treatment is - =Answer>> 1. dialysis clearance is affected by: - =Answer>> DFR, BFR, treatment time, dialyzer size during the setup of the dialysis machine, a coworker states that the technician has contaminated the extracorporeal circuit. which of the following would be the most likely source of contamination? - =Answer>> blood lines in the prime bucket with open end caps what is adequacy - =Answer>> how well dialysis is working to clear the blood what is clearance - =Answer>> the amount of blood that is completely cleared of a solute in one minute of treatment given a bfr and dfr how to calculate fluid gain - =Answer>> preweight - last weight The minimum recommended needle gauge for a fistula that tolerates a blood flow of 300-350 ml/min without difficulty is? - =Answer>> 16 gauge The dialysis technician has performed a rinse back on a patient and failed to gather all 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 item. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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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. When removing needles from an internal access the needle safety device? - =Answer>> Should be engaged while removing needle from patients access. Which of the following would minimize bacterial growth in the water treatment system? - =Answer>> Circulation of water on a continuous basis. If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is? - =Answer>> Weekly Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature.? - =Answer>> Post rein fusion and prior to disconnection. Concentrate labeling strategies must allow for the positive identification of the contents of the mixing tanks, storage tanks, concentrate head tanks, valve panels and the? - =Answer>> Bicarbonate/acid jugs. A fistula is considered the access of choice because fistula? - =Answer>> Have the lowest complication rate. The ratio of bleach to water in the solution used t odisinfect external surfaces and equipment is? - =Answer>> 10 mls of bleach to 60 liters of water. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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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. Excessive fluid removal during dialysis, combined with the patients taking antihypertensive medication may result in the patient having? - =Answer>> hypotension In addition to air embolism, what complication may potentially occur if the saline bag is left unclamped with the blood pump running during the dialysis treatment? - =Answer>> Dialyzer clotting Using the sodium variation module during the dialysis treatment? - =Answer>> aid in fluid removal The patient care Technician (PCT) notices the patient yawning toward the end of the treatment. The PCT should take which action immediately? - =Answer>> Check the patients blood pressure. Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the staff member in? - =Answer>> assessment for possible clotting in the dialyzer /What reading on the reverse osmosis (RO) machine indicated the level of water quality? - =Answer>> Total Dissolved Solids What solution should be used to disinfect a large blood spill area greater than 10mls? - =Answer>> 1 part bleach: 10 parts water solution Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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appropriate observation documented? - =Answer>> Patient resting quietly, respiration 18, no changes in VS connection secure, no unusual findings. How long can mixed bicarbonate be kept for use without Medical Director approval and validation procedures? - =Answer>> Must be used the same day it is mixed Source water is? - =Answer>> Received from the water supplier to make product water for dialysis. Oral Nutritional supplements (ONS) are given to FMS in- center dialysis patients who are malnourished while they are at the dialysis facility for which of these reasons? - =Answer>> To improve nutritional status and ensure compliance with oral intake and reduce the risk of morbidity and mortality. The purpose of the ultrafilters is to? - =Answer>> Provide a bacterial and endotoxin barrier. A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate that the patient has? - =Answer>> hypotension When it is suspected that a patient has an air embolism, the first intervention should be to? - =Answer>> Clamp the patients bloodlines Which of the following is NOT true when cannulating a new a-V-Fistuala? - =Answer>> Use of a tourniquet is optional when cannulating a new A-V fistula. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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If the arterial pressure changes from -200 mmhg to - 250 mmHg from the initiation of treatment, what would be a possible cause? - =Answer>> hypotension and vasoconstriction. What PPE is required when performing venipuncture? - =Answer>> Gloves, full face shield or mask and protective eyeware with side shield and fluid resistant gown. Improperly primed dialyzers and bloodlines can increase the risk of? - =Answer>> air embolism and clotting in the dialyzer What can result from a low level arterial pressure drip chamber? - =Answer>> Air entering the system Studies conducted by the Center for Disease Control continue to prove that the single most important means of preventing the spread of infection is to? - =Answer>> Wash/Sanitize hands 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. Pre-treatment evaluation of an internal vascular access includes? - =Answer>> palpating for a thrill According to FMS policy, the safe level for total chlorine is? - =Answer>> less than 0.10ppm. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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directions allowing removal of waste throughout the surface area if the dialyzer. Which of the following has the MOST impact on dialyzer clearance - =Answer>> Surface area of the dialzer 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>> Techinical must perform a functional test on the machine Blood pump occulsion and kinked lines would most likely cause which complication during hemodialysis? - =Answer>> Hemolysis Conductivity is best described as the ability of a (n)? - =Answer>> solution to conduct an electrical current The component of the dialysate that helps treat acidosis is? - =Answer>> bicarbonate 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. Which of the following laboratory results indicate a person has protection form acquiring Hepatitis B (HBV)?
- =Answer>> HBsAB positive (HBV Immune) Which of these finding noted on a safety check would indicate that an intervention is needed? - =Answer>> HemoSafe is in place and secure on the arterial line. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Dialysis has been initiated on a patient using a right internal jugular catheter, 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. the caregivers FIRST action would be to? - =Answer>> Clamp down the venous line 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. How long must the reverse osmosis machine (RO) run prior to collecting samples for water testing? - =Answer>> 15 minutes The Adequacy of a dialysis treatment may be compromised by? - =Answer>> inadequate heparinization A 40-year-old patient, who has severe hypertension, is to start on hemodialysis. The patient does not have diabetes or cardiac problems. What type of access is preferable? - =Answer>> An arteriovenous fistula A patient has fallen to the floor post dialysis outside the facility that results in a laceration. This incident is considered a/an? - =Answer>> Serious Adverse Event (SAE) Which total chlorine reading is UNACCEPTABLE? - =Answer>> 0.10 ppm Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What patient complication may occur from using dialysate with conductivity reading of 11.0 mS? - =Answer>> Hemolysis What is likely to occur when flipping needle after cannulation? - =Answer>> Damage to the intimal lining of the vessel is likely to occur. A patential 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 Softener tanks remove the following - =Answer>> Calcium and magnesium The arterial needle is placed - =Answer>> Either with or against the flow of blood The venous needle must always be placed? - =Answer>> With the low of blood Hemolyzed blood could be caused by - =Answer>> An arterial pressure of negative 270 Which of the following letters in the acronym COLT is incorrect when remembering how to treat a patient with a suspected air embolus? - =Answer>> C-Clamp arterial bloodline What is the correct blood flow rate for priming the dialyzer? - =Answer>> 150 ml/min In addition to correctly labeling the concentrate containers, to avoid error it is also mandatory to label Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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the concentrate delivery at the? - =Answer>> Solution Delivery System (SDS) wall ports The patient is becoming increasingly angry with the staff. the patient ask to have her treatment shortened by twenty minutes and says I don't feel like staying on this machine. Which of these responses by the nurse is most appropriate? - =Answer>> You seem upset; however its important to complete the entire treatment to help to avoid medical problems. Lets talk about why you want to stop the treatment. The patient exhibits signs of hemolysis. What is the appropriate action to take? - =Answer>> Turn the blood pump off, clamp the venous line? Which group of solutes may be present in a prescribed dialysate solution? - =Answer>> Sodium bicarbonate, potassium and calcium High phosphorus food that must be LIMITED and AVOIDED in patients who are on dialysis are? - =Answer>> Beans, nuts, and dark colas Individuals bicarbonate containers must be labeled with? - =Answer>> Hazardous material identication System (HMIS) label Accourding to AAMI standards the required exposure time of water to the carbon filters to effectively remove chlorine and chloramine is? - =Answer>> 10 minutes If a blood leak detector alarms a second time and no visible blood is noted, what should the patient care Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
