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Annual PCT LATEST UPDATE 2025 Exam With
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Your immediate intervention for a patient experiencing an anaphylactic reaction is: - correct answer ⬛✓⬛Stop the blood pump, discontinue treatment, do not return the blood In what position should a patient with a suspected air embolus be placed? - correct answer ⬛✓⬛Trendelenburg on the left side A patient wants to terminate his treatment 10 min early to meet a friend for lunch. What is the PCT's correct response? - correct answer ⬛✓Inform the licensed nurse of the request prior to rinse back. Policy states the pre-pump arterial pressure must not exceed negative 260mmHg. What are the possible consequences of excessively negative pre- pump arterial pressures? - correct answer ✓⬛Hemolysis, access damage, and decreased quality of delivered blood The foot rest of a patient chair is torn and the inner foam is exposed. Can it still be used for patient treatments? - correct answer ⬛✓⬛No, because the surface can no longer allow for effective
cleaning and provides a potential for microbial growth.
acceptable intervention? - correct answer Applying a glove filled with hot water You entered the patient's dialysate orders into the machine and connected to the proper dialysate concentrates. When should you perform the independent conductivity and pH reading? - correct answer ⬛✓During priming after allowing the conductivity to stabilize and before connecting the Hansens to the dialyzer Your patient's calculated UF Goal exceeds the maximum UFR ordered by the nephrologist. What is the correct response in the regards to fluid removal? - correct answer The calculated UF Goal must be adjusted to not exceed the ordered maximum UFR and the reason documented. Proper functioning of the independent meters to check dialysate conductivity and pH must be verified: - correct answer ⬛⬛✓Prior to daily use If bicarbonate is mixed for too long, CO2 is released from the solution as a result of over-mixing. Would you notice this when performing the
independent conductivity and pH measurement of the final dialysate? - correct answer ✓⬛Yes, the pH reading would be too high. Your dialysis machine is displaying a conductivity (TCD for Fresenius) of 15.3mS. When performing the independent conductivity testing of the final dialysate, the value is 15.6mS. Is this difference acceptable? - correct answer ✓⬛No, the independent meter reading is outside the acceptable range. Your dialysis machine is displaying a conductivity (TCD for Fresenius) of 14.1mS. When you perform the independent conductivity testing of the final dialysate, the value is 13.5mS. Is this difference acceptable? - correct answer ✓⬛No, it should be within 0.4mS of the machine's reading. After the weekly disinfection of the bicarb system, equipment can be used for patient treatments once results from residual bleach testing have reached a level of: - correct answer ⬛✓Less than or equal to 0.5ppm. You check the water softener's brine tank and notice that the pellet salt level is below the water level. This means: - correct answer ⬛✓Pellet salt should be added until its level is above the
At what time do you perform water hardness testing? - correct answer ⬛✓At the end of the day What complication would you expect to see if a patient is exposed to chlorine/chloramines? - correct answer Hemolysis You are monitoring your secondary carbon tank every 30 minutes and the last test result is 0.2ppm. What is your next action? - correct answer Stop dialysis treatments and notify the FA and biomed technician. What is your FIRST response when a water sample exceeds the allowable limit for chlorine/chloramine testing? - correct answer ⬛✓Repeat the test on a new water sample taken after the primary carbon tank. How long must the RO system be running prior to the first total chlorine testing of the day? - correct answer ⬛✓Testing should be done 15 minutes after startup.
When sodium loading occurs during the dialysis treatment: - correct answer ⬛✓It leads to an increase in thirst and larger fluid weight gains with hypertension between treatments and can contribute to headaches after the treatment. During data collection, a patient mentions her bowel movements have been looking quite dark the last two days and asks if this could be caused by something she ate. You: - correct answer ⬛✓inform the nurse to assess the patient prior to treatment initiation. How long prior to initiating the hemodialysis treatment should the initial loading dose of heparin be administered through the venous fistula needle or venous port of the central venous catheter (CVC) to anticoagulated the patient? - correct answer ✓⬛At least 3 to 5 minutes prior to treatment initiation. Are patients allowed to take over the counter medications? - correct answer ✓⬛⬛They do not require a physician order but should be approved by the nephrologist.
Cleaning blood pressure cuffs between patients: - correct answer ✓⬛⬛Removes microorganisms such as MRSA or VRE that may be colonized in a patient's axillary area. Cleaning and disinfecting priming buckets after each treatment is needed for what reason? - correct answer ⬛✓It is required to decrease gram-negative bacterial growth which may occur in solutions such as water. Hand hygiene is required when gloves are removed: - correct answer ⬛✓Always, even gloved hands can become contaminated through microscopic holes in the gloves. Attention to infection control, proper hand hygiene, cleaning and disinfection procedures are of the utmost importance in the dialysis setting.
How does One determine if a blood pressure cuff is the right size for a patient? - correct answer ⬛✓When wrapping the cuff around the patient's arm, verify the index mark is within the "OK range" markings. A patient complains of shortness of breath. Her pre-dialysis weight is 4.7kg over the last post- treatment weight. What action should the PCT take first? - correct answer ⬛✓⬛Inform the nurse to assess the patient prior to treatment initiation. A patient comes for treatment after the long weekend and complains of having trouble moving, his legs "feel paralyzed", and his heart rate is 37. These symptoms should be related to: - correct answer ⬛✓Elevated Serum Potassium A patient tells you she is drinking low-fat milk to "kill two birds with one stone": she gets the needed protein and controls phosphorous at the same time. What would you tell her? - correct answer ⬛✓⬛You tell her that the phosphorous content is the same in regular and low-fat milk and refer her to the dietician to discuss better food choices.
bypass, reduce BFR to 100ml/min, wait 15 seconds, and draw the sample from the arterial line. What must be done to lavender tubes after drawing them? - correct answer ✓⬛⬛Must be inverted a minimum of 8 to 10 times to properly mix and avoid clotting. When the lab receives a laboratory test tube with double labeling: - correct answer ⬛✓Regulations prohibit the lab from processing such a tube. To prevent the formation of aneurysms and pseudoaneurysms, the following should be practiced:
- correct answer ⬛✓Good needle site rotation and complete needle site clotting techniques When an AV access is cannulated via the rope ladder method cannulation sites are rotated with each treatment to allow healing and increase longevity of the access. About how long does it take for a cannulation site to heal? - correct answer ⬛✓Two weeks
Annual PCT Exam Q&As Latest Update 2023/2024(with Correct answers Verified) guaranteed success What is the primary reason the patient should be in a comfortable supine position when you perform pre-dialysis CVC care? - correct answer ⬛✓The supine position increases pressure within central veins and diminishes the risk of an air embolism. For how long may a vascular access clamp stay in place before checking if bleeding has stopped?
- correct answer ⬛✓ 5 to 10 min The nephrologist has ordered the use of hemostatic sponges, such as SureSeal, for your patient. What is the correct procedure when using these sponges? - correct answer ⬛✓Remove the hemostatic sponge after hemostasis has been achieved and dress the needle site with sterile gauze or Band-Aid. What is NOT an acceptable way of dressing cannulation sites post treatment? - correct answer ⬛✓Wrap and encircle the access extremity with tape or gauze.
