DAVITA PCT UPDATED FINAL EXAMS QUESTIONS AND
ANSWERS MARKED A+
✔✔What is the safe range for dialysate pH? - ✔✔The desired pH range is 6.9-7.6.
✔✔What is the correct procedure for residual bleach testing after chemical disinfection
of distribution loops and equipment fluid pathways? - ✔✔Residual bleach testing is
performed after bleach disinfectant and prior to use.
✔✔Which is a true statement regarding the monitoring, testing, and verification of
conductivity prior to each patient treatment for all Fresenius machine models and the B
Braun system? - ✔✔B Braun Conductivity: ENDLF, N/A->13.0-15.5 range
Fresenius Conductivity: ?
✔✔To avoid bacterial proliferation (rapid reproduction) within the extracorporeal circuit,
once primed the recirculation of saline within the dialyzer and blood lines should not
exceed______ prior to initiating the hemodialysis treatment. - ✔✔2 hours
✔✔Machine alarm tests are performed: - ✔✔Before the initiation of each patient
treatment.
✔✔TRUE OR FALSE?
Procedures provide a step-by-step series of actions, processes, or measures to be
taken to implement or address a particular activity, system, or problem. - ✔✔True
✔✔When using an automatic blood pressure cuff on a patient with an irregular
heartbeat - ✔✔The recorded blood pressure may be inaccurate.
✔✔This electrolyte plays a major role in muscle contraction and high or low levels can
lead to weakness or cardiac arrest. - ✔✔Potassium
✔✔Post-treatment, a patient complains of a headache and there was a noted
temperature increase to 98.8°F from the pre-treatment baseline of 96.6°F. What follow
up is required before patient discharge? - ✔✔This is considered a fever which should be
investigated
✔✔A post treatment patient assessment - ✔✔-Is completed to verify that the patient is
stable, to determine the patient's discharge status, and to evaluate the effectiveness of
the treatment plan.
-Is compared to the patient's pre treatment assessment findings
-Requires the licensed nurse to notify the physician as needed of changes in patient
status
, ✔✔For a patient who can stand, a post-treatment blood pressure reading of _______ is
considered an abnormal finding and should be reported to a licensed nurse, per DaVita
Policy - ✔✔Normal range: 120/80 mm Hg or less
Orthostatic hypotension: drops by at least 20 mmHg during transition from lying down to
standing up, or when diastolic blood pressure (the bottom reading) drops by at least
10mmHg within three minutes after standing.
✔✔What is considered a normal heart rate? - ✔✔60-100 bpm
✔✔A patient has an adverse reaction within minutes of treatment initiation. The patient's
pre-treatment data screen shows no patient information entered. What should have
occurred prior to initiating treatment according to DaVita policy and procedure (P&P)? -
✔✔There's no proof that pre-treatment safety checks were completed or the patient had
been properly assessed.
✔✔The pre-treatment patient assessment by the licensed nurse is required - ✔✔It is
required before treatment is initiated.
✔✔TRUE OR FALSE?
All pre-treatment data findings and machine safety checks are required to be entered
into the IT Clinical System before treatment initiation. - ✔✔True
✔✔TRUE OR FALSE?
If a PCT documents the extent of a patient's edema as +3, the PCT is performing an
assessment that is not within their scope of practice under local, state, or federal
regulations. - ✔✔True
✔✔Why is it important post-treatment to document the dialyzer appearance and
hemostasis duration (the time it takes to stop actively bleeding) after removal of the
needles from the arteriovenous fistula (AFV)/arteriovenous graft (AVG)? - ✔✔Making
sure the treatment went smoothly & no clots are in the dialyzer (Appearance: streaked,
clear, light, dark).
Making sure the patient is safe to leave (sitting/standing bp, temperature, BVP).
✔✔Patient vital signs, well-being evaluations, and machine checks must be performed a
minimum of: - ✔✔Interval of 30 minutes.
✔✔The purpose of documentation is to provide - ✔✔- proof that care was rendered
- provides continuity
- permanent legal record
- communication tool
✔✔When to chart (6 occurrences) - ✔✔- change from baseline assessment
- change in pt's condition
ANSWERS MARKED A+
✔✔What is the safe range for dialysate pH? - ✔✔The desired pH range is 6.9-7.6.
✔✔What is the correct procedure for residual bleach testing after chemical disinfection
of distribution loops and equipment fluid pathways? - ✔✔Residual bleach testing is
performed after bleach disinfectant and prior to use.
✔✔Which is a true statement regarding the monitoring, testing, and verification of
conductivity prior to each patient treatment for all Fresenius machine models and the B
Braun system? - ✔✔B Braun Conductivity: ENDLF, N/A->13.0-15.5 range
Fresenius Conductivity: ?
✔✔To avoid bacterial proliferation (rapid reproduction) within the extracorporeal circuit,
once primed the recirculation of saline within the dialyzer and blood lines should not
exceed______ prior to initiating the hemodialysis treatment. - ✔✔2 hours
✔✔Machine alarm tests are performed: - ✔✔Before the initiation of each patient
treatment.
✔✔TRUE OR FALSE?
Procedures provide a step-by-step series of actions, processes, or measures to be
taken to implement or address a particular activity, system, or problem. - ✔✔True
✔✔When using an automatic blood pressure cuff on a patient with an irregular
heartbeat - ✔✔The recorded blood pressure may be inaccurate.
✔✔This electrolyte plays a major role in muscle contraction and high or low levels can
lead to weakness or cardiac arrest. - ✔✔Potassium
✔✔Post-treatment, a patient complains of a headache and there was a noted
temperature increase to 98.8°F from the pre-treatment baseline of 96.6°F. What follow
up is required before patient discharge? - ✔✔This is considered a fever which should be
investigated
✔✔A post treatment patient assessment - ✔✔-Is completed to verify that the patient is
stable, to determine the patient's discharge status, and to evaluate the effectiveness of
the treatment plan.
-Is compared to the patient's pre treatment assessment findings
-Requires the licensed nurse to notify the physician as needed of changes in patient
status
, ✔✔For a patient who can stand, a post-treatment blood pressure reading of _______ is
considered an abnormal finding and should be reported to a licensed nurse, per DaVita
Policy - ✔✔Normal range: 120/80 mm Hg or less
Orthostatic hypotension: drops by at least 20 mmHg during transition from lying down to
standing up, or when diastolic blood pressure (the bottom reading) drops by at least
10mmHg within three minutes after standing.
✔✔What is considered a normal heart rate? - ✔✔60-100 bpm
✔✔A patient has an adverse reaction within minutes of treatment initiation. The patient's
pre-treatment data screen shows no patient information entered. What should have
occurred prior to initiating treatment according to DaVita policy and procedure (P&P)? -
✔✔There's no proof that pre-treatment safety checks were completed or the patient had
been properly assessed.
✔✔The pre-treatment patient assessment by the licensed nurse is required - ✔✔It is
required before treatment is initiated.
✔✔TRUE OR FALSE?
All pre-treatment data findings and machine safety checks are required to be entered
into the IT Clinical System before treatment initiation. - ✔✔True
✔✔TRUE OR FALSE?
If a PCT documents the extent of a patient's edema as +3, the PCT is performing an
assessment that is not within their scope of practice under local, state, or federal
regulations. - ✔✔True
✔✔Why is it important post-treatment to document the dialyzer appearance and
hemostasis duration (the time it takes to stop actively bleeding) after removal of the
needles from the arteriovenous fistula (AFV)/arteriovenous graft (AVG)? - ✔✔Making
sure the treatment went smoothly & no clots are in the dialyzer (Appearance: streaked,
clear, light, dark).
Making sure the patient is safe to leave (sitting/standing bp, temperature, BVP).
✔✔Patient vital signs, well-being evaluations, and machine checks must be performed a
minimum of: - ✔✔Interval of 30 minutes.
✔✔The purpose of documentation is to provide - ✔✔- proof that care was rendered
- provides continuity
- permanent legal record
- communication tool
✔✔When to chart (6 occurrences) - ✔✔- change from baseline assessment
- change in pt's condition
