FRESENIUS ANNUAL COMPETENCY
EXAM QUESTIONS & ANSWERS
Adverse events must be documented on the medical record, - Correct Answers -QAI,
and Adverse Event Report
The action of Renin is to raise the blood pressure. - Correct Answers -to raise the blood
pressure.
According to FMS policy, intravenous medications are permitted to be pre-drawn how
many hours before administration? - Correct Answers -4
According to FMC policy, the safe level for total chlorine is - Correct Answers -less than
0.10 ppm
All of the following can contribute to hyperkalemia - Correct Answers -Hemolysis,
dietary indiscretion, blood transfusions
The arterial needle is placed - Correct Answers -Either with or against the flow of blood
After the placement of a new central venous catheter, the patient suddenly develops
SOB, pain in the side, and unilateral distention of the chest. Suspecting a possible
catheter related complication, in addition to notifying the physician, the RN should? -
Correct Answers -Immediately stop Tx
The adequacy of a dialysis Tx may be compromised by? - Correct Answers -Inadequate
heparinization
All of the following can contribute to hyperkalemia except - Correct Answers -Diarrhea
Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of
SOB, HA, and burning at the needle site. In view of these findings, the care giver
should: - Correct Answers -stop blood pump and do not return blood to patient
Certified Clinical Hemodialysis Technicians role in education is to? - Correct Answers -
Reinforce
The component of the dialysate that helps treat acidosis is - Correct Answers -
bicarbonate.
, The patient has just returned from radiology from having a new central line catheter
placed. Prior to initializing Tx, the RN should. - Correct Answers -Call the radiologist and
request written documentation that the central line catheter was placed appropriately.
The patient is supine, breathing normally with eyes closed, all machine parameters are
normal and extracorporeal circuit is intact. Based on these observations at this time,
what would be the most appropriate observation documented? - Correct Answers -
Patient is resting quietly, resp 18, no changes in VS, connections secure, no unusual
findings.
The purpose of using heparin during dialysis is to: - Correct Answers -improve dialysis
adequacy.
Chloramines or bleach in the dialysate during dialysis can cause a patients' death due
to - Correct Answers -hemolysis
During the OLC testing, a gradual drop in clearance effectiveness by conductivity,
KeCN, is most likely to indicate the need to - Correct Answers -increase heparin
dosage.
Documentation and interpretation of the KeCN results can assist the staff member in -
Correct Answers -assessment for possible clotting in the dialyzer.
Dialysis has been initiated on a patient using a right internal jugular catheter, as a blood
pump is turned to 200, foam begins to accumulate in the lines. The patient begins to
wheeze, and becomes SOB. The care givers first action would be - Correct Answers -
clamp the venous line
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. - Correct Answers -
Technical must perform a functional test on the machine.
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 technician do prior to
getting clean supplies? - Correct Answers -Remove gloves, wash hands, and put on
clean gloves
An equivalent marker for inflammation as well as an indicator of future mortality risk and
length of hospitalization stay is a body protein known as? - Correct Answers -Serum
albumin
Excessive fluid removal during dialysis, combined with the patient's taking an
antihypertensive med may result in patient having? - Correct Answers -Hypotension
EXAM QUESTIONS & ANSWERS
Adverse events must be documented on the medical record, - Correct Answers -QAI,
and Adverse Event Report
The action of Renin is to raise the blood pressure. - Correct Answers -to raise the blood
pressure.
According to FMS policy, intravenous medications are permitted to be pre-drawn how
many hours before administration? - Correct Answers -4
According to FMC policy, the safe level for total chlorine is - Correct Answers -less than
0.10 ppm
All of the following can contribute to hyperkalemia - Correct Answers -Hemolysis,
dietary indiscretion, blood transfusions
The arterial needle is placed - Correct Answers -Either with or against the flow of blood
After the placement of a new central venous catheter, the patient suddenly develops
SOB, pain in the side, and unilateral distention of the chest. Suspecting a possible
catheter related complication, in addition to notifying the physician, the RN should? -
Correct Answers -Immediately stop Tx
The adequacy of a dialysis Tx may be compromised by? - Correct Answers -Inadequate
heparinization
All of the following can contribute to hyperkalemia except - Correct Answers -Diarrhea
Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of
SOB, HA, and burning at the needle site. In view of these findings, the care giver
should: - Correct Answers -stop blood pump and do not return blood to patient
Certified Clinical Hemodialysis Technicians role in education is to? - Correct Answers -
Reinforce
The component of the dialysate that helps treat acidosis is - Correct Answers -
bicarbonate.
, The patient has just returned from radiology from having a new central line catheter
placed. Prior to initializing Tx, the RN should. - Correct Answers -Call the radiologist and
request written documentation that the central line catheter was placed appropriately.
The patient is supine, breathing normally with eyes closed, all machine parameters are
normal and extracorporeal circuit is intact. Based on these observations at this time,
what would be the most appropriate observation documented? - Correct Answers -
Patient is resting quietly, resp 18, no changes in VS, connections secure, no unusual
findings.
The purpose of using heparin during dialysis is to: - Correct Answers -improve dialysis
adequacy.
Chloramines or bleach in the dialysate during dialysis can cause a patients' death due
to - Correct Answers -hemolysis
During the OLC testing, a gradual drop in clearance effectiveness by conductivity,
KeCN, is most likely to indicate the need to - Correct Answers -increase heparin
dosage.
Documentation and interpretation of the KeCN results can assist the staff member in -
Correct Answers -assessment for possible clotting in the dialyzer.
Dialysis has been initiated on a patient using a right internal jugular catheter, as a blood
pump is turned to 200, foam begins to accumulate in the lines. The patient begins to
wheeze, and becomes SOB. The care givers first action would be - Correct Answers -
clamp the venous line
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. - Correct Answers -
Technical must perform a functional test on the machine.
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 technician do prior to
getting clean supplies? - Correct Answers -Remove gloves, wash hands, and put on
clean gloves
An equivalent marker for inflammation as well as an indicator of future mortality risk and
length of hospitalization stay is a body protein known as? - Correct Answers -Serum
albumin
Excessive fluid removal during dialysis, combined with the patient's taking an
antihypertensive med may result in patient having? - Correct Answers -Hypotension
