Clinical Annual Competency – Fresenius
EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH VERIFIED
CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
Inadequate Heparinization - ANSWER The adequacy of a dialysis treatment may
be compromised by
Post reinfusion and prior to disconnection - ANSWER Routine post dialysis
treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
Chemical content - ANSWER Individual acid containers should be labeled with
Notify the RN - ANSWER The patient complains of pain at the catheter exit site.
What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - ANSWER Which of these findings noted on a safety
check would indicate that an intervention is needed.
, Notify the RN - ANSWER The patient presents to the dialysis center with a pulse
rate of 44/bpm but doesn't appear to be in distress. What should be the dialysis
technicians immediate action?
Assessment for possible clotting in the dialyzer - ANSWER Documentation and
interpretation of the KECN (clearance effective by conductivity) results can assist
the staff member in
Circulation of water during the day only - ANSWER Which of the following
would minimize bacterial growth in the water treatment system?
Bleach :100. 60 - ANSWER All dialysis surfaces(machines, chairs)
bleach 1:10. 80 - ANSWER Large blood spill of blood greater 10 ml
Personal protective equipment (PPE) - ANSWER Full shield or mask, gowns ,
gloves
Hepatitis B - ANSWER Patients infected dialyze isolation, have own equipment
such as BP cuff and stethoscope , torniquete. etc.
Blood test indicate infection with Hepatitis B - ANSWER HbsAg is the test for the
hepatitis B antigen this indicates actual viral presence " aggressive "
Blood test indicates the presence of immunity against hepatitis B - ANSWER
HbsAb "bore" is the test for antibodies indicates presence of immunity against
hepatitis B
Factors affect the rate of diffusion - ANSWER Concentración
gradients,temperature, membrane permeability
,Hand wash with soap - ANSWER 40-60 seconds
Hands be sanitizer - ANSWER Alcohol 20-30 seconds
Kidney anatomy - ANSWER 2 kidneys, 2 ureters, 1 bladder, 1 urethra
Kidney some functions - ANSWER Producción of Renin to help regulate or
control blood pressure
Erythropoietin hormone - ANSWER Stimulates the bone marrow to produce red
blood cells
Three common causes of renal failure - ANSWER Diabetes nephropaty, or
glomerulosclerosis, hipertensión and glomerulonephritid.
Uremia - ANSWER Kidney failure; Waste product build up in blood
Uremia symptoms - ANSWER Yellow gray skin, edema, high BP, itching, loss of
appetite, fatigue, nausea, restless, metals change.
Electrolytes in uremia patients - ANSWER Potassium, calcium, phosphates,
magnesium and bicarbonate
Symptoms of uremia - ANSWER Yellow gray skin, peripheral edema, high blood
pressure, itching, loss appetite, fatigue, nausea, restlessness
, Why are renal failure patients aciditic - ANSWER Kidney control acid/base
balances of the blood by excreting hydrogen by produce a buffers know as
bicarbonate
Dialysate contains... - ANSWER Sodium, bicarbonate "buffer", pure water
Electrolytes found in the dialysate - ANSWER Na,k,calcium, magnesium and
chloride. Glucose" Dextrose" a non electrolyte is also to dialysate for Dr Rx
Phosphate binders take with meals - ANSWER Tums, amphojel, renagel
RN's oversee and assess - ANSWER The patient treatment, direct interventions,
provide patient education
Patient care technicians evaluate and reinforce - ANSWER nursing education
What are the anatomical structures of the urinary system in order of urine flow ? -
ANSWER (2) kidneys (2) ureters (1) bladder (1) urethra
What are the functions of a healthy kidney ? remove - - ANSWER Waste products
- creatinine, urea and uric acid, ammonia
What are the functions of a healthy kidney ? regulate / synthesis - - ANSWER
Fluid balance, blood volume, electrolytes and acid- base balance, synthesize
calcitrol ( active vitamin D)
What are the functions of a healthy kidney? Endocrine / Enzyme - - ANSWER
Secrete erythropoietin - stimulate bone marrow to make red blood cells
Release renin - controls blood pressure
EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH VERIFIED
CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
Inadequate Heparinization - ANSWER The adequacy of a dialysis treatment may
be compromised by
Post reinfusion and prior to disconnection - ANSWER Routine post dialysis
treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
Chemical content - ANSWER Individual acid containers should be labeled with
Notify the RN - ANSWER The patient complains of pain at the catheter exit site.
What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - ANSWER Which of these findings noted on a safety
check would indicate that an intervention is needed.
, Notify the RN - ANSWER The patient presents to the dialysis center with a pulse
rate of 44/bpm but doesn't appear to be in distress. What should be the dialysis
technicians immediate action?
Assessment for possible clotting in the dialyzer - ANSWER Documentation and
interpretation of the KECN (clearance effective by conductivity) results can assist
the staff member in
Circulation of water during the day only - ANSWER Which of the following
would minimize bacterial growth in the water treatment system?
Bleach :100. 60 - ANSWER All dialysis surfaces(machines, chairs)
bleach 1:10. 80 - ANSWER Large blood spill of blood greater 10 ml
Personal protective equipment (PPE) - ANSWER Full shield or mask, gowns ,
gloves
Hepatitis B - ANSWER Patients infected dialyze isolation, have own equipment
such as BP cuff and stethoscope , torniquete. etc.
Blood test indicate infection with Hepatitis B - ANSWER HbsAg is the test for the
hepatitis B antigen this indicates actual viral presence " aggressive "
Blood test indicates the presence of immunity against hepatitis B - ANSWER
HbsAb "bore" is the test for antibodies indicates presence of immunity against
hepatitis B
Factors affect the rate of diffusion - ANSWER Concentración
gradients,temperature, membrane permeability
,Hand wash with soap - ANSWER 40-60 seconds
Hands be sanitizer - ANSWER Alcohol 20-30 seconds
Kidney anatomy - ANSWER 2 kidneys, 2 ureters, 1 bladder, 1 urethra
Kidney some functions - ANSWER Producción of Renin to help regulate or
control blood pressure
Erythropoietin hormone - ANSWER Stimulates the bone marrow to produce red
blood cells
Three common causes of renal failure - ANSWER Diabetes nephropaty, or
glomerulosclerosis, hipertensión and glomerulonephritid.
Uremia - ANSWER Kidney failure; Waste product build up in blood
Uremia symptoms - ANSWER Yellow gray skin, edema, high BP, itching, loss of
appetite, fatigue, nausea, restless, metals change.
Electrolytes in uremia patients - ANSWER Potassium, calcium, phosphates,
magnesium and bicarbonate
Symptoms of uremia - ANSWER Yellow gray skin, peripheral edema, high blood
pressure, itching, loss appetite, fatigue, nausea, restlessness
, Why are renal failure patients aciditic - ANSWER Kidney control acid/base
balances of the blood by excreting hydrogen by produce a buffers know as
bicarbonate
Dialysate contains... - ANSWER Sodium, bicarbonate "buffer", pure water
Electrolytes found in the dialysate - ANSWER Na,k,calcium, magnesium and
chloride. Glucose" Dextrose" a non electrolyte is also to dialysate for Dr Rx
Phosphate binders take with meals - ANSWER Tums, amphojel, renagel
RN's oversee and assess - ANSWER The patient treatment, direct interventions,
provide patient education
Patient care technicians evaluate and reinforce - ANSWER nursing education
What are the anatomical structures of the urinary system in order of urine flow ? -
ANSWER (2) kidneys (2) ureters (1) bladder (1) urethra
What are the functions of a healthy kidney ? remove - - ANSWER Waste products
- creatinine, urea and uric acid, ammonia
What are the functions of a healthy kidney ? regulate / synthesis - - ANSWER
Fluid balance, blood volume, electrolytes and acid- base balance, synthesize
calcitrol ( active vitamin D)
What are the functions of a healthy kidney? Endocrine / Enzyme - - ANSWER
Secrete erythropoietin - stimulate bone marrow to make red blood cells
Release renin - controls blood pressure
