COMPLETE QUESTIONS AND DETAILED SOLUTIONS
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1. When should a PCT perform hand hygiene during dialysis treatment?
A) Only before patient connection
B) Before and after patient contact, after touching surfaces, before clean
procedures
C) Only after removing gloves
D) Once per shift
Correct Answer: B
Rationale: Hand hygiene is essential before and after patient contact, after
contact with blood/body fluids, before aseptic tasks, and after touching
equipment near the patient.
2. What is the minimum recommended time for hand rubbing with an alcohol-
based hand sanitizer?
A) 5 seconds
B) 10 seconds
C) 15-20 seconds
D) 30 seconds
Correct Answer: C
Rationale: Hands should be rubbed with sanitizer for 15-20 seconds until
dry to ensure effective microbial kill.
,3. When should gloves be changed during a shift?
A) Every 4 hours
B) Between each patient and if torn or contaminated
C) Only when visibly soiled
D) At the end of the shift
Correct Answer: B
Rationale: Gloves are single-use, must be changed between patients, and
immediately if damaged or heavily contaminated.
4. A patient has a hepatitis B positive status. What precaution is required?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Correct Answer: A
Rationale: Hepatitis B requires standard precautions including dedicated
equipment and vaccination for staff, but no additional isolation unless
bleeding.
5. How often should a dialysis station be disinfected between patients?
A) Wipe with water only
B) Disinfect with an EPA-registered cleaner after each patient
C) Once at the end of the day
D) Only if blood is visible
Correct Answer: B
, Rationale: All surfaces (chair, machine exterior, tray) must be disinfected
between each patient to prevent cross-contamination.
6. What is the correct action if a PCT accidentally sticks themselves with a
used needle?
A) Ignore if no blood is seen
B) Wash with soap and water, report immediately to supervisor
C) Apply alcohol and continue working
D) Finish the shift then report
Correct Answer: B
Rationale: Needlestick injuries require immediate washing with soap and
water and prompt reporting to the supervisor for appropriate follow-up.
7. True/False: Nail polish and artificial nails are allowed for patient care staff
in dialysis.
A) True
B) False
Correct Answer: B (False)
Rationale: Artificial nails and chipped polish harbor bacteria and are not
allowed in dialysis settings.
8. Which type of precaution is used for a patient with active MRSA infection?
A) Standard
B) Contact
C) Droplet
D) Airborne
Correct Answer: B
, Rationale: MRSA requires contact precautions: gloves, gown, dedicated
equipment.
9. Before accessing a patient's AV fistula, how should the site be prepped?
A) Alcohol swab in circular motion for 5 seconds
B) Povidone-iodine or chlorhexidine with friction for 30-60 seconds, allow
to dry
C) Soap and water only
D) No prep needed if patient showered
Correct Answer: B
Rationale: Aseptic technique requires antiseptic prep with friction and
drying time to reduce skin flora.
10. The four transport mechanisms that play a role in hemodialysis are:
A) Ultrafiltration, convection, diffusion, osmosis
B) Filtration, absorption, secretion, excretion
C) Active transport, passive transport, osmosis, diffusion
D) Convection, absorption, secretion, filtration
Correct Answer: A
Rationale: These are the four primary transport mechanisms in
hemodialysis. Ultrafiltration removes fluid by pressure, convection drags
solutes across the semipermeable membrane, diffusion moves particles from
high to low concentration, and osmosis moves water from low to high solute
concentration.
11. What is ultrafiltration?
A) Fluid pushed through the semipermeable membrane by pressure