DaVita Final Exam Test Bank 2026/2027 | Latest Update |
Graded A+
1. Describe the role of bicarbonate in the hemodialysis process and its effect on
body pH.
Bicarbonate has no significant role in the hemodialysis process.
Bicarbonate increases the acidity of the blood, which is beneficial for
patients.
Bicarbonate acts as a buffer that helps to neutralize acids in the
blood, thus aiding in the normalization of body pH.
Bicarbonate is a waste product that needs to be removed during
dialysis.
2. Describe the role of phosphate binders in managing phosphorus levels in
patients undergoing dialysis.
Phosphate binders are used to enhance the taste of food.
Phosphate binders help prevent the absorption of phosphorus from
food during meals.
Phosphate binders increase phosphorus levels in the blood.
Phosphate binders are taken to improve kidney function.
3. If a dialysis patient is experiencing low pre-pump arterial pressure, what
intervention could be implemented to improve this condition?
Decrease the dialysate flow rate
Adjust the dialysate composition
Reduce the patient's fluid intake
Increase the blood flow rate
,4. Unless otherwise directed by the manufacturer or state specific pharmacy
regulations, when must medications containing a preservative be discarded?
At 21 days after opening
At 23 days after opening
At 25 days after opening
At 28 days after opening
5. If a patient undergoing hemodialysis presents with metabolic acidosis, what
intervention related to bicarbonate might be implemented during treatment?
Reducing the dialysis time to limit acid removal.
Administering a bicarbonate solution to the dialysis fluid.
Decreasing the blood flow rate during dialysis.
Increasing the temperature of the dialysis fluid.
6. If a patient develops chest pain during dialysis and their vital signs are stable,
what should the healthcare team prioritize next?
Administer pain relief medication immediately.
Assess the patient's symptoms and provide appropriate
interventions.
Continue dialysis without interruption.
Document the pain and wait for the next shift.
7. Assessment of an arteriovenous fistula (AVF) includes evaluation of:
Color and temperature of the hand
Thrill and bruit of the fistula
, Mobility and strength of the arm
Rhythm and rate of radial pulse
8. Documentation in the medical record
Belongs to the patient
Allows caregivers to state their opinion
Provides data for continuity and planning of patient care
Is considered legally acceptable information even if it is illegible
9. What is the role of the Patient Care Technician (PCT) in reporting abnormal
findings during dialysis treatment?
No, the PCT does not need to report any findings.
Only if the patient requests it.
Only if the nurse is unavailable.
Yes, the PCT is required to report abnormal patient data collection
findings.
10. What is a common complication associated with missed dialysis treatments?
Muscle weakness
Infection
Nausea
Fever
11. What is the recommended method for disinfecting the medication
preparation surface area before use?
Wiping with a dry cloth.
, Rinsing with water only.
Using soap and water.
Using an appropriate disinfectant according to protocol.
12. If a patient care technician (PCT) observes considerable edema in a patient's
legs and documents it, what subsequent action should the healthcare team
take to address this finding?
Increase the patient's dialysis duration without further assessment.
Evaluate the patient's fluid balance and adjust treatment as
necessary.
Schedule a follow-up appointment without immediate intervention.
Ignore the observation if the patient is stable.
13. In a scenario where a patient has received a heparin loading dose but the
hemodialysis machine is not ready, what should the healthcare provider do
regarding the timing of dialysis initiation?
Start hemodialysis immediately to avoid delays.
Administer another heparin dose to expedite the process.
Proceed with dialysis without concern for timing.
Delay the initiation of hemodialysis until the appropriate waiting
time has passed.
14. If a patient begins to seize during dialysis and you have ensured their
immediate safety, what is the next appropriate action to take?
Leave the patient unattended to call for help.
Administer fluids to the patient immediately.
Graded A+
1. Describe the role of bicarbonate in the hemodialysis process and its effect on
body pH.
Bicarbonate has no significant role in the hemodialysis process.
Bicarbonate increases the acidity of the blood, which is beneficial for
patients.
Bicarbonate acts as a buffer that helps to neutralize acids in the
blood, thus aiding in the normalization of body pH.
Bicarbonate is a waste product that needs to be removed during
dialysis.
2. Describe the role of phosphate binders in managing phosphorus levels in
patients undergoing dialysis.
Phosphate binders are used to enhance the taste of food.
Phosphate binders help prevent the absorption of phosphorus from
food during meals.
Phosphate binders increase phosphorus levels in the blood.
Phosphate binders are taken to improve kidney function.
3. If a dialysis patient is experiencing low pre-pump arterial pressure, what
intervention could be implemented to improve this condition?
Decrease the dialysate flow rate
Adjust the dialysate composition
Reduce the patient's fluid intake
Increase the blood flow rate
,4. Unless otherwise directed by the manufacturer or state specific pharmacy
regulations, when must medications containing a preservative be discarded?
At 21 days after opening
At 23 days after opening
At 25 days after opening
At 28 days after opening
5. If a patient undergoing hemodialysis presents with metabolic acidosis, what
intervention related to bicarbonate might be implemented during treatment?
Reducing the dialysis time to limit acid removal.
Administering a bicarbonate solution to the dialysis fluid.
Decreasing the blood flow rate during dialysis.
Increasing the temperature of the dialysis fluid.
6. If a patient develops chest pain during dialysis and their vital signs are stable,
what should the healthcare team prioritize next?
Administer pain relief medication immediately.
Assess the patient's symptoms and provide appropriate
interventions.
Continue dialysis without interruption.
Document the pain and wait for the next shift.
7. Assessment of an arteriovenous fistula (AVF) includes evaluation of:
Color and temperature of the hand
Thrill and bruit of the fistula
, Mobility and strength of the arm
Rhythm and rate of radial pulse
8. Documentation in the medical record
Belongs to the patient
Allows caregivers to state their opinion
Provides data for continuity and planning of patient care
Is considered legally acceptable information even if it is illegible
9. What is the role of the Patient Care Technician (PCT) in reporting abnormal
findings during dialysis treatment?
No, the PCT does not need to report any findings.
Only if the patient requests it.
Only if the nurse is unavailable.
Yes, the PCT is required to report abnormal patient data collection
findings.
10. What is a common complication associated with missed dialysis treatments?
Muscle weakness
Infection
Nausea
Fever
11. What is the recommended method for disinfecting the medication
preparation surface area before use?
Wiping with a dry cloth.
, Rinsing with water only.
Using soap and water.
Using an appropriate disinfectant according to protocol.
12. If a patient care technician (PCT) observes considerable edema in a patient's
legs and documents it, what subsequent action should the healthcare team
take to address this finding?
Increase the patient's dialysis duration without further assessment.
Evaluate the patient's fluid balance and adjust treatment as
necessary.
Schedule a follow-up appointment without immediate intervention.
Ignore the observation if the patient is stable.
13. In a scenario where a patient has received a heparin loading dose but the
hemodialysis machine is not ready, what should the healthcare provider do
regarding the timing of dialysis initiation?
Start hemodialysis immediately to avoid delays.
Administer another heparin dose to expedite the process.
Proceed with dialysis without concern for timing.
Delay the initiation of hemodialysis until the appropriate waiting
time has passed.
14. If a patient begins to seize during dialysis and you have ensured their
immediate safety, what is the next appropriate action to take?
Leave the patient unattended to call for help.
Administer fluids to the patient immediately.
