DAVITA - PCT STUDY GUIDE (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Chlorine/Chloraminemtesting:m-
mCORRECTmANSWERmWhen:mR/Omrunsm15mminsmbeforempatientmshiftmeverym4mhours
Where:mAftermPrimarymcarbonmtankmsamplemport
Acceptablemresult:mLessmthanmormequalmtom0.1mmg/L
Actionmifmresultsmaremtoomhighmpostmprimarymtank:mRepeatmthemtest
DefinemthemtermmAKIm-mCORRECTmANSWERm-
mTermmincorporatesmamwidemspectrummofmkidneymissues
-mIncludesmacutemkidneymfailuremasmwellmasmlessmcatastrophicmkidneymfunctionmchanges
-mMaymdialyzeminmanmout-patientmfacilitymuntilmkidneymfunctionmrecovers
Givemexamplesmofmpre-renalmcausesmofmAKIm-mCORRECTmANSWERm-mObstruction
-mVolumemDepletion
-mImpairedmCardiacmFunction
Givemexamplesmofmintra-renalmcausesmofmAKIm-mCORRECTmANSWERm-mIschemicmATN
-mSepsis
-mSIRS
-mSepticmShock
-mAnaphylaxismDrugs
-mGoodpasturemSyndrome
,-mAcutemGlomerulonephritis
-mTrauma
-mOpenmHeartmSurgery
Givemexamplesmofmpost-renalmcausesmofmAKIm-mCORRECTmANSWERm-mObstruction
-mOliguric
-mBladdermRupture
-mPregnancy
Howmdomyoumhelpminmrestoringmkidneymfunction?m-
mCORRECTmANSWERmFindmthemcausemofmthemAKI
Howmdomyoumprotectmkidneysmfrommfurtherminjury?m-
mCORRECTmANSWERmAvoidmsubstancesmtomthemkidneymwhichmmaymbemtoxicm(radiographicmcontras
t,mamphotericinmB,mlowmdosemaspirin,mNSAIDS)
WhatmismimportantmwhenmmonitoringmweightmandmBP?m-
mCORRECTmANSWERmKeepmamlittlemextramfluidmonmthemmsomitmismavailablemtomthemkidneysmwhenmth
eymstartmfiltering/ultrafiltratingmonmtheirmown
AKImpatientsmarematmincreasedmriskmformwhichmcomplications?m-mCORRECTmANSWERm-
mHypovolemia
-mHypotension
Whatmdomyoumneedmtomconsiderminmregardsmtomtheirm(AKImpatients')mvascularmaccess?m-
mCORRECTmANSWERmPatientsmwillmtypicallymhavemamdialysismcatheter,msombemcarefulmtomavoidmcath
etermrelatedminfections
,ExplainmthemdifferencembetweenmAKImandmCKDm-
mCORRECTmANSWERmEliminatingmthemcausemofmthemAKImcanmoftenmleadmtomthemreturnmofmkidneymf
unction.mYoumcannotmeliminatemthemcausemofmCKDmwhichmismHTN,mDiabetes,mandmgeneticmdisorder
sm(PKD)
OutlinemthemtreatmentmgoalsmformampatientmwithmCKDm-mCORRECTmANSWERm-
mSlowingmthemprogressionmofmCKD
-mManagingmcomorbiditiesmandmcomplications
-mControllingmsymptoms
-mMinimizingmthemeffectsmofmCKDmonmpatients'mlifestyles
-mKidneymreplacementmtherapymmodalitymeducation
-mEncouragingmpatientsmtomactivelymparticipateminmtheirmhealthcare
WhatmaremthemmostmcommonmcausesmformCKDminmthemUSA?m-mCORRECTmANSWERm-mDM
-mHTN
-mPKD
Whymitmismimportantmtomknowmwhatmcausedmyourmpatient'smCKD?m-
mCORRECTmANSWERmSomthemnursemandmPCTmcanminquiremaboutmpossiblemproblemsmduringmdatamc
ollectionmandmassessment
InmKt/V,mwhatmism'K'?m-mCORRECTmANSWERmClearancemofmurea
Whatmtreatmentmfactorsmdecreasem'K'?m-mCORRECTmANSWERm-mInadequatemcoagulation
-mDecreasedmBFR
-mPoormpriming
-mNotmfollowingmeP&P
-mPatientmnotmstayingmonmTXmasmprescribed
, Whatmtreatmentmfactorsmincreasem'K'?m-mCORRECTmANSWERm-mIncreasedmBFR
-mCorrectmDFR
-mCorrectmdialyzer
-mCorrectmtargetmweight-amputationmfactor
InmKt/V,mwhatmism't'?m-mCORRECTmANSWERmTimemofmdialysismsession
Whatmfactorsminfluencem't'?m-mCORRECTmANSWERmRunningmprescribedmTXmtime
-mFollowmphysicianmorders
-
mEncouragempt.mtomrunmentiremTXm[Gettingmoffmearlymwillmimpactmtimem(missingmtxmalsomimpactmtxm
time)]
InmKt/V,mwhatmism'V'?m-mCORRECTmANSWERm-mVolumemofmureamdistribution
-mVolumemofmpatient'smbodymwaterminmwhichmureamismdistributed
Whatmfactorsminfluencem'V'?m-mCORRECTmANSWERm-mAmputation
-mHeight
-mSex
-mAge
-mTypemofmaccessm(lessmefficientmaccessmreducesmthemvolumemprocessmofmampatient'smblood)
SuggestedmBFRmform17mgaugemneedlesm-mCORRECTmANSWERm200-250
SuggestedmBFRmform16mgaugemneedlesm-mCORRECTmANSWERm250-350
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Chlorine/Chloraminemtesting:m-
mCORRECTmANSWERmWhen:mR/Omrunsm15mminsmbeforempatientmshiftmeverym4mhours
Where:mAftermPrimarymcarbonmtankmsamplemport
Acceptablemresult:mLessmthanmormequalmtom0.1mmg/L
Actionmifmresultsmaremtoomhighmpostmprimarymtank:mRepeatmthemtest
DefinemthemtermmAKIm-mCORRECTmANSWERm-
mTermmincorporatesmamwidemspectrummofmkidneymissues
-mIncludesmacutemkidneymfailuremasmwellmasmlessmcatastrophicmkidneymfunctionmchanges
-mMaymdialyzeminmanmout-patientmfacilitymuntilmkidneymfunctionmrecovers
Givemexamplesmofmpre-renalmcausesmofmAKIm-mCORRECTmANSWERm-mObstruction
-mVolumemDepletion
-mImpairedmCardiacmFunction
Givemexamplesmofmintra-renalmcausesmofmAKIm-mCORRECTmANSWERm-mIschemicmATN
-mSepsis
-mSIRS
-mSepticmShock
-mAnaphylaxismDrugs
-mGoodpasturemSyndrome
,-mAcutemGlomerulonephritis
-mTrauma
-mOpenmHeartmSurgery
Givemexamplesmofmpost-renalmcausesmofmAKIm-mCORRECTmANSWERm-mObstruction
-mOliguric
-mBladdermRupture
-mPregnancy
Howmdomyoumhelpminmrestoringmkidneymfunction?m-
mCORRECTmANSWERmFindmthemcausemofmthemAKI
Howmdomyoumprotectmkidneysmfrommfurtherminjury?m-
mCORRECTmANSWERmAvoidmsubstancesmtomthemkidneymwhichmmaymbemtoxicm(radiographicmcontras
t,mamphotericinmB,mlowmdosemaspirin,mNSAIDS)
WhatmismimportantmwhenmmonitoringmweightmandmBP?m-
mCORRECTmANSWERmKeepmamlittlemextramfluidmonmthemmsomitmismavailablemtomthemkidneysmwhenmth
eymstartmfiltering/ultrafiltratingmonmtheirmown
AKImpatientsmarematmincreasedmriskmformwhichmcomplications?m-mCORRECTmANSWERm-
mHypovolemia
-mHypotension
Whatmdomyoumneedmtomconsiderminmregardsmtomtheirm(AKImpatients')mvascularmaccess?m-
mCORRECTmANSWERmPatientsmwillmtypicallymhavemamdialysismcatheter,msombemcarefulmtomavoidmcath
etermrelatedminfections
,ExplainmthemdifferencembetweenmAKImandmCKDm-
mCORRECTmANSWERmEliminatingmthemcausemofmthemAKImcanmoftenmleadmtomthemreturnmofmkidneymf
unction.mYoumcannotmeliminatemthemcausemofmCKDmwhichmismHTN,mDiabetes,mandmgeneticmdisorder
sm(PKD)
OutlinemthemtreatmentmgoalsmformampatientmwithmCKDm-mCORRECTmANSWERm-
mSlowingmthemprogressionmofmCKD
-mManagingmcomorbiditiesmandmcomplications
-mControllingmsymptoms
-mMinimizingmthemeffectsmofmCKDmonmpatients'mlifestyles
-mKidneymreplacementmtherapymmodalitymeducation
-mEncouragingmpatientsmtomactivelymparticipateminmtheirmhealthcare
WhatmaremthemmostmcommonmcausesmformCKDminmthemUSA?m-mCORRECTmANSWERm-mDM
-mHTN
-mPKD
Whymitmismimportantmtomknowmwhatmcausedmyourmpatient'smCKD?m-
mCORRECTmANSWERmSomthemnursemandmPCTmcanminquiremaboutmpossiblemproblemsmduringmdatamc
ollectionmandmassessment
InmKt/V,mwhatmism'K'?m-mCORRECTmANSWERmClearancemofmurea
Whatmtreatmentmfactorsmdecreasem'K'?m-mCORRECTmANSWERm-mInadequatemcoagulation
-mDecreasedmBFR
-mPoormpriming
-mNotmfollowingmeP&P
-mPatientmnotmstayingmonmTXmasmprescribed
, Whatmtreatmentmfactorsmincreasem'K'?m-mCORRECTmANSWERm-mIncreasedmBFR
-mCorrectmDFR
-mCorrectmdialyzer
-mCorrectmtargetmweight-amputationmfactor
InmKt/V,mwhatmism't'?m-mCORRECTmANSWERmTimemofmdialysismsession
Whatmfactorsminfluencem't'?m-mCORRECTmANSWERmRunningmprescribedmTXmtime
-mFollowmphysicianmorders
-
mEncouragempt.mtomrunmentiremTXm[Gettingmoffmearlymwillmimpactmtimem(missingmtxmalsomimpactmtxm
time)]
InmKt/V,mwhatmism'V'?m-mCORRECTmANSWERm-mVolumemofmureamdistribution
-mVolumemofmpatient'smbodymwaterminmwhichmureamismdistributed
Whatmfactorsminfluencem'V'?m-mCORRECTmANSWERm-mAmputation
-mHeight
-mSex
-mAge
-mTypemofmaccessm(lessmefficientmaccessmreducesmthemvolumemprocessmofmampatient'smblood)
SuggestedmBFRmform17mgaugemneedlesm-mCORRECTmANSWERm200-250
SuggestedmBFRmform16mgaugemneedlesm-mCORRECTmANSWERm250-350