DAVITA PCT TEST PAPER QUESTIONS CORRECT ANSWERS GRADED A PLUS FORM SIX
Question:
follow policy and procedure to prevent infections Why is it important to know what caused your
patient's CKD?
Answer:
to inquire about possible problems during data collection and assessments Kt/V: What is K?
-✓✓clearance of urea What treatment factors decrease K? -✓✓not waiting 3-5 minutes after giving
heparin with treatment initiation to prevent clotting What factors influence V (volume)? -✓✓sex,
age, weight, height, amputations Needle gauge and suggested BFR -✓✓17: 200-250 16: 250-350
15: 350-450 14: >450 What do you do if a patient wants to get off early? -✓✓educate and document,
still draw lab on habitual patients, MUST NOTIFY NURSE Lab draw mistakes that would falsely
increase Kt/V -✓✓not waiting the full 15 seconds to draw the BUN What is the role of the PCT
prior to treatment initiation? -✓✓DATA COLLECTION Squeezing the BP cuff can damage the
machine: T/F -✓✓True 4 reasons we document in the medical record -✓✓1. proof that care was
rendered 2. provides data continuity and planning of patient care 3. permanent legal record 4.
communication tool Pre-treatment patient data collection/assessment -✓✓Data collection: before
initiation Assessment: 30 minutes into treatment Post treatment data collection/assessments
-✓✓after treatment
Question:
NOT DURING RINSEBACK What are possible consequences of poor or incomplete
documentation
Answer:
attack on your care What are the six items included in charting administered medications? -
✓✓REASON FOR ADMINISTERING What are the 5 W's to be used when completing an AOR
-✓✓who should report an AOR what type of incident when should it be reported where should they
be reported why What are the four consequences of sodium loading during dialysis? - ✓✓Thirsty
Increase Fluid Intake Increased intradialytic weight gain Increased ultrafiltration rate What is the
purpose of UF profiling? -✓✓fit to the patient to prevent crashing and allow for vascular refill Why
do we measure the pH in the dialysate -✓✓to verify acid-base balance is within an acceptable range
Conductivity and pH alarm causes -✓✓no concentrate improper bicarb calcium or magnesium
precipitate line of filter occlusion from debris improper calibration Temperature alarm causes
, -✓✓lower temperature, increases BP hemolysis occurs at 42 degrees calcium which releases
potassium Power -✓✓the appropriate intervention is to remove venous line from air detector clamp
before starting hand crank Arterial Pressure High alarm causes -✓✓separation of tubing Venous
pressure high alarm causes -✓✓kink in tubing infiltration clotting in the venous drip chamber
Davita Quality Index -✓✓the purpose of selecting the component measure for DQI is to encourage
continuous improvement across a broad range of disease management processes DQI success is
achieved by -✓✓-managing individual patients first and allowing scores to follow knowing each
team members role and improving DQI scores
Question:
using the CQI (continuous quality improvement) process to help identify trends and make
improvements (answer all of the above) Importance of P&P
Answer:
when supervising non-licensed, assistive personnel, it is the responsibility of the licensed nurse to
ensure these teammates also meet the standard of care What are the risks of doing it your way -✓✓it
can lead to civil liability What makes dialysis patients more susceptible to HAIs? -✓✓they have
weakened immune systems and prolonged access to blood Why are dialysis patients at increased
risk for acquiring a HAI at the facility? -✓✓CONTACT TRANSMISSION what is the most
common transmission route for HAIs? -✓✓contact transmission What is the most important
intervention you can do to prevent HAIs? - ✓✓Hand washing What is the most common infectious
complication in hemodialysis patients? -✓✓Per the CDC, the most common factor contributing to
bacteremia is CVC What germ causes the most common infections in hemodialysis patients?
-✓✓MRSA Why is wearing gloves so important? -✓✓Decreases risk of hand contamination Who
can use sinks designated for hand washing? -✓✓clean sinks must be dedicated for hand washing
only What is the correct procedure in regards to your hands when you have casual contact with a
patient? -✓✓don't need to have gloves but must perform hand hygiene before caring for patients
Successful Lab draws -✓✓know the 20 tips follow the order of the lan draws to prevent specimens
from being contaminated with other tube additives
Question:
double labeling tubes prohibits processing rules for spinning samples
Answer:
only spin tubes of same kind, size, and fill level and should be placed opposite of each other
hyperkalemia -✓✓potassium above 6.5 extreme muscle weakness cardiac arrest What is the primary
cause patients are anemic? -✓✓decreased production of Erythropoietin How can you print
contributing to blood loss? -✓✓adequate heparinization What is pericarditis? -✓✓inflammation of
Question:
follow policy and procedure to prevent infections Why is it important to know what caused your
patient's CKD?
Answer:
to inquire about possible problems during data collection and assessments Kt/V: What is K?
-✓✓clearance of urea What treatment factors decrease K? -✓✓not waiting 3-5 minutes after giving
heparin with treatment initiation to prevent clotting What factors influence V (volume)? -✓✓sex,
age, weight, height, amputations Needle gauge and suggested BFR -✓✓17: 200-250 16: 250-350
15: 350-450 14: >450 What do you do if a patient wants to get off early? -✓✓educate and document,
still draw lab on habitual patients, MUST NOTIFY NURSE Lab draw mistakes that would falsely
increase Kt/V -✓✓not waiting the full 15 seconds to draw the BUN What is the role of the PCT
prior to treatment initiation? -✓✓DATA COLLECTION Squeezing the BP cuff can damage the
machine: T/F -✓✓True 4 reasons we document in the medical record -✓✓1. proof that care was
rendered 2. provides data continuity and planning of patient care 3. permanent legal record 4.
communication tool Pre-treatment patient data collection/assessment -✓✓Data collection: before
initiation Assessment: 30 minutes into treatment Post treatment data collection/assessments
-✓✓after treatment
Question:
NOT DURING RINSEBACK What are possible consequences of poor or incomplete
documentation
Answer:
attack on your care What are the six items included in charting administered medications? -
✓✓REASON FOR ADMINISTERING What are the 5 W's to be used when completing an AOR
-✓✓who should report an AOR what type of incident when should it be reported where should they
be reported why What are the four consequences of sodium loading during dialysis? - ✓✓Thirsty
Increase Fluid Intake Increased intradialytic weight gain Increased ultrafiltration rate What is the
purpose of UF profiling? -✓✓fit to the patient to prevent crashing and allow for vascular refill Why
do we measure the pH in the dialysate -✓✓to verify acid-base balance is within an acceptable range
Conductivity and pH alarm causes -✓✓no concentrate improper bicarb calcium or magnesium
precipitate line of filter occlusion from debris improper calibration Temperature alarm causes
, -✓✓lower temperature, increases BP hemolysis occurs at 42 degrees calcium which releases
potassium Power -✓✓the appropriate intervention is to remove venous line from air detector clamp
before starting hand crank Arterial Pressure High alarm causes -✓✓separation of tubing Venous
pressure high alarm causes -✓✓kink in tubing infiltration clotting in the venous drip chamber
Davita Quality Index -✓✓the purpose of selecting the component measure for DQI is to encourage
continuous improvement across a broad range of disease management processes DQI success is
achieved by -✓✓-managing individual patients first and allowing scores to follow knowing each
team members role and improving DQI scores
Question:
using the CQI (continuous quality improvement) process to help identify trends and make
improvements (answer all of the above) Importance of P&P
Answer:
when supervising non-licensed, assistive personnel, it is the responsibility of the licensed nurse to
ensure these teammates also meet the standard of care What are the risks of doing it your way -✓✓it
can lead to civil liability What makes dialysis patients more susceptible to HAIs? -✓✓they have
weakened immune systems and prolonged access to blood Why are dialysis patients at increased
risk for acquiring a HAI at the facility? -✓✓CONTACT TRANSMISSION what is the most
common transmission route for HAIs? -✓✓contact transmission What is the most important
intervention you can do to prevent HAIs? - ✓✓Hand washing What is the most common infectious
complication in hemodialysis patients? -✓✓Per the CDC, the most common factor contributing to
bacteremia is CVC What germ causes the most common infections in hemodialysis patients?
-✓✓MRSA Why is wearing gloves so important? -✓✓Decreases risk of hand contamination Who
can use sinks designated for hand washing? -✓✓clean sinks must be dedicated for hand washing
only What is the correct procedure in regards to your hands when you have casual contact with a
patient? -✓✓don't need to have gloves but must perform hand hygiene before caring for patients
Successful Lab draws -✓✓know the 20 tips follow the order of the lan draws to prevent specimens
from being contaminated with other tube additives
Question:
double labeling tubes prohibits processing rules for spinning samples
Answer:
only spin tubes of same kind, size, and fill level and should be placed opposite of each other
hyperkalemia -✓✓potassium above 6.5 extreme muscle weakness cardiac arrest What is the primary
cause patients are anemic? -✓✓decreased production of Erythropoietin How can you print
contributing to blood loss? -✓✓adequate heparinization What is pericarditis? -✓✓inflammation of
