Annual Competency Exam Questions And
Answers 2023 Update
List three blood borne pathogens - ANS-HIV
Hepatitis B
Hepatitis C
What is hepatitis? - ANS-Inflammation of the liver
How is hep a transmitted? - ANS-Contaminated food and oral-fecal route
How is hep B and C transmitted? - ANS-Exposure to blood and body fluids of an
infected person
How long can hep b live on surfaces for? - ANS-Seven days
When caring for HBV patients staff should NOT - ANS-Take care of hepatitis
susceptible patients on the same shift at the same time
Why do we dialyze hep c in the clinical area and not in isolation? - ANS-Not as
contagious as hep B
What blood test indicates infection with Hep B? - ANS-HbsAg
Indicates viral presence
Tests for the antigen
What blood test indicates immunity against hep b? - ANS-HbsAb
Indicates presence of immunity
What vaccine provides long term immunity to hep b? - ANS-Recombivax
Engerix
S/S of TB - ANS-Night sweats
Productive, persistent cought
Unexplained weight loss
Chills
Fever
Blood tinged sputum
How is TB spread? - ANS-Droplet
What can live outside of the body for seven days? How are they spread? - ANS-MRSA
VRE
Spread through contaminated hands of health care workers
, What assures that MRSA patients are no longer actively infected? - ANS-Three
consecutive cultures come back negative
Precautions to take when caring for MRSA/VRE? - ANS-Contact
How to seat VRE patients - ANS-In the same cohort as people with the same bacteria
How long should you wash your hands for? With alcohol? - ANS-40-60 seconds soap
and water
20-30 seconds alcohol
What is urea? - ANS-A by product of protein metabolism
What is creatine? - ANS-A by product of muscle metabolism
What is uric acid? - ANS-Occurs naturally in the human body as a result of the
metabolism of purine
Purine is from dietary intake or the breakdown of the bodies own cells
What does the nephron do? - ANS-Filters blood to form urine
What performs the first step in filtering blood? - ANS-The glomerulus
Which of the functions of healthy kidneys can be replaced by dialysis? - ANS-Removal
of waste products
Regulation of fluid balance
What is renin? - ANS-Regulates blood pressure
Sodium and potassium balance
Three common causes of renal failure - ANS-Diabetic neuropathy or glomerulosclerosis
HTN causing nephrosclerosis
Glomerulonephritis
S/S of uremia - ANS-Yellow-gray appearance
Headache
weakness
fluid overload
anemia
Elevated BUN and creatinine
Itching
Changes in mental status
Normal GFR - ANS-90+
Mildly reduced GFR - ANS-60-89
Answers 2023 Update
List three blood borne pathogens - ANS-HIV
Hepatitis B
Hepatitis C
What is hepatitis? - ANS-Inflammation of the liver
How is hep a transmitted? - ANS-Contaminated food and oral-fecal route
How is hep B and C transmitted? - ANS-Exposure to blood and body fluids of an
infected person
How long can hep b live on surfaces for? - ANS-Seven days
When caring for HBV patients staff should NOT - ANS-Take care of hepatitis
susceptible patients on the same shift at the same time
Why do we dialyze hep c in the clinical area and not in isolation? - ANS-Not as
contagious as hep B
What blood test indicates infection with Hep B? - ANS-HbsAg
Indicates viral presence
Tests for the antigen
What blood test indicates immunity against hep b? - ANS-HbsAb
Indicates presence of immunity
What vaccine provides long term immunity to hep b? - ANS-Recombivax
Engerix
S/S of TB - ANS-Night sweats
Productive, persistent cought
Unexplained weight loss
Chills
Fever
Blood tinged sputum
How is TB spread? - ANS-Droplet
What can live outside of the body for seven days? How are they spread? - ANS-MRSA
VRE
Spread through contaminated hands of health care workers
, What assures that MRSA patients are no longer actively infected? - ANS-Three
consecutive cultures come back negative
Precautions to take when caring for MRSA/VRE? - ANS-Contact
How to seat VRE patients - ANS-In the same cohort as people with the same bacteria
How long should you wash your hands for? With alcohol? - ANS-40-60 seconds soap
and water
20-30 seconds alcohol
What is urea? - ANS-A by product of protein metabolism
What is creatine? - ANS-A by product of muscle metabolism
What is uric acid? - ANS-Occurs naturally in the human body as a result of the
metabolism of purine
Purine is from dietary intake or the breakdown of the bodies own cells
What does the nephron do? - ANS-Filters blood to form urine
What performs the first step in filtering blood? - ANS-The glomerulus
Which of the functions of healthy kidneys can be replaced by dialysis? - ANS-Removal
of waste products
Regulation of fluid balance
What is renin? - ANS-Regulates blood pressure
Sodium and potassium balance
Three common causes of renal failure - ANS-Diabetic neuropathy or glomerulosclerosis
HTN causing nephrosclerosis
Glomerulonephritis
S/S of uremia - ANS-Yellow-gray appearance
Headache
weakness
fluid overload
anemia
Elevated BUN and creatinine
Itching
Changes in mental status
Normal GFR - ANS-90+
Mildly reduced GFR - ANS-60-89
