Clinical Annual Competency Exam –
Fresenius 2023 Update Q&A a+
Inadequate Heparinization - ANS-The adequacy of a dialysis treatment may be
compromised by
Post reinfusion and prior to disconnection - ANS-Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood
pressure and temperature both
Chemical content - ANS-Individual acid containers should be labeled with
Notify the RN - ANS-The patient complains of pain at the catheter exit site. What would
the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - ANS-Which of these findings noted on a safety check
would indicate that an intervention is needed.
Notify the RN - ANS-The patient presents to the dialysis center with a pulse rate of
44/bpm but doesn't appear to be in distress. What should be the dialysis technicians
immediate action?
Assessment for possible clotting in the dialyzer - ANS-Documentation and interpretation
of the KECN (clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - ANS-Which of the following would minimize
bacterial growth in the water treatment system?
Pressure - ANS-A major factor affecting ultrafiltration is
Palpating for a thrill - ANS-Pre-treatment evaluation of an internal vascular access
includes
Hypotension - ANS-A patient having a dialysis treatment complains of feeling dizzy, and
begins to yawn. These symptoms are most likely to indicate that the patient has
Check the dialysate effluent with a blood leak test indicator - ANS-If a blood leak
detector alarms a second time and no visible blood is noted, what should the PCT do
next?
Surface area of the dialyzer - ANS-Which has the most impact on dialyzer clearance?
, Turn the blood pump off, clamp the venous line. - ANS-The patient exhibits signs of
hemolysis. What is the appropriate action to take?
Calcium and magnesium - ANS-Softener tanks remove
Technical must perform a functional test on the machine. - ANS-During dialysis a
patient has a cardiac arrest. Which action should be completed on the dialysis machine
before the machine is used by another patient?
Low clearance, hold heparin dose - ANS-The following KECN's are noted: the results
indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood - ANS-The arterial needle is placed
Priming the dialyzer venous end up - ANS-An important factor in achieving adequacy
during machine set up is
Ultra Care - ANS-The FMC program that utilizes technology to improve our patient care
is
Bicarbonate - ANS-The component of the dialysate that helps treat acidosis is
Check the patient blood pressure - ANS-The PCT notices the patient yawning toward
the end of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - ANS-Several patients with normal pre-dialysis
temperatures develop sudden chills and a spike in temperature. This situation is most
likely caused by
150 ml/min - ANS-What is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - ANS-What is NOT true
when cannulating a new AVF?
Weekly - ANS-If bicarbonate concentrate jugs are used, the frequency for disinfecting
jugs is
Aid in fluid removal - ANS-Using the sodium variation module during the dialysis
treatment will
To improve nutritional status and ensure compliance with oral intake and reduce the risk
of morbidity and mortality - ANS-Oral nutrition supplements are given to FMS in-center
Fresenius 2023 Update Q&A a+
Inadequate Heparinization - ANS-The adequacy of a dialysis treatment may be
compromised by
Post reinfusion and prior to disconnection - ANS-Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood
pressure and temperature both
Chemical content - ANS-Individual acid containers should be labeled with
Notify the RN - ANS-The patient complains of pain at the catheter exit site. What would
the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - ANS-Which of these findings noted on a safety check
would indicate that an intervention is needed.
Notify the RN - ANS-The patient presents to the dialysis center with a pulse rate of
44/bpm but doesn't appear to be in distress. What should be the dialysis technicians
immediate action?
Assessment for possible clotting in the dialyzer - ANS-Documentation and interpretation
of the KECN (clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - ANS-Which of the following would minimize
bacterial growth in the water treatment system?
Pressure - ANS-A major factor affecting ultrafiltration is
Palpating for a thrill - ANS-Pre-treatment evaluation of an internal vascular access
includes
Hypotension - ANS-A patient having a dialysis treatment complains of feeling dizzy, and
begins to yawn. These symptoms are most likely to indicate that the patient has
Check the dialysate effluent with a blood leak test indicator - ANS-If a blood leak
detector alarms a second time and no visible blood is noted, what should the PCT do
next?
Surface area of the dialyzer - ANS-Which has the most impact on dialyzer clearance?
, Turn the blood pump off, clamp the venous line. - ANS-The patient exhibits signs of
hemolysis. What is the appropriate action to take?
Calcium and magnesium - ANS-Softener tanks remove
Technical must perform a functional test on the machine. - ANS-During dialysis a
patient has a cardiac arrest. Which action should be completed on the dialysis machine
before the machine is used by another patient?
Low clearance, hold heparin dose - ANS-The following KECN's are noted: the results
indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood - ANS-The arterial needle is placed
Priming the dialyzer venous end up - ANS-An important factor in achieving adequacy
during machine set up is
Ultra Care - ANS-The FMC program that utilizes technology to improve our patient care
is
Bicarbonate - ANS-The component of the dialysate that helps treat acidosis is
Check the patient blood pressure - ANS-The PCT notices the patient yawning toward
the end of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - ANS-Several patients with normal pre-dialysis
temperatures develop sudden chills and a spike in temperature. This situation is most
likely caused by
150 ml/min - ANS-What is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - ANS-What is NOT true
when cannulating a new AVF?
Weekly - ANS-If bicarbonate concentrate jugs are used, the frequency for disinfecting
jugs is
Aid in fluid removal - ANS-Using the sodium variation module during the dialysis
treatment will
To improve nutritional status and ensure compliance with oral intake and reduce the risk
of morbidity and mortality - ANS-Oral nutrition supplements are given to FMS in-center
