Dialysis exam Quiz Bank 2022 with complete solution
Educational tips for auditory learners include:
A) Using word associations and mnemonics
B) Providing loud background music of the patient's choice
C) Incorporating the patient's secondary learning style
D) Minimizing use of written materials
A) Using word associations and mnemonics
The definition of Health Literacy includes:
A) The degree to which individuals understand basic health information
B) The degree to which individuals are knowledgeable in medical terminology
C) The degree to which individuals can perform appropriate self-care
D) The degree to which individuals understand their rights as healthcare
consumers
A) The degree to which individuals understand basic health information
Ultrafiltration is defined as:
A) Solutes are dragged across the semipermeable membrane along with fluid
B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an area of lower
solute concentrate
D) Fluids move from an area of lower solute concentration to an area of higher
solute concentration
B) Controlled fluid removal by manipulation of hydrostatic pressure
Diffusion is defined as:
A) Solutes are dragged across the semipermeable membrane along with fluid
B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an area of lower
solute concentrate
D) Fluids move from an area of lower solute concentration to an area of higher
solute concentration
C) Particles move from an area of higher solute concentration to an area of lower solute
concentrate
Waiting only 5 seconds between lowering the blood pump speed and drawing the
post-treatment blood sample would:
A) Cause the Kt/V reading to be falsely low
B) Have no effect on the Kt/V reading
C) Cause the Kt/V reading to be either falsely too high or low
D) Cause the Kt/V reading to be falsely high
D) Cause the Kt/V reading to be falsely high
The nephrologist orders a BFR of 300 for a patient with a two-month-old AV
fistula. What needle gauge would be appropriate for this BFR?
A) 17 gauge
B) 16 gauge
C) 15 gauge
D) 14 gauge
B) 16 gauge (250-350 BFR)
,Which of the following factors would influence the V of the Kt/V formula?
A) Treatment time
B) UF Goal
C) Adequate antioagolation
D) Amputation factor
D) Amputation factor
A patient with Acute Kidney Injury (AKI) dialyzes in the out-patient facility. In
regards to the patient's target weight, why is being "wet" better than being too
"dry"
A) Being wet stimulates the kidneys to make urine
B) Being wet helps avoid hypovolemia and hypotensive episodes
C) Being above target weight is of little concern as kidney function is expected to
return
D) Being too dry can lead to inappropriate waste removal
B) Being wet helps avoid hypovolemia and hypotensive episodes
Knowing what caused your patients renal failure
A) Is not necessary because it does not affect the dialysis treatment itself
B) Is only important if the underlying disease cause additional health problems
C) Is important to inquire about possible problems during data collection and
assessment
D) Is recommended to decide on the best treatment modality for the patient
C) Is important to inquire about possible problems during data collection and
assessment
Intradialytic hypotension
A) Is common during the hemodialysis treatment and can easily be corrected with
saline infusion
B) Is only of concern if it happens on a regular basis, e.g. once every treatment
C) Can have many adverse effects including impaired tissue perfusion of vital
organs and organ injury
D) Has no adverse effects unless the systolic blood pressure drops below 60
mmHg
C) Can have many adverse effects including impaired tissue perfusion of vital organs
and organ injury
A recommended intervention for muscle cramps is:
A) Discontinuing the treatment if less than 15 minutes of treatment time remain
B) Turning the UFR off
C) Advising the patient to bring and use a heating pad
D) Applying a glove filled with hot water
B) Turning the UFR off
Per DaVita policy, fever and chills is defined as:
A) Any temperature greater than 99F or increase over baseline of 1F
B) Any temperature greater than 99F or increase over baseline of 1F without
symptoms
C) Any temperature greater than 100F or increase over baseline of 2F with
symptoms
, D) Any temperature greater than 100F or increase over baseline of 2F without
symptoms
C) Any temperature greater than 100F or increase over baseline of 2F with symptoms
One hour into the treatment, your patient complains of feeling warm and her
temperature has risen by 2 degrees Fahrenheit. You suspect
A) A pyrogen reaction
B) An access infection
C) Overheated dialysate
D) A systemic infection
A) A pyrogen reaction
In the event of a patient experiencing a seizure, the dialysis treatment should be
A) Discontinued if the seizure is severe or the patient does not respond to
treatment
B) Discontinued immediately and the patient be transferred to the ER
C) Continued, but the blood flow rate (BFR) and dialysate flow rate (DFR) should
be reduced
D) Interrupted for at least 30 minutes to allow the patient to recover
A) Discontinued if the seizure is severe or the patient does not respond to treatment
Which in-center hemodialysis patients are at risk of experiencing signs and
symptoms of dialysis disequilibrium syndrome?
A) Patients who are eating a diet rich in meats
B) Patients with severe mineral and bone disorder
C) Patients who are fluid overloaded
D) Patients who are skipping treatments
D) Patients who are skipping treatments
The left side Trendelenburg position is to be used for:
A) A patient who is experiencing a seizure
B) A patient with severe abdominal cramps
C) A patient with loss of consciousness due to hypotension
D) A patient who experienced an air embolism
D) A patient who experienced an air embolism
Your immediate intervention for a patient experiencing an anaphylactic reaction
is:
A) Discontinue the medication, administer a saline bolus to prevent hypotension
B) Discontinue the medication and the treatment, return the blood
C) Discontinue the medication, decrease BFR, administer oxygen
D) Stop the blood pump, discontinue the treatment, do not return the blood
D) Stop the blood pump, discontinue the treatment, do not return the blood
Interventions for a patient complaining of chest pain/angina include
A) Place patient in flat supine position, place machine into bypass
B) Decrease BFR, decrease UFR, administer oxygen
C) Place patient in Trendelenburg position, administer a saline bolus
D) Immediately return the blood, administer oxygen
B) Decrease BFR, decrease UFR, administer oxygen
As you initiate the treatment, your patient complains of pain at the venous needle
site, tingling around the lips and difficulty breathing. These are signs and
Educational tips for auditory learners include:
A) Using word associations and mnemonics
B) Providing loud background music of the patient's choice
C) Incorporating the patient's secondary learning style
D) Minimizing use of written materials
A) Using word associations and mnemonics
The definition of Health Literacy includes:
A) The degree to which individuals understand basic health information
B) The degree to which individuals are knowledgeable in medical terminology
C) The degree to which individuals can perform appropriate self-care
D) The degree to which individuals understand their rights as healthcare
consumers
A) The degree to which individuals understand basic health information
Ultrafiltration is defined as:
A) Solutes are dragged across the semipermeable membrane along with fluid
B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an area of lower
solute concentrate
D) Fluids move from an area of lower solute concentration to an area of higher
solute concentration
B) Controlled fluid removal by manipulation of hydrostatic pressure
Diffusion is defined as:
A) Solutes are dragged across the semipermeable membrane along with fluid
B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an area of lower
solute concentrate
D) Fluids move from an area of lower solute concentration to an area of higher
solute concentration
C) Particles move from an area of higher solute concentration to an area of lower solute
concentrate
Waiting only 5 seconds between lowering the blood pump speed and drawing the
post-treatment blood sample would:
A) Cause the Kt/V reading to be falsely low
B) Have no effect on the Kt/V reading
C) Cause the Kt/V reading to be either falsely too high or low
D) Cause the Kt/V reading to be falsely high
D) Cause the Kt/V reading to be falsely high
The nephrologist orders a BFR of 300 for a patient with a two-month-old AV
fistula. What needle gauge would be appropriate for this BFR?
A) 17 gauge
B) 16 gauge
C) 15 gauge
D) 14 gauge
B) 16 gauge (250-350 BFR)
,Which of the following factors would influence the V of the Kt/V formula?
A) Treatment time
B) UF Goal
C) Adequate antioagolation
D) Amputation factor
D) Amputation factor
A patient with Acute Kidney Injury (AKI) dialyzes in the out-patient facility. In
regards to the patient's target weight, why is being "wet" better than being too
"dry"
A) Being wet stimulates the kidneys to make urine
B) Being wet helps avoid hypovolemia and hypotensive episodes
C) Being above target weight is of little concern as kidney function is expected to
return
D) Being too dry can lead to inappropriate waste removal
B) Being wet helps avoid hypovolemia and hypotensive episodes
Knowing what caused your patients renal failure
A) Is not necessary because it does not affect the dialysis treatment itself
B) Is only important if the underlying disease cause additional health problems
C) Is important to inquire about possible problems during data collection and
assessment
D) Is recommended to decide on the best treatment modality for the patient
C) Is important to inquire about possible problems during data collection and
assessment
Intradialytic hypotension
A) Is common during the hemodialysis treatment and can easily be corrected with
saline infusion
B) Is only of concern if it happens on a regular basis, e.g. once every treatment
C) Can have many adverse effects including impaired tissue perfusion of vital
organs and organ injury
D) Has no adverse effects unless the systolic blood pressure drops below 60
mmHg
C) Can have many adverse effects including impaired tissue perfusion of vital organs
and organ injury
A recommended intervention for muscle cramps is:
A) Discontinuing the treatment if less than 15 minutes of treatment time remain
B) Turning the UFR off
C) Advising the patient to bring and use a heating pad
D) Applying a glove filled with hot water
B) Turning the UFR off
Per DaVita policy, fever and chills is defined as:
A) Any temperature greater than 99F or increase over baseline of 1F
B) Any temperature greater than 99F or increase over baseline of 1F without
symptoms
C) Any temperature greater than 100F or increase over baseline of 2F with
symptoms
, D) Any temperature greater than 100F or increase over baseline of 2F without
symptoms
C) Any temperature greater than 100F or increase over baseline of 2F with symptoms
One hour into the treatment, your patient complains of feeling warm and her
temperature has risen by 2 degrees Fahrenheit. You suspect
A) A pyrogen reaction
B) An access infection
C) Overheated dialysate
D) A systemic infection
A) A pyrogen reaction
In the event of a patient experiencing a seizure, the dialysis treatment should be
A) Discontinued if the seizure is severe or the patient does not respond to
treatment
B) Discontinued immediately and the patient be transferred to the ER
C) Continued, but the blood flow rate (BFR) and dialysate flow rate (DFR) should
be reduced
D) Interrupted for at least 30 minutes to allow the patient to recover
A) Discontinued if the seizure is severe or the patient does not respond to treatment
Which in-center hemodialysis patients are at risk of experiencing signs and
symptoms of dialysis disequilibrium syndrome?
A) Patients who are eating a diet rich in meats
B) Patients with severe mineral and bone disorder
C) Patients who are fluid overloaded
D) Patients who are skipping treatments
D) Patients who are skipping treatments
The left side Trendelenburg position is to be used for:
A) A patient who is experiencing a seizure
B) A patient with severe abdominal cramps
C) A patient with loss of consciousness due to hypotension
D) A patient who experienced an air embolism
D) A patient who experienced an air embolism
Your immediate intervention for a patient experiencing an anaphylactic reaction
is:
A) Discontinue the medication, administer a saline bolus to prevent hypotension
B) Discontinue the medication and the treatment, return the blood
C) Discontinue the medication, decrease BFR, administer oxygen
D) Stop the blood pump, discontinue the treatment, do not return the blood
D) Stop the blood pump, discontinue the treatment, do not return the blood
Interventions for a patient complaining of chest pain/angina include
A) Place patient in flat supine position, place machine into bypass
B) Decrease BFR, decrease UFR, administer oxygen
C) Place patient in Trendelenburg position, administer a saline bolus
D) Immediately return the blood, administer oxygen
B) Decrease BFR, decrease UFR, administer oxygen
As you initiate the treatment, your patient complains of pain at the venous needle
site, tingling around the lips and difficulty breathing. These are signs and
