©BRAINBARTER 2024/2025
Clinical Annual Competency Exam
Questions With Verified Answers. - Fresenius
Inadequate Heparinization - answer✔The adequacy of a dialysis treatment may be compromised
by
Post reinfusion and prior to disconnection - answer✔Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood pressure
and temperature both
Chemical content - answer✔Individual acid containers should be labeled with
Notify the RN - answer✔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) - answer✔Which of these findings noted on a safety check would indicate that an
intervention is needed.
Notify the RN - answer✔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 - answer✔Documentation and interpretation of
the KECN (clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - answer✔Which of the following would minimize
bacterial growth in the water treatment system?
Pressure - answer✔A major factor affecting ultrafiltration is
Palpating for a thrill - answer✔Pre-treatment evaluation of an internal vascular access includes
Hypotension - answer✔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 - answer✔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 - answer✔Which has the most impact on dialyzer clearance?
, ©BRAINBARTER 2024/2025
Turn the blood pump off, clamp the venous line. - answer✔The patient exhibits signs of
hemolysis. What is the appropriate action to take?
Calcium and magnesium - answer✔Softener tanks remove
Technical must perform a functional test on the machine. - answer✔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 - answer✔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 - answer✔The arterial needle is placed
Priming the dialyzer venous end up - answer✔An important factor in achieving adequacy during
machine set up is
Ultra Care - answer✔The FMC program that utilizes technology to improve our patient care is
Bicarbonate - answer✔The component of the dialysate that helps treat acidosis is
Check the patient blood pressure - answer✔The PCT notices the patient yawning toward the end
of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - answer✔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 - answer✔What is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - answer✔What is NOT true when
cannulating a new AVF?
Weekly - answer✔If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is
Aid in fluid removal - answer✔Using the sodium variation module during the dialysis treatment
will
Clinical Annual Competency Exam
Questions With Verified Answers. - Fresenius
Inadequate Heparinization - answer✔The adequacy of a dialysis treatment may be compromised
by
Post reinfusion and prior to disconnection - answer✔Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood pressure
and temperature both
Chemical content - answer✔Individual acid containers should be labeled with
Notify the RN - answer✔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) - answer✔Which of these findings noted on a safety check would indicate that an
intervention is needed.
Notify the RN - answer✔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 - answer✔Documentation and interpretation of
the KECN (clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - answer✔Which of the following would minimize
bacterial growth in the water treatment system?
Pressure - answer✔A major factor affecting ultrafiltration is
Palpating for a thrill - answer✔Pre-treatment evaluation of an internal vascular access includes
Hypotension - answer✔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 - answer✔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 - answer✔Which has the most impact on dialyzer clearance?
, ©BRAINBARTER 2024/2025
Turn the blood pump off, clamp the venous line. - answer✔The patient exhibits signs of
hemolysis. What is the appropriate action to take?
Calcium and magnesium - answer✔Softener tanks remove
Technical must perform a functional test on the machine. - answer✔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 - answer✔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 - answer✔The arterial needle is placed
Priming the dialyzer venous end up - answer✔An important factor in achieving adequacy during
machine set up is
Ultra Care - answer✔The FMC program that utilizes technology to improve our patient care is
Bicarbonate - answer✔The component of the dialysate that helps treat acidosis is
Check the patient blood pressure - answer✔The PCT notices the patient yawning toward the end
of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - answer✔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 - answer✔What is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - answer✔What is NOT true when
cannulating a new AVF?
Weekly - answer✔If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is
Aid in fluid removal - answer✔Using the sodium variation module during the dialysis treatment
will
