Clinical Annual Competency Exam – Fresenius EXAM
2025 QUESTIONS AND CORRECT ANSWER
When instructing patients with CKD, who are receiving dialysis, the RN should
include the fact that - answer>>>Elevated potassium levels may cause changes in
heart rhythm
One way to establish a patient has orthostatic hypotension is to obtain a patients
- answer>>>Sitting blood pressure followed by the standing blood pressure
The QSR is a monthly report detailing quality outcomes as primary or secondary.
Primary quality outcomes are those that have the highest impact on patient
survival. These include - answer>>>Albumin, Hgb, Phosphorous, Adequacy,
Catheter Rate
Dialysis has been initiated on a patient using a right internal jugular catheter, as
the blood pump is turned up to 200 ml/min, foam begins to accumulate in the
lines. The patient begins to wheeze, and becomes short of breath. The care givers
FIRST action would be to - answer>>>Clamp the venous line
If the bicarbonate jugs have been in storage and are needed for emergency use,
what action must be taken prior to use? - answer>>>Disinfect with 1:100 bleach
water and rinse with RO water until negative for bleach
, According to FMS policy, the safe level for total chlorine is - answer>>>Less than
0.10 ppm
What has the highest potassium content - answer>>>Bananas, orange juice, and
salt substitute
What notification process would alert the staff of poor water quality during the
dialysis treatment - answer>>>Remote Total Dissolved Solids (TDS) alarms in
treatment room
Following FMC policy, when should the second hardness test be completed -
answer>>>After the completion of the last patient treatment
According to AAMI standards the required exposure time of water to the carbon
filters to effectively remove chlorine and chloramine is - answer>>>10 minutes
If the second GAC (carbon) filter exceeds the acceptable limit for total chlorine,
what is the next step? - answer>>>Notify the RN in charge to stop treatment
2025 QUESTIONS AND CORRECT ANSWER
When instructing patients with CKD, who are receiving dialysis, the RN should
include the fact that - answer>>>Elevated potassium levels may cause changes in
heart rhythm
One way to establish a patient has orthostatic hypotension is to obtain a patients
- answer>>>Sitting blood pressure followed by the standing blood pressure
The QSR is a monthly report detailing quality outcomes as primary or secondary.
Primary quality outcomes are those that have the highest impact on patient
survival. These include - answer>>>Albumin, Hgb, Phosphorous, Adequacy,
Catheter Rate
Dialysis has been initiated on a patient using a right internal jugular catheter, as
the blood pump is turned up to 200 ml/min, foam begins to accumulate in the
lines. The patient begins to wheeze, and becomes short of breath. The care givers
FIRST action would be to - answer>>>Clamp the venous line
If the bicarbonate jugs have been in storage and are needed for emergency use,
what action must be taken prior to use? - answer>>>Disinfect with 1:100 bleach
water and rinse with RO water until negative for bleach
, According to FMS policy, the safe level for total chlorine is - answer>>>Less than
0.10 ppm
What has the highest potassium content - answer>>>Bananas, orange juice, and
salt substitute
What notification process would alert the staff of poor water quality during the
dialysis treatment - answer>>>Remote Total Dissolved Solids (TDS) alarms in
treatment room
Following FMC policy, when should the second hardness test be completed -
answer>>>After the completion of the last patient treatment
According to AAMI standards the required exposure time of water to the carbon
filters to effectively remove chlorine and chloramine is - answer>>>10 minutes
If the second GAC (carbon) filter exceeds the acceptable limit for total chlorine,
what is the next step? - answer>>>Notify the RN in charge to stop treatment
