BONENT REVIEW QUESTIONS WITH COMPLETE
SOLUTIONS
a flushed sensation, headache, profound thirst and vomiting are
all symptoms indicating that the dialysate water is high in:
a. aluminum
b. zinc
c. sodium
d. magnesium Correct Answers d. magnesium
a hemodialysis patient who has volume dependent hypertension
will generally be able to control his BP by:
a. maintaining an adequate fluid balance and following a proper
sodium restriction in his diet
b. observing a moderate sodium restriction in his diet, getting
sufficient rest, and decreasing worry
c. taking a diuretic, which will deplete his body's water volume
and reduce pressure in the blood vessels
d, drinking whenever he is thirsty, which is the most reliable
means of assuring that his body has the proper amount of fluid
Correct Answers a. maintaining an adequate fluid balance and
following a proper sodium restriction in his diet
a patient complains of excruciating pain at the site of the venous
needle when dialysis is begun with a reused dialyzer. The
technician's FIRST response should be to:
a. clamp the venous line and stop the blood pump
b. turn down the blood pump
,c. put the patient in Trendelenberg position on the on the left
side
d. insert another venous needle Correct Answers a. clamp the
venous line and stop the blood pump
A patient telephones the dialysis unit to complain of shortness of
breath. The technician is concerned because she realizes that this
symptom in indicative of:
a. cardiac problems
b. disequilibrium syndrome
c. fluid overload
d. high serum potssium Correct Answers c. fluid overload
A patient who has gone on high-efficiency dialysis now dialyzes
for 3 hours per session instead of 4. Which of the following
findings would indicate that the current prescription is
inadequate?
a. an increased sense of well being: at Kt/v value <1.1; a
midweek BUN value < 75;
BP = 128/84 mm Hg; and PCR value of 1.0
b. a decreased in the midweek BUN value from 85 to70;
decreased incidence of cramps; and a decreased estimated dry
weight
c.a lean weight gain of 2.0 kg; absence of edema; blood
pressure= 138/70; and a calculate PCR value of 0.75
d. Kt/V value = 0.8; routine Qb= 400cc/mm; absence of edema;
and increased hematocrit value Correct Answers d. Kt/V value
= 0.8; routine Qb= 400cc/mm; absence of edema; and increased
hematocrit value
,a patients' venous needle falls out. the first thing the technician
would do is:
a notify the charge nurse
b. clamp the venous line, reinsert the needle , and restart the
treatment
c. turn off the blood pump , clamp the venous line , and put
pressure on the puncture sites
d. assess the patient's blood loss Correct Answers c. turn off
the blood pump, clamp the venous line, put pressure on the
puncture site
a reused dialyzer can only be reused:
a. 20 times
b. 30 times
c. on the same patient
d. on patients with the same blood types Correct Answers c. on
the same patient
AAMI standards call for a test to be performed to verify dialyzer
performance
a. once weekly
b. after 5 reuses
c. for every dialyzer reprocessed
d. at regular intervals determined by the facility Correct
Answers c. for every dialyzer reprocessed
, according to federal law regarding the handling of concentrated
toxic substances associated with dialyzer reuse, which of the
following items of personal protective wear should be used?
a. gloves, aprons, respirators ( when appropriate
b. eye shields, show covers, and aprons
c. whatever the worker considers appropriate
d. gloves, eye shields, respirators ( when appropriate), and
impervious gowns Correct Answers d. gloves, eye shields,
respirators ( when appropriate), and impervious gowns
according to federal law, the reused dialyzer MUST be labeled
with the:
a. patient's name, the number of previous uses, and the date of
the last reprocessing
b. patient's name, the ultrafiltration coefficient, and the patient's
social security number
c. patient's name, social security number, and diagnosis
d.patient's social security number, pressure test results, and
blood type Correct Answers a. patient's name, the number of
previous uses, and the date of the last reprocessing
air detector monitor for the presence of air in the
a. dialysate lines
b. venous blood line
c. arterial blood line
d. concentrate line Correct Answers b. venous blood line
SOLUTIONS
a flushed sensation, headache, profound thirst and vomiting are
all symptoms indicating that the dialysate water is high in:
a. aluminum
b. zinc
c. sodium
d. magnesium Correct Answers d. magnesium
a hemodialysis patient who has volume dependent hypertension
will generally be able to control his BP by:
a. maintaining an adequate fluid balance and following a proper
sodium restriction in his diet
b. observing a moderate sodium restriction in his diet, getting
sufficient rest, and decreasing worry
c. taking a diuretic, which will deplete his body's water volume
and reduce pressure in the blood vessels
d, drinking whenever he is thirsty, which is the most reliable
means of assuring that his body has the proper amount of fluid
Correct Answers a. maintaining an adequate fluid balance and
following a proper sodium restriction in his diet
a patient complains of excruciating pain at the site of the venous
needle when dialysis is begun with a reused dialyzer. The
technician's FIRST response should be to:
a. clamp the venous line and stop the blood pump
b. turn down the blood pump
,c. put the patient in Trendelenberg position on the on the left
side
d. insert another venous needle Correct Answers a. clamp the
venous line and stop the blood pump
A patient telephones the dialysis unit to complain of shortness of
breath. The technician is concerned because she realizes that this
symptom in indicative of:
a. cardiac problems
b. disequilibrium syndrome
c. fluid overload
d. high serum potssium Correct Answers c. fluid overload
A patient who has gone on high-efficiency dialysis now dialyzes
for 3 hours per session instead of 4. Which of the following
findings would indicate that the current prescription is
inadequate?
a. an increased sense of well being: at Kt/v value <1.1; a
midweek BUN value < 75;
BP = 128/84 mm Hg; and PCR value of 1.0
b. a decreased in the midweek BUN value from 85 to70;
decreased incidence of cramps; and a decreased estimated dry
weight
c.a lean weight gain of 2.0 kg; absence of edema; blood
pressure= 138/70; and a calculate PCR value of 0.75
d. Kt/V value = 0.8; routine Qb= 400cc/mm; absence of edema;
and increased hematocrit value Correct Answers d. Kt/V value
= 0.8; routine Qb= 400cc/mm; absence of edema; and increased
hematocrit value
,a patients' venous needle falls out. the first thing the technician
would do is:
a notify the charge nurse
b. clamp the venous line, reinsert the needle , and restart the
treatment
c. turn off the blood pump , clamp the venous line , and put
pressure on the puncture sites
d. assess the patient's blood loss Correct Answers c. turn off
the blood pump, clamp the venous line, put pressure on the
puncture site
a reused dialyzer can only be reused:
a. 20 times
b. 30 times
c. on the same patient
d. on patients with the same blood types Correct Answers c. on
the same patient
AAMI standards call for a test to be performed to verify dialyzer
performance
a. once weekly
b. after 5 reuses
c. for every dialyzer reprocessed
d. at regular intervals determined by the facility Correct
Answers c. for every dialyzer reprocessed
, according to federal law regarding the handling of concentrated
toxic substances associated with dialyzer reuse, which of the
following items of personal protective wear should be used?
a. gloves, aprons, respirators ( when appropriate
b. eye shields, show covers, and aprons
c. whatever the worker considers appropriate
d. gloves, eye shields, respirators ( when appropriate), and
impervious gowns Correct Answers d. gloves, eye shields,
respirators ( when appropriate), and impervious gowns
according to federal law, the reused dialyzer MUST be labeled
with the:
a. patient's name, the number of previous uses, and the date of
the last reprocessing
b. patient's name, the ultrafiltration coefficient, and the patient's
social security number
c. patient's name, social security number, and diagnosis
d.patient's social security number, pressure test results, and
blood type Correct Answers a. patient's name, the number of
previous uses, and the date of the last reprocessing
air detector monitor for the presence of air in the
a. dialysate lines
b. venous blood line
c. arterial blood line
d. concentrate line Correct Answers b. venous blood line
