DAVITA RN EXAMINATION SAMPLE 2025/2026
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔What makes dialysis patients more susceptible to HAIs? - ✔✔Lowered immune
system on both active and passive immunity
✔✔Why are dialysis patients at increased risk of acquiring HAIs at the facility? -
✔✔Prolonged exposure to patients blood
✔✔What is the difference between OSHA and CMS infection control requirements? -
✔✔OSHA protects the teammates and the workplace
CMS protects the patients
✔✔What are v-tags and why are them important? - ✔✔CMS regulations and interpretive
guidance related to infection control in dialysis
Are required to allow Medicare patients to dialyze in facility
✔✔What is the most common route of HAI transmission? - ✔✔Contact
✔✔What is the most important intervention you can do to prevent HAIs? - ✔✔Hand
hygiene
✔✔What is the most common infectious complication in HD patients? - ✔✔Bacterial
access infections
✔✔What germs cause the most common infections in HD patients? - ✔✔MRSA and
VRE
✔✔Why is wearing gloves so important? - ✔✔Bacteria on hands can survive washing
✔✔Why do you need to perform hand hygiene before and after wearing gloves? -
✔✔Microscopic holes in gloves allow bacteria/particles to pass through
✔✔Is a cleaned dialysis machine considered a 'clean' area? - ✔✔Nope
✔✔When are sharps containers being removed from the treatment floor? - ✔✔3/4 full
✔✔State the 3 KDOQI strategies to decrease the risk of infections when working with a
CVC - ✔✔Healthcare worker education and training
CVC care and site surveillance
CVC infection surveillance
✔✔HBsAg - ✔✔hepatitis B surface antigen = infection
, ✔✔Anti-HBs - ✔✔Antibody to HBsAg; indicates immunity to hepatitis B
✔✔Anti-HBcIgM - ✔✔Hepatitis B core antibody = natural immunity
✔✔Clotting time for an SST? - ✔✔15-30 minutes
✔✔Which tubes do you spin? - ✔✔SST and Green
✔✔Which tubes do you refrigerate immediately? - ✔✔Dark blue, red, light blue,
lavender
✔✔What samples do not get refrigerated? - ✔✔Blood cultures, sputum cultures, PD
fluid cultures
✔✔Signs and symptoms of fluid imbalance - ✔✔Edema, hypertension, pulmonary
edema or CHF
✔✔What does hypertension lead to? - ✔✔LVH
✔✔Why is sodium balance important? - ✔✔Controls blood pressure and fluid retention
✔✔Hyperkalemia - ✔✔High potassium in blood— dietary intake, muscle weakness,
abnormal heart rhythms
✔✔Hypokalemia - ✔✔deficient potassium in the blood, diarrhea, vomiting
✔✔Why are patients anemic? - ✔✔RBCs don't last as long, less erythropoietin
✔✔How can you prevent contributing to blood loss? - ✔✔Rinseback blood, clot after
pulling needles
✔✔What is pericarditis? What is the special treatment for this issue? - ✔✔inflammation
of the pericardial sac, hold heparin
✔✔Examples of psychological problems caused by CKD - ✔✔Depression, behavioral
problems, sexual dysfunction, work disruption, rehab struggles
✔✔What are the four key elements affected in CKD-MBD? - ✔✔Ca, Ph, PTH, and
calcitriol
✔✔What are symptoms of CKD-MBD in addition to bone disease? - ✔✔Abnormalities in
metabolizing Ca, PO4, PTH and Vit D
Soft tissue calcification
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔What makes dialysis patients more susceptible to HAIs? - ✔✔Lowered immune
system on both active and passive immunity
✔✔Why are dialysis patients at increased risk of acquiring HAIs at the facility? -
✔✔Prolonged exposure to patients blood
✔✔What is the difference between OSHA and CMS infection control requirements? -
✔✔OSHA protects the teammates and the workplace
CMS protects the patients
✔✔What are v-tags and why are them important? - ✔✔CMS regulations and interpretive
guidance related to infection control in dialysis
Are required to allow Medicare patients to dialyze in facility
✔✔What is the most common route of HAI transmission? - ✔✔Contact
✔✔What is the most important intervention you can do to prevent HAIs? - ✔✔Hand
hygiene
✔✔What is the most common infectious complication in HD patients? - ✔✔Bacterial
access infections
✔✔What germs cause the most common infections in HD patients? - ✔✔MRSA and
VRE
✔✔Why is wearing gloves so important? - ✔✔Bacteria on hands can survive washing
✔✔Why do you need to perform hand hygiene before and after wearing gloves? -
✔✔Microscopic holes in gloves allow bacteria/particles to pass through
✔✔Is a cleaned dialysis machine considered a 'clean' area? - ✔✔Nope
✔✔When are sharps containers being removed from the treatment floor? - ✔✔3/4 full
✔✔State the 3 KDOQI strategies to decrease the risk of infections when working with a
CVC - ✔✔Healthcare worker education and training
CVC care and site surveillance
CVC infection surveillance
✔✔HBsAg - ✔✔hepatitis B surface antigen = infection
, ✔✔Anti-HBs - ✔✔Antibody to HBsAg; indicates immunity to hepatitis B
✔✔Anti-HBcIgM - ✔✔Hepatitis B core antibody = natural immunity
✔✔Clotting time for an SST? - ✔✔15-30 minutes
✔✔Which tubes do you spin? - ✔✔SST and Green
✔✔Which tubes do you refrigerate immediately? - ✔✔Dark blue, red, light blue,
lavender
✔✔What samples do not get refrigerated? - ✔✔Blood cultures, sputum cultures, PD
fluid cultures
✔✔Signs and symptoms of fluid imbalance - ✔✔Edema, hypertension, pulmonary
edema or CHF
✔✔What does hypertension lead to? - ✔✔LVH
✔✔Why is sodium balance important? - ✔✔Controls blood pressure and fluid retention
✔✔Hyperkalemia - ✔✔High potassium in blood— dietary intake, muscle weakness,
abnormal heart rhythms
✔✔Hypokalemia - ✔✔deficient potassium in the blood, diarrhea, vomiting
✔✔Why are patients anemic? - ✔✔RBCs don't last as long, less erythropoietin
✔✔How can you prevent contributing to blood loss? - ✔✔Rinseback blood, clot after
pulling needles
✔✔What is pericarditis? What is the special treatment for this issue? - ✔✔inflammation
of the pericardial sac, hold heparin
✔✔Examples of psychological problems caused by CKD - ✔✔Depression, behavioral
problems, sexual dysfunction, work disruption, rehab struggles
✔✔What are the four key elements affected in CKD-MBD? - ✔✔Ca, Ph, PTH, and
calcitriol
✔✔What are symptoms of CKD-MBD in addition to bone disease? - ✔✔Abnormalities in
metabolizing Ca, PO4, PTH and Vit D
Soft tissue calcification
