DAVITA RN MAIN EXAM SCRIPT 2025/2026 QUESTIONS
WITH SOLUTIONS GRADED A+
✔✔Excess of this electrolyte causes slowing of the hearts electrical system - ✔✔k
✔✔mucosal alteration in the stomach of patients with AKI can lead to this - ✔✔anorexia
✔✔what is the inflammation aroudn the heart called - ✔✔pericarditis
✔✔restless leg syndrome is a complication of - ✔✔peripheral neropathy
✔✔measures the RBC by weight - ✔✔HgB
✔✔what is the diminished quality and quality of RBC - ✔✔anemia
✔✔what is classified as bone disease associated with renal failure - ✔✔CKD-MBD
✔✔the vitamin converts vit d into which hormone - ✔✔Calictrol
✔✔these procedures can causes significant blood loss in our patients - ✔✔access
procedures
✔✔maintaining a normal serum Ca levels are the primary function of this hormone -
✔✔PTH
✔✔this disease is the leading cause of death at all stages in CKD - ✔✔cardiac
✔✔this skin color is associated with the decrease circulation of RBC from secondary
anemia - ✔✔pale
✔✔it is important to use this team approach when dealing with psychological patients -
✔✔multidisplinary
✔✔What is the reason for a meerCAT audit - ✔✔to prepare for survey readiness
✔✔one thing to improve CAT audit scores - ✔✔practice good hand hygiene
✔✔one thing to improve meerCAT score - ✔✔store look-a-like, sound-a-like products
appropriately
✔✔Why is the order of lab draw important - ✔✔samples in subsequent tubes are not
contaminated with additives from the previous
, ✔✔what do you want the level of albumin to be - ✔✔>4
✔✔if drawing labs during dialysis how do you label them? - ✔✔DRAWING DURING
DIALYSIS
✔✔BUN lab draws post dialysis - ✔✔turn off or decrease UR to 50
decrease DFR to 300 or place machine in bypass
reduce BFR to 100
wait 15 seconds for AVG/AVF and CVC (WAIT 15 seconds!!)
Obtain from A Line
✔✔Why is drawing the correct amount for blood cultures improtant - ✔✔too much blood
may create a false positive
✔✔When do we test Hep B - ✔✔need to have it every 28 days drawn for negative and
susceptible, if negative and immune every 365 days. if unknown draw patient
✔✔Rule of 6 is good for? - ✔✔new AVF to guide
✔✔what is LOOK LISTEN AND FEEL? - ✔✔assessment without needles
✔✔inflow stenosis is - ✔✔with AVF, venous stenosis, water hammer pulse
✔✔outflow stenosis - ✔✔with AVG, whistling sound
✔✔How do you identify disinfectant infusion is happening - ✔✔burning or pain at that
access site
✔✔What do you do for disinfectant infusion? - ✔✔stop pump, clamp lines, DO NOT
RETURN blood, O2, NS via A Line and collect blood specimens
✔✔what is hemolysis - ✔✔destruction of RBC
✔✔what is S/S of hemolysis - ✔✔anxiety, restlessness, n/v, dyspenea, chest tightness,
hyperkalemia, blood will look cranberry
✔✔what do we do for hemolysis - ✔✔stop treatment, clamp lines, DO NOT RETURN
BLOOD, assess patient, draw labs, obtain samples for hypotonic dialysate, check
dialysate temp, give o2
✔✔what are s/s of air embolism - ✔✔dyspnea, coughing, chest tightness/pain,
cyanosis, confusion, visual disturbances
✔✔hypotension - ✔✔a drop in BP by 20
WITH SOLUTIONS GRADED A+
✔✔Excess of this electrolyte causes slowing of the hearts electrical system - ✔✔k
✔✔mucosal alteration in the stomach of patients with AKI can lead to this - ✔✔anorexia
✔✔what is the inflammation aroudn the heart called - ✔✔pericarditis
✔✔restless leg syndrome is a complication of - ✔✔peripheral neropathy
✔✔measures the RBC by weight - ✔✔HgB
✔✔what is the diminished quality and quality of RBC - ✔✔anemia
✔✔what is classified as bone disease associated with renal failure - ✔✔CKD-MBD
✔✔the vitamin converts vit d into which hormone - ✔✔Calictrol
✔✔these procedures can causes significant blood loss in our patients - ✔✔access
procedures
✔✔maintaining a normal serum Ca levels are the primary function of this hormone -
✔✔PTH
✔✔this disease is the leading cause of death at all stages in CKD - ✔✔cardiac
✔✔this skin color is associated with the decrease circulation of RBC from secondary
anemia - ✔✔pale
✔✔it is important to use this team approach when dealing with psychological patients -
✔✔multidisplinary
✔✔What is the reason for a meerCAT audit - ✔✔to prepare for survey readiness
✔✔one thing to improve CAT audit scores - ✔✔practice good hand hygiene
✔✔one thing to improve meerCAT score - ✔✔store look-a-like, sound-a-like products
appropriately
✔✔Why is the order of lab draw important - ✔✔samples in subsequent tubes are not
contaminated with additives from the previous
, ✔✔what do you want the level of albumin to be - ✔✔>4
✔✔if drawing labs during dialysis how do you label them? - ✔✔DRAWING DURING
DIALYSIS
✔✔BUN lab draws post dialysis - ✔✔turn off or decrease UR to 50
decrease DFR to 300 or place machine in bypass
reduce BFR to 100
wait 15 seconds for AVG/AVF and CVC (WAIT 15 seconds!!)
Obtain from A Line
✔✔Why is drawing the correct amount for blood cultures improtant - ✔✔too much blood
may create a false positive
✔✔When do we test Hep B - ✔✔need to have it every 28 days drawn for negative and
susceptible, if negative and immune every 365 days. if unknown draw patient
✔✔Rule of 6 is good for? - ✔✔new AVF to guide
✔✔what is LOOK LISTEN AND FEEL? - ✔✔assessment without needles
✔✔inflow stenosis is - ✔✔with AVF, venous stenosis, water hammer pulse
✔✔outflow stenosis - ✔✔with AVG, whistling sound
✔✔How do you identify disinfectant infusion is happening - ✔✔burning or pain at that
access site
✔✔What do you do for disinfectant infusion? - ✔✔stop pump, clamp lines, DO NOT
RETURN blood, O2, NS via A Line and collect blood specimens
✔✔what is hemolysis - ✔✔destruction of RBC
✔✔what is S/S of hemolysis - ✔✔anxiety, restlessness, n/v, dyspenea, chest tightness,
hyperkalemia, blood will look cranberry
✔✔what do we do for hemolysis - ✔✔stop treatment, clamp lines, DO NOT RETURN
BLOOD, assess patient, draw labs, obtain samples for hypotonic dialysate, check
dialysate temp, give o2
✔✔what are s/s of air embolism - ✔✔dyspnea, coughing, chest tightness/pain,
cyanosis, confusion, visual disturbances
✔✔hypotension - ✔✔a drop in BP by 20
