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The functional unit of the kidney or the structure in the kidney that does the work is the? - ANS Nephron A nephron is made up of? - ANS A glomerulus and a tubule The endrocine functions of the kidney include - ANS Making erythpoietin and the active form of vitaim D The leading cause of End stage renal disease for adults in the USA - ANS Diabetes Patients with kidney failure often complain of itching which is likely to be caused by? - ANS Hyperphosphatemia Why do kidney patients often have bone disease? - ANS Kidneys stop producing calcium Symptoms tht a patient may need more dialysis time include? - ANS Anorexia ,Fatique, Swelling A semipermeable membrane is a porous barrier that? - ANS Allows for only certain sized particles to cross Diffusion is movement of Particles? - ANS From an area of higher concentration Negative pressure is pressure created when? - ANS Fluid is pulled through a restriction During Dialysis Ultrafiltration occurs when? - ANS Water is removed from blood because there is a pressure gradient between blood and dialysate. At which point in the extracorporeal circuit is the blood usually under negative pressure? - ANS The arterial line section before the blood plump. Which of the following will increase the amount of solutes that will diffuse across the semipermeable membrane? - ANS High concentration gradients The components of the dialysis treatment that effect clearance include? - ANS Dialysate flow, time of treatment, dialyzer size , blood flow rate 2 things that affect the dialyzer's ability to remove wastes from the body include? - ANS Surface area and molecular weight cutoff. dialysate is the fluid that helps remove waste products from the body. it contains a number of substance. - ANS Bicarbonate, Sodium, Potassium What is the most important saftey monitor during a dialysis treatment? - ANS The dialysis Technician dialysate conductivity measures - ANS The total electrical charge of a solution dialysate that has too much soduim may cause patient injury. too much soduim or hypernatremia can cause? - ANS Headace, High blood pressure, and shriveling of red blood cells. Dialysate that has to much calcium can cause - ANS irregular heartbeat, sever muscle weakness, vomiting, confussion Dialysate that has too little sodium can cause? - ANS Low blood pressure, cramping, and bursting of red blood cells dialysate that has too little calcium can cause? - ANS numbness, seizures, and muscle pain things that can effect dialysis adequacy include all of the following except? - ANS luer lock connectors. Normal body temp taken orally is ? - ANS 98.6 The instrument used for measuring blood pressure is called the ? - ANS Syphygmomanometer A rapid pulse of 104 beats/min would indicate that the paptient has - ANS Tachycardia Seizures during dialysis may be caused by all of the following EXCEPT - ANS Sudden decrease in dialyzer clearence Which of the following situtations will cause an increase in venous pressure during dialysis? - ANS venous needle infiltration The normal range for resting pulse rate in an adult is? - ANS 60 to 100 beats/min The transmembrane pressure has been gradually changing during the last 1-1/2 hours of dialysis. You suspect clotting in the dialyzer. The first action you should take is to? - ANS Rinse the dialyzer with normal saline If there is a decrease in the patient URR OR KT/V,which of the following factors should be looked at? - ANS ased access recirculation ished dialyzer performance due to reprocessing uate anticoagulation of the blood pump speed which of the following is the first sympton that a patient developing dialysis disequilibrium syndrone is most likely to exhibit? - ANS Headace a patient who is fluid overload will probably have which of the following sets of symptoms. Symptoms may be mild or severe. - ANS Tachycardia, Hypertension, dyspnea first use syndrome is a hypersensitivty reaction to a dialyhzer. It is characterized by? - ANS Back pain, Anxiety, Tachycardia, wheezing, circulatory collapse dialyzer performance can be affected by reuse .Which of the following sets of potential problems may be related to reuse? - ANS Blood leak, first use syndrome, inconsistent ultrafiltration AAMI standards recommended quality control activites before a reprocessed dialyzer is used on a patient. How many people must check the dialyzer to verify quialty control info? - ANS 2 people,1of whom should be the patient which of the followingis _NOT_ a symptom of chemical reaction due to incomplete rinsing of the germicide from a reprocessed dialyzer? - ANS Numbness in the access arm Dialyzer are processed before each use to rinse out manufacturing residues and to? - ANS Establish the orginal fiber bundle volume of the dialyzer and check for leaks

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NHA CPT practice exam 2 Questions
And Answers




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LA
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, A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous
diphtheria. Besides gloves, what piece of PPE should the technician wear? - ANS Gown

A phlebotomy technician receives aa chemical splash to his forearm. After removing his
contaminated clothing, what is the minimum amount of time the technician should rinse the




A
affected area? - ANS 15 minutes

To prevent hospital-acquired infections, a phlebotomy technician should clean items that have




R
been contaminated by blood with a 1:10 dilution of which substance with water? - ANS
Sodium hypochlorite

After exiting a patient's room, what is the last piece of PPE a phlebotomy technician should



U
remove? - ANS mask

A phlebotomy technician is preparing to draw blood from a patient who states that this is his first
LA
blood draw. What action should the technician take? - ANS Describe the procedure to the
patient

A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a
general informed consent form upon admission to the facility. What action by the patient
indicates implied consent for the venipuncture? - ANS Rolling up his shirtsleeve
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A phlebotomy technician is following the Clinical and Laboratory Standards Institute's (CLSI)
clinical lab workflow pathway. As part of the postexamination phase of this process, what
following action should the technician take? - ANS Enter critical laboratory data
O


When should a phlebotomy technician perform external liquid controls for quality control on a
CLIA-waived glucose point-of-care test? - ANS When a new lot number or kit is opened
D



A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older
adult patient. What action should the technician take keep the vein from collapsing? - ANS
Use a small needle for the draw

A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic
to alcohol. What antiseptic solution should the technician used to prepare the insertion site? -
ANS Chlorhexidine

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