TESTED QUESTIONS AND CORRECT ANSWERS (100%
CORRECT VERIFIED ANSWERS)MOST TESTED QUESTIONS
Waiting only 5 Seconds between lowering the blood pump speed and drawing the post-treatment
blood sample would
A. Cause the Kt/V reading to be falsely low
B. Have no effect on the Kt/V reading
C. Cause the Kt/V to be either falsely high or low
D. Cause the Kt/V to be falsely high - CORRECT ANSWER-D. Cause the Kt/V to be falsely high
When sodium loading is present during the dialysis treatment
A. It leads to an increase in thirst and larger fluid weight gains between treatments and can
contribute to post dialysis hypertension and headaches
B. It is corrected by the end of the treatment as sodium diffuses from the blood into the dialysate
C. It has no effect on fluid management as its impact is much smaller than dietary sodium intake
D. Its long-term beneficial effects include adequate vascular refilling and the prevention of
intradialytic hypotension - CORRECT ANSWER-A. It leads to an increase in thirst and larger fluid
weight gain between treatments and can contribute to post dialysis hypertension and headaches
Target weight is
A. Prescribed and determined by physician order
B. Modified by physician based on patient tolerance
C. Modified by the nurse based on patient tolerance
D. Both a & b - CORRECT ANSWER-D. Both A&B (prescribed by physician order, modified by the
nurse based on PT tolerance)
Attempting to remove a large amount of fluid weight gain from the patient
A. Should be supported through use of sodium modeling and hypertonic saline administration as
needed to prevent hypotension
B. Can lead to hypovolemia during the treatment which is associated with an increased mortality
rate
C. May require exceeding the physician ordered maximum UFR for the patient
,D. Can lead to unpleasant side effects such as muscle cramps which can be used as teaching tool to
motivate patients to watch their fluid intake - CORRECT ANSWER-B. Can lead to hypovolemia
during the treatment which is associated with an increased mortality rate
When the patient's calculated UF Goal exceeds the maximum UFR ordered by the nephrologist
A. The calculated UF Goal should be entered into Snappy and the UFR adjusted once the patient
shows signs of becoming hypotensive
B. The patient must give permission to exceed the ordered maximum UFR since fluid overload is
harmful and every effort should be made to reach the ordered target weight
C. The calculated UF Goal must be adjusted to not exceed the ordered maximum UFR and the reason
documented
D. The charge nurse must assess the patient prior to treatment initiation to determine a safe UF Goal
for the patient - CORRECT ANSWER-C. The calculated UF Goal must be adjusted to not exceed
the ordered maximum UFR and the reason documented
Per the CDC, which is the most important route by which pathogens are transmitted in health-care
settings including dialysis centers?
A. Contact transmission
B. Airborne transmission
C. Fecal-oral transmission
D. Vector-borne (flies, mites, etc.) transmission - CORRECT ANSWER-A. Contact transmission
Practicing meticulous infection control to prevent health-care associated infections (HAIs) in dialysis
patients is of utmost importance because
A. Kidney failure weakens a person's immune system, making these patients much more vulnerable
to infections
B. Infections are the second most common cause of death in this population
C. The hemodialysis procedure requires prolonged access to the patient's blood
D. All of the above - CORRECT ANSWER-D. All of the above (Kidney failure weakens a person's
immune system, infections are the second most common cause of death in this population, the
hemodialysis procedure requires prolonged access)
V-tags for CMS surveys state specific regulations to be met within a condition such as Infection
Control, provide interpretive guidance for each regulation, and cite deficiencies by tag number. How
can knowledge of these V-tags affect the practice of patient care providers?
, A. Provide patient care within CMS Conditions for Coverage
B. Understand rationales for specific regulations as outlined in the interpretive guidance
C. Assist in the development of policies and procedures
D. All of the above - CORRECT ANSWER-D. All of the above
Teammates decrease the risk of infection when working with a central venous catheter (CVC) by:
A. Wearing a facemask
B. Washing hands and wearing clean gloves
C. Avoiding touching dirty surfaces when providing CVC care
D. All of the above - CORRECT ANSWER-D. All of the above (facemask, washing hands, gloves,
avoiding dirty surfaces)
Why is meticulous hand hygiene so important in healthcare?
A. It ranks right after proper environment cleaning procedures in preventing HAIs
B. It is the single most important intervention in preventing HAIs
C. It is part of the "sanitary environment" initiative.
D. It is mandated by OSHA to provide a safe, germ-free environment - CORRECT ANSWER-B. It is
the single most important intervention in preventing HAI's
Gloves are an essential part of hand hygiene. What is their function?
A. Gloves reduce the risk of hand contamination and prevent the transfer of organism already on the
hands
B. Gloves eliminate the need for frequent hand washing which can dry out the skin
C. Gloves inhibit the growth of microorganisms and prevent hand contamination
D. Gloves prevent colonization of healthcare worker's hands with MRSA and other pathogenic
bacteria - CORRECT ANSWER-A. Gloves reduce the risk of hand contamination and prevent the
transfer of organisms already on the hands
Which statement is true about sinks for handwashing?
A. Patients may not use sinks that are dedicated for teammate handwashing, but should have their
own sinks
B. Handwashing sinks may be used to discard clean solution such as left-over normal saline in a
sterile bag