Clinical Annual Competency Exam – Fresenius
Questions and Answers (Complete Answered
guide)
1. Inadequate Heparinization - ANSWER: The adequacy of a dialysis treatment
may be compromised by
2. Post reinfusion and prior to disconnection - ANSWER: Routine post dialysis
treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
3. Chemical content - ANSWER: Individual acid containers should be labeled
with
4. Notify the RN - ANSWER: The patient complains of pain at the catheter exit
site. What would the PCT do first?
5. Hemosome is in place and secure on the arterial line (hemosome clamp should
be secured on the venous line) - ANSWER: Which of these findings noted on a
safety check would indicate that an intervention is needed.
6. Notify the RN - ANSWER: The patient presents to the dialysis center with a
pulse rate of 44/bpm but doesn't appear to be in distress. What should be the
dialysis technicians immediate action?
7. Assessment for possible clotting in the dialyzer - ANSWER: Documentation
and interpretation of the KECN (clearance effective by conductivity) results can
assist the staff member in
8. Circulation of water during the day only - ANSWER: Which of the following
would minimize bacterial growth in the water treatment system?
9. Pressure - ANSWER: A major factor affecting ultrafiltration is
10. Palpating for a thrill - ANSWER: Pre-treatment evaluation of an internal
vascular access includes
11. Hypotension - ANSWER: A patient having a dialysis treatment complains of
feeling dizzy, and begins to yawn. These symptoms are most likely to indicate
that the patient has
12. Check the dialysate effluent with a blood leak test indicator - ANSWER: If a
blood leak detector alarms a second time and no visible blood is noted, what
should the PCT do next?
, Clinical Annual Competency Exam – Fresenius
Questions and Answers (Complete Answered
guide)
13. Surface area of the dialyzer - ANSWER: Which has the most impact on
dialyzer clearance?
14. Turn the blood pump off, clamp the venous line. - ANSWER: The patient
exhibits signs of hemolysis. What is the appropriate action to take?
15. Calcium and magnesium - ANSWER: Softener tanks remove
16. Technical must perform a functional test on the machine. - ANSWER: During
dialysis a patient has a cardiac arrest. Which action should be completed on the
dialysis machine before the machine is used by another patient?
17. Low clearance, hold heparin dose - ANSWER: The following KECN's are
noted: the results indicate a
18. Time KECN. TIME KECN
19. 00:15. 268. 01:45. 243
20. 00:45. 254. 02:15. 240
21. 01:15. 242. 02:45. 238
22. Either with or against the flow of blood - ANSWER: The arterial needle is
placed
23. Priming the dialyzer venous end up - ANSWER: An important factor in
achieving adequacy during machine set up is
24. Ultra Care - ANSWER: The FMC program that utilizes technology to improve
our patient care is
25. Bicarbonate - ANSWER: The component of the dialysate that helps treat
acidosis is
26. Check the patient blood pressure - ANSWER: The PCT notices the patient
yawning toward the end of treatment. The PCT should take which action
immediately
27. Presence of endotoxins in the dialysate - ANSWER: Several patients with
normal pre-dialysis temperatures develop sudden chills and a spike in
temperature. This situation is most likely caused by
Questions and Answers (Complete Answered
guide)
1. Inadequate Heparinization - ANSWER: The adequacy of a dialysis treatment
may be compromised by
2. Post reinfusion and prior to disconnection - ANSWER: Routine post dialysis
treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
3. Chemical content - ANSWER: Individual acid containers should be labeled
with
4. Notify the RN - ANSWER: The patient complains of pain at the catheter exit
site. What would the PCT do first?
5. Hemosome is in place and secure on the arterial line (hemosome clamp should
be secured on the venous line) - ANSWER: Which of these findings noted on a
safety check would indicate that an intervention is needed.
6. Notify the RN - ANSWER: The patient presents to the dialysis center with a
pulse rate of 44/bpm but doesn't appear to be in distress. What should be the
dialysis technicians immediate action?
7. Assessment for possible clotting in the dialyzer - ANSWER: Documentation
and interpretation of the KECN (clearance effective by conductivity) results can
assist the staff member in
8. Circulation of water during the day only - ANSWER: Which of the following
would minimize bacterial growth in the water treatment system?
9. Pressure - ANSWER: A major factor affecting ultrafiltration is
10. Palpating for a thrill - ANSWER: Pre-treatment evaluation of an internal
vascular access includes
11. Hypotension - ANSWER: A patient having a dialysis treatment complains of
feeling dizzy, and begins to yawn. These symptoms are most likely to indicate
that the patient has
12. Check the dialysate effluent with a blood leak test indicator - ANSWER: If a
blood leak detector alarms a second time and no visible blood is noted, what
should the PCT do next?
, Clinical Annual Competency Exam – Fresenius
Questions and Answers (Complete Answered
guide)
13. Surface area of the dialyzer - ANSWER: Which has the most impact on
dialyzer clearance?
14. Turn the blood pump off, clamp the venous line. - ANSWER: The patient
exhibits signs of hemolysis. What is the appropriate action to take?
15. Calcium and magnesium - ANSWER: Softener tanks remove
16. Technical must perform a functional test on the machine. - ANSWER: During
dialysis a patient has a cardiac arrest. Which action should be completed on the
dialysis machine before the machine is used by another patient?
17. Low clearance, hold heparin dose - ANSWER: The following KECN's are
noted: the results indicate a
18. Time KECN. TIME KECN
19. 00:15. 268. 01:45. 243
20. 00:45. 254. 02:15. 240
21. 01:15. 242. 02:45. 238
22. Either with or against the flow of blood - ANSWER: The arterial needle is
placed
23. Priming the dialyzer venous end up - ANSWER: An important factor in
achieving adequacy during machine set up is
24. Ultra Care - ANSWER: The FMC program that utilizes technology to improve
our patient care is
25. Bicarbonate - ANSWER: The component of the dialysate that helps treat
acidosis is
26. Check the patient blood pressure - ANSWER: The PCT notices the patient
yawning toward the end of treatment. The PCT should take which action
immediately
27. Presence of endotoxins in the dialysate - ANSWER: Several patients with
normal pre-dialysis temperatures develop sudden chills and a spike in
temperature. This situation is most likely caused by
