Hemodialysis Exam Review Questions And
Answers Updated 2026
Dry weight is defined by all, except:
A. Weight with normal blood pressure
B. No edema
C. No increase jugular venous pressure
D. Exercise intolerance
E. No shortness of breath
F. Weight at end of hemodialysis at which patient
remains normotensive until next hemodialysis
(Despite retention of Na and fluid) - AnswerAnswer D
Dry weight is clinically assessed by all except:
A. Subjective Global Assessment
B. Plasma Blood Volume Monitoring
C. Blood pressure
D. Jugular venous pressure
E. Edema
F. Chest and heart auscultation - AnswerAnswer: A
Assessment of chest sounds/respiration/heart auscultation can be indicative of volume
overload by all except:
A. Quality of breath sounds
B. Inability to lie flat in the bed without shortness
of breath
C. Aspiration pneumonia
D. Inability to walk usual distance without
shortness of breath
E. New edema - AnswerAnswer: C
, Over the last 3 dialysis treatments Mr. P has left above his DW. As his nurse you:
(Check all that applies)
A. Assess if Mr. P has physical signs & symptoms of
fluid overload
B. Ask the nephrologist to reassess his dry weight
C. Review hemoscan
D. Ask nephrologist to order sodium ramping
E. Review the blood pressure trends on previous
treatment records - AnswerAnswer: A, B, C, E
Mr. B refuses to be weighed. As his nurse you:
A. Record on the run sheet how much fluid the MD has ordered to be removed
B. Tell Mr. B he looks fluid heavy and should be weighed
C. Record on the dialysis treatment record his reason for not being weighed
D. Explain the rationale for being weighed and record the patients reason for not being weighed on
the treatment record
E. Document that Mr. B is not ambulatory and cannot be weighed - AnswerAnswer: D
Hypotension is a result of intravascular volume depletion. It occurs when the:
A. Ultrafiltration rate is faster than the plasma refilling rate
B. Ultrafiltration rate is faster than the fluid removal rate
C. Ultraflltration rate is slower than the plasma refilling rate
D. Ultraflltration rate is slower than the fluid removal rate - AnswerAnswer: A
Mr. H comes in late for dialysis. His treatment time is 3 1/2 hours and he is 8 Kg above his dry weight.
As you start your assessment, he gets mad and starts complaining that you are wasting his time and
to get him on the machine or he will miss his ride. He asks you to remove all 8 kg and doesn't want to
listen to your concerns about it being too much weight to remove. As his Nurse you:
A. Program the machine for 8kg fluid removal, documenting that it is the patient's request
B. Explain to Mr. P that it is too much fluid to be removed in 3h hours and consult with nephrologist
for an extra run
C. Use sodium ramping to facilitate extra ultrafiltration
D. Get an order to do ultrafiltration only to remove the fluid within the time frame
Answers Updated 2026
Dry weight is defined by all, except:
A. Weight with normal blood pressure
B. No edema
C. No increase jugular venous pressure
D. Exercise intolerance
E. No shortness of breath
F. Weight at end of hemodialysis at which patient
remains normotensive until next hemodialysis
(Despite retention of Na and fluid) - AnswerAnswer D
Dry weight is clinically assessed by all except:
A. Subjective Global Assessment
B. Plasma Blood Volume Monitoring
C. Blood pressure
D. Jugular venous pressure
E. Edema
F. Chest and heart auscultation - AnswerAnswer: A
Assessment of chest sounds/respiration/heart auscultation can be indicative of volume
overload by all except:
A. Quality of breath sounds
B. Inability to lie flat in the bed without shortness
of breath
C. Aspiration pneumonia
D. Inability to walk usual distance without
shortness of breath
E. New edema - AnswerAnswer: C
, Over the last 3 dialysis treatments Mr. P has left above his DW. As his nurse you:
(Check all that applies)
A. Assess if Mr. P has physical signs & symptoms of
fluid overload
B. Ask the nephrologist to reassess his dry weight
C. Review hemoscan
D. Ask nephrologist to order sodium ramping
E. Review the blood pressure trends on previous
treatment records - AnswerAnswer: A, B, C, E
Mr. B refuses to be weighed. As his nurse you:
A. Record on the run sheet how much fluid the MD has ordered to be removed
B. Tell Mr. B he looks fluid heavy and should be weighed
C. Record on the dialysis treatment record his reason for not being weighed
D. Explain the rationale for being weighed and record the patients reason for not being weighed on
the treatment record
E. Document that Mr. B is not ambulatory and cannot be weighed - AnswerAnswer: D
Hypotension is a result of intravascular volume depletion. It occurs when the:
A. Ultrafiltration rate is faster than the plasma refilling rate
B. Ultrafiltration rate is faster than the fluid removal rate
C. Ultraflltration rate is slower than the plasma refilling rate
D. Ultraflltration rate is slower than the fluid removal rate - AnswerAnswer: A
Mr. H comes in late for dialysis. His treatment time is 3 1/2 hours and he is 8 Kg above his dry weight.
As you start your assessment, he gets mad and starts complaining that you are wasting his time and
to get him on the machine or he will miss his ride. He asks you to remove all 8 kg and doesn't want to
listen to your concerns about it being too much weight to remove. As his Nurse you:
A. Program the machine for 8kg fluid removal, documenting that it is the patient's request
B. Explain to Mr. P that it is too much fluid to be removed in 3h hours and consult with nephrologist
for an extra run
C. Use sodium ramping to facilitate extra ultrafiltration
D. Get an order to do ultrafiltration only to remove the fluid within the time frame
