practice exam questions and answers with
solutions 2025
mr. D. a 50 year old male has an AV fistula created in preparation for maintenance hemodialysis
treatments - ANSWER perform are exercises by squeezing a rubber ball while compressing the upper
arem with the opposite hand
The physiological principle behind fistula development is - ANSWER arterial blood flow against venous
resistance will cause vessels to dialate
thrombosis is a common complication of Av Access. one way to prevent this from occurring would be -
ANSWER avoid enxtrinsic pressure in the vessels
Ms. M. is a 27 year old with SLE who started peritoneal dialysis three months ago. She is very concerned
with her weight and does not want to get fat. However, you notice she has an albumin of 3.0 and she
doesnt understant what the big deal is about eating. - ANSWER proteins are necessary for body tissues,
especially our immune system.
Ms. M. also is questioning why she is having a problem now because when she was on hemodialysis she
didnt have a problem with her protein intake - ANSWER you explain during peritoneal dialysis, more
protein is lost in dialysis
She also mentions that she is worried about getting fat because she has noticed her weight has
increased and she feels very thirsty. - ANSWER gloucose: avoide concentrated sweets
tryglycerides: avoid fried foods
sodium: avoid canned foods and adding salt
Mrs. J has hyperkalemia almost every month when labs are drawn pre-dialysis . when you review the
foods she is eating, she admits to eating plantains daily. she just has to have them she says, i can deal
with the other restrictions, but this is something I m having difficulty with - ANSWER soak them
overnight or boil them and then replace in the water.
if she must have them she should limit them to once a week.