DAVITA PCT EVALUATION EXAM QUESTIONS AND
ANSWERS MARKED A+
✔✔DaVita Quality Index (DQI) success is achieved - ✔✔all of the above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends
and make improvements
✔✔Ultrafiltration is described as - ✔✔Controlled fluid removal by manipulation of
hydrostatic pressure
✔✔Water and dialysis cultures are drawn every month in a dialysis unit to monitor -
✔✔Bacteria and endotoxins
✔✔Your immediate intervention for a patient experiencing an anaphylactic reaction is -
✔✔Discontinue the suspected therapy, stop the blood pump, do not return the blood
✔✔Water treatment is needed in the dialysis setting to - ✔✔Provide patient safety and
prevent equipment damage
✔✔If clotting occurs in a high flux dialyzer, the TMP will - ✔✔decrease
✔✔The max UF rate should not exceed ___ because it may lead to hypotension
episodes which increases to - ✔✔13 ml/kg/hr
✔✔The excretory function of the kidneys include - ✔✔Fluid balance, electrolyte
balance, waste removal, acid/base balance
✔✔What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients - ✔✔counter current flow
✔✔The nephrologist has prescribed a 400 BFR for your patient. You would expect the
physician order to also include - ✔✔15 G needles
✔✔What is an important action prior to returning a patients blood using the hand crank
in the event of a power failure - ✔✔Remove the venous line from the line clamp
✔✔Which is the primary device for purifying the water used in dialysis - ✔✔reverse
osmosis
✔✔The nephrologist orders a BFR of 450 for a patient with an established AV fistula,
what needle gauge would be appropriate - ✔✔15 gauge
, ✔✔When a patient is prescribed a topical anesthetic spray, the appropriate time to
clean the cannulation site is - ✔✔Before applying the spray
✔✔The clinical pyramid includes - ✔✔The fundamentals, complex programs, and
quality of life
✔✔Which statement is true regarding the "reasonable and prudent" standard of care -
✔✔When supervising PCTs and other non-licensed personnel, it is the responsibility of
the licensed nurse to ensure these teammates also meet
✔✔Fever caused by pyrogenic reaction will most likely occur at what time during the
treatment - ✔✔within 45 to 75 minutes
✔✔PCT notices that a patient still has considerable edema in her legs when performing
the post treatment data - ✔✔Document the noted swelling and that the RN was
informed
✔✔A surveyor asks you a question - what's a good answer - ✔✔I do not know the
answer but I will find out
✔✔Patient is using CVC and has a new AV fistula present in his lower arm -
✔✔Checking for the bruit and thrill every treatment
✔✔When documenting patient care, it is important to include all of these except -
✔✔Confrontation between two patients
✔✔What can be the most likely result if the surveyor sees a patient with a covered
vascular access? - ✔✔An immediate jeopardy
✔✔For a patient with AKI, which statement is correct - ✔✔A nursing assessment before
treatment initiation is always required
✔✔Phosphorus binders are prescribed to prevent phosphorus in meals from being
absorbed. When is the best time to take them - ✔✔With a meal
✔✔The psychological assessment is completed by the social worker - ✔✔Initially and
annually
✔✔The blood flow rate is reduced to 100 ml/min for _____ before obtaining post dialysis
blood specimen for Kt/V - ✔✔15 seconds
ANSWERS MARKED A+
✔✔DaVita Quality Index (DQI) success is achieved - ✔✔all of the above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends
and make improvements
✔✔Ultrafiltration is described as - ✔✔Controlled fluid removal by manipulation of
hydrostatic pressure
✔✔Water and dialysis cultures are drawn every month in a dialysis unit to monitor -
✔✔Bacteria and endotoxins
✔✔Your immediate intervention for a patient experiencing an anaphylactic reaction is -
✔✔Discontinue the suspected therapy, stop the blood pump, do not return the blood
✔✔Water treatment is needed in the dialysis setting to - ✔✔Provide patient safety and
prevent equipment damage
✔✔If clotting occurs in a high flux dialyzer, the TMP will - ✔✔decrease
✔✔The max UF rate should not exceed ___ because it may lead to hypotension
episodes which increases to - ✔✔13 ml/kg/hr
✔✔The excretory function of the kidneys include - ✔✔Fluid balance, electrolyte
balance, waste removal, acid/base balance
✔✔What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients - ✔✔counter current flow
✔✔The nephrologist has prescribed a 400 BFR for your patient. You would expect the
physician order to also include - ✔✔15 G needles
✔✔What is an important action prior to returning a patients blood using the hand crank
in the event of a power failure - ✔✔Remove the venous line from the line clamp
✔✔Which is the primary device for purifying the water used in dialysis - ✔✔reverse
osmosis
✔✔The nephrologist orders a BFR of 450 for a patient with an established AV fistula,
what needle gauge would be appropriate - ✔✔15 gauge
, ✔✔When a patient is prescribed a topical anesthetic spray, the appropriate time to
clean the cannulation site is - ✔✔Before applying the spray
✔✔The clinical pyramid includes - ✔✔The fundamentals, complex programs, and
quality of life
✔✔Which statement is true regarding the "reasonable and prudent" standard of care -
✔✔When supervising PCTs and other non-licensed personnel, it is the responsibility of
the licensed nurse to ensure these teammates also meet
✔✔Fever caused by pyrogenic reaction will most likely occur at what time during the
treatment - ✔✔within 45 to 75 minutes
✔✔PCT notices that a patient still has considerable edema in her legs when performing
the post treatment data - ✔✔Document the noted swelling and that the RN was
informed
✔✔A surveyor asks you a question - what's a good answer - ✔✔I do not know the
answer but I will find out
✔✔Patient is using CVC and has a new AV fistula present in his lower arm -
✔✔Checking for the bruit and thrill every treatment
✔✔When documenting patient care, it is important to include all of these except -
✔✔Confrontation between two patients
✔✔What can be the most likely result if the surveyor sees a patient with a covered
vascular access? - ✔✔An immediate jeopardy
✔✔For a patient with AKI, which statement is correct - ✔✔A nursing assessment before
treatment initiation is always required
✔✔Phosphorus binders are prescribed to prevent phosphorus in meals from being
absorbed. When is the best time to take them - ✔✔With a meal
✔✔The psychological assessment is completed by the social worker - ✔✔Initially and
annually
✔✔The blood flow rate is reduced to 100 ml/min for _____ before obtaining post dialysis
blood specimen for Kt/V - ✔✔15 seconds
