DAVITA PCT UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS MARKED A+
✔✔The Psychosocial Assessment completed by the social worker - ✔✔an evaluation of
a person's mental health, social status, and functional capacity within the
communityCompeted initially and annually
✔✔The Clinical Pyramid includes : - ✔✔• The Fundamentals: Immunizations, Iron,
Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.•
Complex Programs: Fluid Management, Infection Management, Diabetes Management,
Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance,
Transition of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of
Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of
Care• What Matters Most • Our patient's health-related Quality of Life
✔✔DaVita Quality Index (DQI) success is achieved - ✔✔encourage continuous
improvement across aboard range of disease management processes (all of the above
)
✔✔What can be the most likely result if the surveyor sees a patient with a covered
vascular access - ✔✔immediate jeopardy
✔✔A surveyor asks you a question. Which of the following statements would be a good
answer ? - ✔✔I do not know the answer but I will find out.
✔✔Intra-renal causes of AKI - ✔✔Ischemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open
Heart Surgery
✔✔Knowing what caused your patients kidney failure - ✔✔can cause complications to
treatment
✔✔A patient with acute kidney injury dialyzes in the out-patient facility. With regards to
the patients target weight, why is being "wet" better that being too dry? - ✔✔
✔✔The excretory function of the kidneys include - ✔✔remove access water, urea, and
metabolic wastes from the blood.
✔✔Acid concentrate replaces the excretory function of normal kidney function by -
✔✔Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis,
✔✔Ultrafiltration is defined as - ✔✔controlled fluid removed by manipulation of
hydrostatic pressure
, ✔✔The endocrine functions of the kidneys are - ✔✔Renin and erythropoietin secretion
,activation of vitamin D
✔✔Dialysis replaces only ___ percent of normal kidney function. - ✔✔15%
✔✔The most common infectious complication for hemodialysis patients is - ✔✔centenal
line infections
✔✔What is one method surveyors used to verify infection control training and education
? - ✔✔patient interview
✔✔Which infectious disease requires frequent handwashing instead of using alcohol
based hand gels? - ✔✔Active Clostridioides difficile infection C.diff
✔✔Per the Centers for Disease Control and Prevention (CDC), which is the most
important route by which pathogens are transmitted in health care setting including
dialysis centers. - ✔✔contact transmission
✔✔V-tags cite deficiencies, provide interpretive guidance, and provide a condition that
must be met for each regulation. How can knowledge of V-tags affect the practice of
patient care providers? - ✔✔all of the above
✔✔Why is meticulous hand hygiene so important in healthcare? - ✔✔its the single most
important intervention in preventing HAI's
✔✔If your facility dialyzes Hepatitis B positive patients, which assignment would NOT
be appropriate patient care assignment. - ✔✔caring for HBsAG positive and hepatitis B
susceptible patients at the same time
✔✔Per The centers for disease control prevention, which is the most common factor
contributing to bacterial infections in dialysis patients? - ✔✔the use of catheters for
hemodialysis
✔✔upon completing machine set up and before treatment initiation it is important to
verify the prescription and machine settings: - ✔✔both b and c
✔✔What should be done to the heparin infusion line if a patient does not have
maintenance (hourly)heparin prescribed? - ✔✔Clamp and knot the heparin line.
✔✔what type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients ? - ✔✔concurrent flow
ANSWERS MARKED A+
✔✔The Psychosocial Assessment completed by the social worker - ✔✔an evaluation of
a person's mental health, social status, and functional capacity within the
communityCompeted initially and annually
✔✔The Clinical Pyramid includes : - ✔✔• The Fundamentals: Immunizations, Iron,
Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.•
Complex Programs: Fluid Management, Infection Management, Diabetes Management,
Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance,
Transition of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of
Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of
Care• What Matters Most • Our patient's health-related Quality of Life
✔✔DaVita Quality Index (DQI) success is achieved - ✔✔encourage continuous
improvement across aboard range of disease management processes (all of the above
)
✔✔What can be the most likely result if the surveyor sees a patient with a covered
vascular access - ✔✔immediate jeopardy
✔✔A surveyor asks you a question. Which of the following statements would be a good
answer ? - ✔✔I do not know the answer but I will find out.
✔✔Intra-renal causes of AKI - ✔✔Ischemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open
Heart Surgery
✔✔Knowing what caused your patients kidney failure - ✔✔can cause complications to
treatment
✔✔A patient with acute kidney injury dialyzes in the out-patient facility. With regards to
the patients target weight, why is being "wet" better that being too dry? - ✔✔
✔✔The excretory function of the kidneys include - ✔✔remove access water, urea, and
metabolic wastes from the blood.
✔✔Acid concentrate replaces the excretory function of normal kidney function by -
✔✔Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis,
✔✔Ultrafiltration is defined as - ✔✔controlled fluid removed by manipulation of
hydrostatic pressure
, ✔✔The endocrine functions of the kidneys are - ✔✔Renin and erythropoietin secretion
,activation of vitamin D
✔✔Dialysis replaces only ___ percent of normal kidney function. - ✔✔15%
✔✔The most common infectious complication for hemodialysis patients is - ✔✔centenal
line infections
✔✔What is one method surveyors used to verify infection control training and education
? - ✔✔patient interview
✔✔Which infectious disease requires frequent handwashing instead of using alcohol
based hand gels? - ✔✔Active Clostridioides difficile infection C.diff
✔✔Per the Centers for Disease Control and Prevention (CDC), which is the most
important route by which pathogens are transmitted in health care setting including
dialysis centers. - ✔✔contact transmission
✔✔V-tags cite deficiencies, provide interpretive guidance, and provide a condition that
must be met for each regulation. How can knowledge of V-tags affect the practice of
patient care providers? - ✔✔all of the above
✔✔Why is meticulous hand hygiene so important in healthcare? - ✔✔its the single most
important intervention in preventing HAI's
✔✔If your facility dialyzes Hepatitis B positive patients, which assignment would NOT
be appropriate patient care assignment. - ✔✔caring for HBsAG positive and hepatitis B
susceptible patients at the same time
✔✔Per The centers for disease control prevention, which is the most common factor
contributing to bacterial infections in dialysis patients? - ✔✔the use of catheters for
hemodialysis
✔✔upon completing machine set up and before treatment initiation it is important to
verify the prescription and machine settings: - ✔✔both b and c
✔✔What should be done to the heparin infusion line if a patient does not have
maintenance (hourly)heparin prescribed? - ✔✔Clamp and knot the heparin line.
✔✔what type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients ? - ✔✔concurrent flow
