CLINICAL ANNUAL COMPETENCY
EXAM – FRESENIUS QUESTIONS &
ANSWERS
Inadequate Heparinization - Correct Answers -The adequacy of a dialysis treatment
may be compromised by
Post reinfusion and prior to disconnection - Correct Answers -Routine post dialysis
treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
Chemical content - Correct Answers -Individual acid containers should be labeled with
Notify the RN - Correct Answers -The patient complains of pain at the catheter exit site.
What would the PCT do first?
Gloves, full face shield or mask and protective eyewear with side shield and fluid
resistant gown - Correct Answers -What PPE is required when performing
venipuncture?
Solution to conduct an electrical current - Correct Answers -Conductivity is best
described as the ability of a (n)
Inspect the dialysate effluent for pink or red tinged color - Correct Answers -The patients
blood leak detector alarms. After verifying the blood pump has stopped, what should the
PCT do next?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - Correct Answers -Which of these findings noted on a
safety check would indicate that an intervention is needed.
Notify the RN - Correct Answers -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?
Assessment for possible clotting in the dialyzer - Correct Answers -Documentation and
interpretation of the KECN (clearance effective by conductivity) results can assist the
staff member in
, Circulation of water during the day only - Correct Answers -Which of the following would
minimize bacterial growth in the water treatment system?
Pressure - Correct Answers -A major factor affecting ultrafiltration is
Palpating for a thrill - Correct Answers -Pre-treatment evaluation of an internal vascular
access includes
Hypotension - Correct Answers -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
Check the dialysate effluent with a blood leak test indicator - Correct Answers -If a blood
leak detector alarms a second time and no visible blood is noted, what should the PCT
do next?
Surface area of the dialyzer - Correct Answers -Which has the most impact on dialyzer
clearance?
Turn the blood pump off, clamp the venous line. - Correct Answers -The patient exhibits
signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium - Correct Answers -Softener tanks remove
Technical must perform a functional test on the machine. - Correct Answers -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?
Low clearance, hold heparin dose - Correct Answers -The following KECN's are noted:
the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood - Correct Answers -The arterial needle is placed
Priming the dialyzer venous end up - Correct Answers -An important factor in achieving
adequacy during machine set up is
Ultra Care - Correct Answers -The FMC program that utilizes technology to improve our
patient care is
Bicarbonate - Correct Answers -The component of the dialysate that helps treat acidosis
is
EXAM – FRESENIUS QUESTIONS &
ANSWERS
Inadequate Heparinization - Correct Answers -The adequacy of a dialysis treatment
may be compromised by
Post reinfusion and prior to disconnection - Correct Answers -Routine post dialysis
treatment documentation on the patients dialysis treatment record should include
patients blood pressure and temperature both
Chemical content - Correct Answers -Individual acid containers should be labeled with
Notify the RN - Correct Answers -The patient complains of pain at the catheter exit site.
What would the PCT do first?
Gloves, full face shield or mask and protective eyewear with side shield and fluid
resistant gown - Correct Answers -What PPE is required when performing
venipuncture?
Solution to conduct an electrical current - Correct Answers -Conductivity is best
described as the ability of a (n)
Inspect the dialysate effluent for pink or red tinged color - Correct Answers -The patients
blood leak detector alarms. After verifying the blood pump has stopped, what should the
PCT do next?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) - Correct Answers -Which of these findings noted on a
safety check would indicate that an intervention is needed.
Notify the RN - Correct Answers -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?
Assessment for possible clotting in the dialyzer - Correct Answers -Documentation and
interpretation of the KECN (clearance effective by conductivity) results can assist the
staff member in
, Circulation of water during the day only - Correct Answers -Which of the following would
minimize bacterial growth in the water treatment system?
Pressure - Correct Answers -A major factor affecting ultrafiltration is
Palpating for a thrill - Correct Answers -Pre-treatment evaluation of an internal vascular
access includes
Hypotension - Correct Answers -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
Check the dialysate effluent with a blood leak test indicator - Correct Answers -If a blood
leak detector alarms a second time and no visible blood is noted, what should the PCT
do next?
Surface area of the dialyzer - Correct Answers -Which has the most impact on dialyzer
clearance?
Turn the blood pump off, clamp the venous line. - Correct Answers -The patient exhibits
signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium - Correct Answers -Softener tanks remove
Technical must perform a functional test on the machine. - Correct Answers -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?
Low clearance, hold heparin dose - Correct Answers -The following KECN's are noted:
the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood - Correct Answers -The arterial needle is placed
Priming the dialyzer venous end up - Correct Answers -An important factor in achieving
adequacy during machine set up is
Ultra Care - Correct Answers -The FMC program that utilizes technology to improve our
patient care is
Bicarbonate - Correct Answers -The component of the dialysate that helps treat acidosis
is
