Fresenius RN Exam Questions and Answers
Question 1
What does folic acid aid in?
Correct Answer
Hemoglobin development.
Question 2
What electrolyte should we monitor closely when a patient is taking digoxin and why?
Correct Answer
Monitor potassium levels because digoxin and potassium compete for the same
binding site. Hyperkalemia decreases the effectiveness of digoxin and hypokalemia
increases digoxin toxicity risks.
Question 3
What are some S/S of contaminated water reaching patients?
Correct Answer
Nausea
Chest pain
Vomiting
SOA
Chills
Low BP
Fever
Question 4
How long should hands be washed between patients?
Correct Answer
40-60 seconds
Page 1 of 80
,Question 5
What do renal vitamins contain?
Correct Answer
Vitamisn B1, B2, B6, b12, folic acid, niacin, pantothenic acid, biotin, and a small dose
of vitamin-c.
Question 6
What is the BFR for a 16 gauge needle?
Correct Answer
300-350 mL/min
Question 7
Active vs Latent TB?
Correct Answer
Patients with active TB are contagious. Patients with latent TB are not contagious
but can become active if not treated.
Question 8
How is Hepatitis E spread?
Correct Answer
Oral and fecal route. Uncommon in dialysis patients.
Question 9
How slow must IV iron be administered?
Correct Answer
No faster than 100 mg over 2 minutes
Page 2 of 80
,Question 10
What is chloramine and how is it different from chlorine?
Correct Answer
Some water treatment facilities use a combination of chlorine and chloramine to
treat water. Chloramine is a combination of bleach and ammonia, whereas chlorine
is bleach alone.
Question 11
What kind of medications are often used to treat CHF and A-fib?
Correct Answer
Anti-arrhythmic's such as Digitek, Digox, Lanoxicaps, Lanoxin, and digoxin.
Question 12
What can cause chronic renal failure?
Correct Answer
Diabetes
Hypertension
Glomerulonephritis
Question 13
What are some of the steps taken if a patient with a CVC suddenly develops unilateral
chest distension, SOA and side pain?
Correct Answer
Suspect hemothorax
Immediately stop tx
Call physician
Initiate CPR
Call 911
Page 3 of 80
, Question 14
At what point during the hemodialysis treatment will diffusion cease to occur?
Correct Answer
Diffusion will continue throughout the dialysis treatment until the concentration
gradient of each electrolyte found in the patient's blood is equal to the electrolyte
concentration in the dialysate.
Question 15
Implications for ferritin levels?
Correct Answer
Reflects iron storage in hepatocytes, bone marrow and spleen. Ferritin is also an
acute phase reactant that is affected by inflammation, infection, liver disease, and
malignancy. If drawn during course of iron therapy, falsely elevated results could
occur.
Question 16
What is the definition of eKt/V ?
Correct Answer
Double pool is the measured amount of dialysis accounting for the volume of urea
distribution in both intracellular and extracellular compartments. It represents the
amount of urea distribution of the entire body accounting for all body fluid
compartments.
Question 17
Describe Transplantation
Correct Answer
A working kidney is surgically implanted
Kidney is from a living or cadaveric donor
Patient must take anti-rejection medications for the life of the kidney
Page 4 of 80
Question 1
What does folic acid aid in?
Correct Answer
Hemoglobin development.
Question 2
What electrolyte should we monitor closely when a patient is taking digoxin and why?
Correct Answer
Monitor potassium levels because digoxin and potassium compete for the same
binding site. Hyperkalemia decreases the effectiveness of digoxin and hypokalemia
increases digoxin toxicity risks.
Question 3
What are some S/S of contaminated water reaching patients?
Correct Answer
Nausea
Chest pain
Vomiting
SOA
Chills
Low BP
Fever
Question 4
How long should hands be washed between patients?
Correct Answer
40-60 seconds
Page 1 of 80
,Question 5
What do renal vitamins contain?
Correct Answer
Vitamisn B1, B2, B6, b12, folic acid, niacin, pantothenic acid, biotin, and a small dose
of vitamin-c.
Question 6
What is the BFR for a 16 gauge needle?
Correct Answer
300-350 mL/min
Question 7
Active vs Latent TB?
Correct Answer
Patients with active TB are contagious. Patients with latent TB are not contagious
but can become active if not treated.
Question 8
How is Hepatitis E spread?
Correct Answer
Oral and fecal route. Uncommon in dialysis patients.
Question 9
How slow must IV iron be administered?
Correct Answer
No faster than 100 mg over 2 minutes
Page 2 of 80
,Question 10
What is chloramine and how is it different from chlorine?
Correct Answer
Some water treatment facilities use a combination of chlorine and chloramine to
treat water. Chloramine is a combination of bleach and ammonia, whereas chlorine
is bleach alone.
Question 11
What kind of medications are often used to treat CHF and A-fib?
Correct Answer
Anti-arrhythmic's such as Digitek, Digox, Lanoxicaps, Lanoxin, and digoxin.
Question 12
What can cause chronic renal failure?
Correct Answer
Diabetes
Hypertension
Glomerulonephritis
Question 13
What are some of the steps taken if a patient with a CVC suddenly develops unilateral
chest distension, SOA and side pain?
Correct Answer
Suspect hemothorax
Immediately stop tx
Call physician
Initiate CPR
Call 911
Page 3 of 80
, Question 14
At what point during the hemodialysis treatment will diffusion cease to occur?
Correct Answer
Diffusion will continue throughout the dialysis treatment until the concentration
gradient of each electrolyte found in the patient's blood is equal to the electrolyte
concentration in the dialysate.
Question 15
Implications for ferritin levels?
Correct Answer
Reflects iron storage in hepatocytes, bone marrow and spleen. Ferritin is also an
acute phase reactant that is affected by inflammation, infection, liver disease, and
malignancy. If drawn during course of iron therapy, falsely elevated results could
occur.
Question 16
What is the definition of eKt/V ?
Correct Answer
Double pool is the measured amount of dialysis accounting for the volume of urea
distribution in both intracellular and extracellular compartments. It represents the
amount of urea distribution of the entire body accounting for all body fluid
compartments.
Question 17
Describe Transplantation
Correct Answer
A working kidney is surgically implanted
Kidney is from a living or cadaveric donor
Patient must take anti-rejection medications for the life of the kidney
Page 4 of 80
