Graded A+
1. Describe the implications of Acute Kidney Injury (AKI) on patient care in a
dialysis setting.
AKI can be ignored if the patient is stable.
AKI only affects blood pressure management.
AKI requires careful monitoring and potential dialysis to manage
fluid and electrolyte balance.
AKI does not require any special interventions.
2. A nurse is documenting assessment findings on a client in the computer when
an assistive personnel (AP) asks to use the computer to enter shift vital signs.
Which of the following actions should the nurse take?
request that the AP write down the vital signs so the nurse can enter
them.
Allow the AP to use the computer without logging out.
Have the AP ask another nurse to enter the vital signs.
Log out so the AP can use the computer.
3. Which of the following scenarios requires a pre-treatment assessment by a
licensed nurse?
All of the above
Only when mandated by state law
Only when the PCT notices abnormal findings
Only when the patient reports unusual symptoms
,4. What is the maximum fluid weight gain that is typically considered excessive
for a dialysis patient?
10 kilograms
5 kilograms
3 kilograms
2 kilograms
5. Always perform hand hygiene immediately before donning and after
removing PPE.
true
false
6. Describe the significance of identifying cherry red colored blood in the
venous line during dialysis.
Identifying cherry red colored blood in the venous line is significant
as it may indicate hemolysis, which can compromise patient safety.
Cherry red blood is a normal finding and requires no action.
Cherry red blood suggests that the patient is well-hydrated.
Cherry red blood indicates that the dialysis machine is functioning
properly.
7. What does a whistling sound indicate when auscultating a patient's
arteriovenous graft (AVG)?
Possible stenosis or narrowing of the graft.
Complete occlusion of the graft.
Infection in the graft.
, Normal blood flow.
8. Cherry red colored blood in the venous line can be a sign of which patient
complication?
Anaphylactic reaction
Hemolysis
DDS
Seizure activity
9. When accessing a CVAD catheter, what is the minimum amount of time the
hub is scrub with an antiseptic swab?
15 seconds
10 seconds
20 seconds
5 seconds
10. Describe the significance of scrubbing each hub for the recommended
duration in CVC care.
Scrubbing each hub for 15 seconds helps to reduce the risk of
infection by ensuring proper disinfection.
Scrubbing each hub for 15 seconds is primarily for aesthetic
purposes.
Scrubbing each hub for 15 seconds is a guideline that can be ignored
if time is limited.
Scrubbing each hub for 15 seconds is only necessary if the hub
appears dirty.
, 11. What can be the most likely result if a surveyor sees a patient with a covered
vascular access?
A Condition
An Immediate Jeopardy
A Standard Deficiency
A request to see the signed AMA (Against Medical Advice) form
12. Per DaVita policy, fever and chills is defined as:
Any temperature greater than 99F or increase over baseline of 1F
without symptoms
Any temperature greater than 100F or increase over baseline of 2F
with symptoms
Any temperature greater than 99F or increase over baseline of 1F
Any temperature greater than 100F or increase over baseline of 2F
without symptoms
13. What complication would you expect to see if a patient is exposed to
chlorine/ chloramines?
Hypertension
Bone disease
Hemolysis
Muscle weakness
14. Which of the following best describes what a psychosocial assessment is?
It is an assessment performed by the social worker to determine the
client's level of depression