DAVITA R 5 UPDATED ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
When sodium loading occurs during the dialysis treatment:
Answer:
It leads to an increase in thirst and larger fluid weight gains with hypertension between treatments
and can contribute to headaches after the treatment
Question:
How long before initiating the hemodialysis treatment should the initial loading dose of heparin be
administered through the venous needle or venous port of the central venous catheter (CVC) to
anticoagulate the patient?
Answer:
A minimum of 3-5 minutes prior to treatment initiation
Question:
Over-the-counter medications:
Answer:
Do not require a physician order but should be approved by the nephrologist
Question:
Per DaVita policy, prior to each medication preparation, the medication preparation surface area:
Answer:
Is to be disinfected with a 1:100 bleach solution or approved disinfectant
Question:
,What is NOT an acceptable assignment for a PCT working in a facility that cares for patients with
Hepatitis B infection (HBV+)?
Answer:
Caring for HBV+ and susceptible patients at the same time.
Question:
What is the policy regarding fingernails?
Answer:
Fingernail length should not extend more than 1/4 inch and traditional nail polish that is not chipped
may be worn
Question:
Cleaning blood pressure cuffs between patients:
Answer:
Removes microorganisms such as MRSA or VRE that may be colonized in a patient's axillary area
Question:
Cleaning and disinfecting priming buckets after each treatment:
Answer:
Is required to decrease gram-negative bacterial growth which may occur in solutions such as water
Question:
The foot rest of a patient chair is torn and the inner foam is exposed. Can it still be used for patient
treatments?
Answer:
No, because the torn surface no longer allows for effective cleaning and provides a potential for
microbial growth
, Question:
Attention to infection control, proper hand hygiene, cleaning and disinfection procedures are of
utmost importance in the dialysis setting. Which of the following statement is true? A) MRSA
bacteria can survive on surfaces, especially plastic and vinyl, for days B) Only items taken to a clean
dialysis station prior to initiation of a patient treatment can be returned to a common clean area
without being disinfected C) If a hemodialysis patient performs self-care at the facility, common
supply carts used to store clean supplies may be placed within the patient's reach D) Red disposal
bags are to be closed with a tight "dog eared" knot to prevent leakage of fluid from the bag
Answer:
MRSA bacteria can survive on surfaces. especially plastic and vinyl, for days.
Question:
How do you determine if a blood pressure cuff is the right size for a patient?
Answer:
When wrapping the cuff around the patient's arm, verify the index mark is within the "ok range"
markings
Question:
Mrs. Boomerstein pulls out a 2-cup size container with fresh strawberries during dialysis. As she
savors the first fruit, she smiles and tells you she can eat a lot more potassium during dialysis
because it won't harm her. What is your appropriate response?
Answer:
You explain to Mrs. Boomerstein that the potassium in food eaten during dialysis is not dialyzed off.
Question:
To prevent the formation of aneurysms and pseudoaneurysms, what should be practiced?
Answer:
Good needle site rotation and complete needle site clotting techniques
Question:
Question:
When sodium loading occurs during the dialysis treatment:
Answer:
It leads to an increase in thirst and larger fluid weight gains with hypertension between treatments
and can contribute to headaches after the treatment
Question:
How long before initiating the hemodialysis treatment should the initial loading dose of heparin be
administered through the venous needle or venous port of the central venous catheter (CVC) to
anticoagulate the patient?
Answer:
A minimum of 3-5 minutes prior to treatment initiation
Question:
Over-the-counter medications:
Answer:
Do not require a physician order but should be approved by the nephrologist
Question:
Per DaVita policy, prior to each medication preparation, the medication preparation surface area:
Answer:
Is to be disinfected with a 1:100 bleach solution or approved disinfectant
Question:
,What is NOT an acceptable assignment for a PCT working in a facility that cares for patients with
Hepatitis B infection (HBV+)?
Answer:
Caring for HBV+ and susceptible patients at the same time.
Question:
What is the policy regarding fingernails?
Answer:
Fingernail length should not extend more than 1/4 inch and traditional nail polish that is not chipped
may be worn
Question:
Cleaning blood pressure cuffs between patients:
Answer:
Removes microorganisms such as MRSA or VRE that may be colonized in a patient's axillary area
Question:
Cleaning and disinfecting priming buckets after each treatment:
Answer:
Is required to decrease gram-negative bacterial growth which may occur in solutions such as water
Question:
The foot rest of a patient chair is torn and the inner foam is exposed. Can it still be used for patient
treatments?
Answer:
No, because the torn surface no longer allows for effective cleaning and provides a potential for
microbial growth
, Question:
Attention to infection control, proper hand hygiene, cleaning and disinfection procedures are of
utmost importance in the dialysis setting. Which of the following statement is true? A) MRSA
bacteria can survive on surfaces, especially plastic and vinyl, for days B) Only items taken to a clean
dialysis station prior to initiation of a patient treatment can be returned to a common clean area
without being disinfected C) If a hemodialysis patient performs self-care at the facility, common
supply carts used to store clean supplies may be placed within the patient's reach D) Red disposal
bags are to be closed with a tight "dog eared" knot to prevent leakage of fluid from the bag
Answer:
MRSA bacteria can survive on surfaces. especially plastic and vinyl, for days.
Question:
How do you determine if a blood pressure cuff is the right size for a patient?
Answer:
When wrapping the cuff around the patient's arm, verify the index mark is within the "ok range"
markings
Question:
Mrs. Boomerstein pulls out a 2-cup size container with fresh strawberries during dialysis. As she
savors the first fruit, she smiles and tells you she can eat a lot more potassium during dialysis
because it won't harm her. What is your appropriate response?
Answer:
You explain to Mrs. Boomerstein that the potassium in food eaten during dialysis is not dialyzed off.
Question:
To prevent the formation of aneurysms and pseudoaneurysms, what should be practiced?
Answer:
Good needle site rotation and complete needle site clotting techniques
Question:
