DAVITA RISE COMPREHENSIVE EXAM SCRIPT COMPLETE QUESTIONS VERIFIED
SOLUTIONS
Question:
● Needle/Syringe/Vial of Multi-dose medication vials.
Answer:
The vial may be entered more than once but requires a new sterile needle and syringe to puncture
each medication vial to avoid pooling of medication from different vials
Question:
● Regarding single-dose medication vials:.
Answer:
Must be used for only one patient Each vial should only be entered once and then discarded The
same syringe may be used to enter up to two single use vials of the same medication and
concentration to constitute the prescribed patient dose
Question:
● What are the six rights of medication administration?
Answer:
Time Route Amount Medication Patient Documentation
Question:
● What are the four medications that PCTs can administer per DaVita P&P?
Answer:
Normal Saline Heparin (if allowed per state regulations) Lidocaine Topical Anesthetic Spray
,Question:
● At what time are medications containing a preservative discarded?
Answer:
28 days (except when the manufacturer specifies differently such as Epogen multidose vial (MDV)
at 21 days)
Question:
● What size needle with the appropriately sized syringe should be used when drawing up heparin?
Answer:
21g x 1in
Question:
● Why would the nephrologist order a formulary exception of Citrasate or CitraPure dialysate
concentrate?
Answer:
To use as part of anticoagulation therapy during the dialysis treatment when heparin is
contraindicated
Question:
● How do you verify your needle is not in the access when administering Lidocaine?
Answer:
Aspiration (pull back) of syringe plunger and you do not see blood in the syringe
Question:
● How do you administer Topical Anesthetic Spray?
Answer:
Wash Access site Clean site per P&P Spray topical anesthetic to each cannulation site for 4-10
seconds from a distance of 3-7 inches the skin will begin to turn white DONT FROST THE SKIN -
, Numbing effect occurs with blanching
Question:
● What is the time frame during which single-use medications should be prepared and
administered?
Answer:
Within 4 hours (unless your state specifies another time limit)
Question:
● What are two reasons for water treatment?
Answer:
Prevent equipment damage Patient Safety
Question:
● Aluminum in water used dialysis causes.
Answer:
Anemia Bone Disease Nausea Vomiting
Question:
● Chlorine in water used hemodialysis causes.
Answer:
Hemolysis
Question:
● Excess Calcium and Sodium in water used dialysis causes.
Answer:
Hypertension
SOLUTIONS
Question:
● Needle/Syringe/Vial of Multi-dose medication vials.
Answer:
The vial may be entered more than once but requires a new sterile needle and syringe to puncture
each medication vial to avoid pooling of medication from different vials
Question:
● Regarding single-dose medication vials:.
Answer:
Must be used for only one patient Each vial should only be entered once and then discarded The
same syringe may be used to enter up to two single use vials of the same medication and
concentration to constitute the prescribed patient dose
Question:
● What are the six rights of medication administration?
Answer:
Time Route Amount Medication Patient Documentation
Question:
● What are the four medications that PCTs can administer per DaVita P&P?
Answer:
Normal Saline Heparin (if allowed per state regulations) Lidocaine Topical Anesthetic Spray
,Question:
● At what time are medications containing a preservative discarded?
Answer:
28 days (except when the manufacturer specifies differently such as Epogen multidose vial (MDV)
at 21 days)
Question:
● What size needle with the appropriately sized syringe should be used when drawing up heparin?
Answer:
21g x 1in
Question:
● Why would the nephrologist order a formulary exception of Citrasate or CitraPure dialysate
concentrate?
Answer:
To use as part of anticoagulation therapy during the dialysis treatment when heparin is
contraindicated
Question:
● How do you verify your needle is not in the access when administering Lidocaine?
Answer:
Aspiration (pull back) of syringe plunger and you do not see blood in the syringe
Question:
● How do you administer Topical Anesthetic Spray?
Answer:
Wash Access site Clean site per P&P Spray topical anesthetic to each cannulation site for 4-10
seconds from a distance of 3-7 inches the skin will begin to turn white DONT FROST THE SKIN -
, Numbing effect occurs with blanching
Question:
● What is the time frame during which single-use medications should be prepared and
administered?
Answer:
Within 4 hours (unless your state specifies another time limit)
Question:
● What are two reasons for water treatment?
Answer:
Prevent equipment damage Patient Safety
Question:
● Aluminum in water used dialysis causes.
Answer:
Anemia Bone Disease Nausea Vomiting
Question:
● Chlorine in water used hemodialysis causes.
Answer:
Hemolysis
Question:
● Excess Calcium and Sodium in water used dialysis causes.
Answer:
Hypertension
