BONENT STUDY GUIDE ANSWERS AND QUESTIONS
SET A+
✔✔Decreased glomerular filtration rate of the kidney may be due all of the following
EXCEPT?
A. Shock
B. Dehydration
C. Fluid overload
D. Cardiac decomposition - ✔✔C
✔✔Hemolysis of red blood cells will occur if which of the following types of dialyzing
fluids is delivered to the dialyzer?
A. Hypertonic
B. Hypothermic
C hyperthermic
D. Hypoglycemic - ✔✔C
✔✔The dose of heparin required to achieve anticoagulation varies widely among
patients. In general however the goal of anticoagulation in dialysis is to maintain the
degree of anticoagulation at?
A. Normal baseline clotting studies
B. 1.5-2 times baseline clotting studies
C. Five times baseline clotting studies
D. Ten times baseline clotting studies - ✔✔B
✔✔The normal kidneys compensate for fluid loss by retaining which of the following?
A sodium and water
B. Urea and creatinine
C. Chloride and bicarbonate
D. Creatinine and potassium - ✔✔A
,✔✔The primary reason for anemia in chronic renal failure is?
A. Platelet dysfunction
B. Increased bleeding tendencies
C. Loss of blood during hemodialysis
D. Decreased erythropoietin production - ✔✔D
✔✔Performance of creatine clearance test requires?
A. Spot urine and serum creatinine measurement
B. Urine measurement of protein, uric acid and urea.
C a timed urine collection and serum creatinine measurement - ✔✔C
✔✔Which of the following is a cause of hemolysis during dialysis?
A.minimal hospitalizations
B. Improper dialysate preparation
C. Extremely high levels of iron in the water
D. Excessively low dialysate temperature - ✔✔B
✔✔Hypertension may be the complication of renal failure. It mat be influenced by all of
the following EXCEPT?
A. Nephrectomy
B. Fluid overload
C. Sodium retention
D. Use of bicarbonate dialysate - ✔✔D
✔✔Correct needle placement is important in the initation of dialysis to minimize the risk
of all of the following EXCEPT?
A. Steal syndrome
B. Recirculation
C. Inadequate blood flow
D. Hematoma formation - ✔✔A
✔✔Cyclers used for pertinoneal dialysis are automatic exchange devises which?
A. do plasma exchange procedures
B. Mix water and electrolytes for hemodialysis
C. Offer patients exercise while in hemodialysis
D. Regulate instill action and drainage of the dialysis solution - ✔✔D
, ✔✔The best way to define the term anastomosis is?
A. Surgical connection
B. Ballooning or bulging of a weak spot in a blood vessel
C. Opening of a narrowed blood vessel using a catheter and balloon
D. Same site cannulation - ✔✔A
✔✔In the expression kt/v the "k" dtsnd for?
A. Kidney
B. Kinetic modeling
C. Serum potassium
D. Urea clearance of the dialyzer - ✔✔D
✔✔A patients venous needle falls out. The first thing the technician would do is
A. Notify the charge nurse
B. Clamp the venous line, reinsert needle and restart treatment.
C. Turn off blood pump, Clamp venous line, and put pressure on the puncture site.
D. Assess the patients blood loss and notify the physician - ✔✔C
✔✔All of the are potential problems associated with the use of bicarbonate dialysate
EXCEPT?
A. Increased risk of bacterial growth
B. Dangerous electrolyte concentrations due to concentrate mix up
C. Precipitation of calcium and magnesium in the delivery system
D. Carbon dioxide levels in the bicarbonate dialysate becoming dangerously high -
✔✔D
✔✔A patient who has gone on high-efficiency dialysis now dialyzes for 3 hours per
session instead of 4. Which of the following findings would indicate that the current
prescription is inadequate?
A. an increased sense of well-being, a kt/v value less < or equal to 1.1 a midweek bun
value < or equal to 75 blood pressure= 128/84 mm Hg, and a PCR value of 1.0. '
B. a decrease in the midweek BUN value from 85 to 70 decreased incidence of cramps,
and a decreased estimated dry weight .
C. a lean weight gain of 2.0 kg absense of edema, blood pressure 238/70mm Hg and a
calculated PCR value of 0.75.
D. A kt/v value = 0.8 routine Qb = 400 cc/mm absense of edema and increased
hematocrit value. - ✔✔D.
✔✔The role of the renal dietician is best described as?
SET A+
✔✔Decreased glomerular filtration rate of the kidney may be due all of the following
EXCEPT?
A. Shock
B. Dehydration
C. Fluid overload
D. Cardiac decomposition - ✔✔C
✔✔Hemolysis of red blood cells will occur if which of the following types of dialyzing
fluids is delivered to the dialyzer?
A. Hypertonic
B. Hypothermic
C hyperthermic
D. Hypoglycemic - ✔✔C
✔✔The dose of heparin required to achieve anticoagulation varies widely among
patients. In general however the goal of anticoagulation in dialysis is to maintain the
degree of anticoagulation at?
A. Normal baseline clotting studies
B. 1.5-2 times baseline clotting studies
C. Five times baseline clotting studies
D. Ten times baseline clotting studies - ✔✔B
✔✔The normal kidneys compensate for fluid loss by retaining which of the following?
A sodium and water
B. Urea and creatinine
C. Chloride and bicarbonate
D. Creatinine and potassium - ✔✔A
,✔✔The primary reason for anemia in chronic renal failure is?
A. Platelet dysfunction
B. Increased bleeding tendencies
C. Loss of blood during hemodialysis
D. Decreased erythropoietin production - ✔✔D
✔✔Performance of creatine clearance test requires?
A. Spot urine and serum creatinine measurement
B. Urine measurement of protein, uric acid and urea.
C a timed urine collection and serum creatinine measurement - ✔✔C
✔✔Which of the following is a cause of hemolysis during dialysis?
A.minimal hospitalizations
B. Improper dialysate preparation
C. Extremely high levels of iron in the water
D. Excessively low dialysate temperature - ✔✔B
✔✔Hypertension may be the complication of renal failure. It mat be influenced by all of
the following EXCEPT?
A. Nephrectomy
B. Fluid overload
C. Sodium retention
D. Use of bicarbonate dialysate - ✔✔D
✔✔Correct needle placement is important in the initation of dialysis to minimize the risk
of all of the following EXCEPT?
A. Steal syndrome
B. Recirculation
C. Inadequate blood flow
D. Hematoma formation - ✔✔A
✔✔Cyclers used for pertinoneal dialysis are automatic exchange devises which?
A. do plasma exchange procedures
B. Mix water and electrolytes for hemodialysis
C. Offer patients exercise while in hemodialysis
D. Regulate instill action and drainage of the dialysis solution - ✔✔D
, ✔✔The best way to define the term anastomosis is?
A. Surgical connection
B. Ballooning or bulging of a weak spot in a blood vessel
C. Opening of a narrowed blood vessel using a catheter and balloon
D. Same site cannulation - ✔✔A
✔✔In the expression kt/v the "k" dtsnd for?
A. Kidney
B. Kinetic modeling
C. Serum potassium
D. Urea clearance of the dialyzer - ✔✔D
✔✔A patients venous needle falls out. The first thing the technician would do is
A. Notify the charge nurse
B. Clamp the venous line, reinsert needle and restart treatment.
C. Turn off blood pump, Clamp venous line, and put pressure on the puncture site.
D. Assess the patients blood loss and notify the physician - ✔✔C
✔✔All of the are potential problems associated with the use of bicarbonate dialysate
EXCEPT?
A. Increased risk of bacterial growth
B. Dangerous electrolyte concentrations due to concentrate mix up
C. Precipitation of calcium and magnesium in the delivery system
D. Carbon dioxide levels in the bicarbonate dialysate becoming dangerously high -
✔✔D
✔✔A patient who has gone on high-efficiency dialysis now dialyzes for 3 hours per
session instead of 4. Which of the following findings would indicate that the current
prescription is inadequate?
A. an increased sense of well-being, a kt/v value less < or equal to 1.1 a midweek bun
value < or equal to 75 blood pressure= 128/84 mm Hg, and a PCR value of 1.0. '
B. a decrease in the midweek BUN value from 85 to 70 decreased incidence of cramps,
and a decreased estimated dry weight .
C. a lean weight gain of 2.0 kg absense of edema, blood pressure 238/70mm Hg and a
calculated PCR value of 0.75.
D. A kt/v value = 0.8 routine Qb = 400 cc/mm absense of edema and increased
hematocrit value. - ✔✔D.
✔✔The role of the renal dietician is best described as?
