Clinical Annual Competency Exam - Fresenius
(Complete Answered 2022/2023 guide)
(Answer)Inadequate Heparinization - The adequacy of a dialysis treatment may be compromised
by
(Answer) Post reinfusion and prior to disconnection - Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood pressure
and temperature both
(Answer) Chemical content - Individual acid containers should be labeled with
(Answer) Notify the RN - The patient complains of pain at the catheter exit site. What would the
PCT do first?
(Answer) Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured
on the venous line) - Which of these findings noted on a safety check would indicate that an
intervention is needed.
(Answer) Notify the RN - The patient presents to the dialysis center with a pulse rate of 44/bpm
but doesn't appear to be in distress. What should be the dialysis technicians immediate action?
(Answer) Assessment for possible clotting in the dialyzer - Documentation and interpretation of
the KECN (clearance effective by conductivity) results can assist the staff member in
(Answer) Circulation of water during the day only - Which of the following would minimize
bacterial growth in the water treatment system?
(Answer) Pressure - A major factor affecting ultrafiltration is
(Answer) Palpating for a thrill - Pre-treatment evaluation of an internal vascular access includes
(Answer) Hypotension - A patient having a dialysis treatment complains of feeling dizzy, and
begins to yawn. These symptoms are most likely to indicate that the patient has
(Answer) Check the dialysate effluent with a blood leak test indicator - If a blood leak detector
alarms a second time and no visible blood is noted, what should the PCT do next?
(Answer) Surface area of the dialyzer - Which has the most impact on dialyzer clearance?
(Answer) Turn the blood pump off, clamp the venous line. - The patient exhibits signs of
hemolysis. What is the appropriate action to take?
, (Answer) Calcium and magnesium - Softener tanks remove
(Answer) Technical must perform a functional test on the machine. - During dialysis a patient
has a cardiac arrest. Which action should be completed on the dialysis machine before the
machine is used by another patient?
(Answer) Low clearance, hold heparin dose - The following KECN's are noted: the results
indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
(Answer) Either with or against the flow of blood - The arterial needle is placed
(Answer) Priming the dialyzer venous end up - An important factor in achieving adequacy
during machine set up is
(Answer) Ultra Care - The FMC program that utilizes technology to improve our patient care is
(Answer) Bicarbonate - The component of the dialysate that helps treat acidosis is
(Answer) Check the patient blood pressure - The PCT notices the patient yawning toward the
end of treatment. The PCT should take which action immediately
(Answer) Presence of endotoxins in the dialysate - Several patients with normal pre-dialysis
temperatures develop sudden chills and a spike in temperature. This situation is most likely
caused by
(Answer) 150 ml/min - What is the correct blood flow rate for priming the dialyzer
(Answer) Use of a tourniquet is optional when cannulating a new AVF - What is NOT true when
cannulating a new AVF?
(Answer) Weekly - If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs
is
(Answer) Aid in fluid removal - Using the sodium variation module during the dialysis treatment
will
(Complete Answered 2022/2023 guide)
(Answer)Inadequate Heparinization - The adequacy of a dialysis treatment may be compromised
by
(Answer) Post reinfusion and prior to disconnection - Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood pressure
and temperature both
(Answer) Chemical content - Individual acid containers should be labeled with
(Answer) Notify the RN - The patient complains of pain at the catheter exit site. What would the
PCT do first?
(Answer) Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured
on the venous line) - Which of these findings noted on a safety check would indicate that an
intervention is needed.
(Answer) Notify the RN - The patient presents to the dialysis center with a pulse rate of 44/bpm
but doesn't appear to be in distress. What should be the dialysis technicians immediate action?
(Answer) Assessment for possible clotting in the dialyzer - Documentation and interpretation of
the KECN (clearance effective by conductivity) results can assist the staff member in
(Answer) Circulation of water during the day only - Which of the following would minimize
bacterial growth in the water treatment system?
(Answer) Pressure - A major factor affecting ultrafiltration is
(Answer) Palpating for a thrill - Pre-treatment evaluation of an internal vascular access includes
(Answer) Hypotension - A patient having a dialysis treatment complains of feeling dizzy, and
begins to yawn. These symptoms are most likely to indicate that the patient has
(Answer) Check the dialysate effluent with a blood leak test indicator - If a blood leak detector
alarms a second time and no visible blood is noted, what should the PCT do next?
(Answer) Surface area of the dialyzer - Which has the most impact on dialyzer clearance?
(Answer) Turn the blood pump off, clamp the venous line. - The patient exhibits signs of
hemolysis. What is the appropriate action to take?
, (Answer) Calcium and magnesium - Softener tanks remove
(Answer) Technical must perform a functional test on the machine. - During dialysis a patient
has a cardiac arrest. Which action should be completed on the dialysis machine before the
machine is used by another patient?
(Answer) Low clearance, hold heparin dose - The following KECN's are noted: the results
indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
(Answer) Either with or against the flow of blood - The arterial needle is placed
(Answer) Priming the dialyzer venous end up - An important factor in achieving adequacy
during machine set up is
(Answer) Ultra Care - The FMC program that utilizes technology to improve our patient care is
(Answer) Bicarbonate - The component of the dialysate that helps treat acidosis is
(Answer) Check the patient blood pressure - The PCT notices the patient yawning toward the
end of treatment. The PCT should take which action immediately
(Answer) Presence of endotoxins in the dialysate - Several patients with normal pre-dialysis
temperatures develop sudden chills and a spike in temperature. This situation is most likely
caused by
(Answer) 150 ml/min - What is the correct blood flow rate for priming the dialyzer
(Answer) Use of a tourniquet is optional when cannulating a new AVF - What is NOT true when
cannulating a new AVF?
(Answer) Weekly - If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs
is
(Answer) Aid in fluid removal - Using the sodium variation module during the dialysis treatment
will
