Fresenius Clinical Annual Competency Exam
(Latest 2023 – 2024) Complete Solution
Inadequate Heparinization - The adequacy of a dialysis treatment may be compromised by
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
Chemical content - Individual acid containers should be labeled with
Notify the RN - The patient complains of pain at the catheter exit site. What would the PCT do first?
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.
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?
Assessment for possible clotting in the dialyzer - Documentation and interpretation of the KECN
(clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - Which of the following would minimize bacterial growth
in the water treatment system?
Pressure - A major factor affecting ultrafiltration is
, Palpating for a thrill - Pre-treatment evaluation of an internal vascular access includes
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
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?
Surface area of the dialyzer - Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - The patient exhibits signs of hemolysis. What is
the appropriate action to take?
Calcium and magnesium - Softener tanks remove
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?
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
Either with or against the flow of blood - The arterial needle is placed
(Latest 2023 – 2024) Complete Solution
Inadequate Heparinization - The adequacy of a dialysis treatment may be compromised by
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
Chemical content - Individual acid containers should be labeled with
Notify the RN - The patient complains of pain at the catheter exit site. What would the PCT do first?
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.
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?
Assessment for possible clotting in the dialyzer - Documentation and interpretation of the KECN
(clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - Which of the following would minimize bacterial growth
in the water treatment system?
Pressure - A major factor affecting ultrafiltration is
, Palpating for a thrill - Pre-treatment evaluation of an internal vascular access includes
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
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?
Surface area of the dialyzer - Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - The patient exhibits signs of hemolysis. What is
the appropriate action to take?
Calcium and magnesium - Softener tanks remove
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?
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
Either with or against the flow of blood - The arterial needle is placed
