FMC test questions and answers already passed

FMC test questions and answers already passed When should alarm and pressure holding test be performed on dialysis machine Before each treatment In order to determine the adequacy of a dialysis treatment which of these laboratory values should be evaluated Blood urea nitrogen What is the purpose of maintaining a log of water quality checks To prove safe water has been documented When is the correct time to draw a post bun Before returning the patient's blood Which of these parameters on the hemodialysis machine must be verified pretreatment buy an external measuring device PH and connectivity The heater on the hemodialysis machine has a malfunction and as a result the temperature of the dialysis has risen above 105 Fahrenheit what complication is likely to occur Hemolysis The patient has completed their treatment the PCT SS the patient to the scale to be weighed suddenly the patient tells the PCT she does not feel well she complains of being dizzy what should the PCT do next Call the nurse to assist a patient The purpose of reverse osmosis device is To provide high-quality high quantity water It is important to monitor pump pressure on the reverse osmosis device to Determine changes that may affect product or waste water flow The water softner exchanges sodium ions for Calcium and magnesium ions When teaching a patient about prevention of hypotension during the treatment the nurse should include which of these instructions Always take prescribed medication at least 30 minutes prior to treatment Which of the following has the highest potassium content Bananas orange juice and salt The group of symptoms that include feelings of fainting and double vision irritated and hunger may be associated with what patient complication Hypoglycemia When caring for a patient who is Hepatitis B positive after disconnecting the bloodlines what must the technician do before documenting Remove gloves sanitize hands and put on a fresh pair of gloves According to FMC policy the safe level for total chlorine is Less than 0.10PPM The purpose of the carbon tanks in dialysis is to Remove chlorine and chloramine from feed water Join the setup all the dialysis machine A co-worker states that the PCT has contaminated the circuit which of the following would be most likely source of contamination The Bloodlines are in the prime bucket with open end caps The function of the blending valve in the water treatment system is to Mix hot and cold water to achieve an acceptable temperature Available weight gain is described as the Pretreatment weight minus dry weight Doing safety checks the technician notes the following which one requires intervention Access and the patients face are covered Use of a diasafe filters allows the production of Ultrapure dialysate Which alarm will not stop the blood pump Blood pressure alarm Dialysate used for in center hemodialysis is Non sterile and biocompatible The patient comes to dialysis with complaints of cramping since last treat. The clinician should. Look at previous dialysis flow sheets to evaluate adjustment of Target weight Which component of the water treatment system must never be bypassed carbon tanks The venous pressure on the dialysis machine starts to rise but the Venus needle is not infiltrated the rise is most likely due 2 The acccess clotting When should the water be checked for total chlorine during routine operations of the outpatient facility Before the first treatment is started before each shift begins or not to exceed four hours Normal saline is used to rinse and prime the tubing of the extracorporeal circuit to remove Sterilant and air A patient begins to experience shortness of breath chest pain and sudden hypertension the blood is bright red and translucent the complication most likely occurring is hemolysis 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 Technical must perform a functional test on the machine To properly collect a post bun sample it is necessary to turn off ultrafiltration rate Water for dialysis is treated to Protect patients from contaminants Which of the following complications is most likely caused by a kink in the bloodline Hemolysis Prior to testing the RO machine must run a minimum of 15 minutes The role of the association for the advancement of medical instrumentation (AAMI) is to Oversee state,local,and national water quality standards. The PCT has performed a rinseback on a patient and failedl together all the supplies needed to disconnect the patient what must a PCT do prior to getting cleaning supplies Remove gloves wash sanitize hands and retrieve items The primary cause of anemia in dialysis patient is A decrease in the production of erythropoietin How should a facility prepare for a disaster such as a hurricane or possible flooding Lockdown lids on Sharp containers seal boxes and bags secure all in the locked biohazard storage room Hyperkalemia can result in which complication Muscle weakness and death The components of that dialysis treatment that affect clearance include Dialysate flow, dialysis treatment time, dialyzer size and blood flow rate What happens when the dialysate flow stops during dialysis? The patients blood is no longer getting cleaned The TMP pressure measures the pressure Differences across the dialyzer membrane A blood leak alarm has occurred there is no blood visible in the dialysate. The presence of blood can be verified by testing the Effluent dialysate with a blood leak test indicator The function of the backflow preventor is To prevent water from flowing back into the municipal system Dialysate testing is required to ensure safe delivery to the patient by checking Bacteria, conductivity, chlorine/ chloromine and ph During the final 30 minutes of dialysis the patient complains of blurry vision and dizziness. The caregiver should evaluate for signs of Hypotension What would be the first thing to do when a fistula needle has infiltrated Turn off the blood pump The online clearance ( olc )spKt/V goal for each treatment 1.4 During dialysis a patient Safeway staff 3 hours of my time has passed according to my machine only 2 hours have passed what's wrong Machine was in bypass for 30 minutes Sharp containers must be Replaced when they are 2/3rds to 3/4s full The number one cause of chronic renal failure is Diabetes Besides potassium what electrolyte is commonly adjusted in the hemodialysis Acid Bath Magnesium When they connectivity alarms occurs the Machine enters bypass mode Air is removed from the extracorporeal circuit before initiating treatment because air May Cause clotting when trapped in the dialyzer A low arterial alarm sounds. Where in the circuit should a staff member look for a possible cause From the arterial needle through to the blood pump A red and warm vascular access maybe a sign of Infection Who ultimately determines the dialysate bath for a patient treatment Physician only Which condition is likely to raise the venous pressure A Venus needle occlusion Items that should be discarded in a sharp container are Neddles, ampules, and broken glass During the dialysis treatment a large clot is noted in the venous chamber Terminate treatment Which of the following describes the role of the RN in a dialysis facility Implement the plan of care and the patient education plan Which of the following would adversely affect clearance Air in a dialyzer What PPE should be worn when getting up a blood spill Gloves face shield and gown Online clearance requires A DFR 600ml/min When blood escapes from the dialyzer blood compartment into the dialysis fluid compartment this is known as A blood leak What is the number one infection control practice for reducing the transmission of disease Hand washing Which of the following vascular access types have fewer complications and has a longer survival rate Arteriovenous fistula What is the term used to describe the movement of fluid through a semi permeable membrane from an area of low solute concentration to an area of high concentration Osmosis Arise in the TMP during hemodialysis is likely to indicate Arterior needle malposition A PCT is taking care of a patient on hemodialysis enjoying the 3rd hour the patient starts yawning and states I feel fine what next action should the PCT take Check the patient's blood pressure According to the CDC which of the following groups of patients should be daylight in a separate area of the dialysis center on a dedicated machine Patients who are Hepatitis B surface antigen (HBsAg)positive What is the PCT role in patient teaching Check the patients readiness to learn new information What solution should be used to disinfect a large blood spill area 1 part bleach 10 part water solution Which of the following components is not an ingredient of a dialysis solution bath Phosphorus Which of the following increases the rate of diffusion Counter-current flow of dialysate and blood The main route of transmission of hepatitis B in hemodialysis facilities is by exposure to Infected blood and body fluids Broken glass should be picked up Using a broom and dustpan