Clinical Annual Competency Exam -
Fresenius
1. The adequacy of a dialysis treatment may be compromised by:
Inadequate Heparinization
2. Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients blood pressure and
temperature both: Post reinfusion and prior to disconnection
3. Individual acid containers should be labeled with: Chemical content
4. The patient complains of pain at the catheter exit site. What would the
PCT do first?: Notify the RN
5. Which of these findings noted on a safety check would indicate that
an intervention is needed.: Hemosafe is in place and secure on the
arterial line (hemosafe clamp should be secured on the venous line)
6. 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?: Notify the RN
7. Documentation and interpretation of the KECN (clearance effective by
con- ductivity) results can assist the staff member in: Assessment for
possible clot- ting in the dialyzer
8. Which of the following would minimize bacterial growth in the water
treat- ment system?: Circulation of water during the day only
9. A major factor affecting ultrafiltration is: Pressure
10.Pre-treatment evaluation of an internal vascular access includes:
Palpating for a thrill
11.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: Hy- potension
12.If a blood leak detector alarms a second time and no visible blood is
noted, what should the PCT do next?: Check the dialysate effluent with a
blood leak test indicator
13.Which has the most impact on dialyzer clearance?: Surface area of
the dialyzer
14.The patient exhibits signs of hemolysis. What is the appropriate action
to take?: Turn the blood pump off, clamp the venous line.
15.Softener tanks remove: Calcium and magnesium
16.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.
17. The following KECN's are noted: the results indicate
1/4
, Clinical Annual Competency Exam -
Fresenius
a Time KECN. TIME KECN
00:15. 268. 01:45. 243
2/4
Fresenius
1. The adequacy of a dialysis treatment may be compromised by:
Inadequate Heparinization
2. Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients blood pressure and
temperature both: Post reinfusion and prior to disconnection
3. Individual acid containers should be labeled with: Chemical content
4. The patient complains of pain at the catheter exit site. What would the
PCT do first?: Notify the RN
5. Which of these findings noted on a safety check would indicate that
an intervention is needed.: Hemosafe is in place and secure on the
arterial line (hemosafe clamp should be secured on the venous line)
6. 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?: Notify the RN
7. Documentation and interpretation of the KECN (clearance effective by
con- ductivity) results can assist the staff member in: Assessment for
possible clot- ting in the dialyzer
8. Which of the following would minimize bacterial growth in the water
treat- ment system?: Circulation of water during the day only
9. A major factor affecting ultrafiltration is: Pressure
10.Pre-treatment evaluation of an internal vascular access includes:
Palpating for a thrill
11.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: Hy- potension
12.If a blood leak detector alarms a second time and no visible blood is
noted, what should the PCT do next?: Check the dialysate effluent with a
blood leak test indicator
13.Which has the most impact on dialyzer clearance?: Surface area of
the dialyzer
14.The patient exhibits signs of hemolysis. What is the appropriate action
to take?: Turn the blood pump off, clamp the venous line.
15.Softener tanks remove: Calcium and magnesium
16.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.
17. The following KECN's are noted: the results indicate
1/4
, Clinical Annual Competency Exam -
Fresenius
a Time KECN. TIME KECN
00:15. 268. 01:45. 243
2/4
