FRESENIUS TRAINING EXAM
N N
QUESTIONS WITH COMPLETE
SOLUTION
What are the two main types of dialysis?? - hemodialysis and peritoneal dialysis
How are dialysis clinics paid by medicare for dialysis treatment? - prospective payment system bundles
What does "PAY FOR PERFORMANCE" mean? - clinics that don't meet certain quality standards will have
their payments cut
Which of the following are dialysis clinics required to work with? - ESRD networks
Which of the following is a responsibility of the ESRD networks? - collect and report data about dialysis,
handle patient grievances, help clinics deal w/conflict, promote rehabilitation (ALL OF THE ABOVE)
What are clinical practice guidelines? - efforts to improve patient outcomes by finding best practices
Which of these is a step of the CQI process? - implement the PDCA cycle
Which of the following actions shows that you are behaving as a professional? - getting to work on time
Which of the following is an example of a boundary that should be kept between you and your patients?
- you should not invite patients to your home
How do you become a certified dialysis technician? - take a test given by an approved program
What is a nephron made up of? - a glomerulus and a tubule
What is the most common cause of kidney failure for US adults? - diabetes
What causes secondary hyperparathyroidism in people w/kidney failure? - The kidneys no longer make
active vitamin d
Which of the substances are electrolytes? - calcium and sodium
Which word means too much potassium? - hyperkalemia
What is the patients dry weight? - the weight after a treatment when all (or most) excess water is gone
Your patient Mrs.M asks to stop her treatment 20 minutes early. What do you say? - you need every
minute of treatment you can get, to avoid complications
The dialysis team member with special training in helping people cope with the changes caused by
kidney disease is the: - social worker
What is a solution made up of? - a solvent and a solute
, A semipermeable membrane is a filter that? - allows only certain sized particles pass through
What happens in diffusion? - solutes move through a membrane from an area of higher concentration to
a lower one
Which of these would lead to the fastest diffusion? - small particles, warm solution, large pores
Which of these best describe osmosis? - water moves through a membrane from a lower solute
concentration a higher one
What role does ultrafiltration play in dialysis? - removes water from the patients blood
Which of these is the intravascular fluid compartment? - blood inside the blood vessels
During dialysis levels of waste in the blood can be expected to? - decrease
What type of pressure is applied when the blood pump pulls blood through a needle? - negative
pressure
What is a gradient? - a difference
Why are synthetic dialysis membranes more biocompatible? - they absorb more proteins from the body
Which of these is a way to remove solutes? - convection
What are the two compartments of the dialyzer? - blood and dialysate
Which of these substances might be included in a dialysate prescription? - bicarbonate, sodium,
potassium
What is the purpose of a proportioning system? - make dialysate by mixing fresh concentrate w/fixed
amounts of treated water
Where is conductivity most often checked? - dialysate mixing and before dialysate enters the dialyzer
What condition occurs due to dialysate that is too hot? - hemolysis
What are two types of ultrafiltration systems? - volumetric and flow control
Which of these best describes the transducer protection? - a mechanical device in the machine that
converts air pressure into an electronic signal
Which group contains the dialysate delivery system monitors? - conductivity, ph, flow rate
Mrs. R is a 40 year old woman who does not have diabetes or heart problems. If her blood vessels are
healthy, what type of access is best? - arteriovenous fistula
When assessing a fistula or graft, which of these do you listen for before starting dialysis? - stenosis
Which of these can happen when the needle is "FLIPPED DURING CANNULATION"? - infiltration, stretch
the needle hole, tear the lining of the needle
Why do we rotate needle sites on a fistula? - to prevent aneurysms
N N
QUESTIONS WITH COMPLETE
SOLUTION
What are the two main types of dialysis?? - hemodialysis and peritoneal dialysis
How are dialysis clinics paid by medicare for dialysis treatment? - prospective payment system bundles
What does "PAY FOR PERFORMANCE" mean? - clinics that don't meet certain quality standards will have
their payments cut
Which of the following are dialysis clinics required to work with? - ESRD networks
Which of the following is a responsibility of the ESRD networks? - collect and report data about dialysis,
handle patient grievances, help clinics deal w/conflict, promote rehabilitation (ALL OF THE ABOVE)
What are clinical practice guidelines? - efforts to improve patient outcomes by finding best practices
Which of these is a step of the CQI process? - implement the PDCA cycle
Which of the following actions shows that you are behaving as a professional? - getting to work on time
Which of the following is an example of a boundary that should be kept between you and your patients?
- you should not invite patients to your home
How do you become a certified dialysis technician? - take a test given by an approved program
What is a nephron made up of? - a glomerulus and a tubule
What is the most common cause of kidney failure for US adults? - diabetes
What causes secondary hyperparathyroidism in people w/kidney failure? - The kidneys no longer make
active vitamin d
Which of the substances are electrolytes? - calcium and sodium
Which word means too much potassium? - hyperkalemia
What is the patients dry weight? - the weight after a treatment when all (or most) excess water is gone
Your patient Mrs.M asks to stop her treatment 20 minutes early. What do you say? - you need every
minute of treatment you can get, to avoid complications
The dialysis team member with special training in helping people cope with the changes caused by
kidney disease is the: - social worker
What is a solution made up of? - a solvent and a solute
, A semipermeable membrane is a filter that? - allows only certain sized particles pass through
What happens in diffusion? - solutes move through a membrane from an area of higher concentration to
a lower one
Which of these would lead to the fastest diffusion? - small particles, warm solution, large pores
Which of these best describe osmosis? - water moves through a membrane from a lower solute
concentration a higher one
What role does ultrafiltration play in dialysis? - removes water from the patients blood
Which of these is the intravascular fluid compartment? - blood inside the blood vessels
During dialysis levels of waste in the blood can be expected to? - decrease
What type of pressure is applied when the blood pump pulls blood through a needle? - negative
pressure
What is a gradient? - a difference
Why are synthetic dialysis membranes more biocompatible? - they absorb more proteins from the body
Which of these is a way to remove solutes? - convection
What are the two compartments of the dialyzer? - blood and dialysate
Which of these substances might be included in a dialysate prescription? - bicarbonate, sodium,
potassium
What is the purpose of a proportioning system? - make dialysate by mixing fresh concentrate w/fixed
amounts of treated water
Where is conductivity most often checked? - dialysate mixing and before dialysate enters the dialyzer
What condition occurs due to dialysate that is too hot? - hemolysis
What are two types of ultrafiltration systems? - volumetric and flow control
Which of these best describes the transducer protection? - a mechanical device in the machine that
converts air pressure into an electronic signal
Which group contains the dialysate delivery system monitors? - conductivity, ph, flow rate
Mrs. R is a 40 year old woman who does not have diabetes or heart problems. If her blood vessels are
healthy, what type of access is best? - arteriovenous fistula
When assessing a fistula or graft, which of these do you listen for before starting dialysis? - stenosis
Which of these can happen when the needle is "FLIPPED DURING CANNULATION"? - infiltration, stretch
the needle hole, tear the lining of the needle
Why do we rotate needle sites on a fistula? - to prevent aneurysms
