Davita PCT Exam 2024 | DAVITA PCT
Exam Update Latest 2024 Questions and
Correct Answers Rated A+
What is important when monitoring weight and BP for acute patients?
-ANSWER-keep patients wet to avoid hypotensive episodes
What do you need to consider in regards to acute patents vascular
access? -ANSWER-Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD? -
ANSWER-to inquire about possible problems during data collection
and assessments
Kt/V: What is K? -ANSWER-clearance of urea
What treatment factors decrease K? -ANSWER-not waiting 3-5
minutes after giving heparin with treatment initiation to prevent clotting
What factors influence V (volume)? -ANSWER-sex, age, weight,
height, amputations
Needle gauge and suggested BFR -ANSWER-17: 200-250
16: 250-350
15: 350-450
14: >450
,What do you do if a patient wants to get off early? -ANSWER-educate
and document, still draw lab on habitual patients, MUST NOTIFY
NURSE
Lab draw mistakes that would falsely increase Kt/V -ANSWER-not
waiting the full 15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? -ANSWER-
DATA COLLECTION
Squeezing the BP cuff can damage the machine: T/F -ANSWER-True
4 reasons we document in the medical record -ANSWER-1. proof that
care was rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment -ANSWER-Data
collection: before initiation
Assessment: 30 minutes into treatment
Post treatment data collection/assessments -ANSWER-after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete
documentation -ANSWER-attack on your care
What are the six items included in charting administered medications?
-ANSWER-REASON FOR ADMINISTERING
, What are the 5 W's to be used when completing an AOR -ANSWER-
who should report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis? -
ANSWER-Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling? -ANSWER-fit to the patient to
prevent crashing and allow for vascular refill
Why do we measure the pH in the dialysate -ANSWER-to verify acid-
base balance is within an acceptable range
Conductivity and pH alarm causes -ANSWER-no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes -ANSWER-lower temperature, increases
BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power -ANSWER-the appropriate intervention is to remove venous
line from air detector clamp before starting hand crank
Exam Update Latest 2024 Questions and
Correct Answers Rated A+
What is important when monitoring weight and BP for acute patients?
-ANSWER-keep patients wet to avoid hypotensive episodes
What do you need to consider in regards to acute patents vascular
access? -ANSWER-Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD? -
ANSWER-to inquire about possible problems during data collection
and assessments
Kt/V: What is K? -ANSWER-clearance of urea
What treatment factors decrease K? -ANSWER-not waiting 3-5
minutes after giving heparin with treatment initiation to prevent clotting
What factors influence V (volume)? -ANSWER-sex, age, weight,
height, amputations
Needle gauge and suggested BFR -ANSWER-17: 200-250
16: 250-350
15: 350-450
14: >450
,What do you do if a patient wants to get off early? -ANSWER-educate
and document, still draw lab on habitual patients, MUST NOTIFY
NURSE
Lab draw mistakes that would falsely increase Kt/V -ANSWER-not
waiting the full 15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? -ANSWER-
DATA COLLECTION
Squeezing the BP cuff can damage the machine: T/F -ANSWER-True
4 reasons we document in the medical record -ANSWER-1. proof that
care was rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment -ANSWER-Data
collection: before initiation
Assessment: 30 minutes into treatment
Post treatment data collection/assessments -ANSWER-after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete
documentation -ANSWER-attack on your care
What are the six items included in charting administered medications?
-ANSWER-REASON FOR ADMINISTERING
, What are the 5 W's to be used when completing an AOR -ANSWER-
who should report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis? -
ANSWER-Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling? -ANSWER-fit to the patient to
prevent crashing and allow for vascular refill
Why do we measure the pH in the dialysate -ANSWER-to verify acid-
base balance is within an acceptable range
Conductivity and pH alarm causes -ANSWER-no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes -ANSWER-lower temperature, increases
BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power -ANSWER-the appropriate intervention is to remove venous
line from air detector clamp before starting hand crank
