NURSING Dialysis
Study online at https://quizlet.com/_553vzs
NURSING DIALYSIS EXAM QUESTIONS WITH ACCURATE
ANSWERS,2025
1. Who first described Dialysis?: Thomas Graham in 1854
2. Who first described renal failure?: Richard bright
3. Who was the first MD to perform HD(hemodialysis) on a patient?: George Haas
1924
4. Who is considered the father of dialysis?: Willem Kollf
5. Why is Willem Kollf considered the father of dialysis?: He is responsible for the
first artificial dialyzer and blue print for the first Dialysis machine
6. What regulatory function does the kidneys serve in the body?: The kidneys
regulate fluid balance, electrolyte balance, and Acid/Base balance
7. What hormonal function do the kidneys serve?: -RBC production(erythropoi-
etin)
-Blood pressure (renin/prostoglandins/bradykinin)
-Vitamin D activation
8. What is Chronic Kidney Disease(CKD)?: Chronic kidney disease is anything that
damages the kidneys over a period of time.
9. Does CKD require dialysis?: No, the kidneys are damaged but still function.
10. What will most patients with CKD eventually lead to?: End Stage Renal
Disease (ESRD)
11. What is ESRD?: This is when the kidneys do not function well enough to sustain
life.
12. What needs to happen for someone with ESRD to sustain life?: The person needs
a Kidney Transplant or Dialysis to sustain life.
13. What are some causes of CKD and ESRD?: - Diabetes
- High Blood Pressure
- Nephritis
- Medications(nephrotoxic)
- Injuries
- PKD(polycystic kidney disease)
14. What are some goals of hemodialysis?: -Remove excess fluid from the blood
-balance blood electrolytes
-rid the body of unwanted waste
, .
NURSING Dialysis
Study online at https://quizlet.com/_553vzs
15. How is hemodialysis achieved?: It uses a semipermeable membrane, diffusion,
osmosis, ultrafiltration and convection to clean the blood.
16. How do we know a patient is ready for dialysis?: The MD will at the GFR less
than 15 require dialysis
17. Can a patient going through Acute Renal Failure(ARF) go through dialysis?:
Yes, to regain function.
18 How do we know if an ARF patient is regaining function?: The MD will look at the
electrolytes, GFR and creatinine to determine if the patient is stable enough.
(not in our scope of practice but good to know)
19. In- Center Hemodialysis: Im guessing this a walk-in dialysis place
20. How many times does a patient come in for treatment at a dialysis center?-
: 3 times a week for 3-4 hours
21. What must the patient have in order to revive dialysis?: Must have an access
point for dialysis such as a AV fistula, Graft, or Central Venous Catheter(CVC).
22. What happens during dialysis?: A patient is hooked up to a Hemodialysis machine
that circulates blood through an artificial kidney(dialyzer)
23. What medications does a patient receive while at the center?: Receives
medication for hormones no longer secreted.
24. What would a patient receive during dialysis to prevent clots?: Heparin before
and maybe during.
25. How do we know what levels to run the dialysis machine at?: Labs are monitored
to adjust dose of dialysis and hormone medication.
26. Who are the dialysis patients able to talk to while at the center?: Dietician and
Social worker each treatment.
27. How many times does the patient see the NP?: Weekly
28. How many times does the patient see the MD?: Monthly
29. In-Patient Dialysis: at hospital
30. Who may require emergency dialysis when they come into the hospital?: A
patient with ARF/AKI may require emergency dialysis.
31. What are 2 things that may require dialysis for a patient in the hospital?: -
Crushing injuries(potassium is to high)
-Over doses- substance must dialyzable(lithium/ salicylic acid)
32. What happens if a patient is non-compliant with out patient dialysis?: They may
go In patient for treatment because of fluid over-load
33. Who are some people that may require in-patient dialysis?: -Patients with other
co-morbity
, .
NURSING Dialysis
Study online at https://quizlet.com/_553vzs
- May run shorter more frequent treatments(2hours a day to pull more fluid off)
- Patient is unstable and requires 1:1 care
-Some not diagnosed with ESRD
- Patient receiving first dialysis treatment
34. What does the dialysis machine deliver to the patient?: Delivers Dialysate and
Dialysis quality water
35. What does the dialysis machine monitor?: -B/P
-Monitors high and low pressures related to blood flow from the dialysis access
36 What medication does the machine deliver while the patient is receiving dialysis?:
Heparin to prevent clotting
37. What information does the machine collect?: Collects data during HD treatment
to be used to calculate the HD prescription for the patient
38. Dialysis access: fistula, graft, cvc
39. What are some advantages to a Artery Venous Fistula(AVF): - patients own
artery and vein are used
- less risk for infection
- less chance of clotting
-can last for many years
40. What size needles are usually used during dialysis?: Needles range from 17 gauge
to 14 gauge needles
41. After an AVF fistula is put in how long does the patient have to wait before it
can be used?: The healing process can take up to 12 weeks
42. What are some disadvantages of a AVF?: - Appearance
- Maturation time
43. What are 2 locations for a AVF?: Forearm AVF and Upper armAVF
44. What are some advantages to a Artery Venous Graft(AVG)?: - Can be used
1-2 weeks after placement
45. What are some disadvantages of a AVG?: - MUCH Higher risk for infection and
clotting
- Doesn't last as long as AVF
46. What is the advantage of a CVC?: - Can be used immediately after placement is
confirmed
- No bleeding time after treatment
47. What are disadvantages of a CVC?: - HIGH risk for infection
- Increased risk for clotting
- Does not always function properly
Study online at https://quizlet.com/_553vzs
NURSING DIALYSIS EXAM QUESTIONS WITH ACCURATE
ANSWERS,2025
1. Who first described Dialysis?: Thomas Graham in 1854
2. Who first described renal failure?: Richard bright
3. Who was the first MD to perform HD(hemodialysis) on a patient?: George Haas
1924
4. Who is considered the father of dialysis?: Willem Kollf
5. Why is Willem Kollf considered the father of dialysis?: He is responsible for the
first artificial dialyzer and blue print for the first Dialysis machine
6. What regulatory function does the kidneys serve in the body?: The kidneys
regulate fluid balance, electrolyte balance, and Acid/Base balance
7. What hormonal function do the kidneys serve?: -RBC production(erythropoi-
etin)
-Blood pressure (renin/prostoglandins/bradykinin)
-Vitamin D activation
8. What is Chronic Kidney Disease(CKD)?: Chronic kidney disease is anything that
damages the kidneys over a period of time.
9. Does CKD require dialysis?: No, the kidneys are damaged but still function.
10. What will most patients with CKD eventually lead to?: End Stage Renal
Disease (ESRD)
11. What is ESRD?: This is when the kidneys do not function well enough to sustain
life.
12. What needs to happen for someone with ESRD to sustain life?: The person needs
a Kidney Transplant or Dialysis to sustain life.
13. What are some causes of CKD and ESRD?: - Diabetes
- High Blood Pressure
- Nephritis
- Medications(nephrotoxic)
- Injuries
- PKD(polycystic kidney disease)
14. What are some goals of hemodialysis?: -Remove excess fluid from the blood
-balance blood electrolytes
-rid the body of unwanted waste
, .
NURSING Dialysis
Study online at https://quizlet.com/_553vzs
15. How is hemodialysis achieved?: It uses a semipermeable membrane, diffusion,
osmosis, ultrafiltration and convection to clean the blood.
16. How do we know a patient is ready for dialysis?: The MD will at the GFR less
than 15 require dialysis
17. Can a patient going through Acute Renal Failure(ARF) go through dialysis?:
Yes, to regain function.
18 How do we know if an ARF patient is regaining function?: The MD will look at the
electrolytes, GFR and creatinine to determine if the patient is stable enough.
(not in our scope of practice but good to know)
19. In- Center Hemodialysis: Im guessing this a walk-in dialysis place
20. How many times does a patient come in for treatment at a dialysis center?-
: 3 times a week for 3-4 hours
21. What must the patient have in order to revive dialysis?: Must have an access
point for dialysis such as a AV fistula, Graft, or Central Venous Catheter(CVC).
22. What happens during dialysis?: A patient is hooked up to a Hemodialysis machine
that circulates blood through an artificial kidney(dialyzer)
23. What medications does a patient receive while at the center?: Receives
medication for hormones no longer secreted.
24. What would a patient receive during dialysis to prevent clots?: Heparin before
and maybe during.
25. How do we know what levels to run the dialysis machine at?: Labs are monitored
to adjust dose of dialysis and hormone medication.
26. Who are the dialysis patients able to talk to while at the center?: Dietician and
Social worker each treatment.
27. How many times does the patient see the NP?: Weekly
28. How many times does the patient see the MD?: Monthly
29. In-Patient Dialysis: at hospital
30. Who may require emergency dialysis when they come into the hospital?: A
patient with ARF/AKI may require emergency dialysis.
31. What are 2 things that may require dialysis for a patient in the hospital?: -
Crushing injuries(potassium is to high)
-Over doses- substance must dialyzable(lithium/ salicylic acid)
32. What happens if a patient is non-compliant with out patient dialysis?: They may
go In patient for treatment because of fluid over-load
33. Who are some people that may require in-patient dialysis?: -Patients with other
co-morbity
, .
NURSING Dialysis
Study online at https://quizlet.com/_553vzs
- May run shorter more frequent treatments(2hours a day to pull more fluid off)
- Patient is unstable and requires 1:1 care
-Some not diagnosed with ESRD
- Patient receiving first dialysis treatment
34. What does the dialysis machine deliver to the patient?: Delivers Dialysate and
Dialysis quality water
35. What does the dialysis machine monitor?: -B/P
-Monitors high and low pressures related to blood flow from the dialysis access
36 What medication does the machine deliver while the patient is receiving dialysis?:
Heparin to prevent clotting
37. What information does the machine collect?: Collects data during HD treatment
to be used to calculate the HD prescription for the patient
38. Dialysis access: fistula, graft, cvc
39. What are some advantages to a Artery Venous Fistula(AVF): - patients own
artery and vein are used
- less risk for infection
- less chance of clotting
-can last for many years
40. What size needles are usually used during dialysis?: Needles range from 17 gauge
to 14 gauge needles
41. After an AVF fistula is put in how long does the patient have to wait before it
can be used?: The healing process can take up to 12 weeks
42. What are some disadvantages of a AVF?: - Appearance
- Maturation time
43. What are 2 locations for a AVF?: Forearm AVF and Upper armAVF
44. What are some advantages to a Artery Venous Graft(AVG)?: - Can be used
1-2 weeks after placement
45. What are some disadvantages of a AVG?: - MUCH Higher risk for infection and
clotting
- Doesn't last as long as AVF
46. What is the advantage of a CVC?: - Can be used immediately after placement is
confirmed
- No bleeding time after treatment
47. What are disadvantages of a CVC?: - HIGH risk for infection
- Increased risk for clotting
- Does not always function properly
