CLINICAL ANNUAL COMPETENCY
EXAM – FRESENIUS QUESTIONS WITH
CORRECT ANSWERS 2025
InadequateHHeparinizationH-HcorrectHanswer-
TheHadequacyHofHaHdialysisHtreatmentHmayHbeHcompromisedHby
PostHreinfusionHandHpriorHtoHdisconnectionH-HcorrectHanswer-
RoutineHpostHdialysisHtreatmentHdocumentationHonHtheHpatientsHdialysisHtreatmentHrecordHshouldHinclud
eHpatientsHbloodHpressureHandHtemperatureHboth
ChemicalHcontentH-HcorrectHanswer-IndividualHacidHcontainersHshouldHbeHlabeledHwith
NotifyHtheHRNH-HcorrectHanswer-
TheHpatientHcomplainsHofHpainHatHtheHcatheterHexitHsite.HWhatHwouldHtheHPCTHdoHfirst?
HemosafeHisHinHplaceHandHsecureHonHtheHarterialHlineH(hemosafeHclampHshouldHbeHsecuredHonHtheHvenous
Hline)H-HcorrectHanswer-
WhichHofHtheseHfindingsHnotedHonHaHsafetyHcheckHwouldHindicateHthatHanHinterventionHisHneeded.
NotifyHtheHRNH-HcorrectHanswer-
TheHpatientHpresentsHtoHtheHdialysisHcenterHwithHaHpulseHrateHofH44/bpmHbutHdoesn'tHappearHtoHbeHinHdist
ress.HWhatHshouldHbeHtheHdialysisHtechniciansHimmediateHaction?
AssessmentHforHpossibleHclottingHinHtheHdialyzerH-HcorrectHanswer-
DocumentationHandHinterpretationHofHtheHKECNH(clearanceHeffectiveHbyHconductivity)HresultsHcanHassistHt
heHstaffHmemberHin
CirculationHofHwaterHduringHtheHdayHonlyH-HcorrectHanswer-
WhichHofHtheHfollowingHwouldHminimizeHbacterialHgrowthHinHtheHwaterHtreatmentHsystem?
PressureH-HcorrectHanswer-AHmajorHfactorHaffectingHultrafiltrationHis
, PalpatingHforHaHthrillH-HcorrectHanswer-Pre-treatmentHevaluationHofHanHinternalHvascularHaccessHincludes
HypotensionH-HcorrectHanswer-
AHpatientHhavingHaHdialysisHtreatmentHcomplainsHofHfeelingHdizzy,HandHbeginsHtoHyawn.HTheseHsymptomsHa
reHmostHlikelyHtoHindicateHthatHtheHpatientHhas
CheckHtheHdialysateHeffluentHwithHaHbloodHleakHtestHindicatorH-HcorrectHanswer-
IfHaHbloodHleakHdetectorHalarmsHaHsecondHtimeHandHnoHvisibleHbloodHisHnoted,HwhatHshouldHtheHPCTHdoHn
ext?
SurfaceHareaHofHtheHdialyzerH-HcorrectHanswer-WhichHhasHtheHmostHimpactHonHdialyzerHclearance?
TurnHtheHbloodHpumpHoff,HclampHtheHvenousHline.H-HcorrectHanswer-
TheHpatientHexhibitsHsignsHofHhemolysis.HWhatHisHtheHappropriateHactionHtoHtake?
CalciumHandHmagnesiumH-HcorrectHanswer-SoftenerHtanksHremove
TechnicalHmustHperformHaHfunctionalHtestHonHtheHmachine.H-HcorrectHanswer-
DuringHdialysisHaHpatientHhasHaHcardiacHarrest.HWhichHactionHshouldHbeHcompletedHonHtheHdialysisHmachin
eHbeforeHtheHmachineHisHusedHbyHanotherHpatient?
LowHclearance,HholdHheparinHdoseH-HcorrectHanswer-
TheHfollowingHKECN'sHareHnoted:HtheHresultsHindicateHa
TimeHKECN.HTIMEHKECN
00:15.H268.H01:45.H243
00:45.H254.H02:15.H240
01:15.H242.H02:45.H238
EitherHwithHorHagainstHtheHflowHofHbloodH-HcorrectHanswer-TheHarterialHneedleHisHplaced
PrimingHtheHdialyzerHvenousHendHupH-HcorrectHanswer-
AnHimportantHfactorHinHachievingHadequacyHduringHmachineHsetHupHis
EXAM – FRESENIUS QUESTIONS WITH
CORRECT ANSWERS 2025
InadequateHHeparinizationH-HcorrectHanswer-
TheHadequacyHofHaHdialysisHtreatmentHmayHbeHcompromisedHby
PostHreinfusionHandHpriorHtoHdisconnectionH-HcorrectHanswer-
RoutineHpostHdialysisHtreatmentHdocumentationHonHtheHpatientsHdialysisHtreatmentHrecordHshouldHinclud
eHpatientsHbloodHpressureHandHtemperatureHboth
ChemicalHcontentH-HcorrectHanswer-IndividualHacidHcontainersHshouldHbeHlabeledHwith
NotifyHtheHRNH-HcorrectHanswer-
TheHpatientHcomplainsHofHpainHatHtheHcatheterHexitHsite.HWhatHwouldHtheHPCTHdoHfirst?
HemosafeHisHinHplaceHandHsecureHonHtheHarterialHlineH(hemosafeHclampHshouldHbeHsecuredHonHtheHvenous
Hline)H-HcorrectHanswer-
WhichHofHtheseHfindingsHnotedHonHaHsafetyHcheckHwouldHindicateHthatHanHinterventionHisHneeded.
NotifyHtheHRNH-HcorrectHanswer-
TheHpatientHpresentsHtoHtheHdialysisHcenterHwithHaHpulseHrateHofH44/bpmHbutHdoesn'tHappearHtoHbeHinHdist
ress.HWhatHshouldHbeHtheHdialysisHtechniciansHimmediateHaction?
AssessmentHforHpossibleHclottingHinHtheHdialyzerH-HcorrectHanswer-
DocumentationHandHinterpretationHofHtheHKECNH(clearanceHeffectiveHbyHconductivity)HresultsHcanHassistHt
heHstaffHmemberHin
CirculationHofHwaterHduringHtheHdayHonlyH-HcorrectHanswer-
WhichHofHtheHfollowingHwouldHminimizeHbacterialHgrowthHinHtheHwaterHtreatmentHsystem?
PressureH-HcorrectHanswer-AHmajorHfactorHaffectingHultrafiltrationHis
, PalpatingHforHaHthrillH-HcorrectHanswer-Pre-treatmentHevaluationHofHanHinternalHvascularHaccessHincludes
HypotensionH-HcorrectHanswer-
AHpatientHhavingHaHdialysisHtreatmentHcomplainsHofHfeelingHdizzy,HandHbeginsHtoHyawn.HTheseHsymptomsHa
reHmostHlikelyHtoHindicateHthatHtheHpatientHhas
CheckHtheHdialysateHeffluentHwithHaHbloodHleakHtestHindicatorH-HcorrectHanswer-
IfHaHbloodHleakHdetectorHalarmsHaHsecondHtimeHandHnoHvisibleHbloodHisHnoted,HwhatHshouldHtheHPCTHdoHn
ext?
SurfaceHareaHofHtheHdialyzerH-HcorrectHanswer-WhichHhasHtheHmostHimpactHonHdialyzerHclearance?
TurnHtheHbloodHpumpHoff,HclampHtheHvenousHline.H-HcorrectHanswer-
TheHpatientHexhibitsHsignsHofHhemolysis.HWhatHisHtheHappropriateHactionHtoHtake?
CalciumHandHmagnesiumH-HcorrectHanswer-SoftenerHtanksHremove
TechnicalHmustHperformHaHfunctionalHtestHonHtheHmachine.H-HcorrectHanswer-
DuringHdialysisHaHpatientHhasHaHcardiacHarrest.HWhichHactionHshouldHbeHcompletedHonHtheHdialysisHmachin
eHbeforeHtheHmachineHisHusedHbyHanotherHpatient?
LowHclearance,HholdHheparinHdoseH-HcorrectHanswer-
TheHfollowingHKECN'sHareHnoted:HtheHresultsHindicateHa
TimeHKECN.HTIMEHKECN
00:15.H268.H01:45.H243
00:45.H254.H02:15.H240
01:15.H242.H02:45.H238
EitherHwithHorHagainstHtheHflowHofHbloodH-HcorrectHanswer-TheHarterialHneedleHisHplaced
PrimingHtheHdialyzerHvenousHendHupH-HcorrectHanswer-
AnHimportantHfactorHinHachievingHadequacyHduringHmachineHsetHupHis