Clinical Annual Competency Exam –
Fresenius Practice Questions and
Answers 100% Pass
The adequacy of a dialysis treatment may be compromised by - ✔✔Inadequate Heparinization
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
Individual acid containers should be labeled with - ✔✔Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do first? - ✔✔Notify the RN
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)
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
Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the
staff member in - ✔✔Assessment for possible clotting in the dialyzer
Which of the following would minimize bacterial growth in the water treatment system? - ✔✔Circulation
of water during the day only
A major factor affecting ultrafiltration is - ✔✔Pressure
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Pre-treatment evaluation of an internal vascular access includes - ✔✔Palpating for a thrill
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 - ✔✔Hypotension
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
Which has the most impact on dialyzer clearance? - ✔✔Surface area of the dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to take? - ✔✔Turn the blood pump
off, clamp the venous line.
Softener tanks remove - ✔✔Calcium and magnesium
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.
The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238 - ✔✔Low clearance, hold heparin dose
The arterial needle is placed - ✔✔Either with or against the flow of blood
An important factor in achieving adequacy during machine set up is - ✔✔Priming the dialyzer venous
end up
The FMC program that utilizes technology to improve our patient care is - ✔✔Ultra Care
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