Davita finals 100 question complete
Latest Questions and correct Answers
A surveyor asks you a question. Which of the following statements would be a good answer? - correct
answer-I do not know the answer but I will find out
Knowing what caused your patients' renal failure - correct answer-Is important to identify possible
problems during data collection and assessment
The dialysis team prevents additional blood loss by - correct answer-Providing appropriate heparin dose
per physician order, using good cannulation technique, and proper rinse back after treatment
*** What amount of fluid weight is considered excessive? - correct answer-Greater than 5%
The definition of Health Literacy is - correct answer-The degree to which individuals understand basic
health information
*** Intra-renal causes of Acute Kidney Injury (AKI) - correct answer-Sepsis, trauma, anaphylaxis, drugs,
Acute Glomerulonephritis
Why is meticulous hand hygiene so important in healthcare? - correct answer-It is the single most
important intervention in preventing Healthcare Associated Infections
*** The endocrine functions of the kidneys are - correct answer-Renin and erythropoietin secretion,
activation of vitamin D**
*** Which infectious disease requires frequent hand-washing instead of using alcohol based hand gels? -
correct answer-Active Clostridioides difficile infection (C-diff)
At what time do you perform water hardness testing? - correct answer-At the end of the treatment day
What are three things you should NOT include in a Risk Event Management (REM) report? - correct
answer-Personal opinions, speculation, vendettas
Fever caused by a pyrogenic reaction will most likely occur at what time during the treatment? - correct
answer-Within 45 to 75 minutes
*** What is the most likely reason for a blood leak detector alarm during recirculation? - correct answer-
Air bubbles in dialysate or a dirty sensor
You listen to your patient's arteriovenous graft (AVG) and hear a whistling sound. - correct answer-This
could be indicative of an outflow stenosis
The Urea Reduction Ratio calculates - correct answer-The amount of urea removed during the dialysis
treatment
Documentation in the medical record - correct answer-Provides data for continuity and planning of
patient care
*** Left Ventricular Hypertrophy leads to - correct answer-ischemic heart disease arrhythmia,
myocardial infarction, and sudden death
What should be done to the heparin infusion line if a patient does not have maintenance (hourly)
heparin prescribed? - correct answer-Clamp and knot the heparin infusion line
The most common infectious complication for hemodialysis patients is - correct answer-Vascular access
infection
The person responsible for implementation, adherence, and training of the facility specific emergency
management plan (EMP) and applicable policy and procedures is - correct answer-Facility Administrator
(FA) or Designee
Interventions for a patient complaining of chest pain include - correct answer-Decrease blood flow rate
(BFR) to 150mL/hr. decrease ultrafiltration rate (UFR), take vital signs, and administer oxygen as ordered
Which of the following may be, but doesn't have to be a sign of hemolysis - correct answer-Cherry red
colored blood in venous line
, Per the Centers for Disease Control and Prevention (CDC), which is the most important route by which
pathogens are transmitted in health-care settings including dialysis centers? - correct answer-Contact
transmission
Your immediate intervention for a patient experiencing an anaphylactic reaction is - correct answer-
Discontinue the suspected therapy, stop the blood pump, do not return the blood
*** Scrubbing of each hub as part of CVC care is done for: - correct answer-15 seconds
What are the three steps included in the vascular access assessment? - correct answer-Look. listen feel
*** You are assisting a patient to step onto the scale by holding the patient's hand. Such a casual contact
- correct answer-Does not require wearing gloves but you must perform hand hygiene afterwards
What can be the most likely result if the surveyor sees a patient with a covered vascular access? - correct
answer-An Immediate Jeopardy
*** Per the Centers for Disease Control and Prevention (CDC), which is the most common factor
contributing to bacterial infections in dialysis patients? - correct answer-the use of catheters for
hemodialysis
The Clinical Pyramid includes: - correct answer-The Fundamentals. Complex Programs, and Quality of
Life.
*** If clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - correct answer-
decrease
Which is the primary device for purifying the water used in dialysis? - correct answer-The reverse
osmosis
What is an appropriate intervention(s) with an air/foam detector alarm? - correct answer-Look at the
circuit, do not return blood with air in system, fix problem
Water treatment is needed in the dialysis setting to: - correct answer-Provide patient safety and prevent
equipment damage
*** Which statement is true regarding the "Reasonable and Prudent" Standard of Care? - correct
answer-When supervising patient care technicians and other non-licensed personnel, it is the
responsibility of the licensed nurse to ensure these teammates also meet the Standard of Care.
Acid concentrate replaces the excretory function of normal kidney function by - correct answer-
Normalizing electrolytes
*** Dialysis replaces only ---- percent of normal kidney function - correct answer-15%
A patient's target weight is: - correct answer-both A & B
- Prescribed and determined by physician order.
- Modified by physician based on patient tolerance
The waiting time after administration of the initial heparin loading dose prior to initiation of
hemodialysis is a minimum of - correct answer-3-5 minute
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the patient's
lips have a blue hue. The PCT would: - correct answer-Not start treatment, immediately notify the nurse
When the lab receives a laboratory test tube with double labeling: - correct answer-The double labeled
specimen will be rejected at the laboratory for patient safety
DaVita Quality Index (DQI) success is achieved - correct answer-All of the above
The blood flow rate is reduced to 100 ml/min for ----- before obtaining post dialysis blood specimen for
Kt/V - correct answer-15 second
The PCT notes that a patient still has considerable edema in her legs when performing the post-
treatment data collection. In addition to informing the nurse, what should the PCT document? - correct
answer-Document the noted swelling and that the RN was informed
Latest Questions and correct Answers
A surveyor asks you a question. Which of the following statements would be a good answer? - correct
answer-I do not know the answer but I will find out
Knowing what caused your patients' renal failure - correct answer-Is important to identify possible
problems during data collection and assessment
The dialysis team prevents additional blood loss by - correct answer-Providing appropriate heparin dose
per physician order, using good cannulation technique, and proper rinse back after treatment
*** What amount of fluid weight is considered excessive? - correct answer-Greater than 5%
The definition of Health Literacy is - correct answer-The degree to which individuals understand basic
health information
*** Intra-renal causes of Acute Kidney Injury (AKI) - correct answer-Sepsis, trauma, anaphylaxis, drugs,
Acute Glomerulonephritis
Why is meticulous hand hygiene so important in healthcare? - correct answer-It is the single most
important intervention in preventing Healthcare Associated Infections
*** The endocrine functions of the kidneys are - correct answer-Renin and erythropoietin secretion,
activation of vitamin D**
*** Which infectious disease requires frequent hand-washing instead of using alcohol based hand gels? -
correct answer-Active Clostridioides difficile infection (C-diff)
At what time do you perform water hardness testing? - correct answer-At the end of the treatment day
What are three things you should NOT include in a Risk Event Management (REM) report? - correct
answer-Personal opinions, speculation, vendettas
Fever caused by a pyrogenic reaction will most likely occur at what time during the treatment? - correct
answer-Within 45 to 75 minutes
*** What is the most likely reason for a blood leak detector alarm during recirculation? - correct answer-
Air bubbles in dialysate or a dirty sensor
You listen to your patient's arteriovenous graft (AVG) and hear a whistling sound. - correct answer-This
could be indicative of an outflow stenosis
The Urea Reduction Ratio calculates - correct answer-The amount of urea removed during the dialysis
treatment
Documentation in the medical record - correct answer-Provides data for continuity and planning of
patient care
*** Left Ventricular Hypertrophy leads to - correct answer-ischemic heart disease arrhythmia,
myocardial infarction, and sudden death
What should be done to the heparin infusion line if a patient does not have maintenance (hourly)
heparin prescribed? - correct answer-Clamp and knot the heparin infusion line
The most common infectious complication for hemodialysis patients is - correct answer-Vascular access
infection
The person responsible for implementation, adherence, and training of the facility specific emergency
management plan (EMP) and applicable policy and procedures is - correct answer-Facility Administrator
(FA) or Designee
Interventions for a patient complaining of chest pain include - correct answer-Decrease blood flow rate
(BFR) to 150mL/hr. decrease ultrafiltration rate (UFR), take vital signs, and administer oxygen as ordered
Which of the following may be, but doesn't have to be a sign of hemolysis - correct answer-Cherry red
colored blood in venous line
, Per the Centers for Disease Control and Prevention (CDC), which is the most important route by which
pathogens are transmitted in health-care settings including dialysis centers? - correct answer-Contact
transmission
Your immediate intervention for a patient experiencing an anaphylactic reaction is - correct answer-
Discontinue the suspected therapy, stop the blood pump, do not return the blood
*** Scrubbing of each hub as part of CVC care is done for: - correct answer-15 seconds
What are the three steps included in the vascular access assessment? - correct answer-Look. listen feel
*** You are assisting a patient to step onto the scale by holding the patient's hand. Such a casual contact
- correct answer-Does not require wearing gloves but you must perform hand hygiene afterwards
What can be the most likely result if the surveyor sees a patient with a covered vascular access? - correct
answer-An Immediate Jeopardy
*** Per the Centers for Disease Control and Prevention (CDC), which is the most common factor
contributing to bacterial infections in dialysis patients? - correct answer-the use of catheters for
hemodialysis
The Clinical Pyramid includes: - correct answer-The Fundamentals. Complex Programs, and Quality of
Life.
*** If clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - correct answer-
decrease
Which is the primary device for purifying the water used in dialysis? - correct answer-The reverse
osmosis
What is an appropriate intervention(s) with an air/foam detector alarm? - correct answer-Look at the
circuit, do not return blood with air in system, fix problem
Water treatment is needed in the dialysis setting to: - correct answer-Provide patient safety and prevent
equipment damage
*** Which statement is true regarding the "Reasonable and Prudent" Standard of Care? - correct
answer-When supervising patient care technicians and other non-licensed personnel, it is the
responsibility of the licensed nurse to ensure these teammates also meet the Standard of Care.
Acid concentrate replaces the excretory function of normal kidney function by - correct answer-
Normalizing electrolytes
*** Dialysis replaces only ---- percent of normal kidney function - correct answer-15%
A patient's target weight is: - correct answer-both A & B
- Prescribed and determined by physician order.
- Modified by physician based on patient tolerance
The waiting time after administration of the initial heparin loading dose prior to initiation of
hemodialysis is a minimum of - correct answer-3-5 minute
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the patient's
lips have a blue hue. The PCT would: - correct answer-Not start treatment, immediately notify the nurse
When the lab receives a laboratory test tube with double labeling: - correct answer-The double labeled
specimen will be rejected at the laboratory for patient safety
DaVita Quality Index (DQI) success is achieved - correct answer-All of the above
The blood flow rate is reduced to 100 ml/min for ----- before obtaining post dialysis blood specimen for
Kt/V - correct answer-15 second
The PCT notes that a patient still has considerable edema in her legs when performing the post-
treatment data collection. In addition to informing the nurse, what should the PCT document? - correct
answer-Document the noted swelling and that the RN was informed
