DAVITA RN MAIN EXAM 2025/2026 QUESTIONS WITH
ANSWERS GRADED A+
✔✔your role in CKD-MBD management includes - ✔✔reminding the patient who is
eating a snack during dialysis to take his phosphate binder
✔✔your role in anemia management includes - ✔✔rinsing back as much of the patient's
blood as you can at the termination of each treatment
✔✔the licensed nurse has delegated a specific task to a PCT, but the PCT gets called
away before performing this task. Can the PCT asek another PCT to take over? -
✔✔no, a task delegated by the licensed nurse to a non-licenced teammate cannot be
re-delegated by this teammate
✔✔the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not
performed this task during the last 2.5 months. What is Nicole's responsibility in the
delegation communication process? - ✔✔Nicole is to inform the nurse that she
performed the task only infrequently
✔✔what is the nurse's responsibility in the delegation supervision process? - ✔✔to
determine the level of supervision needed and to monitor the NAP's performance of the
task accordingly
✔✔the transport mechanism when particles move from an area of higher solute
concentration to an area of lower solute concentration is called - ✔✔diffusion
✔✔during dialysis, the movement of bicarb from the dialysate into the blood - ✔✔helps
normalize body pH
✔✔the kidneys excretory functions include - ✔✔normalizing electrolytes
✔✔what distance should be observed between needle tips and away from each other
when cannulating an internal vascular access? - ✔✔1.5 inches
✔✔the nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You
- ✔✔ask the nephrologist to order a 15 gauge needles for the ordered BFR
✔✔your patient prefers two places on her AVG to insert the needles because they hurt
a lot less than when you cannulate different sites. You tell the patient - ✔✔inserting the
needles into the same small area can over time damage your graft
✔✔what is the appropriate intervals for total chlorine testing? - ✔✔prior to the first
patient shift and within every 4 hours
, ✔✔what is acceptable limit for total chlorine in the water leaving the carbon filter -
✔✔0.1 or less
✔✔which is the primary device for purifying the water used in dialysis - ✔✔the RO
✔✔ICEBOAT? - ✔✔2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
Access is patent
Documentation is timely
? any questions/concerns
✔✔Your patient complains of ringing in the ears, being nauseated and having cold
clammy skin. The most likely causes is - ✔✔Hypotension
✔✔What is a likely cause for dysrhythmias? - ✔✔Hypotension, heart disease, or rapid
changes in K
✔✔In what position should you place a patient who experiences intradialytic
hypotension? - ✔✔Supine
✔✔What do you do for a patient with an air emblolism? - ✔✔Clamp lines, put patient on
left side, Trendelenburg, attempt to aspirate the air, administer O2 per MD, monitor VS
closely, initiate CPR if needed, notify code team
✔✔Why is thirst control and limiting interdialytic weight gains a shared responsibilyt
between the healthcare team and the patient? - ✔✔Caregivers can contribute to Na
loading during dialysis causing an increased thirst and fluid intake between treatments
✔✔Preventing hypotensive episodes during dialysis treatment is important because
they are associated with - ✔✔a higher mortality rate
✔✔The mortality risk for patient who experience two or more episodes of intradialytic
hypotension per week increases to - ✔✔70%
✔✔which condition may impair a patient's increase in pulse rate as a response to
hypovoilemia - ✔✔autonomic neuropathy
✔✔a patient's protein status is affected by nutritional and non-nutritional factors. what
can you do to prevent a drop in your patient's albumin? - ✔✔prevent HAIs
ANSWERS GRADED A+
✔✔your role in CKD-MBD management includes - ✔✔reminding the patient who is
eating a snack during dialysis to take his phosphate binder
✔✔your role in anemia management includes - ✔✔rinsing back as much of the patient's
blood as you can at the termination of each treatment
✔✔the licensed nurse has delegated a specific task to a PCT, but the PCT gets called
away before performing this task. Can the PCT asek another PCT to take over? -
✔✔no, a task delegated by the licensed nurse to a non-licenced teammate cannot be
re-delegated by this teammate
✔✔the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not
performed this task during the last 2.5 months. What is Nicole's responsibility in the
delegation communication process? - ✔✔Nicole is to inform the nurse that she
performed the task only infrequently
✔✔what is the nurse's responsibility in the delegation supervision process? - ✔✔to
determine the level of supervision needed and to monitor the NAP's performance of the
task accordingly
✔✔the transport mechanism when particles move from an area of higher solute
concentration to an area of lower solute concentration is called - ✔✔diffusion
✔✔during dialysis, the movement of bicarb from the dialysate into the blood - ✔✔helps
normalize body pH
✔✔the kidneys excretory functions include - ✔✔normalizing electrolytes
✔✔what distance should be observed between needle tips and away from each other
when cannulating an internal vascular access? - ✔✔1.5 inches
✔✔the nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You
- ✔✔ask the nephrologist to order a 15 gauge needles for the ordered BFR
✔✔your patient prefers two places on her AVG to insert the needles because they hurt
a lot less than when you cannulate different sites. You tell the patient - ✔✔inserting the
needles into the same small area can over time damage your graft
✔✔what is the appropriate intervals for total chlorine testing? - ✔✔prior to the first
patient shift and within every 4 hours
, ✔✔what is acceptable limit for total chlorine in the water leaving the carbon filter -
✔✔0.1 or less
✔✔which is the primary device for purifying the water used in dialysis - ✔✔the RO
✔✔ICEBOAT? - ✔✔2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
Access is patent
Documentation is timely
? any questions/concerns
✔✔Your patient complains of ringing in the ears, being nauseated and having cold
clammy skin. The most likely causes is - ✔✔Hypotension
✔✔What is a likely cause for dysrhythmias? - ✔✔Hypotension, heart disease, or rapid
changes in K
✔✔In what position should you place a patient who experiences intradialytic
hypotension? - ✔✔Supine
✔✔What do you do for a patient with an air emblolism? - ✔✔Clamp lines, put patient on
left side, Trendelenburg, attempt to aspirate the air, administer O2 per MD, monitor VS
closely, initiate CPR if needed, notify code team
✔✔Why is thirst control and limiting interdialytic weight gains a shared responsibilyt
between the healthcare team and the patient? - ✔✔Caregivers can contribute to Na
loading during dialysis causing an increased thirst and fluid intake between treatments
✔✔Preventing hypotensive episodes during dialysis treatment is important because
they are associated with - ✔✔a higher mortality rate
✔✔The mortality risk for patient who experience two or more episodes of intradialytic
hypotension per week increases to - ✔✔70%
✔✔which condition may impair a patient's increase in pulse rate as a response to
hypovoilemia - ✔✔autonomic neuropathy
✔✔a patient's protein status is affected by nutritional and non-nutritional factors. what
can you do to prevent a drop in your patient's albumin? - ✔✔prevent HAIs
