ACUTE HD EXAM SCRIPT 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔To assist in survey readiness you should - ✔✔Know and follow policies and
procedures accountable and take initiatives Live out our Mission and Core Values
✔✔The nephrologist has written orders to begin Coel, only advanced cannulators are to
insert needles into a new AVF. Who is the cannulating a patient's new AVF. Per correct
teammate to cannulate the AVF - ✔✔Lilly has completed all competencies listed on
NFACT Skills Checklist and also has expert assessment and cannulation skills
documented
✔✔The nephrologist has ordered 16 gauge needles and a 400 BFR for your patient.
You - ✔✔Ask the nephrologist to order 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
✔✔Why is Carbon Filter off-line monitoring so important? - ✔✔There are no lights or
alarms to indicate they are exhausted
✔✔What is the acceptable limit for Total Chlorine in the water leaving the carbon filters -
✔✔0.1 mg/L or less
✔✔Which is the primary device for purifying the water used in dialysis? - ✔✔The
reverse osmosis
✔✔The peritoneal dialysis (PD) exchange includes: - ✔✔Drain, flush, fill, dwell
✔✔Home hemodialysis and peritoneal dialysis treatment: - ✔✔Offers a more flexible
schedule
✔✔ If a patient with acute kidney injury dialyzes in the outpatient facility, one task of the
patient care teammates is to monitor blood pressure and weight closely. Why is this
important? - ✔✔Hypovolemia and hypotensive episodes can cause renal ischemia and
can further damage the kidneys
✔✔Chronic kidney disease can have its origin pre-renal, intra-renal, or post renal.
Which of the following conditions is an intra-renal cause of CKD - ✔✔Hypertension
✔✔Knowing what caused your patients' CKD - ✔✔Is important because the underlying
disease could cause health complications that can impact the dialysis treatment
, ✔✔Which of the following factors would influence the K of the Kt/V formula? - ✔✔Blood
volume processed (BVP)
✔✔It is important that patients stay for their entire treatment time because adequate
dialysis replaces - ✔✔Less than 15% of normal kidney function
✔✔Waiting only five seconds between lowering the blood pump speed and drawing the
post treatment blood sample could - ✔✔Cause the Kt/V reading to be falsely high
✔✔When a PCT documents the extend of a patient's edema, for example as +3 -
✔✔The PCT is performing an assessment which is not allowed legally
✔✔When a patient has an irregular heartbeat - ✔✔The automated oscillometric BP
reading may not be accurate
✔✔A patient presents with an elevated temperature after the initiation of dialysis. This is
most likely due to - ✔✔A pyrogenic reaction
✔✔When is a pre-treatment assessment by the licensed nurse required? Check all that
apply! - ✔✔When it is mandated by the state When the PCT performing a data
collection notices abnormal findings When the patient reports unusual symptoms to the
nurse prior to treatment initiation When the nurse observes unusual behaviors in a
patient entering the treatment floor
✔✔If a patient had an adverse reaction within the first couple of minutes after treatment
initiation, yet no pre-treatment data had been entered into the computer, - ✔✔There is
no proof that pre-treatment safety checks were completed or that the patient had been
properly assessed
✔✔Which of the following is a Data Collection? - ✔✔Heart rate: 72
✔✔Why are 'thirst control and limiting interdialytic weight gains' a shared responsibility
between the healthcare team and the patient? - ✔✔increased thirst and fluid intake
between treatments Care givers contribute to sodium loading during dialysis causing
✔✔Preventing hypotensive episodes during the dialysis treatment is important because
they are associated with - ✔✔higher mortality rate
✔✔What does the term "Wet Crash" mean? - ✔✔b. Fluid overload overstretches the
heart muscle tissue resulting in decreased cardiac output and low BP
✔✔1. What is your main priority when returning a patient's blood with the hand crank
during a power outage? - ✔✔You must be vigilant in watching for air in the blood lines
SOLUTIONS GRADED A+
✔✔To assist in survey readiness you should - ✔✔Know and follow policies and
procedures accountable and take initiatives Live out our Mission and Core Values
✔✔The nephrologist has written orders to begin Coel, only advanced cannulators are to
insert needles into a new AVF. Who is the cannulating a patient's new AVF. Per correct
teammate to cannulate the AVF - ✔✔Lilly has completed all competencies listed on
NFACT Skills Checklist and also has expert assessment and cannulation skills
documented
✔✔The nephrologist has ordered 16 gauge needles and a 400 BFR for your patient.
You - ✔✔Ask the nephrologist to order 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
✔✔Why is Carbon Filter off-line monitoring so important? - ✔✔There are no lights or
alarms to indicate they are exhausted
✔✔What is the acceptable limit for Total Chlorine in the water leaving the carbon filters -
✔✔0.1 mg/L or less
✔✔Which is the primary device for purifying the water used in dialysis? - ✔✔The
reverse osmosis
✔✔The peritoneal dialysis (PD) exchange includes: - ✔✔Drain, flush, fill, dwell
✔✔Home hemodialysis and peritoneal dialysis treatment: - ✔✔Offers a more flexible
schedule
✔✔ If a patient with acute kidney injury dialyzes in the outpatient facility, one task of the
patient care teammates is to monitor blood pressure and weight closely. Why is this
important? - ✔✔Hypovolemia and hypotensive episodes can cause renal ischemia and
can further damage the kidneys
✔✔Chronic kidney disease can have its origin pre-renal, intra-renal, or post renal.
Which of the following conditions is an intra-renal cause of CKD - ✔✔Hypertension
✔✔Knowing what caused your patients' CKD - ✔✔Is important because the underlying
disease could cause health complications that can impact the dialysis treatment
, ✔✔Which of the following factors would influence the K of the Kt/V formula? - ✔✔Blood
volume processed (BVP)
✔✔It is important that patients stay for their entire treatment time because adequate
dialysis replaces - ✔✔Less than 15% of normal kidney function
✔✔Waiting only five seconds between lowering the blood pump speed and drawing the
post treatment blood sample could - ✔✔Cause the Kt/V reading to be falsely high
✔✔When a PCT documents the extend of a patient's edema, for example as +3 -
✔✔The PCT is performing an assessment which is not allowed legally
✔✔When a patient has an irregular heartbeat - ✔✔The automated oscillometric BP
reading may not be accurate
✔✔A patient presents with an elevated temperature after the initiation of dialysis. This is
most likely due to - ✔✔A pyrogenic reaction
✔✔When is a pre-treatment assessment by the licensed nurse required? Check all that
apply! - ✔✔When it is mandated by the state When the PCT performing a data
collection notices abnormal findings When the patient reports unusual symptoms to the
nurse prior to treatment initiation When the nurse observes unusual behaviors in a
patient entering the treatment floor
✔✔If a patient had an adverse reaction within the first couple of minutes after treatment
initiation, yet no pre-treatment data had been entered into the computer, - ✔✔There is
no proof that pre-treatment safety checks were completed or that the patient had been
properly assessed
✔✔Which of the following is a Data Collection? - ✔✔Heart rate: 72
✔✔Why are 'thirst control and limiting interdialytic weight gains' a shared responsibility
between the healthcare team and the patient? - ✔✔increased thirst and fluid intake
between treatments Care givers contribute to sodium loading during dialysis causing
✔✔Preventing hypotensive episodes during the dialysis treatment is important because
they are associated with - ✔✔higher mortality rate
✔✔What does the term "Wet Crash" mean? - ✔✔b. Fluid overload overstretches the
heart muscle tissue resulting in decreased cardiac output and low BP
✔✔1. What is your main priority when returning a patient's blood with the hand crank
during a power outage? - ✔✔You must be vigilant in watching for air in the blood lines
