FRESENIUS NURSE FINAL PART 2
EXAM 2025 QUESTIONS AND ANSWERS
What must be evaluated and documented pre-tx? - ANS Ambulation status, mental status,
pre-weight, bp sitting and standing if patient is able, temperature, heart rate and rhythm,
respirations, edema, GI status, skin color, access evaluation, hospitalizations since last tx, any
new complaints or life changes
What must be evaluated and documented during tx? - ANS Current time of evaluation, bp,
BFR, DFR, safety checks, arterial/venous pressures, fluid removed/administered, access check-
hemosafe device attached, patient's overall status, interventions, changes in dialysis
presecription
What must be evaluated and documented post-tx? - ANS Ambulation status, mental status,
changes in condition, post weight, bp sitting and standing, temperature, heart rate and rhythm,
respirations, edema, new complaints, evaluation of access including presence of thrill, condition
of dressing
Recommended body temperature range - ANS 96.4-98.9
What is the recommended interdialytic weight gain? - ANS 1.5-2.0 kg/day
Signs and symptoms that EDW is too low (Too much fluid is being removed): - ANS Dizziness,
nausea, vomiting, hypotension, cramps, fatigue that sometimes persist until the next tx
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, Signs and symptoms that EDW is too high (Not enough fluid is being removed): - ANS Htn,
headaches, SOB, edema, distended neck veins
What is AW and how is it calculated? - ANS In the weight loss plan, AW means "available
weight", this is calculated by subtracting the EDW from the patient's pre-tx weight
What makes up the goal for fluid removal? - ANS The AW (available weight), priming and
rinseback saline, and any other fluid the patient will receive during the tx (oral fluids, saline
rinses, packed cells, IDPN, IVPB medications etc. )
____________ is the measurement of how well we are cleaning wastes from our patients'
blood - ANS Adequacy of Dialysis
How can we measure how well we clean our patients' blood? - ANS By measuring the
amount of wastes in the patient's blood before and after dialysis, we can calculate the amount
of clearance we achieve.
The following interventions improve the clearance of urea during hemodialysis:
1.Well functioning ___________
2.Proper ____ of the circuit
3.Optimal _________ (autoflow <1.5 or 2 as ordered> and ________ flow
4.Larger _______ and _______
5.Ensuring needle tips are at _______ inches aprt
6. longer _______ - ANS 1. access
2. priming
3. dialysate & blood
4. dialyzer membrane and needle gauges
5. 1.5 to 2 inches
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
EXAM 2025 QUESTIONS AND ANSWERS
What must be evaluated and documented pre-tx? - ANS Ambulation status, mental status,
pre-weight, bp sitting and standing if patient is able, temperature, heart rate and rhythm,
respirations, edema, GI status, skin color, access evaluation, hospitalizations since last tx, any
new complaints or life changes
What must be evaluated and documented during tx? - ANS Current time of evaluation, bp,
BFR, DFR, safety checks, arterial/venous pressures, fluid removed/administered, access check-
hemosafe device attached, patient's overall status, interventions, changes in dialysis
presecription
What must be evaluated and documented post-tx? - ANS Ambulation status, mental status,
changes in condition, post weight, bp sitting and standing, temperature, heart rate and rhythm,
respirations, edema, new complaints, evaluation of access including presence of thrill, condition
of dressing
Recommended body temperature range - ANS 96.4-98.9
What is the recommended interdialytic weight gain? - ANS 1.5-2.0 kg/day
Signs and symptoms that EDW is too low (Too much fluid is being removed): - ANS Dizziness,
nausea, vomiting, hypotension, cramps, fatigue that sometimes persist until the next tx
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 1
, Signs and symptoms that EDW is too high (Not enough fluid is being removed): - ANS Htn,
headaches, SOB, edema, distended neck veins
What is AW and how is it calculated? - ANS In the weight loss plan, AW means "available
weight", this is calculated by subtracting the EDW from the patient's pre-tx weight
What makes up the goal for fluid removal? - ANS The AW (available weight), priming and
rinseback saline, and any other fluid the patient will receive during the tx (oral fluids, saline
rinses, packed cells, IDPN, IVPB medications etc. )
____________ is the measurement of how well we are cleaning wastes from our patients'
blood - ANS Adequacy of Dialysis
How can we measure how well we clean our patients' blood? - ANS By measuring the
amount of wastes in the patient's blood before and after dialysis, we can calculate the amount
of clearance we achieve.
The following interventions improve the clearance of urea during hemodialysis:
1.Well functioning ___________
2.Proper ____ of the circuit
3.Optimal _________ (autoflow <1.5 or 2 as ordered> and ________ flow
4.Larger _______ and _______
5.Ensuring needle tips are at _______ inches aprt
6. longer _______ - ANS 1. access
2. priming
3. dialysate & blood
4. dialyzer membrane and needle gauges
5. 1.5 to 2 inches
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
