Fresenius Nurse Final Exam

FRESENIUS NURSE FINAL
EXAM QUESTIONS AND ANSWERS
TheW3WreasonsWthatWdialysisWisWaWhighWriskWarea:W-
W CORRECTW ANSWERS1.W ThereW isWfrequentWexposureW toW blood

2.WPatientsW&WStaffWareWinWcloseWproximity
3.WDialysisWpatientsWareWimmunocompromised
AllWdialysisWsurfacesWmustWbeWdisinfectedWwithW_____WbleachWsolutionWuntilWsurfacesWisW
glisteningW_____WandWthenWallowWtoW-WCORRECTWANSWERS1:100/Wwet/WairWdry
AW______WbleachWsolutionWisWusedWtoWdisinfectWaWlargeWspillWgreaterWthanW______W-
W CORRECTW ANSWERS1:10/W 10W ml

TheWfollowingWareWexamplesWforWwhatWprocess:WduringWinitiationWandWterminationWofWdial
ysis;WcannulationWofWanWaccess;WneedleWadjustment;WchangingWaWtransducer;WsettingWup
W aW dialysisW machineW -

W CORRECTW ANSWERSExamplesW ofW proceduresW whereW exposureWmayW occurW andW PP

EWmustWbeWworn
WhatW3WbloodWborneWpathogensWareWfoundWinWaWdialysisWunit?W-
W CORRECTW ANSWERShepW b,W hepW c,W andW HIV

WhatWstepsWshouldWyouWtakeWinWtheWeventWofWanWexposureWincident?W-
W CORRECTW ANSWERS1.WWash/W rinseW areaWimmediately

2.WReportWincidentWtoWclinicalWmanagerWorWchargeWnurse
3.WSeekWmedicalWtxWwithinW1-2Whrs
HepWBWisWextremelyWcontagiousWandWcanWliveWinWtheWenvironmentWandWremainWviableWon
W surfacesWforW atW leastW____W daysW -W CORRECTW ANSWERS7

HowWareWHepWBWpatientsWdialyzed?W-
W CORRECTW ANSWERSInW anW isolationW roomWwithW theirW ownW dedicatedW equipmentW such

W asW BPW cuffW andW stethoscope,W tourniquet,W etc

TheseWshouldWbeWusedWtoWworkWonWcomputerWinformationWinWtheWisolationWroom.W-
W CORRECTW ANSWERSCleanW Gloves

TrueWorWFalse?WTxWsheetsWandWmedicalWrecordsWcanWenterWtheWisolationWroomW-
W CORRECTW ANSWERSFalse:W IfW txW sheetsW areW used,W theW txW sheetsWcannotW enterW theW is

olationWroom.WNorWcanWmedicalWrecords
StaffWmembersWshouldWnotWcareWforWtheseWtwoWtypesWofWpatientsWonWtheWsameWshiftWatWt
heWsameWtime.W-
W CORRECTW ANSWERSHBVW andW patientsW thatW areW susceptibleW toWHBV

WhereWdoWhepWcWpatientsWdialyzeWandWwhy?W-
W CORRECTW ANSWERSInW theW clinicalW area,WhepW cW isW notW contagiousW andW isW isW notW kno

wnWtoWsurviveWforWveryWlongWoutsideWofWtheWbody
HowWisWhepWcWtransmitted?W-
W CORRECTW ANSWERSThroughW contaminatedW bloodW transfusionsW inW theW pastW orW fromW

sexualWcontact
HowWisWhepWaWtransmitted?W-WCORRECTWANSWERScontaminatedWfoodWandWtheWoral-
fecalWroute

, WhichWbloodWtestWindicatesWinfectionWwithWHepWB?W-
W CORRECTW ANSWERSHbsAgW (HBsAgW isW theW surfaceW antigenW ofW theW hepatitisW BW virus.

W ItW indicatesW currentW hepatitisW BW infection.)

WhichWbloodWtestWindicatesWtheWpresenceWofWimmunityWagainstWHepWB?W-
W CORRECTW ANSWERSHBsAbW (TheW HBsAbWtest,W orW hepatitisW BW surfaceW antibodyW test,

W looksW forW antibodiesW thatW yourW immuneW systemW makesW inW responseW toW theW surfaceW prot

einWofWtheWhepatitisWBWvirus.)
WhichWvaccinesWprovidesWlong-termWimmunityWtoWHepWB?W-
W CORRECTW ANSWERSRecombivaxW orW Engerix

IsWlatentWTBWcontagious?W-
W CORRECTW ANSWERSLatentW tuberculosisW isW notW contagious,W butWcanW becomeW activeW

w/oWtx
TheWfollowingWareWsignsWandWsymptomsWforWwhat???NightWsweats,Wproductive,Wpersiste
ntWcough,WunexplainedWweightWloss,WchillsWandWfever,Wblood-tingedWsputumW-
W CORRECTW ANSWERSTubercolosis

HowWisWTBWspread?W-
W CORRECTW ANSWERSTBW isW spreadW byW dropletW nucleiW producedWfromW infectedW individ

ualsWwhenWtheyWcough,Wsneeze,WsingWorWspeak
WhereWdoWTBWpatientsWdialyze?W-WCORRECTWANSWERSNotWinWtheWClinic!!!!
InWaccordanceWwithWFMSWpolicyWwhatWmustWTBWpatientsWhaveWbeforeWtheyWareWallowedW
toWreturnWtoWtheWclinic???W-
W CORRECTW ANSWERS3W consecutiveW negativeW sputumW cultures,W ppdW testingW andW che

stWx-rays
AccordingWtoWtheWnewWFMSWpolicy,WhandsWshouldWbeWwashedWwithWsoapWandWwaterWforW
_____WsecondsWandWsanitizedWwithWalcoholWforW___WsecondsW-
W CORRECTW ANSWERS40-60W seconds/W 20-30W seconds

WhatWareWtheW3WbasicWPPE's?W-WCORRECTWANSWERS1.WLongWsleeveWgown
2.WfaceWshieldWw/mask
3.Wgloves
WhatWareWtheWanatomicalWstructuresWofWtheWurinaryWsystemWinWorderWofWurineWflow?W-
W CORRECTW ANSWERS1.W (2)W kidneys

2.W(2)Wureters
3.W(1)Wbladder
4.W(1)Wurethra
TheWfunctionsWofWtheWkidneyWinclude:WremovalWofWwasteWproductsWsuchWasW_______,W__
_____,WandW________.WTheWkidneyWalsoWregulateW______,W______,WandW_______.W-
W CORRECTW ANSWERSremovalW of:W creatinine,W urea,W uricW acid

regulate:Wfluid,WacidWbase,Welectrolytes
TheWkidneyWalsoWhasWhormonalWfunctionsWthatWinclude:WproductionWofWreninWtoWhelpWregu
lateW________;WproductionWofWerythropoietin,WwhichWstimulatesWboneWmarrowWforW_____
_____;WandWtheWregulationWofWcalcium/phosphorusWbalanceWthroughWtheWactivationWofW_
_______,WwhichWenablesWusWtoWabsorbWourWdietaryWcalcium,WtherebyWpromotingWcontinu
edWgoodWboneWhealth.W-
W CORRECTW ANSWERSbloodW pressure,W redWbloodW cellW production,WvitaminW D

ThisWisWtheWfunctionalWunitWinWtheWkidney,WitWfiltersWbloodWtoWformWurine.W-
W CORRECTW ANSWERSNephron