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FRESENIUS EXAM GUIDE 2025: Hemodialysis Technician & Nurse Certification – 100+ Q&A, Safety Protocols & Clinical Procedures (A+ Guaranteed)

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This 100% verified study guide is the most comprehensive resource for dialysis technicians and nurses preparing for certification. Packed with 100+ high-yield questions, step-by-step protocols, and safety standards, this document is graded A+ and designed to guarantee your success on the first attempt. Why Choose This Guide? Covers EVERYTHING: From infection control (Hep B isolation, TB protocols) to machine alarms (TMP, conductivity), emergency interventions (air embolism, hemolysis), and renal diet lab values. Clinical Mastery: Master dialysate composition, water system safety, KECN/OLC testing, and patient care protocols like a pro. Life-Saving Protocols: Clear steps for hypotension, hyperkalemia, cardiac arrest, and bloodborne pathogen exposure. Exam-Ready Format: Bullet-point summaries, mnemonics (COLT for air embolism), and key lab ranges for rapid review.

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Uploaded on
July 17, 2025
Number of pages
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Written in
2024/2025
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FRESENIUS EXAM GUIDE: 100+ QUESTIONS AND 100%
VERIFIED ANSWERS 2025 / GRADED A+ / GUARANTEED PASS!!


As a treatment nurse, can you care for a hepatitis B patient while caring for a
immune deficient patient?
- answer-No

Can an active tuberculosis patient be dialyzed at an outpatient clinic?
- answer-No, they must have three consecutive tests that are all negative prior to
being able to be dialyzed outpatient.

Can you give a medication that was drawn up by someone else?
- answer-No

Can you invert a vial of Epogen?
- answer-No,be careful not to shake the vial and do not turn the while upside down.

Can you use more than one multidose vial to fill a syringe?
- answer-No, if there is not enough drug in the first vial you must pull up the
remaining medication needed in a second syringe. Then label them one of two and
two of two.

Do you need to wear gloves when touching the dialysis machine?
- answer-Yes

Does hepatitis C patients need to be isolated like the hepatitis B?
- answer-No

Explain the process of keeping extracorporeal circuit up for more than two hours
- answer-

How do you check for an arrhythmia?
- answer-Check vital signs, manually check pulse, decrease UFR if patient is
hypotensive, assess patient, give oxygen as needed, and call patient physician and
give medications as ordered.

, How is a second signature obtained?
- answer-Both people must verify the Phoenix meter readings, dialysis order
entered correctly in the machine

How is disease spread?
- answer-Direct contact, indirect contact, airborne and droplets

How is the correct dialysate prescription entered into the dialysis machine
- answer-Temperature, time, DFR, BFR, Na, Bicarb, UF Goal, OLCv, Needle Size,
and Profile.

How long do you need to clean the top of a multidose vial?
- answer-30 seconds with an alcohol swab

How long do you rub your hands when using hand sanitizer?
- answer-30 seconds

How long does hepatitis B live on surfaces?
- answer-Seven days or more

How long must you wash your hands
- answer-40 to 60 seconds

How to prevent air embolism?
- answer-Arms in the air detector, Tighten all connections in the extracorporeal
circuit, check the normal Saline level in the IV back and return patient's blood with
Saline with air detector on.

If the patient has a heparin pump, when must this be shut off
- answer-The heparin pump must be turned off at least 30 to 45 minutes prior to
returning the patient.

Key points to learn about priming and recirculation
- answer-Air bubbles can cause blood clotting in the dialyzer and tubing during a
treatment. Prime and recirculate. Make sure the air is removed from bloodlines and
dialyzer.

May a dialysis machine being used for a hepatitis B patient be used on anyone
else?
- answer-Not until the patient has been discharged from the center and is no longer

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