1|Page
FRESENIUS MEDICAL CARE (END OF
TRAINING) TEST 2025/2026 ACTUAL QUESTIONS
WITH DETAILED ANSWERS AND A STUDY
GUIDE |EXPERT VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
AV Fistula - CORRECT ANSWER ✔✔- Best type of access for hemodialysis
patient, least infection rate, decrease hospitalization
What are the dirty areas on a dialysis floor? - CORRECT ANSWER ✔✔- Isolation
Room, Lab Area, Patient stations (if used)
When should you report a pulse? - CORRECT ANSWER ✔✔- <60 or >100
When should you report a systolic blood pressure? - CORRECT ANSWER ✔✔-
<100 or >180
When should you report a diastolic blood pressure? - CORRECT ANSWER ✔✔-
<50 or >100
When should you report respirations? - CORRECT ANSWER ✔✔- <12 or >24
When should you report a change in a BP from sitting to standing? - CORRECT
ANSWER ✔✔- 20
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When should you report temperature? - CORRECT ANSWER ✔✔- <96 or >100
If a patient's EDW is 69.0, PRE-WT 72.1, Last Post WT 69.5, what would their
TWR and Goal be? - CORRECT ANSWER ✔✔- Goal 3600 and 3.6
EDW - CORRECT ANSWER ✔✔- Estimated Dry Weight
How do you calculate UFR? - CORRECT ANSWER ✔✔- UF Goal divided by
hours(treatment time) divided by EDW
What is the acceptable conductivity reading when comparing Phoenix Meter
reading to machine reading? - CORRECT ANSWER ✔✔- +/- 0.3
Notify the RN immediately if your patients UFR is greater than? - CORRECT
ANSWER ✔✔- >13 ml/kg/hr
What is the incidence of clotting in AV Grafts compared to AV Fistulas? -
CORRECT ANSWER ✔✔- Higher incidence of clotting than AV Fistulas
How does the incidence of infection in AV Grafts compare to AV Fistulas and
catheters? - CORRECT ANSWER ✔✔- Higher incidence of infection than AV
Fistulas but lower than catheters
What is the hospitalization rate for AV Grafts compared to AV Fistulas? -
CORRECT ANSWER ✔✔- More hospitalization than AV Fistulas
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Assessing an internal HD access include look, listen and feel. What would you
look for? - CORRECT ANSWER ✔✔- Wounds, redness, swelling, bruising,
pseudoaneurysm and aneurysms.
Assessing an internal HD access include look, listen and feel. What do you listen
for? - CORRECT ANSWER ✔✔- Bruit, Whistle (stenosis), absent sounds
Assessing an internal HD access include look, listen and feel. What do you feel
for? - CORRECT ANSWER ✔✔- Temperature, thrill, abscess
You should wait a minimum of _______ minutes before attempting cannulation,
after 1% lidocaine injection is given intradermally. - CORRECT ANSWER ✔✔- 2
minutes
Fistulas that fail to mature should be evaluated as early as: - CORRECT ANSWER
✔✔- 4-6 weeks
How far in advance should topical anesthetic (EMLA or Lidocaine) cream be
applied? - CORRECT ANSWER ✔✔- 1 hour
Thrill - CORRECT ANSWER ✔✔- sensation of blood flowing in an AV access
(either AVF or AVG)
Bruit - CORRECT ANSWER ✔✔- A swooshing sound caused by the flow of
blood through a fistula or graft
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Anastamosis - CORRECT ANSWER ✔✔- The location where an artery and vein
have been surgically connected or where the graft has been surgically connected to
an artery and vein
Aneurysm - CORRECT ANSWER ✔✔- A ballooning or bulging of a weak spot in
a fistula wall, which can occur if the same site is cannulated over and over again.
The top reasons to use a tourniquet on all fistulas are: - CORRECT ANSWER
✔✔- Prevents vessel damage and infiltration and firms up the access for
assessment and cannulation
What would you teach your patient about taking care of their access at home? -
CORRECT ANSWER ✔✔- Do not sleep on access, no tight clothing, protect
access, feel for the thrill and no heavy lifting
What would you teach your patient about taking care of their access at a Doctor's
Office or Hospital? - CORRECT ANSWER ✔✔- No BP and no sticks on access
extremity
What would you teach your patient about taking care of their access immediately
prior to HD treatment? - CORRECT ANSWER ✔✔- Wash thoroughly with soap
and water
What would you teach your patient about taking care of their access during HD
treatment? - CORRECT ANSWER ✔✔- Alert for burning, bleeding, keep access
uncovered at all times, report any changes to extremity including temp.
FRESENIUS MEDICAL CARE (END OF
TRAINING) TEST 2025/2026 ACTUAL QUESTIONS
WITH DETAILED ANSWERS AND A STUDY
GUIDE |EXPERT VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
AV Fistula - CORRECT ANSWER ✔✔- Best type of access for hemodialysis
patient, least infection rate, decrease hospitalization
What are the dirty areas on a dialysis floor? - CORRECT ANSWER ✔✔- Isolation
Room, Lab Area, Patient stations (if used)
When should you report a pulse? - CORRECT ANSWER ✔✔- <60 or >100
When should you report a systolic blood pressure? - CORRECT ANSWER ✔✔-
<100 or >180
When should you report a diastolic blood pressure? - CORRECT ANSWER ✔✔-
<50 or >100
When should you report respirations? - CORRECT ANSWER ✔✔- <12 or >24
When should you report a change in a BP from sitting to standing? - CORRECT
ANSWER ✔✔- 20
,2|Page
When should you report temperature? - CORRECT ANSWER ✔✔- <96 or >100
If a patient's EDW is 69.0, PRE-WT 72.1, Last Post WT 69.5, what would their
TWR and Goal be? - CORRECT ANSWER ✔✔- Goal 3600 and 3.6
EDW - CORRECT ANSWER ✔✔- Estimated Dry Weight
How do you calculate UFR? - CORRECT ANSWER ✔✔- UF Goal divided by
hours(treatment time) divided by EDW
What is the acceptable conductivity reading when comparing Phoenix Meter
reading to machine reading? - CORRECT ANSWER ✔✔- +/- 0.3
Notify the RN immediately if your patients UFR is greater than? - CORRECT
ANSWER ✔✔- >13 ml/kg/hr
What is the incidence of clotting in AV Grafts compared to AV Fistulas? -
CORRECT ANSWER ✔✔- Higher incidence of clotting than AV Fistulas
How does the incidence of infection in AV Grafts compare to AV Fistulas and
catheters? - CORRECT ANSWER ✔✔- Higher incidence of infection than AV
Fistulas but lower than catheters
What is the hospitalization rate for AV Grafts compared to AV Fistulas? -
CORRECT ANSWER ✔✔- More hospitalization than AV Fistulas
,3|Page
Assessing an internal HD access include look, listen and feel. What would you
look for? - CORRECT ANSWER ✔✔- Wounds, redness, swelling, bruising,
pseudoaneurysm and aneurysms.
Assessing an internal HD access include look, listen and feel. What do you listen
for? - CORRECT ANSWER ✔✔- Bruit, Whistle (stenosis), absent sounds
Assessing an internal HD access include look, listen and feel. What do you feel
for? - CORRECT ANSWER ✔✔- Temperature, thrill, abscess
You should wait a minimum of _______ minutes before attempting cannulation,
after 1% lidocaine injection is given intradermally. - CORRECT ANSWER ✔✔- 2
minutes
Fistulas that fail to mature should be evaluated as early as: - CORRECT ANSWER
✔✔- 4-6 weeks
How far in advance should topical anesthetic (EMLA or Lidocaine) cream be
applied? - CORRECT ANSWER ✔✔- 1 hour
Thrill - CORRECT ANSWER ✔✔- sensation of blood flowing in an AV access
(either AVF or AVG)
Bruit - CORRECT ANSWER ✔✔- A swooshing sound caused by the flow of
blood through a fistula or graft
, 4|Page
Anastamosis - CORRECT ANSWER ✔✔- The location where an artery and vein
have been surgically connected or where the graft has been surgically connected to
an artery and vein
Aneurysm - CORRECT ANSWER ✔✔- A ballooning or bulging of a weak spot in
a fistula wall, which can occur if the same site is cannulated over and over again.
The top reasons to use a tourniquet on all fistulas are: - CORRECT ANSWER
✔✔- Prevents vessel damage and infiltration and firms up the access for
assessment and cannulation
What would you teach your patient about taking care of their access at home? -
CORRECT ANSWER ✔✔- Do not sleep on access, no tight clothing, protect
access, feel for the thrill and no heavy lifting
What would you teach your patient about taking care of their access at a Doctor's
Office or Hospital? - CORRECT ANSWER ✔✔- No BP and no sticks on access
extremity
What would you teach your patient about taking care of their access immediately
prior to HD treatment? - CORRECT ANSWER ✔✔- Wash thoroughly with soap
and water
What would you teach your patient about taking care of their access during HD
treatment? - CORRECT ANSWER ✔✔- Alert for burning, bleeding, keep access
uncovered at all times, report any changes to extremity including temp.
