Fresenius RN
Fresenius Nurse Final Exam Part 2 Study
Questions and Answers Graded A+ 2025
What must be evaluated and documented pre-tx? -Correct Answers ✔-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? -Correct Answers ✔-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? -Correct Answers ✔-
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 -Correct Answers ✔-96.4-98.9
What is the recommended interdialytic weight gain? -Correct Answers ✔-1.5-2.0
kg/day
Signs and symptoms that EDW is too low (Too much fluid is being removed): -
Correct Answers ✔-Dizziness, nausea, vomiting, hypotension, cramps, fatigue that
sometimes persist until the next tx
Signs and symptoms that EDW is too high (Not enough fluid is being removed): -
Correct Answers ✔-Htn, headaches, SOB, edema, distended neck veins
What is AW and how is it calculated? -Correct Answers ✔-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? -Correct Answers ✔-The AW
(available weight), priming and rinseback saline, and any other fluid the patient
Fresenius RN
, Fresenius RN
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 -Correct Answers ✔-Adequacy of Dialysis
How can we measure how well we clean our patients' blood? -Correct Answers ✔-
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 _______ -Correct Answers ✔-1. access
2. priming
3. dialysate & blood
4. dialyzer membrane and needle gauges
5. 1.5 to 2 inches
6. tx times
What are 2 consequences of improperly primed dialyzer? -Correct Answers ✔-1.
When the # of fibers available to affect clearance is greatly reduced, the result is a
less effective tx for the patient.
2. Clotted fibers/ dialyzer will also result in a certain amount of blood loss for the
patient, resulting in a potential for reduced hgb level.
What is considered the best method currently available for determining tx
effectiveness and is mandatory in all FMC clinics? -Correct Answers ✔-UKM
(Urea Kinetic Modeling)
In addition to UKM, these are two other methods of determining adequacy. -
Correct Answers ✔-kt/V and URR
Fresenius RN
Fresenius Nurse Final Exam Part 2 Study
Questions and Answers Graded A+ 2025
What must be evaluated and documented pre-tx? -Correct Answers ✔-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? -Correct Answers ✔-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? -Correct Answers ✔-
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 -Correct Answers ✔-96.4-98.9
What is the recommended interdialytic weight gain? -Correct Answers ✔-1.5-2.0
kg/day
Signs and symptoms that EDW is too low (Too much fluid is being removed): -
Correct Answers ✔-Dizziness, nausea, vomiting, hypotension, cramps, fatigue that
sometimes persist until the next tx
Signs and symptoms that EDW is too high (Not enough fluid is being removed): -
Correct Answers ✔-Htn, headaches, SOB, edema, distended neck veins
What is AW and how is it calculated? -Correct Answers ✔-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? -Correct Answers ✔-The AW
(available weight), priming and rinseback saline, and any other fluid the patient
Fresenius RN
, Fresenius RN
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 -Correct Answers ✔-Adequacy of Dialysis
How can we measure how well we clean our patients' blood? -Correct Answers ✔-
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 _______ -Correct Answers ✔-1. access
2. priming
3. dialysate & blood
4. dialyzer membrane and needle gauges
5. 1.5 to 2 inches
6. tx times
What are 2 consequences of improperly primed dialyzer? -Correct Answers ✔-1.
When the # of fibers available to affect clearance is greatly reduced, the result is a
less effective tx for the patient.
2. Clotted fibers/ dialyzer will also result in a certain amount of blood loss for the
patient, resulting in a potential for reduced hgb level.
What is considered the best method currently available for determining tx
effectiveness and is mandatory in all FMC clinics? -Correct Answers ✔-UKM
(Urea Kinetic Modeling)
In addition to UKM, these are two other methods of determining adequacy. -
Correct Answers ✔-kt/V and URR
Fresenius RN
