Fresenius RN
Clinical Annual Competency Exam –
Fresenius Questions and Answers
Graded A+ 2025
Inadequate Heparinization -Correct Answers ✔-The adequacy of a dialysis
treatment may be compromised by
Post reinfusion and prior to disconnection -Correct Answers ✔-Routine post
dialysis treatment documentation on the patients dialysis treatment record should
include patients blood pressure and temperature both
Chemical content -Correct Answers ✔-Individual acid containers should be labeled
with
Notify the RN -Correct Answers ✔-The patient complains of pain at the catheter
exit site. What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) -Correct Answers ✔-Which of these findings noted on
a safety check would indicate that an intervention is needed.
Notify the RN -Correct Answers ✔-The patient presents to the dialysis center with
a pulse rate of 44/bpm but doesn't appear to be in distress. What should be the
dialysis technicians immediate action?
Assessment for possible clotting in the dialyzer -Correct Answers ✔-
Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in
Circulation of water during the day only -Correct Answers ✔-Which of the
following would minimize bacterial growth in the water treatment system?
Pressure -Correct Answers ✔-A major factor affecting ultrafiltration is
Palpating for a thrill -Correct Answers ✔-Pre-treatment evaluation of an internal
vascular access includes
Fresenius RN
, Fresenius RN
Hypotension -Correct Answers ✔-A patient having a dialysis treatment complains
of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate
that the patient has
Check the dialysate effluent with a blood leak test indicator -Correct Answers ✔-If
a blood leak detector alarms a second time and no visible blood is noted, what
should the PCT do next?
Surface area of the dialyzer -Correct Answers ✔-Which has the most impact on
dialyzer clearance?
Turn the blood pump off, clamp the venous line. -Correct Answers ✔-The patient
exhibits signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium -Correct Answers ✔-Softener tanks remove
Technical must perform a functional test on the machine. -Correct Answers ✔-
During dialysis a patient has a cardiac arrest. Which action should be completed on
the dialysis machine before the machine is used by another patient?
Low clearance, hold heparin dose -Correct Answers ✔-The following KECN's are
noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood -Correct Answers ✔-The arterial needle is
placed
Priming the dialyzer venous end up -Correct Answers ✔-An important factor in
achieving adequacy during machine set up is
Ultra Care -Correct Answers ✔-The FMC program that utilizes technology to
improve our patient care is
Fresenius RN
Clinical Annual Competency Exam –
Fresenius Questions and Answers
Graded A+ 2025
Inadequate Heparinization -Correct Answers ✔-The adequacy of a dialysis
treatment may be compromised by
Post reinfusion and prior to disconnection -Correct Answers ✔-Routine post
dialysis treatment documentation on the patients dialysis treatment record should
include patients blood pressure and temperature both
Chemical content -Correct Answers ✔-Individual acid containers should be labeled
with
Notify the RN -Correct Answers ✔-The patient complains of pain at the catheter
exit site. What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line) -Correct Answers ✔-Which of these findings noted on
a safety check would indicate that an intervention is needed.
Notify the RN -Correct Answers ✔-The patient presents to the dialysis center with
a pulse rate of 44/bpm but doesn't appear to be in distress. What should be the
dialysis technicians immediate action?
Assessment for possible clotting in the dialyzer -Correct Answers ✔-
Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in
Circulation of water during the day only -Correct Answers ✔-Which of the
following would minimize bacterial growth in the water treatment system?
Pressure -Correct Answers ✔-A major factor affecting ultrafiltration is
Palpating for a thrill -Correct Answers ✔-Pre-treatment evaluation of an internal
vascular access includes
Fresenius RN
, Fresenius RN
Hypotension -Correct Answers ✔-A patient having a dialysis treatment complains
of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate
that the patient has
Check the dialysate effluent with a blood leak test indicator -Correct Answers ✔-If
a blood leak detector alarms a second time and no visible blood is noted, what
should the PCT do next?
Surface area of the dialyzer -Correct Answers ✔-Which has the most impact on
dialyzer clearance?
Turn the blood pump off, clamp the venous line. -Correct Answers ✔-The patient
exhibits signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium -Correct Answers ✔-Softener tanks remove
Technical must perform a functional test on the machine. -Correct Answers ✔-
During dialysis a patient has a cardiac arrest. Which action should be completed on
the dialysis machine before the machine is used by another patient?
Low clearance, hold heparin dose -Correct Answers ✔-The following KECN's are
noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood -Correct Answers ✔-The arterial needle is
placed
Priming the dialyzer venous end up -Correct Answers ✔-An important factor in
achieving adequacy during machine set up is
Ultra Care -Correct Answers ✔-The FMC program that utilizes technology to
improve our patient care is
Fresenius RN
