Hemodialysis Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
electrolyte - CORRECT ANSWER a substance that carries an electrical current is
electrolyte imbalance can - CORRECT ANSWER harm or even kill a pt
pt complains of intense thirst
temp at 102.4
has siezure
what electrolyte imbalance is the cause - CORRECT ANSWER Hypernatremia
potassium - CORRECT ANSWER an imbalance in this electrolyte either too much or
too little can cause cardiac problems leading to death
calcium - CORRECT ANSWER electrolyte found mainly in bone and teeth
performing water checks
double check the right dialysate
encourage pts on edu on electrolyte imbalances - CORRECT ANSWER dialysis techs
role in management in electrolyte imbalances
why would hyperphosphatemia occur in a dialysis pt - CORRECT ANSWER failed
kidneys are unable to move phosphorus
standard in center dialysis doesnt remove much phosphorus
Calcium and phosphate bind together forming sharp calcium phosphate crystals - CORRECT
ANSWER what occurs when both calcium and phosphorus are elevated in dialysis pts?
,when should a dialysis pt take his phosphate binders? - CORRECT ANSWER with
each meal and snack
what are two electrolyte imbalances that are rare in dialysis pts? - CORRECT
ANSWER hypophosphatemia
hypokalemia
why are blood test and labs performed so frequently on dialysis pts? - CORRECT
ANSWER to assess health
to assess dialysis adequacy
predict survivability and mortality
Albumin - CORRECT ANSWER What protein that is assessed each month on dialysis
pts will be low if pt is suffering from malnutrition?
Blood Urea Nitrogen (BUN) - CORRECT ANSWER This blood test is drawn PRE and
Post dialysis to measure dialysis dose.
Cheap way to measure and is used to estimate the amount of other wastes in the blood
Creatinine - CORRECT ANSWER The levels of this waste are based on muscle mass
GFR and dialysis clearance
large muscular pts will have higher level than small pts
Isolate the patient because he is infected with Hep B and is highly contagious - CORRECT
ANSWER Your pt monthly Hep B Surface Antigen test comes back positive?
What precautions should you take?
Dialysis
Kidney Transplant
Palliative care - CORRECT ANSWER What are the treatment options for end stage
renal disease?
, Hemodialysis - CORRECT ANSWER What is the most common treatment option for
End Stage Renal Disease?
Is transplantation a cure for kidney disease? - CORRECT ANSWER NO
False - CORRECT ANSWER Dialysis will completely replace all kidney function
TRUE/False
what is used to clean the blood in Peritoneal Dialysis? - CORRECT ANSWER The
Peritoneum
Renal dietitian
Social Worker
Nurse - CORRECT ANSWER Ms johnson has low monthly Albumin level. She says
that she has a metallic taste in her mouth and she isnt eating very much. She also states that
she having trouble affording food and fears that she will lose her home. Who should she
contact?
Due to Ms johnson's low Albumin level and poor appetite what should you be concerned
about? - CORRECT ANSWER Malnutrition
Immediately notify the nurse of Mr. Green"s chest pain as this is a medical emergency. -
CORRECT ANSWER Mr Greene has arrived for his dialysis treatment. He states that
he has been having chest pain all day. What intervention should the dialysis technician
perform next?
Blood Urea Nitrogen BUN - CORRECT ANSWER What test is performed to measure
waste in the blood because it is cheap and easy to perform?
False - CORRECT ANSWER Mrs. Smith is not following her Renal diet or Fluid
restrictions and her dialysis treatments are taking longer than average so much excess fluid
QUESTIONS AND CORRECT ANSWERS
electrolyte - CORRECT ANSWER a substance that carries an electrical current is
electrolyte imbalance can - CORRECT ANSWER harm or even kill a pt
pt complains of intense thirst
temp at 102.4
has siezure
what electrolyte imbalance is the cause - CORRECT ANSWER Hypernatremia
potassium - CORRECT ANSWER an imbalance in this electrolyte either too much or
too little can cause cardiac problems leading to death
calcium - CORRECT ANSWER electrolyte found mainly in bone and teeth
performing water checks
double check the right dialysate
encourage pts on edu on electrolyte imbalances - CORRECT ANSWER dialysis techs
role in management in electrolyte imbalances
why would hyperphosphatemia occur in a dialysis pt - CORRECT ANSWER failed
kidneys are unable to move phosphorus
standard in center dialysis doesnt remove much phosphorus
Calcium and phosphate bind together forming sharp calcium phosphate crystals - CORRECT
ANSWER what occurs when both calcium and phosphorus are elevated in dialysis pts?
,when should a dialysis pt take his phosphate binders? - CORRECT ANSWER with
each meal and snack
what are two electrolyte imbalances that are rare in dialysis pts? - CORRECT
ANSWER hypophosphatemia
hypokalemia
why are blood test and labs performed so frequently on dialysis pts? - CORRECT
ANSWER to assess health
to assess dialysis adequacy
predict survivability and mortality
Albumin - CORRECT ANSWER What protein that is assessed each month on dialysis
pts will be low if pt is suffering from malnutrition?
Blood Urea Nitrogen (BUN) - CORRECT ANSWER This blood test is drawn PRE and
Post dialysis to measure dialysis dose.
Cheap way to measure and is used to estimate the amount of other wastes in the blood
Creatinine - CORRECT ANSWER The levels of this waste are based on muscle mass
GFR and dialysis clearance
large muscular pts will have higher level than small pts
Isolate the patient because he is infected with Hep B and is highly contagious - CORRECT
ANSWER Your pt monthly Hep B Surface Antigen test comes back positive?
What precautions should you take?
Dialysis
Kidney Transplant
Palliative care - CORRECT ANSWER What are the treatment options for end stage
renal disease?
, Hemodialysis - CORRECT ANSWER What is the most common treatment option for
End Stage Renal Disease?
Is transplantation a cure for kidney disease? - CORRECT ANSWER NO
False - CORRECT ANSWER Dialysis will completely replace all kidney function
TRUE/False
what is used to clean the blood in Peritoneal Dialysis? - CORRECT ANSWER The
Peritoneum
Renal dietitian
Social Worker
Nurse - CORRECT ANSWER Ms johnson has low monthly Albumin level. She says
that she has a metallic taste in her mouth and she isnt eating very much. She also states that
she having trouble affording food and fears that she will lose her home. Who should she
contact?
Due to Ms johnson's low Albumin level and poor appetite what should you be concerned
about? - CORRECT ANSWER Malnutrition
Immediately notify the nurse of Mr. Green"s chest pain as this is a medical emergency. -
CORRECT ANSWER Mr Greene has arrived for his dialysis treatment. He states that
he has been having chest pain all day. What intervention should the dialysis technician
perform next?
Blood Urea Nitrogen BUN - CORRECT ANSWER What test is performed to measure
waste in the blood because it is cheap and easy to perform?
False - CORRECT ANSWER Mrs. Smith is not following her Renal diet or Fluid
restrictions and her dialysis treatments are taking longer than average so much excess fluid
