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Hemolysis ✔Correct Answer-The rupturing of red blood cells
- can be caused by
Patient clinical harm ✔Correct Answer-Any physical injury or damage to the health of a person
requiring additional monitoring, intervention, ad/or medical care. Harm can include bboth temporary
and permanent injury.
When a serious safety even occurs ✔Correct Answer-DPC staff notifies: the CM/PM, the BMT as
applicable, and the Physician
CM notifies: the DO, Quality, the Medical Director, Clinical Services, and Regulatory Affairs
When a Serious Safety Event occurs You need to report it in ✔Correct Answer--PSDES
-Liability Form
-QAI
Medical device ✔Correct Answer-is defined as any item that is used for the diagnosis, treatment,
or prevention of a disease, injury, or other condition, and is not a drug of biological
Medwatch Form ✔Correct Answer--do not file in a patient's record, needs to be onsite for two
years
(1) What solution should be used to disinfect a large blood spill area (greater than 10 mLs)
✔Correct Answer-1 part bleach: 9 parts water solution
(2) The dialysis technician has performed a rinse back on a patient and failed to gather all of the
supplies needed to disconnect the patient. What MUST the dialysis technician do prior to getting
clean supplies? ✔Correct Answer-Remove gloves, wash/sanitize hands, and retrieve items
(3) What is the number one infection control practice for reducing the transmission of disease
✔Correct Answer-Hand washing
(4) What PPE is required when performing venipuncture? ✔Correct Answer-Gloves, full face shield
or mask, and protect eyewear with side shield and fluid resistant gown
(5) What solution should you mix to disinfect the dialysis station? ✔Correct Answer-1 part bleach:
99 parts water solution
(6) One way to establish a patient has orthostatic hypotension is to obtain the patients ✔Correct
Answer-Sitting blood pressure followed by the patients standing blood pressure
(7) Which of the following letters in the acronym CLOT is incorrect when remembering how to treat a
patient with a suspected air embolus? ✔Correct Answer-C = clamp arterial bloodline (clamp the
venous blood line, it's the one pushing blood into the patient)
(8) After an arterial needle infiltration, where can a new needle be placed ✔Correct Answer-Above
or below the infiltration
, (9) A patient falls after dialysis and is injured, this is considered what type of event? ✔Correct
Answer-Adverse event
(10) Which of the following foods are high in phosphorus? ✔Correct Answer-Beans, nuts, and dark
colas
(11) The venous needles must always be placed ✔Correct Answer-With the flow of blood
(12) A patient takes blood pressure medication prior to treatment. During treatment, a large amount
of fluid is removed. This could result in what complication? ✔Correct Answer-Hypotension
(13) The arterial needle is placed ✔Correct Answer-With or against the flow of blood
(14) Chloramine or bleach in the dialysate during dialysis can cause a patient death due to
✔Correct Answer-Hemolysis
(15) A 40 year old patient, who has severe hypertension, is to start on hemodialysis. The patient does
not have diabetes or cardiac problems. What type of access is preferable? ✔Correct Answer-An
arteriovenous fistula
(16) Which of the following foods have the highest potassium content? ✔Correct Answer-Bananas,
orange juice, and salt substitutes
(17) When completing post-dialysis treatment documentation, when must staff members collect the
patients blood pressure and temperature readings? ✔Correct Answer-Post reinfusion and prior to
line disconnection
(18) Pre treatment evaluation of an internal vascular access includes ✔Correct Answer-Palpating
for a thrill
(19) When removing needles from an internal access the needle safety device ✔Correct Answer-
Should be used while removing a needle from the patients access
(20) Which total chlorine reading is unacceptable ✔Correct Answer-0.10 ppm
(21) The water room water pathway begins with ✔Correct Answer-City water entering the facility
(22) An appropriately functioning reverse osmosis (RO) machine produces water quality that meets
✔Correct Answer-AAMI standards
(23) How long must the reveres osmosis (RO) run prior to collecting samples for water testing?
✔Correct Answer-15 mins
(24) How many total signatures from qualified staff (one being a Registered Nurse) are required
when performing total chlorine testing? ✔Correct Answer-Two
(25) Chlorine can easily cross the dialyzer membrane causing? ✔Correct Answer-Hemolysis
(26) To properly collect a post BUN sample, it is necessary to ✔Correct Answer-Turn off
ultrafiltration