CLINICAL ANNUAL COMPETENCY EXAM A –
FRESENIUS | TEST READY? ALWAYS. WITH OUR
ACCURATE ANSWERS!
The adequacy of a dialysis treatment may be compromised by - Answer: Inadequate
Heparinization
Routine post dialysis treatment documentation on the patients dialysis treatment record
should include patients blood pressure and temperature both - Answer: Post reinfusion
and prior to disconnection
Individual acid containers should be labeled with - Answer: Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do first? -
Answer: Notify the RN
Which of these findings noted on a safety check would indicate that an intervention is
needed. - Answer: Hemosafe is in place and secure on the arterial line (hemosafe
clamp should be secured on the venous line)
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? -
Answer: Notify the RN
Documentation and interpretation of the KECN (clearance effective by conductivity)
results can assist the staff member in - Answer: Assessment for possible clotting in the
dialyzer
Which of the following would minimize bacterial growth in the water treatment system? -
Answer: Circulation of water during the day only
1
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, A major factor affecting ultrafiltration is - Answer: Pressure
Pre-treatment evaluation of an internal vascular access includes - Answer: Palpating for
a thrill
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 - Answer: Hypotension
If a blood leak detector alarms a second time and no visible blood is noted, what should
the PCT do next? - Answer: Check the dialysate effluent with a blood leak test indicator
Which has the most impact on dialyzer clearance? - Answer: Surface area of the
dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to take? -
Answer: Turn the blood pump off, clamp the venous line.
Softener tanks remove - Answer: Calcium and magnesium
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? - Answer: Technical
must perform a functional test on the machine.
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 - Answer: Low clearance, hold heparin dose
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
FRESENIUS | TEST READY? ALWAYS. WITH OUR
ACCURATE ANSWERS!
The adequacy of a dialysis treatment may be compromised by - Answer: Inadequate
Heparinization
Routine post dialysis treatment documentation on the patients dialysis treatment record
should include patients blood pressure and temperature both - Answer: Post reinfusion
and prior to disconnection
Individual acid containers should be labeled with - Answer: Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do first? -
Answer: Notify the RN
Which of these findings noted on a safety check would indicate that an intervention is
needed. - Answer: Hemosafe is in place and secure on the arterial line (hemosafe
clamp should be secured on the venous line)
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? -
Answer: Notify the RN
Documentation and interpretation of the KECN (clearance effective by conductivity)
results can assist the staff member in - Answer: Assessment for possible clotting in the
dialyzer
Which of the following would minimize bacterial growth in the water treatment system? -
Answer: Circulation of water during the day only
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, A major factor affecting ultrafiltration is - Answer: Pressure
Pre-treatment evaluation of an internal vascular access includes - Answer: Palpating for
a thrill
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 - Answer: Hypotension
If a blood leak detector alarms a second time and no visible blood is noted, what should
the PCT do next? - Answer: Check the dialysate effluent with a blood leak test indicator
Which has the most impact on dialyzer clearance? - Answer: Surface area of the
dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to take? -
Answer: Turn the blood pump off, clamp the venous line.
Softener tanks remove - Answer: Calcium and magnesium
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? - Answer: Technical
must perform a functional test on the machine.
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 - Answer: Low clearance, hold heparin dose
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
