FRESENIUS EXAM | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
What bleach solution must all surfaces be cleaned with? - Answer: 1:10
What bleach solution is used to disinfect large blood spills? - Answer: 1:100
What is aseptic technique? - Answer: A set of practices and procedures performed under
carefully controlled conditions with the goal of minimizing contamination by pathogens.
List three blood borne pathogens that may be found in a dialysis unit? - Answer: Hep B, Hep
C & HIV
What is an exposure incident? - Answer: A blood/body fluid splash or spray occurring to the
eyes, nose or mouth or to non-intact skin. A contaminated sharps injury is also considered
an exposure incident.
What steps should you take during an exposure incident? - Answer: 1. Wash/rinse the area
2. Report incident to the clinical manager or charge nurse (if CM not present)
3. Seek medical treatment w/in 1-2 hrs (exposure tx and counseling)
4.OSHA documentation and workman's comp documentation as applies
Why are Hep B patients dialyzed in isolation rooms? - Answer: -Hep B is extremely
contagious
-It can live outside the body for up to 7 days
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Why are Hep C patients dialyzed in the clinic area and not in isolation? - Answer: -Hep C is
not as contagious as Hep B
-It does not survive very long on the outside of the body
What blood test indicates infection with Hep B? - Answer: hbsag is the test for the Hep B
antigen. This indicates actual viral presence.
Which blood test indicates the presence of immunity against Hep B? - Answer: hbsab is the
test for the antibodies. It indicates the presence of immunity against Hepatitis B.
Which vaccine provides long-term immunity to Hep B? - Answer: Multiple injections of
either Recombivax or Engerix vaccine. They help produce Hep B antibodies
How is TB spread? - Answer: Airborne droplets from infected individuals
How do you prevent TB in the clinic? - Answer: Active TB patients cannot dialyze in clinics.
Pt must have 3 consecutive negative sputum cultures before the can return dialyzing in
clinic.
What are VRE & MRSA? - Answer: VRE: a group of gram-negative bacteria that lve in he
intestinal tract that can cause infection anywhere in the body. They are resistant to several
antibiotics. VRE can survive outside of the body on surfaces for as long as seven days.
MRSA: different varieties staph bacteria. They are normally found on the skin or in the nose
of about 1/3 of people. When a person is infected they are resistant to antibiotics
commonly used to treat ordinary staph infections. MRSA can survive outside the body for
as long as 7 days.
What precautions do you take while caring for a MRSA/VRE patient? - Answer: They do not
need isolation but should be seated in the same area as others infected. Proper designated
PPE should be worn specifically for those patients. HANDWASHING only 40-60 seconds.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, They need to have their own bp cuff, stethoscope, tourniquet etc. Open wounds/ dressing
should never be changed in the clinic. CVC dressings should be disposed of in sharp
container.
What are the anatomical structures of the urnary system in order of urine flow? - Answer: 1.
2 Kidneys
2. 2 Ureters
3. Bladder
4. Urethra
What are the functions of a healthy kidney? - Answer: -remove waste
-remove fluids
-regulate ph
-regulate electrolytes
What are the hormonal functions of the kidneys? - Answer: -release renin to help regulate
or control BP, potassium and sodium
-production of erythropoietin: stimulates RBC production
-regulation of calcium/phosphorus balance through activation of Vitamin D
What is the nephron and what is its function? - Answer: It is the functional unit of the
kidney. It filters blood from the urine.
What is the glomerulus and what is its function? - Answer: It is at the beginning of the
nephron, it's a network of capillaries that performs the first step of filtering the blood. It
filters water and solutes into Bowman's capsule.
What two functions of healthy kidneys can be replaced by dialysis? - Answer: -fluid removal
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
PERFECTION| STUDY WITH CONFIDENCE!
What bleach solution must all surfaces be cleaned with? - Answer: 1:10
What bleach solution is used to disinfect large blood spills? - Answer: 1:100
What is aseptic technique? - Answer: A set of practices and procedures performed under
carefully controlled conditions with the goal of minimizing contamination by pathogens.
List three blood borne pathogens that may be found in a dialysis unit? - Answer: Hep B, Hep
C & HIV
What is an exposure incident? - Answer: A blood/body fluid splash or spray occurring to the
eyes, nose or mouth or to non-intact skin. A contaminated sharps injury is also considered
an exposure incident.
What steps should you take during an exposure incident? - Answer: 1. Wash/rinse the area
2. Report incident to the clinical manager or charge nurse (if CM not present)
3. Seek medical treatment w/in 1-2 hrs (exposure tx and counseling)
4.OSHA documentation and workman's comp documentation as applies
Why are Hep B patients dialyzed in isolation rooms? - Answer: -Hep B is extremely
contagious
-It can live outside the body for up to 7 days
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Why are Hep C patients dialyzed in the clinic area and not in isolation? - Answer: -Hep C is
not as contagious as Hep B
-It does not survive very long on the outside of the body
What blood test indicates infection with Hep B? - Answer: hbsag is the test for the Hep B
antigen. This indicates actual viral presence.
Which blood test indicates the presence of immunity against Hep B? - Answer: hbsab is the
test for the antibodies. It indicates the presence of immunity against Hepatitis B.
Which vaccine provides long-term immunity to Hep B? - Answer: Multiple injections of
either Recombivax or Engerix vaccine. They help produce Hep B antibodies
How is TB spread? - Answer: Airborne droplets from infected individuals
How do you prevent TB in the clinic? - Answer: Active TB patients cannot dialyze in clinics.
Pt must have 3 consecutive negative sputum cultures before the can return dialyzing in
clinic.
What are VRE & MRSA? - Answer: VRE: a group of gram-negative bacteria that lve in he
intestinal tract that can cause infection anywhere in the body. They are resistant to several
antibiotics. VRE can survive outside of the body on surfaces for as long as seven days.
MRSA: different varieties staph bacteria. They are normally found on the skin or in the nose
of about 1/3 of people. When a person is infected they are resistant to antibiotics
commonly used to treat ordinary staph infections. MRSA can survive outside the body for
as long as 7 days.
What precautions do you take while caring for a MRSA/VRE patient? - Answer: They do not
need isolation but should be seated in the same area as others infected. Proper designated
PPE should be worn specifically for those patients. HANDWASHING only 40-60 seconds.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, They need to have their own bp cuff, stethoscope, tourniquet etc. Open wounds/ dressing
should never be changed in the clinic. CVC dressings should be disposed of in sharp
container.
What are the anatomical structures of the urnary system in order of urine flow? - Answer: 1.
2 Kidneys
2. 2 Ureters
3. Bladder
4. Urethra
What are the functions of a healthy kidney? - Answer: -remove waste
-remove fluids
-regulate ph
-regulate electrolytes
What are the hormonal functions of the kidneys? - Answer: -release renin to help regulate
or control BP, potassium and sodium
-production of erythropoietin: stimulates RBC production
-regulation of calcium/phosphorus balance through activation of Vitamin D
What is the nephron and what is its function? - Answer: It is the functional unit of the
kidney. It filters blood from the urine.
What is the glomerulus and what is its function? - Answer: It is at the beginning of the
nephron, it's a network of capillaries that performs the first step of filtering the blood. It
filters water and solutes into Bowman's capsule.
What two functions of healthy kidneys can be replaced by dialysis? - Answer: -fluid removal
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
