DAVITA TEST PAPER UPDATED QUESTIONS AND ANSWERS
GRADED A+
✔✔who is accountable for appropriate patient and teammate scheduling in the acute
setting - ✔✔
✔✔you are dialyzing a patient and the only available HPB surveillance test is a HBsAb
of 8. What are the machine disinfection requirements after dialyzing this patient? -
✔✔the machine must be heat disinfected at the end of each day
✔✔What is the most common factor contributing to bacteremia in dialysis patients? -
✔✔use of catheters for HD
✔✔which infectious disease requires frequent hand washing instead of using alcohol
based hand gels - ✔✔active clostridioides difficile infection
✔✔What precautions must be used when handling lab specimens? - ✔✔universal
precautions
✔✔waiting only five seconds between lowering the blood pump speed and drawing the
post treatment blood sample could - ✔✔cause the post treatment BUN reading to be
falsely low (wait 15 seconds)
✔✔which may cause a decrease in the hemoglobin of a patient with ESRD -
✔✔infection/inflammation
✔✔fluid overload and HTN lead to LVH, this means - ✔✔hypotensive episodes are
more likely to occur during the dialysis treatment
✔✔your role in CKD-MBD management includes - ✔✔reminding the patient who is
eating a snack during dialysis to take his phosphate binder
✔✔your role in anemia management includes - ✔✔rinsing back as much of the patient's
blood as you can at the termination of each treatment
✔✔the licensed nurse has delegated a specific task to a PCT, but the PCT gets called
away before performing this task. Can the PCT asek another PCT to take over? -
✔✔no, a task delegated by the licensed nurse to a non-licenced teammate cannot be
re-delegated by this teammate
✔✔the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not
performed this task during the last 2.5 months. What is Nicole's responsibility in the
, delegation communication process? - ✔✔Nicole is to inform the nurse that she
performed the task only infrequently
✔✔what is the nurse's responsibility in the delegation supervision process? - ✔✔to
determine the level of supervision needed and to monitor the NAP's performance of the
task accordingly
✔✔the transport mechanism when particles move from an area of higher solute
concentration to an area of lower solute concentration is called - ✔✔diffusion
✔✔during dialysis, the movement of bicarb from the dialysate into the blood - ✔✔helps
normalize body pH
✔✔the kidneys excretory functions include - ✔✔normalizing electrolytes
✔✔what distance should be observed between needle tips and away from each other
when cannulating an internal vascular access? - ✔✔1.5 inches
✔✔the nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You
- ✔✔ask the nephrologist to order a 15 gauge needles for the ordered BFR
✔✔your patient prefers two places on her AVG to insert the needles because they hurt
a lot less than when you cannulate different sites. You tell the patient - ✔✔inserting the
needles into the same small area can over time damage your graft
✔✔what is the appropriate intervals for total chlorine testing? - ✔✔prior to the first
patient shift and within every 4 hours
✔✔what is acceptable limit for total chlorine in the water leaving the carbon filter -
✔✔0.1 or less
✔✔which is the primary device for purifying the water used in dialysis - ✔✔the RO
✔✔ICEBOAT? - ✔✔2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
Access is patent
Documentation is timely
? any questions/concerns
GRADED A+
✔✔who is accountable for appropriate patient and teammate scheduling in the acute
setting - ✔✔
✔✔you are dialyzing a patient and the only available HPB surveillance test is a HBsAb
of 8. What are the machine disinfection requirements after dialyzing this patient? -
✔✔the machine must be heat disinfected at the end of each day
✔✔What is the most common factor contributing to bacteremia in dialysis patients? -
✔✔use of catheters for HD
✔✔which infectious disease requires frequent hand washing instead of using alcohol
based hand gels - ✔✔active clostridioides difficile infection
✔✔What precautions must be used when handling lab specimens? - ✔✔universal
precautions
✔✔waiting only five seconds between lowering the blood pump speed and drawing the
post treatment blood sample could - ✔✔cause the post treatment BUN reading to be
falsely low (wait 15 seconds)
✔✔which may cause a decrease in the hemoglobin of a patient with ESRD -
✔✔infection/inflammation
✔✔fluid overload and HTN lead to LVH, this means - ✔✔hypotensive episodes are
more likely to occur during the dialysis treatment
✔✔your role in CKD-MBD management includes - ✔✔reminding the patient who is
eating a snack during dialysis to take his phosphate binder
✔✔your role in anemia management includes - ✔✔rinsing back as much of the patient's
blood as you can at the termination of each treatment
✔✔the licensed nurse has delegated a specific task to a PCT, but the PCT gets called
away before performing this task. Can the PCT asek another PCT to take over? -
✔✔no, a task delegated by the licensed nurse to a non-licenced teammate cannot be
re-delegated by this teammate
✔✔the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not
performed this task during the last 2.5 months. What is Nicole's responsibility in the
, delegation communication process? - ✔✔Nicole is to inform the nurse that she
performed the task only infrequently
✔✔what is the nurse's responsibility in the delegation supervision process? - ✔✔to
determine the level of supervision needed and to monitor the NAP's performance of the
task accordingly
✔✔the transport mechanism when particles move from an area of higher solute
concentration to an area of lower solute concentration is called - ✔✔diffusion
✔✔during dialysis, the movement of bicarb from the dialysate into the blood - ✔✔helps
normalize body pH
✔✔the kidneys excretory functions include - ✔✔normalizing electrolytes
✔✔what distance should be observed between needle tips and away from each other
when cannulating an internal vascular access? - ✔✔1.5 inches
✔✔the nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You
- ✔✔ask the nephrologist to order a 15 gauge needles for the ordered BFR
✔✔your patient prefers two places on her AVG to insert the needles because they hurt
a lot less than when you cannulate different sites. You tell the patient - ✔✔inserting the
needles into the same small area can over time damage your graft
✔✔what is the appropriate intervals for total chlorine testing? - ✔✔prior to the first
patient shift and within every 4 hours
✔✔what is acceptable limit for total chlorine in the water leaving the carbon filter -
✔✔0.1 or less
✔✔which is the primary device for purifying the water used in dialysis - ✔✔the RO
✔✔ICEBOAT? - ✔✔2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
Access is patent
Documentation is timely
? any questions/concerns
