DAVITA PCT EXAM|| DAVITA PCT TRAINING EXAM According to AAMI standards, the total microbial count of dialysate is: -
ANSWER: Shall not exceed 200 cfg/ml
WITH 200+ QUESTIONS AND 100% CORRECT
ANSWERS|| LATEST UPDATE 2024-2025 WITH VERIFIED
AND COMPLETE SOLUTIONS|| ASSURED PASS!!! The Li mulus Ameboycte (LAL) sample tests for? - ANSWER: Gram-negative
bacterial endotoxins
Which of the following side effects may occur if the rollers of the blood pump are
over tightened? - ANSWER: Hemolysis may occur
What does the acronym AAMI stand for what is their responsibility? - ANSWER:
Association for the Advancement of Medical Instrumentation. Sets the standards
The internal access that is created using the patients own artery and vein is a? - for dialysis machines, reuse for dialers and quality of water for dialysis.
ANSWER: Fistula
A patient complains of dizziness. The technician notices the patient is pale and
A patient is in the third hour of a four hour treatment. The technician notices the clammy. The blood pressure is elevated and the respirations have increased in rate
patient yawning. The patient says that they feel fine. Which of the following and depth. Which of the following does the assessment reveal? - ANSWER:
should the technician next action be? - ANSWER: Check the blood pressure Hyperglycemic reaction
Which of the following is LEAST likely to be a common psychological reaction What problem is so commonly associated with recirculating systems and central
for a patient just staring hemodialysis? - ANSWER: Guilt dialysate delivery systems? - ANSWER: gram-negative bacterial contamination
A patient complains that their hand feels cold, especially the fingers. The All of the following techniques might improve the blood flow rate in a central
technician should tell the patient it may be caused by? - ANSWER: Poor blood venous catheter except? - ANSWER: Rotating or further inserting the catheter
flow to the hand from fistula construction
When selecting a site for cannulation, you should consider all of the following
A patient arrives at the facility diaphoretic and complaining of chest pain. Your except: - ANSWER: Ensure that a strong bruit has been palpated
first reaction would be to: - ANSWER: Notify the charge nurse for further
assessment of patient complications
Which lab results requires a pre and post BUN to be drawn? - ANSWER: Urea
Reduction Ratio
Complications of fistulas and grafts could be: - ANSWER: All of the above;
Clotting and infection. Peripheral ischemia. Aneurysms and pseudo-aneurysms Venous pressure high alarm causes - ANSWER: kink in tubing
infiltration
clotting in the venous drip chamber
, 3|Pag e 4|Pag e
Davita Quality Index - ANSWER: the purpose of selecting the component What is the most common infectious complication in hemodialysis patients? -
measure for DQI is to encourage continuous improvement across a broad range of ANSWER: Per the CDC, the most common factor contributing to bacteremia is
disease management processes CVC
DQI success is achieved by - ANSWER: -managing individual patients first and What germ causes the most common infections in hemodialysis patients? -
allowing scores to follow ANSWER: MRSA
-knowing each team members role and improving DQI scores
-using the CQI (continuous quality improvement) process to help identify trends Why is wearing gloves so important? - ANSWER: Decreases risk of hand
and make improvements contamination
(answer all of the above)
Who can use sinks designated for hand washing? - ANSWER: clean sinks must be
dedicated for hand washing only
Importance of P&P - ANSWER: when supervising non-licensed, assistive
personnel, it is the responsibility of the licensed nurse to ensure these teammates
also meet the standard of care
What is the correct procedure in regards to your hands when you have casual
contact with a patient? - ANSWER: don't need to have gloves but must perform
hand hygiene before caring for patients
What are the risks of doing it your way - ANSWER: it can lead to civil liability
Successful Lab draws - ANSWER: know the 20 tips
What makes dialysis patients more susceptible to HAIs? - ANSWER: they have
weakened immune systems and prolonged access to blood -follow the order of the lan draws to prevent specimens from being contaminated
with other tube additives
-double labeling tubes prohibits processing
Why are dialysis patients at increased risk for acquiring a HAI at the facility? -
ANSWER: CONTACT TRANSMISSION
rules for spinning samples - ANSWER: only spin tubes of same kind, size, and fill
level and should be placed opposite of each other
what is the most common transmission route for HAIs? - ANSWER: contact
transmission
hyperkalemia - ANSWER: potassium above 6.5
What is the most important intervention you can do to prevent HAIs? - ANSWER: extreme muscle weakness
Hand washing