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Davita Rise Final Exam 2025/ 2026 | Latest
What are two concerns with using DI Tanks?-correct-answer-• Exhaust quickly
Exam Questions With Answers
• When exhausted they dump/release previously removed ions back into water
Aluminum in water used for dialysis causes-correct-answer-• Anemia
Response to Final Water Quality Alarm-correct-answer-Bypass
• Bone disease
• Notify Charge nurse/FA/Biomed/ Medical Director
• Nausea
• If not restored must terminate treatments and complete REM
• Vomiting
Water/Dialysate culture results-correct-answer-• Acceptable level: below 50
Chlorine in water used for hemodialysis causes-correct-answer-hemolysis cfu/ml
• Action level: 50-99 cfu/ml
• Unacceptable level: 100 cfu/ml or >
Excess calcium and sodium in water used for dialysis causes-correct-answer-
hypertension
Water endotoxin testing results-correct-answer-• Acceptable level: below 0.12
EU/ml
Excess calcium and magnesium in water used for dialysis causes-correct-answer- • Action level: 0.12 to < 0.25 EU/ml
muscle weakness
• Unacceptable level: 0.25 EU or >
What does the RO remove?-correct-answer-Organic and inorganic contaminants,
bacteria, and endotoxins Dialysate endotoxin testing results-correct-answer-• Acceptable level: <0.25
EU/ml
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• Action level: 0.25 to < 0.50 EU/ml • F/U if secondary test results are too high o Stop dialysis by placing dialysis
delivery system into bypass-do not rinse patients' blood back
• Unacceptable level: 0.50 EU/ml or >
Hardness testing
How often are water and dialysate cultures drawn and monitored for bacteria and
endotoxins?-correct-answer-monthly • What is removed?
• Why is it important?
When do we test?-correct-answer-o Calcium and Magnesium
13. What removes chlorine/chloramines?-correct-answer-carbon tanks o For RO protection
o End of Day
Chlorine/Chloramine testing • When-correct-answer-o Always test while the RO is
actively supplying water: After the RO has operated for at least 15 minutes, before
Hypotension
the first shift of patients, and every 4 hours
• Definition-correct-answer-o Systolic BP <90 Diastolic BP < 50 or drop in systolic
more than 20 mm/hg
Chlorine/Chloramine testing, Where-correct-answer-o After Primary carbon tank
sample port • Acceptable result o Less than or equal to 0.1 mg/l
Hypotension causes and symptoms-correct-answer-o Rapid or inappropriate fluid
loss, antihypertensive drugs, low blood volume, food ingestion, unstable
cardiovascular condition
Action if results are too high post primary tank-correct-answer-o Repeat the test- o Flushing, yawning, dizziness, ringing in the ears, tachycardia, anxious feeling,
if still too high - move onto secondary port and test, remember to notify biomed nausea/vomiting, cold clammy skin, seizures, cardiac arrest
and FA
• F/U if secondary test results are within limits o Every 30 minutes
Hypotension
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intervention-correct-answer-Place patient in supine position, decrease UFR to • Appropriate Intervention-correct-answer-o Wet transducers, change in UF goal,
minimum, water for less severe hypotension, 100-200 mL NS for severe clamped transducer lines, clotting of a low flux dialyzer-TMP will increase, clotting
hypotension of a high flux dialyzer-TMP will decrease
(NOTE: dialysis patient care technicians (PCTs) may give up to 200 ml of normal o Check transducer lines for clamping or wet transducers, evaluate goal to remove
saline as allowed per state and local Board of Nursing regulations), inform the additional fluid during the hour, provide prescribed heparin to prevent clotting,
licensed nurse for further evaluation and intervention, monitor BP monitor arterial and venous pressures, maintain proper BFR
Air / Foam Detector Arterial Pressure
• Alarm Causes • High alarm/ more negative causes: Arterial needle clotted, infiltrated, or poorly
positioned-correct-answer-o Kinking of the arterial blood tubing between access
• Appropriate Intervention-correct-answer-o Air in blood lines
and monitor − Hypotension
o Look at the circuit for blood in the system. DO NOT return blood with air in the
o Appropriate Intervention: Check needle placement, ensure lines are not kinked,
system.
check tape to ensure they are not kinked or applied too tightly
Blood Leak Detector
Arterial Pressure
• Alarm Causes
Low alarm / more positive causes:-correct-answer-o Separation of blood tubing
Appropriate Intervention-correct-answer-o Air bubbles in the dialysate, dirty from arterial access − Decrease in blood pump speed
sensor
o Appropriate Intervention: verify connections are secure/ increase blood pump
o Check dialysate connections, bleach machine speed
TMP Venous Pressure
• Alarm Causes • High alarm/more positive causes:-correct-answer-o Kink in tubing between
monitor and patient
Davita Rise Final Exam 2025/ 2026 | Latest
What are two concerns with using DI Tanks?-correct-answer-• Exhaust quickly
Exam Questions With Answers
• When exhausted they dump/release previously removed ions back into water
Aluminum in water used for dialysis causes-correct-answer-• Anemia
Response to Final Water Quality Alarm-correct-answer-Bypass
• Bone disease
• Notify Charge nurse/FA/Biomed/ Medical Director
• Nausea
• If not restored must terminate treatments and complete REM
• Vomiting
Water/Dialysate culture results-correct-answer-• Acceptable level: below 50
Chlorine in water used for hemodialysis causes-correct-answer-hemolysis cfu/ml
• Action level: 50-99 cfu/ml
• Unacceptable level: 100 cfu/ml or >
Excess calcium and sodium in water used for dialysis causes-correct-answer-
hypertension
Water endotoxin testing results-correct-answer-• Acceptable level: below 0.12
EU/ml
Excess calcium and magnesium in water used for dialysis causes-correct-answer- • Action level: 0.12 to < 0.25 EU/ml
muscle weakness
• Unacceptable level: 0.25 EU or >
What does the RO remove?-correct-answer-Organic and inorganic contaminants,
bacteria, and endotoxins Dialysate endotoxin testing results-correct-answer-• Acceptable level: <0.25
EU/ml
,3|Page 4|Page
• Action level: 0.25 to < 0.50 EU/ml • F/U if secondary test results are too high o Stop dialysis by placing dialysis
delivery system into bypass-do not rinse patients' blood back
• Unacceptable level: 0.50 EU/ml or >
Hardness testing
How often are water and dialysate cultures drawn and monitored for bacteria and
endotoxins?-correct-answer-monthly • What is removed?
• Why is it important?
When do we test?-correct-answer-o Calcium and Magnesium
13. What removes chlorine/chloramines?-correct-answer-carbon tanks o For RO protection
o End of Day
Chlorine/Chloramine testing • When-correct-answer-o Always test while the RO is
actively supplying water: After the RO has operated for at least 15 minutes, before
Hypotension
the first shift of patients, and every 4 hours
• Definition-correct-answer-o Systolic BP <90 Diastolic BP < 50 or drop in systolic
more than 20 mm/hg
Chlorine/Chloramine testing, Where-correct-answer-o After Primary carbon tank
sample port • Acceptable result o Less than or equal to 0.1 mg/l
Hypotension causes and symptoms-correct-answer-o Rapid or inappropriate fluid
loss, antihypertensive drugs, low blood volume, food ingestion, unstable
cardiovascular condition
Action if results are too high post primary tank-correct-answer-o Repeat the test- o Flushing, yawning, dizziness, ringing in the ears, tachycardia, anxious feeling,
if still too high - move onto secondary port and test, remember to notify biomed nausea/vomiting, cold clammy skin, seizures, cardiac arrest
and FA
• F/U if secondary test results are within limits o Every 30 minutes
Hypotension
, 5|Page 6|Page
intervention-correct-answer-Place patient in supine position, decrease UFR to • Appropriate Intervention-correct-answer-o Wet transducers, change in UF goal,
minimum, water for less severe hypotension, 100-200 mL NS for severe clamped transducer lines, clotting of a low flux dialyzer-TMP will increase, clotting
hypotension of a high flux dialyzer-TMP will decrease
(NOTE: dialysis patient care technicians (PCTs) may give up to 200 ml of normal o Check transducer lines for clamping or wet transducers, evaluate goal to remove
saline as allowed per state and local Board of Nursing regulations), inform the additional fluid during the hour, provide prescribed heparin to prevent clotting,
licensed nurse for further evaluation and intervention, monitor BP monitor arterial and venous pressures, maintain proper BFR
Air / Foam Detector Arterial Pressure
• Alarm Causes • High alarm/ more negative causes: Arterial needle clotted, infiltrated, or poorly
positioned-correct-answer-o Kinking of the arterial blood tubing between access
• Appropriate Intervention-correct-answer-o Air in blood lines
and monitor − Hypotension
o Look at the circuit for blood in the system. DO NOT return blood with air in the
o Appropriate Intervention: Check needle placement, ensure lines are not kinked,
system.
check tape to ensure they are not kinked or applied too tightly
Blood Leak Detector
Arterial Pressure
• Alarm Causes
Low alarm / more positive causes:-correct-answer-o Separation of blood tubing
Appropriate Intervention-correct-answer-o Air bubbles in the dialysate, dirty from arterial access − Decrease in blood pump speed
sensor
o Appropriate Intervention: verify connections are secure/ increase blood pump
o Check dialysate connections, bleach machine speed
TMP Venous Pressure
• Alarm Causes • High alarm/more positive causes:-correct-answer-o Kink in tubing between
monitor and patient
