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While technical staff are performing duties in the dialysis unit which other team member
must always be present during in-center dialysis?
1. The nephrology advanced practice nurse
2. A registered nurse
3. The medical director for the unit
4. A lab tech - ANSWER 2. A registered nurse
Two dialysis technicians are heatedly discussing a patient care situation. Which hemodialysis
team member is responsible for disciplinary action as the first chain of command?
1. Dialysis nurse manager
2. Nephrology nurse
3. Dialysis unit administrator
4. Human resource manager - ANSWER 1. Dialysis nurse manager
You are planning to apply for a position as a dialysis technician. What knowledge and skills
are required as essential components for this position?
1. Some understanding of human anatomy and physiology and the pathophysiology of
chronic kidney dieses (CKD)
2. Treatment complications
3. Care of the vascular access
4. How to read a kidney, ureter, and a bladder (KUB) X-RAY - ANSWER 1, 2 & 3
1
,Which credentialing agency for dialysis technicians includes items such as water treatment
and dialysate preparation dialyzer reprocessing and complications of dialysis as part of their
cognitive or practice domains ?
1. Nephrology Examiners Nursing and Technology ( BONENT )
2. Board of Nephrology Nursing Certification Commission (NNCC)
3. The Dialysis Society of America
4. National Nephrology Certification Organization ( NNCO) - ANSWER 4. National
Nephrology Certification Organization ( NNCO)
Prior to starting dialysis what must the technician and / or nurse verify ?
1. That the patient has provided informed written consent for dialysis.
2. That the patient has flushed her port with sterile saline before arrival at the unit.
3. That the patient has not eaten or drunk any food or beverages for at least 6 hours.
4. That the patient has a driver to pick him up after dialysis has finished . - ANSWER 1.
That the patient has provided informed written consent for dialysis
Which external agencies provide additional guidelines and standards in the areas of
infectious disease testing , immunizations , dialysis treatment safety , and infection control ?
1. Centers for Disease Control and Prevention ( CDC ).
2. Centers for Medicare and Medicaid Services ( CMS ).
3. Association for the Advancement of Medical Instrumentation ( AAMI ).
4. Council of Nephrology Social Workers. - ANSWER 1, 2 & 3
Prior to passing the Social Security Amendments , treatment for chronic kidney disease (
CKD ) was available only to the few who met certain criteria or could afford to pay for their
own treatment. The amendments extended Medicare coverage to almost all patients with
CKD. Who signed the amendments and in what year?
1. President Jimmy Carter in 1979
2. President John F. Kennedy in 1961
3. President Lyndon Johnson in 1965
2
,4. President Richard Nixon in 1972 - ANSWER 4. President Richard Nixon in 1972
Which organization was recently approved by CMS to be an independent organization
allowed to conduct surveys for Medicare certification fostering faster approval of dialysis
clinics?
1. Kidney Disease Improving Global Outcomes ( KDIGO )
2. National Kidney Foundation ( NKF )
3. Medicare Bundled Dialysis Prospective Payment System ( MBDPPS )
4. National Dialysis Accreditation Commission ( NDAC ) - ANSWER 4. National Dialysis
Accreditation Commission ( NDAC )
What is the composition of physiologic saline ?
1. 0.9 g of sodium chloride in 100 mL of water
2. 10% salt added to one cup (240 mL) of water
3. Albumin
4. Fresh frozen plasma - ANSWER 1. 0.9 g of sodium chloride in 100 mL of water
You are explaining ions and their electrical charges in solutions to a patient and her family .
What is the term for a positively charged ion ?
1. Conductive
2. Anion
3. Cation
4. Radiant - ANSWER 3. Cation
When caring for a patient on dialysis , if the dialysate solution contains too little sodium , the
water may shift into the patient's blood cells , causing which signs or symptoms ?
1. Hypotension
2. Cramping
3. Profoud thirst
3
, 4. Headache - ANSWER 1&2
Which buffer is the major plasma buffer , therefore important during dialysis ?
1. Phosphate
2. Bicarbonate
3. Amino Acid
4. Protein - ANSWER 2. Bicarbonate
While reviewing body weight for a dialysis patient , the dialysis technician knows that ____
of the total amount of body water is contained in the intracellular fluid compartment ( ICF ) .
1. 10 %
2. 20 %
3. 30 %
4. 40 % - ANSWER 4. 40 %
How much water is lost through evaporation from the lungs and insensible perspiration
every day ?
1. 250-499 mL of water.
2. 700-1,000 mL of water.
3. 1,500-2,000 mL of water.
3. 2,100-2,400 mL of water. - ANSWER 2. 700-1,000 mL of water
A patient asks the dialysis technician to explain what the normal kidney does , in addition to
making urine . What is the response ?
1. Kidneys regulate fluid volume in the body .
2. Kidneys regulate the blood pH .
3. Kidneys produce erythropoietin , which controls red blood cells ( RBC ) production .
4. Kidneys are receptor sites for several hormones , including those affecting water excretion
and potassium ion secretion . - ANSWER 1, 2, 3 & 4
4
While technical staff are performing duties in the dialysis unit which other team member
must always be present during in-center dialysis?
1. The nephrology advanced practice nurse
2. A registered nurse
3. The medical director for the unit
4. A lab tech - ANSWER 2. A registered nurse
Two dialysis technicians are heatedly discussing a patient care situation. Which hemodialysis
team member is responsible for disciplinary action as the first chain of command?
1. Dialysis nurse manager
2. Nephrology nurse
3. Dialysis unit administrator
4. Human resource manager - ANSWER 1. Dialysis nurse manager
You are planning to apply for a position as a dialysis technician. What knowledge and skills
are required as essential components for this position?
1. Some understanding of human anatomy and physiology and the pathophysiology of
chronic kidney dieses (CKD)
2. Treatment complications
3. Care of the vascular access
4. How to read a kidney, ureter, and a bladder (KUB) X-RAY - ANSWER 1, 2 & 3
1
,Which credentialing agency for dialysis technicians includes items such as water treatment
and dialysate preparation dialyzer reprocessing and complications of dialysis as part of their
cognitive or practice domains ?
1. Nephrology Examiners Nursing and Technology ( BONENT )
2. Board of Nephrology Nursing Certification Commission (NNCC)
3. The Dialysis Society of America
4. National Nephrology Certification Organization ( NNCO) - ANSWER 4. National
Nephrology Certification Organization ( NNCO)
Prior to starting dialysis what must the technician and / or nurse verify ?
1. That the patient has provided informed written consent for dialysis.
2. That the patient has flushed her port with sterile saline before arrival at the unit.
3. That the patient has not eaten or drunk any food or beverages for at least 6 hours.
4. That the patient has a driver to pick him up after dialysis has finished . - ANSWER 1.
That the patient has provided informed written consent for dialysis
Which external agencies provide additional guidelines and standards in the areas of
infectious disease testing , immunizations , dialysis treatment safety , and infection control ?
1. Centers for Disease Control and Prevention ( CDC ).
2. Centers for Medicare and Medicaid Services ( CMS ).
3. Association for the Advancement of Medical Instrumentation ( AAMI ).
4. Council of Nephrology Social Workers. - ANSWER 1, 2 & 3
Prior to passing the Social Security Amendments , treatment for chronic kidney disease (
CKD ) was available only to the few who met certain criteria or could afford to pay for their
own treatment. The amendments extended Medicare coverage to almost all patients with
CKD. Who signed the amendments and in what year?
1. President Jimmy Carter in 1979
2. President John F. Kennedy in 1961
3. President Lyndon Johnson in 1965
2
,4. President Richard Nixon in 1972 - ANSWER 4. President Richard Nixon in 1972
Which organization was recently approved by CMS to be an independent organization
allowed to conduct surveys for Medicare certification fostering faster approval of dialysis
clinics?
1. Kidney Disease Improving Global Outcomes ( KDIGO )
2. National Kidney Foundation ( NKF )
3. Medicare Bundled Dialysis Prospective Payment System ( MBDPPS )
4. National Dialysis Accreditation Commission ( NDAC ) - ANSWER 4. National Dialysis
Accreditation Commission ( NDAC )
What is the composition of physiologic saline ?
1. 0.9 g of sodium chloride in 100 mL of water
2. 10% salt added to one cup (240 mL) of water
3. Albumin
4. Fresh frozen plasma - ANSWER 1. 0.9 g of sodium chloride in 100 mL of water
You are explaining ions and their electrical charges in solutions to a patient and her family .
What is the term for a positively charged ion ?
1. Conductive
2. Anion
3. Cation
4. Radiant - ANSWER 3. Cation
When caring for a patient on dialysis , if the dialysate solution contains too little sodium , the
water may shift into the patient's blood cells , causing which signs or symptoms ?
1. Hypotension
2. Cramping
3. Profoud thirst
3
, 4. Headache - ANSWER 1&2
Which buffer is the major plasma buffer , therefore important during dialysis ?
1. Phosphate
2. Bicarbonate
3. Amino Acid
4. Protein - ANSWER 2. Bicarbonate
While reviewing body weight for a dialysis patient , the dialysis technician knows that ____
of the total amount of body water is contained in the intracellular fluid compartment ( ICF ) .
1. 10 %
2. 20 %
3. 30 %
4. 40 % - ANSWER 4. 40 %
How much water is lost through evaporation from the lungs and insensible perspiration
every day ?
1. 250-499 mL of water.
2. 700-1,000 mL of water.
3. 1,500-2,000 mL of water.
3. 2,100-2,400 mL of water. - ANSWER 2. 700-1,000 mL of water
A patient asks the dialysis technician to explain what the normal kidney does , in addition to
making urine . What is the response ?
1. Kidneys regulate fluid volume in the body .
2. Kidneys regulate the blood pH .
3. Kidneys produce erythropoietin , which controls red blood cells ( RBC ) production .
4. Kidneys are receptor sites for several hormones , including those affecting water excretion
and potassium ion secretion . - ANSWER 1, 2, 3 & 4
4
