DETAILED ANSWERS|LATEST
Which of the following terms indicates a solution that has the same concentration of solutes
as blood? - ANSWER isotonic
A patient's potassium levels has been running high between dialysis treatment, so the
patient has been working with the renal dietician to restrict potassium in the diet. Which of
the following fruits should the patient avoid? - ANSWER bananas
During osmosis, which of the following movements takes place? - ANSWER fluid
moves from an area of lower concentration to higher.
A patient's granddaughter calls the dialysis center and asks for a progress report on her
father, who is a patient in the center. The technician should. - ANSWER state that
patient information cannot be divulged
If a hematoma forms at the access site where a needle infiltrated, the usual intervention is
to apply - ANSWER cold compresses
Which of the following actions by a patient increases the risk of blood clots in a venous
access? - ANSWER wearing a top with very tight- fitting long sleeves
A patient is very anxious during an initial hemodialysis treatment and requires extra
attention. When the treatment is completed, the patient offers a $20 tip. The technician
should - ANSWER politely decline the tip
1
,Which of the following statements by a hemodialysis patient suggests that the patient needs
more education? - ANSWER i should stay on a low protein diet.
The inner part of the kidney is the - ANSWER medulla
A nephron is comprised of a glomerulus and a - ANSWER tubule
How much urine does a patient with healthy kidneys usually excrete in 24 hours? -
ANSWER 1000 to 2000ml
When removing soiled gloves, the first glove removed should be. - ANSWER grasped in
the opposite gloved hand
Which of the following hormones is produced by the kidneys? -
ANSWER erythropoietin
At which stages of chronic kidney disease should a patient being dialysis? - ANSWER 5
Which of the following is a genetic disorder that can lead to kidney failure? -
ANSWER polycystic kidney disease
Which of the following complains by a patient may be an indication of uremia? -
ANSWER itching
A patient with a right-sided radiocephalic A fistula (above the wrist) needs to have blood test
in the lab for a number of different lab test. The blood should be drawn from the -
ANSWER left hand
When setting up hemodialysis equipment, the four thing that need to be checked are [ 1 ]
dialysate, [ 2] extracorporeal circuit, [ 3] dialyzer and, [ 4] - ANSWER machine alarm
2
,Generally, the optimal dialysate flow rate for hemodialysis should be - ANSWER 1.5 to
2 times the blood flow rate
A patient is receiving hemodialysis with a dialyzer with an ultrafiltration coefficient [ kuf ] of
10 and a transmembrane pressure [TMP] of 100 mm hg. How much fluid should the patient
lose per hour of treatment - ANSWER 1000 ml
Under what circumstances can needle be reused for hemodialysis? - ANSWER under
no circumstances
If a emergency ( such as a tornado ) occurs and patients need to be evacuated, which group
of patient should be disconnected from dialysis machine first? - ANSWER patients able
to ambulate independently
For patients on hemodialysis a, 1 kg (2.2 lb.) Increased in weight in 24 hours is approximately
equivalent to fluid retention of - ANSWER 1.0 L.
A patient has been advised to avoid foods high in phosphorus. Food that the patient should
be advised to limit include. - ANSWER dairy products
A patient is scheduled for serum creatinine test and asks the technician about preparation
the day before the test. The patient should be advised to. - ANSWER avoid excessive
exercise
Which of the following ethnic group is most at risk for development of kidney failure? -
ANSWER african american
A patient has buttonhole tracts for access. After the access is cleaned and prepped for
treatment, what is the next step? - ANSWER use a crab picker/ aseptic tweezer to
remove the scabs
3
, With buttonhole tracts, the technician should apply pressure as the needle are removed and
then for - ANSWER 5 to 10 minutes
If a buttonhole access frequently has long clots that are very difficult to remove, the most
likely reason is - ANSWER failure to use 2-finger hold for needle removal
A patient who had an AV fistula in the forearm developed an aneurysm and has had to have
a new AV fistula created in the upper arm. The patient has a temporary catheter in place for
dialysis until the fistula has matured. Which of the following exercise may help strengthen
the AV fistula? - ANSWER bicep curl
With buttonhole access sites, what should the technician do to prevent '' hubbing " ? -
ANSWER leave 1/16 th to 1/8 inch of the needle exposed
If a patient has a dialyzer clearance rate of 250 ml/ min with 4- hour treatment, the total
volume of blood cleared is - ANSWER 60 L.
What is the most important factor in preventing exsanguination from dialysis line
separation? - ANSWER access site visible
If a patient states that she has been skipping lunch because she is too tired to eat after
dialysis, the best solution is to. - ANSWER report to the nurse and renal dietician
If a patient exhibits signs and symptoms of hemolysis during dialysis, the immediate action
should be to - ANSWER stops the blood pump and clamp the blood lines
The amount of dialysis that a hemodialysis patient is prescribed is based on the removal of -
ANSWER urea
4
Which of the following terms indicates a solution that has the same concentration of solutes
as blood? - ANSWER isotonic
A patient's potassium levels has been running high between dialysis treatment, so the
patient has been working with the renal dietician to restrict potassium in the diet. Which of
the following fruits should the patient avoid? - ANSWER bananas
During osmosis, which of the following movements takes place? - ANSWER fluid
moves from an area of lower concentration to higher.
A patient's granddaughter calls the dialysis center and asks for a progress report on her
father, who is a patient in the center. The technician should. - ANSWER state that
patient information cannot be divulged
If a hematoma forms at the access site where a needle infiltrated, the usual intervention is
to apply - ANSWER cold compresses
Which of the following actions by a patient increases the risk of blood clots in a venous
access? - ANSWER wearing a top with very tight- fitting long sleeves
A patient is very anxious during an initial hemodialysis treatment and requires extra
attention. When the treatment is completed, the patient offers a $20 tip. The technician
should - ANSWER politely decline the tip
1
,Which of the following statements by a hemodialysis patient suggests that the patient needs
more education? - ANSWER i should stay on a low protein diet.
The inner part of the kidney is the - ANSWER medulla
A nephron is comprised of a glomerulus and a - ANSWER tubule
How much urine does a patient with healthy kidneys usually excrete in 24 hours? -
ANSWER 1000 to 2000ml
When removing soiled gloves, the first glove removed should be. - ANSWER grasped in
the opposite gloved hand
Which of the following hormones is produced by the kidneys? -
ANSWER erythropoietin
At which stages of chronic kidney disease should a patient being dialysis? - ANSWER 5
Which of the following is a genetic disorder that can lead to kidney failure? -
ANSWER polycystic kidney disease
Which of the following complains by a patient may be an indication of uremia? -
ANSWER itching
A patient with a right-sided radiocephalic A fistula (above the wrist) needs to have blood test
in the lab for a number of different lab test. The blood should be drawn from the -
ANSWER left hand
When setting up hemodialysis equipment, the four thing that need to be checked are [ 1 ]
dialysate, [ 2] extracorporeal circuit, [ 3] dialyzer and, [ 4] - ANSWER machine alarm
2
,Generally, the optimal dialysate flow rate for hemodialysis should be - ANSWER 1.5 to
2 times the blood flow rate
A patient is receiving hemodialysis with a dialyzer with an ultrafiltration coefficient [ kuf ] of
10 and a transmembrane pressure [TMP] of 100 mm hg. How much fluid should the patient
lose per hour of treatment - ANSWER 1000 ml
Under what circumstances can needle be reused for hemodialysis? - ANSWER under
no circumstances
If a emergency ( such as a tornado ) occurs and patients need to be evacuated, which group
of patient should be disconnected from dialysis machine first? - ANSWER patients able
to ambulate independently
For patients on hemodialysis a, 1 kg (2.2 lb.) Increased in weight in 24 hours is approximately
equivalent to fluid retention of - ANSWER 1.0 L.
A patient has been advised to avoid foods high in phosphorus. Food that the patient should
be advised to limit include. - ANSWER dairy products
A patient is scheduled for serum creatinine test and asks the technician about preparation
the day before the test. The patient should be advised to. - ANSWER avoid excessive
exercise
Which of the following ethnic group is most at risk for development of kidney failure? -
ANSWER african american
A patient has buttonhole tracts for access. After the access is cleaned and prepped for
treatment, what is the next step? - ANSWER use a crab picker/ aseptic tweezer to
remove the scabs
3
, With buttonhole tracts, the technician should apply pressure as the needle are removed and
then for - ANSWER 5 to 10 minutes
If a buttonhole access frequently has long clots that are very difficult to remove, the most
likely reason is - ANSWER failure to use 2-finger hold for needle removal
A patient who had an AV fistula in the forearm developed an aneurysm and has had to have
a new AV fistula created in the upper arm. The patient has a temporary catheter in place for
dialysis until the fistula has matured. Which of the following exercise may help strengthen
the AV fistula? - ANSWER bicep curl
With buttonhole access sites, what should the technician do to prevent '' hubbing " ? -
ANSWER leave 1/16 th to 1/8 inch of the needle exposed
If a patient has a dialyzer clearance rate of 250 ml/ min with 4- hour treatment, the total
volume of blood cleared is - ANSWER 60 L.
What is the most important factor in preventing exsanguination from dialysis line
separation? - ANSWER access site visible
If a patient states that she has been skipping lunch because she is too tired to eat after
dialysis, the best solution is to. - ANSWER report to the nurse and renal dietician
If a patient exhibits signs and symptoms of hemolysis during dialysis, the immediate action
should be to - ANSWER stops the blood pump and clamp the blood lines
The amount of dialysis that a hemodialysis patient is prescribed is based on the removal of -
ANSWER urea
4
