BONENT CDC FINAL EXAM PAPER 2026
QUESTIONS AND SOLUTIONS 100% CORRECT
◉ Short Daily Home Hemodialysis must be done. Answer: 5-6days a
week for the 2.5-4 hour per tx
◉ a bp cuff that is too small or to loose will cause a. Answer: Higher
reading
◉ Nocturnal home hemomust be done. Answer: At home 3-7 nights
a week 8 hours per tx
◉ A no cuff that is to big for a patients arm .... Answer: Lower
reading
◉ Why would someone want to do more HD than standard?.
Answer: Longer or more frequent HD is gentle and cause fewer
symptoms and may help Pt live longer, home puts pt in charge
◉ peritoneal dialysis. Answer: the lining of the peritoneal cavity acts
as the filter to remove waste from the blood through tiny blood
vessels.
Placed in abdomen and sometimes chest wall
,Dialysate sits in catheter for a few hours and excess water and waste
flows from BV to the dialysate. The dialysate is then drained and
replaced. (Exchange)
Pt can use a cycle mahjne while they sleep
Can also be done by hand 4xa day and can be done anywhere.
◉ In dialysis patients the reason BP drops during or close to the end
of tx is because. Answer: The total blood volume drops, from the
water removal
◉ regular respiration rate. Answer: 12-16 breaths per minute
◉ In dialysis patients water may enter the lungs due to water weight
gains this can cause. Answer: Sob or trouble breathing
◉ Payment for dialysis. Answer: Medicare pays for 80% of dialysis
Medicare makes rules a clinic must follow to provide coverage of tax.
Pt who don't have Medicare before CKD a pt must wait 3 months for
it to cover in center but it will cover home-hemo right away.
2011 change how they pay for dialysis and created a "bundle"
(composite rate, labs,drugs and home training)
◉ Quality Incentive Program. Answer: Pay for performance, Cuts pay
by 2% if measures aren't met. (Kt/v and hemoglobin)
,◉ ESRD networks. Answer: Oversees quality of care, 18 mostly
nonprofit organizations.
◉ Renal physicians association(RPA). Answer: 1993 nephrologist
made first clinical practice guidelines, including minimum dose of
HD , when to start and stop HD and care for kidney disease for pt not
on HD
◉ National Kidney Foundation (NKF). Answer: 1995, experts set
guidelines for anemia, adequacy, and vascular access
◉ KDOQI. Answer: Kidney Disease Outcomes Quality Initiative,
improves care and outcomes of all people with kidney disease
◉ Dialysis Outcomes and Practice Pattern Study - DOPPS. Answer:
Help pts love longer by finding patterns incenter that can be
changed to improve outcome
◉ state survey. Answer: An inspection of the facility by state
surveyors for compliance with rules and regulations of Medicare. If
clinics don't follow they must make a plan of correction.
◉ Continuous Quality Improvement (CQI). Answer: Finding
problems and fixing them. 4 step process
, ◉ 4 steps of continuous quality improvement. Answer: 1.identify the
problem- collect data and figure out how to fix
2.analyze problem-see if there is a standard or guideline to fix it,
look at patterns or trends
3.cause of problem?
4.Plan,do,check,act- make a plan to fix, try plan, check results and
make changes if needed
◉ Professionalism. Answer: The quality of performing at a high level
and conducting oneself with purpose and pride
◉ Boundaries. Answer: Never share personal life or concerns with
patients, never date pts, never borrow money, never invite to home
or events, never except tips or money, do not sexually harass
◉ How big are the kidneys?. Answer: size of fist, 5oz a piece
◉ What protect the kidneys. Answer: Pads of fat and the bones of the
rib cage
◉ What makes up the outside of the kidney. Answer: Tough fibrous
capsule, inside the capsule is the cortex which is made of layers of
cells
QUESTIONS AND SOLUTIONS 100% CORRECT
◉ Short Daily Home Hemodialysis must be done. Answer: 5-6days a
week for the 2.5-4 hour per tx
◉ a bp cuff that is too small or to loose will cause a. Answer: Higher
reading
◉ Nocturnal home hemomust be done. Answer: At home 3-7 nights
a week 8 hours per tx
◉ A no cuff that is to big for a patients arm .... Answer: Lower
reading
◉ Why would someone want to do more HD than standard?.
Answer: Longer or more frequent HD is gentle and cause fewer
symptoms and may help Pt live longer, home puts pt in charge
◉ peritoneal dialysis. Answer: the lining of the peritoneal cavity acts
as the filter to remove waste from the blood through tiny blood
vessels.
Placed in abdomen and sometimes chest wall
,Dialysate sits in catheter for a few hours and excess water and waste
flows from BV to the dialysate. The dialysate is then drained and
replaced. (Exchange)
Pt can use a cycle mahjne while they sleep
Can also be done by hand 4xa day and can be done anywhere.
◉ In dialysis patients the reason BP drops during or close to the end
of tx is because. Answer: The total blood volume drops, from the
water removal
◉ regular respiration rate. Answer: 12-16 breaths per minute
◉ In dialysis patients water may enter the lungs due to water weight
gains this can cause. Answer: Sob or trouble breathing
◉ Payment for dialysis. Answer: Medicare pays for 80% of dialysis
Medicare makes rules a clinic must follow to provide coverage of tax.
Pt who don't have Medicare before CKD a pt must wait 3 months for
it to cover in center but it will cover home-hemo right away.
2011 change how they pay for dialysis and created a "bundle"
(composite rate, labs,drugs and home training)
◉ Quality Incentive Program. Answer: Pay for performance, Cuts pay
by 2% if measures aren't met. (Kt/v and hemoglobin)
,◉ ESRD networks. Answer: Oversees quality of care, 18 mostly
nonprofit organizations.
◉ Renal physicians association(RPA). Answer: 1993 nephrologist
made first clinical practice guidelines, including minimum dose of
HD , when to start and stop HD and care for kidney disease for pt not
on HD
◉ National Kidney Foundation (NKF). Answer: 1995, experts set
guidelines for anemia, adequacy, and vascular access
◉ KDOQI. Answer: Kidney Disease Outcomes Quality Initiative,
improves care and outcomes of all people with kidney disease
◉ Dialysis Outcomes and Practice Pattern Study - DOPPS. Answer:
Help pts love longer by finding patterns incenter that can be
changed to improve outcome
◉ state survey. Answer: An inspection of the facility by state
surveyors for compliance with rules and regulations of Medicare. If
clinics don't follow they must make a plan of correction.
◉ Continuous Quality Improvement (CQI). Answer: Finding
problems and fixing them. 4 step process
, ◉ 4 steps of continuous quality improvement. Answer: 1.identify the
problem- collect data and figure out how to fix
2.analyze problem-see if there is a standard or guideline to fix it,
look at patterns or trends
3.cause of problem?
4.Plan,do,check,act- make a plan to fix, try plan, check results and
make changes if needed
◉ Professionalism. Answer: The quality of performing at a high level
and conducting oneself with purpose and pride
◉ Boundaries. Answer: Never share personal life or concerns with
patients, never date pts, never borrow money, never invite to home
or events, never except tips or money, do not sexually harass
◉ How big are the kidneys?. Answer: size of fist, 5oz a piece
◉ What protect the kidneys. Answer: Pads of fat and the bones of the
rib cage
◉ What makes up the outside of the kidney. Answer: Tough fibrous
capsule, inside the capsule is the cortex which is made of layers of
cells
