A surveyor asks you a question. Which of the following statements would be a good
answer? - ANSWER I do not know the answer but I will find out
Knowing what caused your patients' renal failure - ANSWER Is important to identify
possible problems during data collection and assessment
The dialysis team prevents additional blood loss by - ANSWER Providing appropriate
heparin dose per physician order, using good cannulation technique, and proper rinse
back after treatment
*** What amount of fluid weight is considered excessive? - ANSWER Greater than 5%
The definition of Health Literacy is - ANSWER The degree to which individuals
understand basic health information
*** Intra-renal causes of Acute Kidney Injury (AKI) - ANSWER Sepsis, trauma,
anaphylaxis, drugs, Acute Glomerulonephritis
Why is meticulous hand hygiene so important in healthcare? - ANSWER It is the single
most important intervention in preventing Healthcare Associated Infections
*** The endocrine functions of the kidneys are - ANSWER Renin and erythropoietin
secretion, activation of vitamin D**
*** Which infectious disease requires frequent hand-washing instead of using alcohol
based hand gels? - ANSWER Active Clostridioides difficile infection (C-diff)
At what time do you perform water hardness testing? - ANSWER At the end of the
treatment day
What are three things you should NOT include in a Risk Event Management (REM)
report? - ANSWER Personal opinions, speculation, vendettas
Fever caused by a pyrogenic reaction will most likely occur at what time during the
treatment? - ANSWER Within 45 to 75 minutes
*** What is the most likely reason for a blood leak detector alarm during recirculation? -
ANSWER Air bubbles in dialysate or a dirty sensor
You listen to your patient's arteriovenous graft (AVG) and hear a whistling sound. -
ANSWER This could be indicative of an outflow stenosis
, The Urea Reduction Ratio calculates - ANSWER The amount of urea removed during
the dialysis treatment
Documentation in the medical record - ANSWER Provides data for continuity and
planning of patient care
*** Left Ventricular Hypertrophy leads to - ANSWER ischemic heart disease arrhythmia,
myocardial infarction, and sudden death
What should be done to the heparin infusion line if a patient does not have maintenance
(hourly) heparin prescribed? - ANSWER Clamp and knot the heparin infusion line
The most common infectious complication for hemodialysis patients is - ANSWER
Vascular access infection
The person responsible for implementation, adherence, and training of the facility
specific emergency management plan (EMP) and applicable policy and procedures is -
ANSWER Facility Administrator (FA) or Designee
Interventions for a patient complaining of chest pain include - ANSWER Decrease blood
flow rate (BFR) to 150mL/hr. decrease ultrafiltration rate (UFR), take vital signs, and
administer oxygen as ordered
Which of the following may be, but doesn't have to be a sign of hemolysis - ANSWER
Cherry red colored blood in venous line
Per the Centers for Disease Control and Prevention (CDC), which is the most important
route by which pathogens are transmitted in health-care settings including dialysis
centers? - ANSWER Contact transmission
Your immediate intervention for a patient experiencing an anaphylactic reaction is -
ANSWER Discontinue the suspected therapy, stop the blood pump, do not return the
blood
*** Scrubbing of each hub as part of CVC care is done for: - ANSWER 15 seconds
What are the three steps included in the vascular access assessment? - ANSWER
Look. listen feel
*** You are assisting a patient to step onto the scale by holding the patient's hand. Such
a casual contact - ANSWER Does not require wearing gloves but you must perform
hand hygiene afterwards
What can be the most likely result if the surveyor sees a patient with a covered vascular
access? - ANSWER An Immediate Jeopardy