FRESENIUS PCT EVALUATION EXAM QUESTIONS AND
SOLUTIONS RATED A+
X
✔✔Which should be reported to the RN? - ✔✔BP 165/102
✔✔Where in the circuit should you look to determine what the cause of an venous
alarm?
a. the dialyzer
b. the venous chamber to the venous needle
c. blood pump only
d. from the arterial needle to the blood bump - ✔✔the venous chamber to the venous
needle
✔✔After treatment, a patient's blood pressure has dropped from 135/90 to 94/68. What
should you do? - ✔✔notify RN
✔✔What must you do when leaving a dirty area and going to a clean area and get
supplies? - ✔✔remove gloves and perform hand hygiene
✔✔What is the safe range when testing for dialysate pH? - ✔✔6.9 - 7.6
✔✔Dialysate with high conductivity will cause ______. Dialysate with low conductivity
will cause _______. - ✔✔crenation, hemolysis
✔✔When is hand santizer okay to be used? - ✔✔after leaving patient station
✔✔Where must hepatitis B positive patient be dialyzed? - ✔✔isolation room
✔✔Where should be dialyze a hep B susceptible patient? - ✔✔Outside the buffer zone
AWAY from the isolation room
✔✔What concentration of bleach should be used to clean a blood spill to clean a blood
spill greater than 10 mL. - ✔✔1:10
✔✔Which of the following statements is correct about clamps?
a. clamps must be soaked in 1:100 bleach solution for 20 minutes
b. clamps can be used for 30 minutes at a time
c. clamps do not require a doctor's order
d. two clamps can be used if a patient cannot hold both sites - ✔✔clamps must be
soaked in 1:100 bleach solution for 20 minutes
, ✔✔What is the function of dialysis? - ✔✔remove excess fluid and waste removal
✔✔You must apply a tourniquet before cannulating which type of access? - ✔✔fistula
✔✔What is the number one cause of chronic kidney disease? - ✔✔diabetes
✔✔What is the term used for pre-treatment weight minus estimated dry weight? -
✔✔AW (available weight)
✔✔Arterial pressure should be no more than what? - ✔✔- 250
✔✔Kinks in the blood line, a high dialysate temperature and low conductivity dialysate
can cause which complication? - ✔✔hemolysis
✔✔If the needle infiltrates, what should do first? - ✔✔stop the blood pump
✔✔Which machine alarms does not stop the blood pump? - ✔✔conductivity
✔✔Which of the following occurs when the machine goes into bypass?
a. blood pump stops
b. RTD clock stops
c. cleaning continues
d. UF clock stops - ✔✔RTD clock stops
✔✔Which of the following could cause air to enter the blood lines and dialyzer?
a. saline line double clamped
b. clots in venous chamber
c. tight connection between needles and bloodlines
d. low arterial chamber level - ✔✔low arterial chamber level
✔✔What is defined of a measurement of how well a solution is able to carry an
electrical charge? - ✔✔conductivity
✔✔Which of the following is incorrect about re-infusing blood during treatment
termination:
a. arterial blood is returned before venous blood
b. staff members can leave the patient's chair side if the patient is alert
c. the blood bump should be set at 150 to 200 during re-infusion
d. if the saline bag empties it could cause an air embolism - ✔✔staff members can
leave the patient's chair side if the patient is alert
SOLUTIONS RATED A+
X
✔✔Which should be reported to the RN? - ✔✔BP 165/102
✔✔Where in the circuit should you look to determine what the cause of an venous
alarm?
a. the dialyzer
b. the venous chamber to the venous needle
c. blood pump only
d. from the arterial needle to the blood bump - ✔✔the venous chamber to the venous
needle
✔✔After treatment, a patient's blood pressure has dropped from 135/90 to 94/68. What
should you do? - ✔✔notify RN
✔✔What must you do when leaving a dirty area and going to a clean area and get
supplies? - ✔✔remove gloves and perform hand hygiene
✔✔What is the safe range when testing for dialysate pH? - ✔✔6.9 - 7.6
✔✔Dialysate with high conductivity will cause ______. Dialysate with low conductivity
will cause _______. - ✔✔crenation, hemolysis
✔✔When is hand santizer okay to be used? - ✔✔after leaving patient station
✔✔Where must hepatitis B positive patient be dialyzed? - ✔✔isolation room
✔✔Where should be dialyze a hep B susceptible patient? - ✔✔Outside the buffer zone
AWAY from the isolation room
✔✔What concentration of bleach should be used to clean a blood spill to clean a blood
spill greater than 10 mL. - ✔✔1:10
✔✔Which of the following statements is correct about clamps?
a. clamps must be soaked in 1:100 bleach solution for 20 minutes
b. clamps can be used for 30 minutes at a time
c. clamps do not require a doctor's order
d. two clamps can be used if a patient cannot hold both sites - ✔✔clamps must be
soaked in 1:100 bleach solution for 20 minutes
, ✔✔What is the function of dialysis? - ✔✔remove excess fluid and waste removal
✔✔You must apply a tourniquet before cannulating which type of access? - ✔✔fistula
✔✔What is the number one cause of chronic kidney disease? - ✔✔diabetes
✔✔What is the term used for pre-treatment weight minus estimated dry weight? -
✔✔AW (available weight)
✔✔Arterial pressure should be no more than what? - ✔✔- 250
✔✔Kinks in the blood line, a high dialysate temperature and low conductivity dialysate
can cause which complication? - ✔✔hemolysis
✔✔If the needle infiltrates, what should do first? - ✔✔stop the blood pump
✔✔Which machine alarms does not stop the blood pump? - ✔✔conductivity
✔✔Which of the following occurs when the machine goes into bypass?
a. blood pump stops
b. RTD clock stops
c. cleaning continues
d. UF clock stops - ✔✔RTD clock stops
✔✔Which of the following could cause air to enter the blood lines and dialyzer?
a. saline line double clamped
b. clots in venous chamber
c. tight connection between needles and bloodlines
d. low arterial chamber level - ✔✔low arterial chamber level
✔✔What is defined of a measurement of how well a solution is able to carry an
electrical charge? - ✔✔conductivity
✔✔Which of the following is incorrect about re-infusing blood during treatment
termination:
a. arterial blood is returned before venous blood
b. staff members can leave the patient's chair side if the patient is alert
c. the blood bump should be set at 150 to 200 during re-infusion
d. if the saline bag empties it could cause an air embolism - ✔✔staff members can
leave the patient's chair side if the patient is alert
