DIALYSIS ASSESSMENT MATERIALS 2026
VERIFIED SOLUTIONS GRADED A+
⫸ The definition of Health Literacy includes:
A) The degree to which individuals understand basic health
information
B) The degree to which individuals are knowledgeable in medical
terminology
C) The degree to which individuals can perform appropriate self-care
D) The degree to which individuals understand their rights as
healthcare consumers. Answer: A) The degree to which individuals
understand basic health information
⫸ Ultrafiltration is defined as:
A) Solutes are dragged across the semipermeable membrane along
with fluid
B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an
area of lower solute concentrate
D) Fluids move from an area of lower solute concentration to an area
of higher solute concentration. Answer: B) Controlled fluid removal
by manipulation of hydrostatic pressure
⫸ Diffusion is defined as:
A) Solutes are dragged across the semipermeable membrane along
with fluid
,B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an
area of lower solute concentrate
D) Fluids move from an area of lower solute concentration to an area
of higher solute concentration. Answer: C) Particles move from an
area of higher solute concentration to an area of lower solute
concentrate
⫸ Waiting only 5 seconds between lowering the blood pump speed
and drawing the post-treatment blood sample would:
A) Cause the Kt/V reading to be falsely low
B) Have no effect on the Kt/V reading
C) Cause the Kt/V reading to be either falsely too high or low
D) Cause the Kt/V reading to be falsely high. Answer: D) Cause the
Kt/V reading to be falsely high
⫸ The nephrologist orders a BFR of 300 for a patient with a two-
month-old AV fistula. What needle gauge would be appropriate for
this BFR?
A) 17 gauge
B) 16 gauge
C) 15 gauge
D) 14 gauge. Answer: B) 16 gauge (250-350 BFR)
⫸ Which of the following factors would influence the V of the Kt/V
formula?
,A) Treatment time
B) UF Goal
C) Adequate antioagolation
D) Amputation factor. Answer: D) Amputation factor
⫸ A patient with Acute Kidney Injury (AKI) dialyzes in the out-
patient facility. In regards to the patient's target weight, why is being
"wet" better than being too "dry"
A) Being wet stimulates the kidneys to make urine
B) Being wet helps avoid hypovolemia and hypotensive episodes
C) Being above target weight is of little concern as kidney function is
expected to return
D) Being too dry can lead to inappropriate waste removal. Answer: B)
Being wet helps avoid hypovolemia and hypotensive episodes
⫸ Knowing what caused your patients renal failure
A) Is not necessary because it does not affect the dialysis treatment
itself
B) Is only important if the underlying disease cause additional health
problems
C) Is important to inquire about possible problems during data
collection and assessment
D) Is recommended to decide on the best treatment modality for the
patient. Answer: C) Is important to inquire about possible problems
during data collection and assessment
, ⫸ Intradialytic hypotension
A) Is common during the hemodialysis treatment and can easily be
corrected with saline infusion
B) Is only of concern if it happens on a regular basis, e.g. once every
treatment
C) Can have many adverse effects including impaired tissue perfusion
of vital organs and organ injury
D) Has no adverse effects unless the systolic blood pressure drops
below 60 mmHg. Answer: C) Can have many adverse effects
including impaired tissue perfusion of vital organs and organ injury
⫸ A recommended intervention for muscle cramps is:
A) Discontinuing the treatment if less than 15 minutes of treatment
time remain
B) Turning the UFR off
C) Advising the patient to bring and use a heating pad
D) Applying a glove filled with hot water. Answer: B) Turning the
UFR off
⫸ Per DaVita policy, fever and chills is defined as:
A) Any temperature greater than 99F or increase over baseline of 1F
B) Any temperature greater than 99F or increase over baseline of 1F
without symptoms
C) Any temperature greater than 100F or increase over baseline of 2F
with symptoms
VERIFIED SOLUTIONS GRADED A+
⫸ The definition of Health Literacy includes:
A) The degree to which individuals understand basic health
information
B) The degree to which individuals are knowledgeable in medical
terminology
C) The degree to which individuals can perform appropriate self-care
D) The degree to which individuals understand their rights as
healthcare consumers. Answer: A) The degree to which individuals
understand basic health information
⫸ Ultrafiltration is defined as:
A) Solutes are dragged across the semipermeable membrane along
with fluid
B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an
area of lower solute concentrate
D) Fluids move from an area of lower solute concentration to an area
of higher solute concentration. Answer: B) Controlled fluid removal
by manipulation of hydrostatic pressure
⫸ Diffusion is defined as:
A) Solutes are dragged across the semipermeable membrane along
with fluid
,B) Controlled fluid removal by manipulation of hydrostatic pressure
C) Particles move from an area of higher solute concentration to an
area of lower solute concentrate
D) Fluids move from an area of lower solute concentration to an area
of higher solute concentration. Answer: C) Particles move from an
area of higher solute concentration to an area of lower solute
concentrate
⫸ Waiting only 5 seconds between lowering the blood pump speed
and drawing the post-treatment blood sample would:
A) Cause the Kt/V reading to be falsely low
B) Have no effect on the Kt/V reading
C) Cause the Kt/V reading to be either falsely too high or low
D) Cause the Kt/V reading to be falsely high. Answer: D) Cause the
Kt/V reading to be falsely high
⫸ The nephrologist orders a BFR of 300 for a patient with a two-
month-old AV fistula. What needle gauge would be appropriate for
this BFR?
A) 17 gauge
B) 16 gauge
C) 15 gauge
D) 14 gauge. Answer: B) 16 gauge (250-350 BFR)
⫸ Which of the following factors would influence the V of the Kt/V
formula?
,A) Treatment time
B) UF Goal
C) Adequate antioagolation
D) Amputation factor. Answer: D) Amputation factor
⫸ A patient with Acute Kidney Injury (AKI) dialyzes in the out-
patient facility. In regards to the patient's target weight, why is being
"wet" better than being too "dry"
A) Being wet stimulates the kidneys to make urine
B) Being wet helps avoid hypovolemia and hypotensive episodes
C) Being above target weight is of little concern as kidney function is
expected to return
D) Being too dry can lead to inappropriate waste removal. Answer: B)
Being wet helps avoid hypovolemia and hypotensive episodes
⫸ Knowing what caused your patients renal failure
A) Is not necessary because it does not affect the dialysis treatment
itself
B) Is only important if the underlying disease cause additional health
problems
C) Is important to inquire about possible problems during data
collection and assessment
D) Is recommended to decide on the best treatment modality for the
patient. Answer: C) Is important to inquire about possible problems
during data collection and assessment
, ⫸ Intradialytic hypotension
A) Is common during the hemodialysis treatment and can easily be
corrected with saline infusion
B) Is only of concern if it happens on a regular basis, e.g. once every
treatment
C) Can have many adverse effects including impaired tissue perfusion
of vital organs and organ injury
D) Has no adverse effects unless the systolic blood pressure drops
below 60 mmHg. Answer: C) Can have many adverse effects
including impaired tissue perfusion of vital organs and organ injury
⫸ A recommended intervention for muscle cramps is:
A) Discontinuing the treatment if less than 15 minutes of treatment
time remain
B) Turning the UFR off
C) Advising the patient to bring and use a heating pad
D) Applying a glove filled with hot water. Answer: B) Turning the
UFR off
⫸ Per DaVita policy, fever and chills is defined as:
A) Any temperature greater than 99F or increase over baseline of 1F
B) Any temperature greater than 99F or increase over baseline of 1F
without symptoms
C) Any temperature greater than 100F or increase over baseline of 2F
with symptoms
