FRESENIUS PCT PRACTICE TEST 55 PRACTICE
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ Initial Tx to Anaphylaxis.
Answer: Stop IV infusion, Stop IP infusion, Drain PD fluid
Epinephrine (Adrenaline) 1:1000 0.3 mL (0.3 mg) IM outer thigh)
May be repeated every 5-15 minutes up to 3 doses AND Benadryl 50
mg IVP
If no vascular access: Benadryl 50mg PO
◉ Immediately following to initial Tx to Anaphylaxis.
Answer: Solu-Medrol 125 mg IVP over 5 minutes
If no vascular access: Solu-Medrol 125mg IM (buttock)
◉ Follow up to Anaphylaxis.
Answer: Call 911
Call provider
Document allergic reaction
◉ Symptoms to Allergic Reaction.
Answer: Itching Flushing
,Hives (Urticaria)
Nausea/Vomiting
*For IP administration itching and burning may be within abdominal
cavity*
◉ Initial Tx to Allergic Reaction.
Answer: Stop IV infusion Stop IP infusion, Drain PD fluid
Benadryl 50 mg IVP
If no vascular access: Benadryl 50mg PO
◉ Immediately following initial Tx to Allergic Reaction.
Answer: Solu-Medrol 125 mg IVP over 5 minutes
If no vascular access: Solu-Medrol 125mg IM (buttock)
◉ Follow up to Allergic Reaction.
Answer: Call 911 if symptoms worsen
Call provider
Document allergic reaction
◉ Where should an Epi pen be administered.
Answer: Upper outer thigh (Immediately, Firmly, Through Clothes)
,◉ How long should an EpiPen be administered for.
Answer: 3 seconds
◉ Why an EpiPen should be used first instead of Benadryl.
Answer: Benydryl is a slow acting histamine blocker, and cannot
stop histamines from attaching or being released to the histamine
receptors. Epinephrine can reverse the binding of a histamine to its
receptor.
◉ Epinephrine is a physiological what.
Answer: Antagonist
Causes:
Blood Vessel Constriction
Airway Dilation
May down-regulate histamine release
Prevent histamines from binding to receptors (like a barrier)
◉ FASTcronym (evaluating anaphylaxis).
Answer: F - Face (Hives, itching, redness, swelling of face, lips or
tongue).
A - Airway (Trouble breathing, swallowing or speaking, nasal
congestion, sneezing)
S - Stomach (Stomach pain, vomiting, or diarrhea).
, T - Total Body (Hives, itching, swelling, weakness, dizziness, sense of
doom, loss of consciousness).
◉ Steps to test for residual bleach.
Answer: 1. Wash hands and put PPE on
2. Check bottle of test strips to see experation date and cap is
secured
3. Obtain sample of rinse water being tested
4. Remove test strip from bottle & replace cap immediately
5. Dip the test strip in the sample or apply a stream of water from a
syringe
6. Compare results to color indicator
If strip indicates level less than 0.5 ppm: Result negative, equipment
safe
If strip is blue/brown indicating level above 0.5 ppm: Test positive,
equipment NOT safe, retest should occur until negative is obtained
◉ Total Chloring Testing - Breakthrough Plan.
Answer: If test results are 0.10 ppm or greater, "breakthrough" has
occured
1. Place machines in bypass by lifting the shunt door
2. Implement the Breakthrough Action Plan
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ Initial Tx to Anaphylaxis.
Answer: Stop IV infusion, Stop IP infusion, Drain PD fluid
Epinephrine (Adrenaline) 1:1000 0.3 mL (0.3 mg) IM outer thigh)
May be repeated every 5-15 minutes up to 3 doses AND Benadryl 50
mg IVP
If no vascular access: Benadryl 50mg PO
◉ Immediately following to initial Tx to Anaphylaxis.
Answer: Solu-Medrol 125 mg IVP over 5 minutes
If no vascular access: Solu-Medrol 125mg IM (buttock)
◉ Follow up to Anaphylaxis.
Answer: Call 911
Call provider
Document allergic reaction
◉ Symptoms to Allergic Reaction.
Answer: Itching Flushing
,Hives (Urticaria)
Nausea/Vomiting
*For IP administration itching and burning may be within abdominal
cavity*
◉ Initial Tx to Allergic Reaction.
Answer: Stop IV infusion Stop IP infusion, Drain PD fluid
Benadryl 50 mg IVP
If no vascular access: Benadryl 50mg PO
◉ Immediately following initial Tx to Allergic Reaction.
Answer: Solu-Medrol 125 mg IVP over 5 minutes
If no vascular access: Solu-Medrol 125mg IM (buttock)
◉ Follow up to Allergic Reaction.
Answer: Call 911 if symptoms worsen
Call provider
Document allergic reaction
◉ Where should an Epi pen be administered.
Answer: Upper outer thigh (Immediately, Firmly, Through Clothes)
,◉ How long should an EpiPen be administered for.
Answer: 3 seconds
◉ Why an EpiPen should be used first instead of Benadryl.
Answer: Benydryl is a slow acting histamine blocker, and cannot
stop histamines from attaching or being released to the histamine
receptors. Epinephrine can reverse the binding of a histamine to its
receptor.
◉ Epinephrine is a physiological what.
Answer: Antagonist
Causes:
Blood Vessel Constriction
Airway Dilation
May down-regulate histamine release
Prevent histamines from binding to receptors (like a barrier)
◉ FASTcronym (evaluating anaphylaxis).
Answer: F - Face (Hives, itching, redness, swelling of face, lips or
tongue).
A - Airway (Trouble breathing, swallowing or speaking, nasal
congestion, sneezing)
S - Stomach (Stomach pain, vomiting, or diarrhea).
, T - Total Body (Hives, itching, swelling, weakness, dizziness, sense of
doom, loss of consciousness).
◉ Steps to test for residual bleach.
Answer: 1. Wash hands and put PPE on
2. Check bottle of test strips to see experation date and cap is
secured
3. Obtain sample of rinse water being tested
4. Remove test strip from bottle & replace cap immediately
5. Dip the test strip in the sample or apply a stream of water from a
syringe
6. Compare results to color indicator
If strip indicates level less than 0.5 ppm: Result negative, equipment
safe
If strip is blue/brown indicating level above 0.5 ppm: Test positive,
equipment NOT safe, retest should occur until negative is obtained
◉ Total Chloring Testing - Breakthrough Plan.
Answer: If test results are 0.10 ppm or greater, "breakthrough" has
occured
1. Place machines in bypass by lifting the shunt door
2. Implement the Breakthrough Action Plan
