PCT Certification Exam Review Questions Answered 100% correct

PCT Certification Exam Review Questions Answered 100% correct AAMI Chemical Analysis of water used for hemodialysis is tested annually. A 58-year old patient who is blind comes to treatment accompanied by his wife. Which of these approaches should the dialysis technician use when interacting with the patient? Avoid using phrases that refer to sight, such as "It looks like..." Describe the activities in the immediate environment Give instructions to his wife instead of him Touch the patient before speaking to him Describe the activities in the immediate environment A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis machine. Which of these actions should the dialysis technician take? Clean the machine surface at the end of treatment Clean the machine surface immediately Notify the equipment technician Notify the nurse Clean the machine surface immediately A dialysis technician observes all of the below on the treatment floor, which one poses an environmental risk? About one ounce (30ml) fluid is on the floor A patient's family member is present during initiation of treatment Charts are lying on bedside tables The wheels of the hemodialysis machine are locked About one ounce (30ml) fluid is on the floor A female dialysis technician has been caring for a male patient for several months. The patient tells the dialysis technician that he is lonely and depressed. He asks the dialysis technician to go out to dinner with him. In addition to politely declining the patient's invitation, which of these actions, if any, should the dialysis technician take? No further action is needed Recommend an over-the-counter mood stimulant, such as St. John's Wort Refer the patient to the social worker Share the patient's need for socialization with other patients Refer the patient to the social worker A fistula connects an artery to a vein. A marker used to determine the middle molecule clearance of a dialyzer is vitamin B12. A mixed-bed DI tank contains Cations and anions. A nephron is made up of: A glomerulus and a tubule system A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect an Infiltration. A patient who is to receive their first dialysis treatment is prone to? Dialysis disequilibrium syndrome A patient tells the technician that the dietitian reviewed high-potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium? Bananas Ice Cream Pasta Rice Bananas A slow pulse of 54 beats/minute would indicate the patient has Bradycardia A reason why a dialysis technician is to be certified is: It is a CMS requirement A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of: Clotting of the extracorporeal circuit A teammate asks you to document the normal saline he just gave to Mr. Smith. You would: never document something that someone else did A true aneurysm can be dangerous because it may rupture and cause the patient to bleed profusely. A patient's laboratory results indicate that the predialysis BUN level was lower than the post dialysis BUN level. When interpreting these findings the technician should seek the answer to which of these questions. Was the machine in bypass during the post sampling? Was the patient's heparin pump turned off when the post sample was drawn? Was the post dialysis sample drawn correctly? Was the port used for predialysis sampling cleaned with disinfectant? Was the post dialysis sample drawn correctly? A rapid pulse of 104 beats/minute would indicate that the patient has: tachycardia A patient's target weight is 154.0 lb (70 kg) and the patient's pre treatment weight is 158.4 lb (72 kg). For a four-hour treatment, how many mL/hour must the patient lose to reach dry weight? 500 AAMI standard for conventional dialysate requires the total microbial count be less than 100 CFU/mL Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. Potassium Acceptable interdialytic weight gains are 3 - 5% of TW. The AAMI standard for endotoxin levels in conventional dialysate is less than 0.50 EU/mL Albumin is an important test that tells about the patients' __________ status. nutritional All of the following are phosphate binders EXCEPT : Renagel Phos-Lo Tums Vitamin B12 Vitamin B12 All of the following may be signs and symptoms of an infected access EXCEPT : fever and swelling of the access numbness and tingling redness and warmth tenderness and drainage numbness and tingling Asepsis is defined as the absence of disease producing organisms. Before a hemodialysis treatment, the technician removes the cap from the fistula needle and accidentally touches the chair with the tip of the needle. Which of these actions should the technician take first? Continue to cannulate with the needle Discard the needle Place the needle in alcohol for five minutes Put on new PPE Discard the needle Dialysate that is too hot will cause hemolysis. Target weight is defined as the weight at which the patient has no edema or fluid in the lungs and BP is normal. During a hemodialysis treatment the technician responds to a low venous pressure alarm. The most likely cause for this alarm is: Clot in the venous drip chamber Disconnection of the blood line Kinking of the blood line Venous needle infiltration Disconnection of the blood line During a hemodialysis treatment, a patient says to the technician, 'Three hours of time have passed according to the clock on the wall, but the machine shows that only 2.5 hours have passed. What could be the problem?' The technician should understand that the machine was in bypass for 30 minutes. Biohazardous waste includes any material exposed to: blood Decreasing the patient's prescribed blood flow rate affects the rate of Diffusion During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first? Apply ice to the area Draw blood for a hematocrit Insert another needle Stop the blood pump Stop the blood pump