Certified Dialysis Nurse Test Review-
Graded
Deferoxamine (Desferal) - -Correct Answer-The nurse caring for a dialysis patient with
known aluminum overload should be prepared to administer which medication during
the latter part of the dialysis treatment to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides. - -Correct Answer-What are the
likely reasons that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
Charcoal may be used in association with deferoxamine chelation to remove excess
aluminum or iron from body tissues. - -Correct Answer-Hemoperfusion is more effective
than hemodialysis for removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated. - -Correct Answer-When
caring for a patient who is experiencing a severe transplant rejection, what
complications should the nurse anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period. - -
Correct Answer-When educating a peritoneal dialysis patient about the prescribed
icodextrin solution, which teaching points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF. - -Correct Answer-Which teaching points must be mastered by patients
before they can perform their automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-
3 days postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent
is no longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is
undergoing PD. - A small volume of heparinized solution should remain in the
peritoneum to inhibit the formation of fibrin
,-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are
performed using a cycler with the patient in the supine position. - -Correct Answer-
During the period called catheter break-in, when the peritoneal dialysis catheter is
placed and healing has begun, the nurse should anticipate which prescribed dialysis
orders?
rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss. -
-Correct Answer-A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. - -
Correct Answer-A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. - -Correct Answer-When a patient is
deciding between peritoneal dialysis and hemodialysis, what are some of the benefits
the staff can share regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally. - -Correct Answer-Which
manifestations might lead the clinician to believe that a patient on PD requires an
increased dose of dialysis?
• Active chronic infection or sepsis
• Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen - -Correct Answer-Absolute
Contraindications to Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. - -Correct Answer-The dialysis nurse should suspect the
toddler weighing less than 20 kg. is experiencing hypotension if these clinical
manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD. - -Correct Answer-In which areas of care has the nonprofit
foundation Kidney Disease Improving Global Outcomes (KDIGO) provided written
evidence-based guidelines related to the prevention or management of kidney disease?
, 2019 - National Dialysis Accreditation Commission (NDAC). - -Correct Answer-Which
organization was recently approved by CMS to conduct surveys for Medicare
certification fostering faster approval of dialysis clinics?
Hypotension.
Cramping. - -Correct Answer-When caring for a patient on dialysis, if the dialysate
solution contains too little sodium, the water may shift into the patient's blood cells,
causing which signs or symptoms?
700-1,000 mL of water. - -Correct Answer-How much water is typically lost through
evaporation from the lungs and insensible perspiration every day?
"If nephrons are damaged, they do not regenerate." - -Correct Answer-A patient with
renal failure asks the dialysis nurse if his kidney will regenerate. How does the nurse
answer?
"It is likely the proximal tubule and collecting ducts are damaged." - -Correct Answer-A
dialysis patient asks, "Which part of my kidney is causing my problem with water
reabsorption?" What is the proper response?
"Control your blood glucose levels if you are a diabetic."
"Maintain a healthy weight."
"Control cholesterol levels." - -Correct Answer-The patient asks if there is anything she
can do to slow or delay the progression of her kidney disease. Which modifiable risk
factors could the nurse mention?
Dietary restrictions on sodium, phosphorus, and protein.
Monitoring for mineral bone disease.
Education on cardiovascular disease. - -Correct Answer-Which recommendations would
a nephrologist be likely to make for a patient who has reached stages 3 or 4 chronic
kidney disease (CKD)?
Avoiding ibuprofen for pain.
Discontinuing bisphosphonates for osteoporosis. - -Correct Answer-A CKD patient
arrives at the dialysis center after her nephrology visit. Since her eGFR is now in the
20s, which changes in her prescriptions should the dialysis nurse anticipate?
Renal carcinoma. - -Correct Answer-A family member asks the dialysis nurse if he
should be concerned about some blood in his urine. The dialysis nurse knows that this
disease is associated with hematuria and encourages him to seek medical care with his
primary healthcare provider:
Renal artery stenosis.
Severe dehydration. - -Correct Answer-Which prerenal causes can reduce blood flow to
the kidney and result in acute kidney injury?
Graded
Deferoxamine (Desferal) - -Correct Answer-The nurse caring for a dialysis patient with
known aluminum overload should be prepared to administer which medication during
the latter part of the dialysis treatment to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides. - -Correct Answer-What are the
likely reasons that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
Charcoal may be used in association with deferoxamine chelation to remove excess
aluminum or iron from body tissues. - -Correct Answer-Hemoperfusion is more effective
than hemodialysis for removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated. - -Correct Answer-When
caring for a patient who is experiencing a severe transplant rejection, what
complications should the nurse anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period. - -
Correct Answer-When educating a peritoneal dialysis patient about the prescribed
icodextrin solution, which teaching points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF. - -Correct Answer-Which teaching points must be mastered by patients
before they can perform their automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-
3 days postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent
is no longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is
undergoing PD. - A small volume of heparinized solution should remain in the
peritoneum to inhibit the formation of fibrin
,-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are
performed using a cycler with the patient in the supine position. - -Correct Answer-
During the period called catheter break-in, when the peritoneal dialysis catheter is
placed and healing has begun, the nurse should anticipate which prescribed dialysis
orders?
rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss. -
-Correct Answer-A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. - -
Correct Answer-A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. - -Correct Answer-When a patient is
deciding between peritoneal dialysis and hemodialysis, what are some of the benefits
the staff can share regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally. - -Correct Answer-Which
manifestations might lead the clinician to believe that a patient on PD requires an
increased dose of dialysis?
• Active chronic infection or sepsis
• Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen - -Correct Answer-Absolute
Contraindications to Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. - -Correct Answer-The dialysis nurse should suspect the
toddler weighing less than 20 kg. is experiencing hypotension if these clinical
manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD. - -Correct Answer-In which areas of care has the nonprofit
foundation Kidney Disease Improving Global Outcomes (KDIGO) provided written
evidence-based guidelines related to the prevention or management of kidney disease?
, 2019 - National Dialysis Accreditation Commission (NDAC). - -Correct Answer-Which
organization was recently approved by CMS to conduct surveys for Medicare
certification fostering faster approval of dialysis clinics?
Hypotension.
Cramping. - -Correct Answer-When caring for a patient on dialysis, if the dialysate
solution contains too little sodium, the water may shift into the patient's blood cells,
causing which signs or symptoms?
700-1,000 mL of water. - -Correct Answer-How much water is typically lost through
evaporation from the lungs and insensible perspiration every day?
"If nephrons are damaged, they do not regenerate." - -Correct Answer-A patient with
renal failure asks the dialysis nurse if his kidney will regenerate. How does the nurse
answer?
"It is likely the proximal tubule and collecting ducts are damaged." - -Correct Answer-A
dialysis patient asks, "Which part of my kidney is causing my problem with water
reabsorption?" What is the proper response?
"Control your blood glucose levels if you are a diabetic."
"Maintain a healthy weight."
"Control cholesterol levels." - -Correct Answer-The patient asks if there is anything she
can do to slow or delay the progression of her kidney disease. Which modifiable risk
factors could the nurse mention?
Dietary restrictions on sodium, phosphorus, and protein.
Monitoring for mineral bone disease.
Education on cardiovascular disease. - -Correct Answer-Which recommendations would
a nephrologist be likely to make for a patient who has reached stages 3 or 4 chronic
kidney disease (CKD)?
Avoiding ibuprofen for pain.
Discontinuing bisphosphonates for osteoporosis. - -Correct Answer-A CKD patient
arrives at the dialysis center after her nephrology visit. Since her eGFR is now in the
20s, which changes in her prescriptions should the dialysis nurse anticipate?
Renal carcinoma. - -Correct Answer-A family member asks the dialysis nurse if he
should be concerned about some blood in his urine. The dialysis nurse knows that this
disease is associated with hematuria and encourages him to seek medical care with his
primary healthcare provider:
Renal artery stenosis.
Severe dehydration. - -Correct Answer-Which prerenal causes can reduce blood flow to
the kidney and result in acute kidney injury?
