DaVita (RN) Final Exam Questions and Answers
Updated Version
you are dialyzing a patient and the only available HPB surveillance test is a HBsAb of 8.
What are the machine disinfection requirements after dialyzing this patient? -
ANSWERS-the machine must be heat disinfected at the end of each day
What is the most common factor contributing to bacteremia in dialysis patients? -
ANSWERS-use of catheters for HD
which infectious disease requires frequent hand washing instead of using alcohol based
hand gels - ANSWERS-active clostridioides difficile infection
What precautions must be used when handling lab specimens? - ANSWERS-universal
precautions
waiting only five seconds between lowering the blood pump speed and drawing the post
treatment blood sample could - ANSWERS-cause the post treatment BUN reading to be
falsely low (wait 15 seconds)
which may cause a decrease in the hemoglobin of a patient with ESRD - ANSWERS-
infection/inflammation
fluid overload and HTN lead to LVH, this means - ANSWERS-hypotensive episodes are
more likely to occur during the dialysis treatment
your role in CKD-MBD management includes - ANSWERS-reminding the patient who is
eating a snack during dialysis to take his phosphate binder
your role in anemia management includes - ANSWERS-rinsing back as much of the
patient's blood as you can at the termination of each treatment
When dialyzing a patient with acute kidney injury, one task of the patient care
teammates is to monitor blood pressure and weight closely. Why is it important? -
ANSWERS-hypovolemia and hypotensive episodes can cause renal ischemia and can
further damage the kidneys
CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following
conditions is an intra-renal cause of CKD - ANSWERS-HTN
, Knowing what caused your patient's CKD - ANSWERS-is important because the
underlying disease could cause health complications that can impact the dialysis
treatment
When a PCT documents the extent of a patient's edema, for example as +3 -
ANSWERS-the PCT is preforming an assessment which is not allowed legally
When a patient has an irregular heartbeat, - ANSWERS-the automatic BP reading may
not be accurate
Which of the following is a data collection - ANSWERS-HR 72
at what time should the post treatment data collection be completed - ANSWERS-after
the treatment has been completed
the A in smart communication stands for - ANSWERS-actual- just report the facts
which of the following events is defined as a near miss - ANSWERS-the wrong dialyzer
was set up and primed for a patient, but it was caught before dialysis was initiated and
the dialyzer was replaced
using the __________ approach is one way to fill out an REM - ANSWERS-SBAR
What is your main priority when returning a patient's blood with the hand crank during a
power outage? - ANSWERS-you must be vigilant in watching for air in the blood lines
what problem will cause an increase in the patient's VP - ANSWERS-a clot in the
venous drip chamber
Which blood test must be performed at regular intervals on patients susceptible to HPB
- ANSWERS-HBsAg
who is accountable for appropriate patient and teammate scheduling in the acute setting
- ANSWERS-
the licensed nurse has delegated a specific task to a PCT, but the PCT gets called
away before performing this task. Can the PCT asek another PCT to take over? -
ANSWERS-no, a task delegated by the licensed nurse to a non-licenced teammate
cannot be re-delegated by this teammate
the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not performed
this task during the last 2.5 months. What is Nicole's responsibility in the delegation
communication process? - ANSWERS-Nicole is to inform the nurse that she performed
the task only infrequently
Updated Version
you are dialyzing a patient and the only available HPB surveillance test is a HBsAb of 8.
What are the machine disinfection requirements after dialyzing this patient? -
ANSWERS-the machine must be heat disinfected at the end of each day
What is the most common factor contributing to bacteremia in dialysis patients? -
ANSWERS-use of catheters for HD
which infectious disease requires frequent hand washing instead of using alcohol based
hand gels - ANSWERS-active clostridioides difficile infection
What precautions must be used when handling lab specimens? - ANSWERS-universal
precautions
waiting only five seconds between lowering the blood pump speed and drawing the post
treatment blood sample could - ANSWERS-cause the post treatment BUN reading to be
falsely low (wait 15 seconds)
which may cause a decrease in the hemoglobin of a patient with ESRD - ANSWERS-
infection/inflammation
fluid overload and HTN lead to LVH, this means - ANSWERS-hypotensive episodes are
more likely to occur during the dialysis treatment
your role in CKD-MBD management includes - ANSWERS-reminding the patient who is
eating a snack during dialysis to take his phosphate binder
your role in anemia management includes - ANSWERS-rinsing back as much of the
patient's blood as you can at the termination of each treatment
When dialyzing a patient with acute kidney injury, one task of the patient care
teammates is to monitor blood pressure and weight closely. Why is it important? -
ANSWERS-hypovolemia and hypotensive episodes can cause renal ischemia and can
further damage the kidneys
CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following
conditions is an intra-renal cause of CKD - ANSWERS-HTN
, Knowing what caused your patient's CKD - ANSWERS-is important because the
underlying disease could cause health complications that can impact the dialysis
treatment
When a PCT documents the extent of a patient's edema, for example as +3 -
ANSWERS-the PCT is preforming an assessment which is not allowed legally
When a patient has an irregular heartbeat, - ANSWERS-the automatic BP reading may
not be accurate
Which of the following is a data collection - ANSWERS-HR 72
at what time should the post treatment data collection be completed - ANSWERS-after
the treatment has been completed
the A in smart communication stands for - ANSWERS-actual- just report the facts
which of the following events is defined as a near miss - ANSWERS-the wrong dialyzer
was set up and primed for a patient, but it was caught before dialysis was initiated and
the dialyzer was replaced
using the __________ approach is one way to fill out an REM - ANSWERS-SBAR
What is your main priority when returning a patient's blood with the hand crank during a
power outage? - ANSWERS-you must be vigilant in watching for air in the blood lines
what problem will cause an increase in the patient's VP - ANSWERS-a clot in the
venous drip chamber
Which blood test must be performed at regular intervals on patients susceptible to HPB
- ANSWERS-HBsAg
who is accountable for appropriate patient and teammate scheduling in the acute setting
- ANSWERS-
the licensed nurse has delegated a specific task to a PCT, but the PCT gets called
away before performing this task. Can the PCT asek another PCT to take over? -
ANSWERS-no, a task delegated by the licensed nurse to a non-licenced teammate
cannot be re-delegated by this teammate
the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not performed
this task during the last 2.5 months. What is Nicole's responsibility in the delegation
communication process? - ANSWERS-Nicole is to inform the nurse that she performed
the task only infrequently
