CDN Exam ACTUAL QUESTIONS AND
CORRECT ANSWERS
What does kidneys do ? - CORRECT ANSWER Remove water and waste - kidneys,
test, and filter each drop of blood and waste and extra water to the bladder as urine
Keep salt and other electrolytes in valance - electrolytes carry signals between nerves and
muscles
Control blood pressure - kidneys keep water/salt and balance and make an enzyme called
Renin that can raise blood pressure if it drops too low
Keeps bone strong - kit needs help convert vitamin D into an active form ( calcitrol ) So
calcium can be absorbed
Maintain acid base balance - kidneys help keep our blood and bodies at the pH level that lets
our organs work as well as possible
Helping ensure the right level of red blood cells - kidney sense if there are enough red blood
cells in the blood, not enough? They send a hormone erythropoietin to the bone marrow to
make more
What happens during a dialysis session? - CORRECT ANSWER A blood pump pulls
blood out of the patient through one needle (arterial) and pushes it to a dialyzer.
Inside the dialer, blood is filter and cleaned: waste and water passes out of the blood through
hollow hair, like fiber in the dialyzer and into a cleaning fluid called dialysis
Then the blood goes back to the patient through another needle ( Venus )
Used dialysate is sent to the drain
,The dialysis machine sets the rate of blood flow and mixes purified, water concentrates to
make and deliver dialysate. There are many safety checks and alarms in the machine to make
sure that the treatment is is being done right
What is Medicare and stage renal disease program? - CORRECT ANSWER This
program gives coverage to patient who have worked enough to qualify for Social Security or
to their dependence
What are the different parts of Medicare? - CORRECT ANSWER Medicare part a -
covers hospitalizations and is free for those who qualify
Medicare part B - outpatient care such as dialysis. Patient must pay a premium for part B.
Medicare part D - pays for medication
Patient need to have a second health plan along with Medicare, such as Medicaid or Medigap,
to pay the balance that Medicare does not cover
Cms makes rules for ? - CORRECT ANSWER CMS makes rolls that all dialysis
clinics must follow if they want to be paid. These rules are called the conditions for coverage
for in stage renal disease facilities.
What if some patients have employer group health plans? - CORRECT
ANSWER Some patients have employer group health plans through their own job or a
spouses job. Employee group health plans are primary, they pay first for the first 30 months
after a patient can get Medicare. Medicare is secondary during those 30 months and May pay
some all of what employer group health plans don't cover
After the 30 months are up the insurance coverage switches, Medicare becomes primary and
employer group health plans a secondary. Group health plans tend to pay much more than
Medicare. This means that dialysis clinics can bring in more revenue. ( I think the are called
commercial pts )
, When does Medicare start to pay? - CORRECT ANSWER Patients who don't have
Medicare when they start dialysis must wait three months for it to start to pay if they do end
center dialysis
If they train for PD/home therapies, Medicare starts to pay on the first day of their month of
dialysis
Medicare will also pay for a kidney transplant and three years post transplant care as well, if
three years after a successful transplant, Medicare will stop in the patient will need other
health insurance
Choosing to do home therapies before the first day of the fourth month can say patients tends
of thousands of dollars
What is the purpose of quality in sensitive program? ( QIP) - CORRECT
ANSWER The goal of QIP is to improve care by paying less when outcomes are poor.
The whole care team needs to help the clinic meet these measures.
Things, QIP measure our adequacy, how many fistulas, how many catheters, BMM,
Bloodstream infections, hospital, remissions, calcium levels, anemia, patient experience of
care, and a few other things
What is ESRD prospective payment system - CORRECT ANSWER This is also called
the bundle
The PPS bundles, what was in the composite rate plus lab test, some drugs in a home trading
add-on into one payment
Where are the kidneys located? - CORRECT ANSWER Most people have two
kidneys. Each is about the size of a fist and weighs about 5 ounces. Kidneys are in the back
of the body, just above their waist. Pads of fat, and the bones of the rib cage protect them.
What are nephron? - CORRECT ANSWER Eat beat of the heart pumps blood through
the aorta, the largest artery and right to the renal arteries. Smaller blood vessels, then keep a
CORRECT ANSWERS
What does kidneys do ? - CORRECT ANSWER Remove water and waste - kidneys,
test, and filter each drop of blood and waste and extra water to the bladder as urine
Keep salt and other electrolytes in valance - electrolytes carry signals between nerves and
muscles
Control blood pressure - kidneys keep water/salt and balance and make an enzyme called
Renin that can raise blood pressure if it drops too low
Keeps bone strong - kit needs help convert vitamin D into an active form ( calcitrol ) So
calcium can be absorbed
Maintain acid base balance - kidneys help keep our blood and bodies at the pH level that lets
our organs work as well as possible
Helping ensure the right level of red blood cells - kidney sense if there are enough red blood
cells in the blood, not enough? They send a hormone erythropoietin to the bone marrow to
make more
What happens during a dialysis session? - CORRECT ANSWER A blood pump pulls
blood out of the patient through one needle (arterial) and pushes it to a dialyzer.
Inside the dialer, blood is filter and cleaned: waste and water passes out of the blood through
hollow hair, like fiber in the dialyzer and into a cleaning fluid called dialysis
Then the blood goes back to the patient through another needle ( Venus )
Used dialysate is sent to the drain
,The dialysis machine sets the rate of blood flow and mixes purified, water concentrates to
make and deliver dialysate. There are many safety checks and alarms in the machine to make
sure that the treatment is is being done right
What is Medicare and stage renal disease program? - CORRECT ANSWER This
program gives coverage to patient who have worked enough to qualify for Social Security or
to their dependence
What are the different parts of Medicare? - CORRECT ANSWER Medicare part a -
covers hospitalizations and is free for those who qualify
Medicare part B - outpatient care such as dialysis. Patient must pay a premium for part B.
Medicare part D - pays for medication
Patient need to have a second health plan along with Medicare, such as Medicaid or Medigap,
to pay the balance that Medicare does not cover
Cms makes rules for ? - CORRECT ANSWER CMS makes rolls that all dialysis
clinics must follow if they want to be paid. These rules are called the conditions for coverage
for in stage renal disease facilities.
What if some patients have employer group health plans? - CORRECT
ANSWER Some patients have employer group health plans through their own job or a
spouses job. Employee group health plans are primary, they pay first for the first 30 months
after a patient can get Medicare. Medicare is secondary during those 30 months and May pay
some all of what employer group health plans don't cover
After the 30 months are up the insurance coverage switches, Medicare becomes primary and
employer group health plans a secondary. Group health plans tend to pay much more than
Medicare. This means that dialysis clinics can bring in more revenue. ( I think the are called
commercial pts )
, When does Medicare start to pay? - CORRECT ANSWER Patients who don't have
Medicare when they start dialysis must wait three months for it to start to pay if they do end
center dialysis
If they train for PD/home therapies, Medicare starts to pay on the first day of their month of
dialysis
Medicare will also pay for a kidney transplant and three years post transplant care as well, if
three years after a successful transplant, Medicare will stop in the patient will need other
health insurance
Choosing to do home therapies before the first day of the fourth month can say patients tends
of thousands of dollars
What is the purpose of quality in sensitive program? ( QIP) - CORRECT
ANSWER The goal of QIP is to improve care by paying less when outcomes are poor.
The whole care team needs to help the clinic meet these measures.
Things, QIP measure our adequacy, how many fistulas, how many catheters, BMM,
Bloodstream infections, hospital, remissions, calcium levels, anemia, patient experience of
care, and a few other things
What is ESRD prospective payment system - CORRECT ANSWER This is also called
the bundle
The PPS bundles, what was in the composite rate plus lab test, some drugs in a home trading
add-on into one payment
Where are the kidneys located? - CORRECT ANSWER Most people have two
kidneys. Each is about the size of a fist and weighs about 5 ounces. Kidneys are in the back
of the body, just above their waist. Pads of fat, and the bones of the rib cage protect them.
What are nephron? - CORRECT ANSWER Eat beat of the heart pumps blood through
the aorta, the largest artery and right to the renal arteries. Smaller blood vessels, then keep a
