Fresenius annual competency test questions with answers 100% correct
Adverse events must be documented on the medical record, - ANSWER-QAI, and Adverse Event
Report
The action of Renin is to raise the blood pressure. - ANSWER-to raise the blood pressure.
According to FMS policy, intravenous medications are permitted to be pre-drawn how many
hours before administration? - ANSWER-4
According to FMC policy, the safe level for total chlorine is - ANSWER-less than 0.10 ppm
All of the following can contribute to hyperkalemia - ANSWER-Hemolysis, dietary indiscretion,
blood transfusions
The arterial needle is placed - ANSWER-Either with or against the flow of blood
After the placement of a new central venous catheter, the patient suddenly develops SOB, pain
in the side, and unilateral distention of the chest. Suspecting a possible catheter related
complication, in addition to notifying the physician, the RN should? - ANSWER-Immediately stop
Tx
The adequacy of a dialysis Tx may be compromised by? - ANSWER-Inadequate heparinization
All of the following can contribute to hyperkalemia except - ANSWER-Diarrhea
Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of SOB, HA,
and burning at the needle site. In view of these findings, the care giver should: - ANSWER-stop
blood pump and do not return blood to patient
Certified Clinical Hemodialysis Technicians role in education is to? - ANSWER-Reinforce
The component of the dialysate that helps treat acidosis is - ANSWER-bicarbonate.
Chloramines or bleach in the dialysate during dialysis can cause a patients' death due to -
ANSWER-hemolysis
During the OLC testing, a gradual drop in clearance effectiveness by conductivity, KeCN, is most
likely to indicate the need to - ANSWER-increase heparin dosage.
Documentation and interpretation of the KeCN results can assist the staff member in - ANSWER-
assessment for possible clotting in the dialyzer.
, Dialysis has been initiated on a patient using a right internal jugular catheter, as a blood pump is
turned to 200, foam begins to accumulate in the lines. The patient begins to wheeze, and
becomes SOB. The care givers first action would be - ANSWER-clamp the venous line
During dialysis a patient has a cardiac arrest which action should be completed on the dialysis
machine before the machine is used by another patient. - ANSWER-Technical must perform a
functional test on the machine.
The dialysis technician has performed a rinse back on a patient and failed to gather all the
supplies needed to disconnect the patient. What must the technician do prior to getting clean
supplies? - ANSWER-Remove gloves, wash hands, and put on clean gloves
An equivalent marker for inflammation as well as an indicator of future mortality risk and length
of hospitalization stay is a body protein known as? - ANSWER-Serum albumin
Excessive fluid removal during dialysis, combined with the patient's taking an antihypertensive
med may result in patient having? - ANSWER-Hypotension
Epogen is a medication used to treat the anemia that accompanies renal failure. The physician
has ordered 8000u each Tx. The facility stocks Epogen 20,000/ml concentrate. How much
should be administered? - ANSWER-0.4ml
Following FMC policy, when should the first and second hardness test be completed? -
ANSWER-Before the first treatment and after the completion of the last patient's treatment.
The following KeCN are noted: 0015=268, 0045=254, 0115=242, 0145=243, 0215=238. These
results indicate? - ANSWER-A need to increase heparin.
A forty year old patient who has severe HTN, is to start on hemodialysis. No diabetes or cardiac
problems what type of access is preferable. - ANSWER-An arteriovenous fistula
A fistula is considered the access of choice because fistulas... - ANSWER-Have the lowest
complication rate
Gentamycin, garamycin is used primarily with patients who are on dialysis for - ANSWER-
treating CVP infections.
How long can mixed bicarb be kept for use without Medial Director approval and validation
procedures? - ANSWER-Must be used the same day it is mixed 24 hours
High phosphorus foods that must be limited or avoided in patients who are on dialysis are -
ANSWER-Nuts and cola
Hemolyzed blood could be caused by? - ANSWER-Arterial pressure of -270
Adverse events must be documented on the medical record, - ANSWER-QAI, and Adverse Event
Report
The action of Renin is to raise the blood pressure. - ANSWER-to raise the blood pressure.
According to FMS policy, intravenous medications are permitted to be pre-drawn how many
hours before administration? - ANSWER-4
According to FMC policy, the safe level for total chlorine is - ANSWER-less than 0.10 ppm
All of the following can contribute to hyperkalemia - ANSWER-Hemolysis, dietary indiscretion,
blood transfusions
The arterial needle is placed - ANSWER-Either with or against the flow of blood
After the placement of a new central venous catheter, the patient suddenly develops SOB, pain
in the side, and unilateral distention of the chest. Suspecting a possible catheter related
complication, in addition to notifying the physician, the RN should? - ANSWER-Immediately stop
Tx
The adequacy of a dialysis Tx may be compromised by? - ANSWER-Inadequate heparinization
All of the following can contribute to hyperkalemia except - ANSWER-Diarrhea
Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of SOB, HA,
and burning at the needle site. In view of these findings, the care giver should: - ANSWER-stop
blood pump and do not return blood to patient
Certified Clinical Hemodialysis Technicians role in education is to? - ANSWER-Reinforce
The component of the dialysate that helps treat acidosis is - ANSWER-bicarbonate.
Chloramines or bleach in the dialysate during dialysis can cause a patients' death due to -
ANSWER-hemolysis
During the OLC testing, a gradual drop in clearance effectiveness by conductivity, KeCN, is most
likely to indicate the need to - ANSWER-increase heparin dosage.
Documentation and interpretation of the KeCN results can assist the staff member in - ANSWER-
assessment for possible clotting in the dialyzer.
, Dialysis has been initiated on a patient using a right internal jugular catheter, as a blood pump is
turned to 200, foam begins to accumulate in the lines. The patient begins to wheeze, and
becomes SOB. The care givers first action would be - ANSWER-clamp the venous line
During dialysis a patient has a cardiac arrest which action should be completed on the dialysis
machine before the machine is used by another patient. - ANSWER-Technical must perform a
functional test on the machine.
The dialysis technician has performed a rinse back on a patient and failed to gather all the
supplies needed to disconnect the patient. What must the technician do prior to getting clean
supplies? - ANSWER-Remove gloves, wash hands, and put on clean gloves
An equivalent marker for inflammation as well as an indicator of future mortality risk and length
of hospitalization stay is a body protein known as? - ANSWER-Serum albumin
Excessive fluid removal during dialysis, combined with the patient's taking an antihypertensive
med may result in patient having? - ANSWER-Hypotension
Epogen is a medication used to treat the anemia that accompanies renal failure. The physician
has ordered 8000u each Tx. The facility stocks Epogen 20,000/ml concentrate. How much
should be administered? - ANSWER-0.4ml
Following FMC policy, when should the first and second hardness test be completed? -
ANSWER-Before the first treatment and after the completion of the last patient's treatment.
The following KeCN are noted: 0015=268, 0045=254, 0115=242, 0145=243, 0215=238. These
results indicate? - ANSWER-A need to increase heparin.
A forty year old patient who has severe HTN, is to start on hemodialysis. No diabetes or cardiac
problems what type of access is preferable. - ANSWER-An arteriovenous fistula
A fistula is considered the access of choice because fistulas... - ANSWER-Have the lowest
complication rate
Gentamycin, garamycin is used primarily with patients who are on dialysis for - ANSWER-
treating CVP infections.
How long can mixed bicarb be kept for use without Medial Director approval and validation
procedures? - ANSWER-Must be used the same day it is mixed 24 hours
High phosphorus foods that must be limited or avoided in patients who are on dialysis are -
ANSWER-Nuts and cola
Hemolyzed blood could be caused by? - ANSWER-Arterial pressure of -270
