Fresenius Annual Competency Test Questions With
Answers 100% Correct
Adverse events must be documented on the All of the following can contribute to hyperkalemia
medical record, - ANSWER -QAI, and except - ANSWER -Diarrhea
Adverse Event Report
Bright cherry soda colored blood is noticed in the
The action of Renin is to raise the blood dialyzer. The patient complains of SOB, HA, and
pressure. - ANSWER -to raise the blood burning at the needle site. In view of these
pressure. findings, the care giver should: - ANSWER -
stop blood pump and do not return blood to
patient
According to FMS policy, intravenous
medications are permitted to be pre-drawn how
many hours before administration? - Certified Clinical Hemodialysis Technicians role
ANSWER -4 in education is to? - ANSWER -Reinforce
According to FMC policy, the safe level for total The component of the dialysate that helps treat
chlorine is - ANSWER -less than 0.10 ppm acidosis is - ANSWER -bicarbonate.
All of the following can contribute to Chloramines or bleach in the dialysate during
hyperkalemia - ANSWER -Hemolysis, dialysis can cause a patients' death due to -
dietary indiscretion, blood transfusions ANSWER -hemolysis
The arterial needle is placed - ANSWER - During the OLC testing, a gradual drop in
Either with or against the flow of blood clearance effectiveness by conductivity, KeCN, is
most likely to indicate the need to -
ANSWER -increase heparin dosage.
After the placement of a new central venous
catheter, the patient suddenly develops SOB,
pain in the side, and unilateral distention of the Documentation and interpretation of the KeCN
chest. Suspecting a possible catheter related results can assist the staff member in -
complication, in addition to notifying the ANSWER -assessment for possible clotting
physician, the RN should? - ANSWER - in the dialyzer.
Immediately stop Tx
Dialysis has been initiated on a patient using a
The adequacy of a dialysis Tx may be right internal jugular catheter, as a blood pump is
compromised by? - ANSWER -Inadequate turned to 200, foam begins to accumulate in the
heparinization lines. The patient begins to wheeze, and
becomes SOB. The care givers first action would
be - ANSWER -clamp the venous line
1/6
, Fresenius Annual Competency Test Questions With
Answers 100% Correct
0045=254, 0115=242, 0145=243, 0215=238.
These results indicate? - ANSWER -A need
During dialysis a patient has a cardiac arrest to increase heparin.
which action should be completed on the dialysis
machine before the machine is used by another
patient. - ANSWER -Technical must A forty year old patient who has severe HTN, is
perform a functional test on the machine. to start on hemodialysis. No diabetes or cardiac
problems what type of access is preferable. -
ANSWER -An arteriovenous fistula
The dialysis technician has performed a rinse
back on a patient and failed to gather all the
supplies needed to disconnect the patient. What A fistula is considered the access of choice
must the technician do prior to getting clean because fistulas... - ANSWER -Have the
supplies? - ANSWER -Remove gloves, lowest complication rate
wash hands, and put on clean gloves
Gentamycin, garamycin is used primarily with
An equivalent marker for inflammation as well as patients who are on dialysis for -
an indicator of future mortality risk and length of ANSWER -treating CVP infections.
hospitalization stay is a body protein known as? -
ANSWER -Serum albumin
How long can mixed bicarb be kept for use
without Medial Director approval and validation
Excessive fluid removal during dialysis, procedures? - ANSWER -Must be used the
combined with the patient's taking an same day it is mixed 24 hours
antihypertensive med may result in patient
having? - ANSWER -Hypotension
High phosphorus foods that must be limited or
avoided in patients who are on dialysis are -
Epogen is a medication used to treat the anemia ANSWER -Nuts and cola
that accompanies renal failure. The physician
has ordered 8000u each Tx. The facility stocks
Epogen 20,000/ml concentrate. How much Hemolyzed blood could be caused by? -
should be administered? - ANSWER -0.4ml ANSWER -Arterial pressure of -270
Following FMC policy, when should the first and Improperly primed dialyzers and blood lines can
second hardness test be completed? -
increase the risk of - ANSWER -air
ANSWER -Before the first treatment and embolism and clotting in the dialyzer.
after the completion of the last patient's
treatment.
If the bicarb jugs have been in storage and are
needed for emergency use what action must be
The following KeCN are noted: 0015=268,
2/6
Answers 100% Correct
Adverse events must be documented on the All of the following can contribute to hyperkalemia
medical record, - ANSWER -QAI, and except - ANSWER -Diarrhea
Adverse Event Report
Bright cherry soda colored blood is noticed in the
The action of Renin is to raise the blood dialyzer. The patient complains of SOB, HA, and
pressure. - ANSWER -to raise the blood burning at the needle site. In view of these
pressure. findings, the care giver should: - ANSWER -
stop blood pump and do not return blood to
patient
According to FMS policy, intravenous
medications are permitted to be pre-drawn how
many hours before administration? - Certified Clinical Hemodialysis Technicians role
ANSWER -4 in education is to? - ANSWER -Reinforce
According to FMC policy, the safe level for total The component of the dialysate that helps treat
chlorine is - ANSWER -less than 0.10 ppm acidosis is - ANSWER -bicarbonate.
All of the following can contribute to Chloramines or bleach in the dialysate during
hyperkalemia - ANSWER -Hemolysis, dialysis can cause a patients' death due to -
dietary indiscretion, blood transfusions ANSWER -hemolysis
The arterial needle is placed - ANSWER - During the OLC testing, a gradual drop in
Either with or against the flow of blood clearance effectiveness by conductivity, KeCN, is
most likely to indicate the need to -
ANSWER -increase heparin dosage.
After the placement of a new central venous
catheter, the patient suddenly develops SOB,
pain in the side, and unilateral distention of the Documentation and interpretation of the KeCN
chest. Suspecting a possible catheter related results can assist the staff member in -
complication, in addition to notifying the ANSWER -assessment for possible clotting
physician, the RN should? - ANSWER - in the dialyzer.
Immediately stop Tx
Dialysis has been initiated on a patient using a
The adequacy of a dialysis Tx may be right internal jugular catheter, as a blood pump is
compromised by? - ANSWER -Inadequate turned to 200, foam begins to accumulate in the
heparinization lines. The patient begins to wheeze, and
becomes SOB. The care givers first action would
be - ANSWER -clamp the venous line
1/6
, Fresenius Annual Competency Test Questions With
Answers 100% Correct
0045=254, 0115=242, 0145=243, 0215=238.
These results indicate? - ANSWER -A need
During dialysis a patient has a cardiac arrest to increase heparin.
which action should be completed on the dialysis
machine before the machine is used by another
patient. - ANSWER -Technical must A forty year old patient who has severe HTN, is
perform a functional test on the machine. to start on hemodialysis. No diabetes or cardiac
problems what type of access is preferable. -
ANSWER -An arteriovenous fistula
The dialysis technician has performed a rinse
back on a patient and failed to gather all the
supplies needed to disconnect the patient. What A fistula is considered the access of choice
must the technician do prior to getting clean because fistulas... - ANSWER -Have the
supplies? - ANSWER -Remove gloves, lowest complication rate
wash hands, and put on clean gloves
Gentamycin, garamycin is used primarily with
An equivalent marker for inflammation as well as patients who are on dialysis for -
an indicator of future mortality risk and length of ANSWER -treating CVP infections.
hospitalization stay is a body protein known as? -
ANSWER -Serum albumin
How long can mixed bicarb be kept for use
without Medial Director approval and validation
Excessive fluid removal during dialysis, procedures? - ANSWER -Must be used the
combined with the patient's taking an same day it is mixed 24 hours
antihypertensive med may result in patient
having? - ANSWER -Hypotension
High phosphorus foods that must be limited or
avoided in patients who are on dialysis are -
Epogen is a medication used to treat the anemia ANSWER -Nuts and cola
that accompanies renal failure. The physician
has ordered 8000u each Tx. The facility stocks
Epogen 20,000/ml concentrate. How much Hemolyzed blood could be caused by? -
should be administered? - ANSWER -0.4ml ANSWER -Arterial pressure of -270
Following FMC policy, when should the first and Improperly primed dialyzers and blood lines can
second hardness test be completed? -
increase the risk of - ANSWER -air
ANSWER -Before the first treatment and embolism and clotting in the dialyzer.
after the completion of the last patient's
treatment.
If the bicarb jugs have been in storage and are
needed for emergency use what action must be
The following KeCN are noted: 0015=268,
2/6
