Fresenius Annual Competency EXAM TEST QUESTIONS
AND CORRECT ANSWESR (VERIFIED ANSWERS) PLUS
RATIONALES 2025/2026 Q&A |INSTANT DOWNLOAD
PDF
1. What is the recommended first step before starting a hemodialysis session
for a patient?
A. Begin dialysis immediately after connecting the lines
B. Verify patient identity and check vascular access site
C. Administer anticoagulant before any checks
D. Flush the dialyzer with saline after connection only
Correct Answer: B — It is essential to confirm the patient’s identity and
inspect the vascular access for bleeding or issues before initiating dialysis to
ensure safety.
2. Which parameter is most important to monitor continuously during
hemodialysis?
A. Room temperature
B. Ultrafiltration rate and patient blood pressure
C. Dialysate pH only
D. Nurse-to-patient ratio
Correct Answer: B — Monitoring ultrafiltration rate together with the
patient’s blood pressure helps prevent volume overload or hypotension
during dialysis.
3. If a patient’s blood pump stops unexpectedly during treatment, what is
the first action the dialysis staff should take?
A. Restart the pump immediately at a higher speed
B. Check for a kink or disconnection in the blood circuit
, C. Alert the patient and continue without the pump
D. Remove the patient from treatment without checking
Correct Answer: B — The first priority is to inspect the circuit for mechanical
issues to ensure safety before taking further steps.
4. Which of the following best describes a safe practice when preparing
dialysate?
A. Use tap water without purification if water pressure is good
B. Use distilled water only if dialyzer is reused
C. Ensure water treatment and disinfection systems are functioning, and
verify dialysate conductivity and composition before use
D. Rely on the machine’s default settings without checking
Correct Answer: C — Proper water treatment and verifying dialysate
parameters are critical to prevent contamination and electrolyte
imbalances.
5. What is the main reason for performing a needle-site check during the
mid-dialysis session?
A. To change the needle position for comfort
B. To ensure there is no bleeding or infiltration at the vascular access
C. To adjust the dialysate temperature
D. To document patient vital signs only
Correct Answer: B — Regular inspection ensures early detection of bleeding,
infiltration, or access complications, protecting patient safety.
6. Before administering heparin during dialysis, staff should verify which of
the following?
A. Whether the patient feels cold
B. The correct heparin dose as per prescription and patient’s
weight/anticoagulation needs
C. If the machine is on standby
D. That the patient has eaten recently
Correct Answer: B — Heparin dosing must match the patient’s prescription
and clinical situation to avoid under- or over-anticoagulation.
, 7. What should be done if the dialyzer venous pressure alarm activates and
remains high?
A. Ignore it if the treatment seems fine otherwise
B. Lower the blood flow rate and investigate for possible clotting or access
issues
C. Immediately stop treatment and discard the dialyzer
D. Increase ultrafiltration rate to compensate
Correct Answer: B — High venous pressure may indicate clotting or access
problems; slowing blood flow and checking the circuit helps address the root
cause safely.
8. Which personal protective equipment (PPE) is mandatory when initiating
vascular access for dialysis?
A. Gloves only
B. Gloves and a waterproof apron
C. Gloves, gown, mask, and eye protection if splash risk exists
D. No PPE is required if patient is HIV-negative
Correct Answer: C — Standard precautions require appropriate PPE to
prevent exposure to blood and body fluids, regardless of known infection
status.
9. When should the dialysis machine and station be disinfected?
A. Once at the end of each week
B. After every patient treatment, before re-use for the next patient
C. Only when there’s visible blood spill
D. At the end of the day before closing the unit
Correct Answer: B — Disinfection after each patient ensures infection
control and prevents cross-contamination.
10.Which sign during dialysis might indicate that ultrafiltration is too
aggressive for the patient?
A. Stable blood pressure and no complaints
B. Patient complains of dizziness, cramps, or nausea
C. Dialysate temperature drops slightly
AND CORRECT ANSWESR (VERIFIED ANSWERS) PLUS
RATIONALES 2025/2026 Q&A |INSTANT DOWNLOAD
1. What is the recommended first step before starting a hemodialysis session
for a patient?
A. Begin dialysis immediately after connecting the lines
B. Verify patient identity and check vascular access site
C. Administer anticoagulant before any checks
D. Flush the dialyzer with saline after connection only
Correct Answer: B — It is essential to confirm the patient’s identity and
inspect the vascular access for bleeding or issues before initiating dialysis to
ensure safety.
2. Which parameter is most important to monitor continuously during
hemodialysis?
A. Room temperature
B. Ultrafiltration rate and patient blood pressure
C. Dialysate pH only
D. Nurse-to-patient ratio
Correct Answer: B — Monitoring ultrafiltration rate together with the
patient’s blood pressure helps prevent volume overload or hypotension
during dialysis.
3. If a patient’s blood pump stops unexpectedly during treatment, what is
the first action the dialysis staff should take?
A. Restart the pump immediately at a higher speed
B. Check for a kink or disconnection in the blood circuit
, C. Alert the patient and continue without the pump
D. Remove the patient from treatment without checking
Correct Answer: B — The first priority is to inspect the circuit for mechanical
issues to ensure safety before taking further steps.
4. Which of the following best describes a safe practice when preparing
dialysate?
A. Use tap water without purification if water pressure is good
B. Use distilled water only if dialyzer is reused
C. Ensure water treatment and disinfection systems are functioning, and
verify dialysate conductivity and composition before use
D. Rely on the machine’s default settings without checking
Correct Answer: C — Proper water treatment and verifying dialysate
parameters are critical to prevent contamination and electrolyte
imbalances.
5. What is the main reason for performing a needle-site check during the
mid-dialysis session?
A. To change the needle position for comfort
B. To ensure there is no bleeding or infiltration at the vascular access
C. To adjust the dialysate temperature
D. To document patient vital signs only
Correct Answer: B — Regular inspection ensures early detection of bleeding,
infiltration, or access complications, protecting patient safety.
6. Before administering heparin during dialysis, staff should verify which of
the following?
A. Whether the patient feels cold
B. The correct heparin dose as per prescription and patient’s
weight/anticoagulation needs
C. If the machine is on standby
D. That the patient has eaten recently
Correct Answer: B — Heparin dosing must match the patient’s prescription
and clinical situation to avoid under- or over-anticoagulation.
, 7. What should be done if the dialyzer venous pressure alarm activates and
remains high?
A. Ignore it if the treatment seems fine otherwise
B. Lower the blood flow rate and investigate for possible clotting or access
issues
C. Immediately stop treatment and discard the dialyzer
D. Increase ultrafiltration rate to compensate
Correct Answer: B — High venous pressure may indicate clotting or access
problems; slowing blood flow and checking the circuit helps address the root
cause safely.
8. Which personal protective equipment (PPE) is mandatory when initiating
vascular access for dialysis?
A. Gloves only
B. Gloves and a waterproof apron
C. Gloves, gown, mask, and eye protection if splash risk exists
D. No PPE is required if patient is HIV-negative
Correct Answer: C — Standard precautions require appropriate PPE to
prevent exposure to blood and body fluids, regardless of known infection
status.
9. When should the dialysis machine and station be disinfected?
A. Once at the end of each week
B. After every patient treatment, before re-use for the next patient
C. Only when there’s visible blood spill
D. At the end of the day before closing the unit
Correct Answer: B — Disinfection after each patient ensures infection
control and prevents cross-contamination.
10.Which sign during dialysis might indicate that ultrafiltration is too
aggressive for the patient?
A. Stable blood pressure and no complaints
B. Patient complains of dizziness, cramps, or nausea
C. Dialysate temperature drops slightly
