DAVITAPCT FINALEXAM2025 b b b b b
QUESTIONSWITHCORRECTANSWERS
b b b b
Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
b b b b b b b b b b b b b b
CORRECT ANSWER -bacteria and endotoxins b b b b
what problems will cause a more positive (less negative) pre-pump arterial pressure. -
b b b b b b b b b b b b
CORRECT ANSWER -blockage of arterial blood flow from the vascular access.
b b b b b b b b b b b
what is the most likely reason for a blood leak detector alarm during recirculation -
b b b b b b b b b b b b b b
CORRECT ANSWER --air bubbles in the dialysate, dirty sensor
b b b b b b b b b
-check dialysate connections, bleach machine b b b b
what is an appropriate interventions with an air/foam detector alarm? - CORRECT ANSWER
b b b b b b b b b b b b
- look at circuit for blood in the system. DO NOT return blood with air in the system.
b b b b b b b b b b b b b b b b b b
what will cause a more negative pre-pump arterial pressure? - CORRECT ANSWER -
b b b b b b b b b b b b
Kinking of the arterial blood line between the vascular access and arterial monitor
b b b b b b b b b b b b b
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
b b b b b b b b b b b b b
CORRECT ANSWER -decrease b b
what could be the reasons for a conductivity alarm on the dialysis machine - CORRECT ANSWER -
b b b b b b b b b b b b b b b b
when the dialysate is mixed incorrectly or there is no water acid or bicarb.
b b b b b b b b b b b b b b
the person responsible for implementation, adherence, and training of the facility specific
b b b b b b b b b b b
bemergenc y management plan (EMP) and applicable policy and procedures is - CORRECT b b b b b b b b b b b b
bANSWER - b
Fa or designee b b
Teammates MUST be able to readily identify patients who may require additional assistance in the b b b b b b b b b b b b b b
event of an emergency evacuation. This will include patients who need help with or are unable to
b b b b b b b b b b b b b b b b b
- CORRECT ANSWER -both b and c
b b b b b b
what is an important action prior to returning a patients blood using the hand crank in the event
b b b b b b b b b b b b b b b b b
o f a power failure ? - CORRECT ANSWER -remove the venous line for the line clamp
b b b b b b b b b b b b b b b b b
Per physician order and based on individual patient needs, CThEroAnCiH
b c KL iedsns eo yn M DP li as en a s e Mineral and Bone
b b b b b b b b b b b b b
Disorder (MBD) is treated with - CORRECT A NSWERM
b M - urray: Foundations of Maternal-
b b b b b b b
b b b
phosphate binders, Vit D (Hectorol), and C i n a Nc ael w
c ebt o r n & Women's Health Nursing, 8th Edition
b b b b b b
b b b b b b
Poor wound healing is directly related to - CORRECT ANSWER -low protein intake
b b b b b b b b b b b b
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is b b b b b b b b b b b b b
th e best time to take them ? - CORRECT ANSWER -with meal
b b b b b b b b b b b b b
The definition of Health Literacy is - CORRECT ANSWER -
b b b b b b b b b
ability to obtain, read, understand, and use healthcare information in order to make appropriate
b b b b b b b b b b b b b
bhe alth decisions and follow instructions for treatment
b b b b b b b
If you notice that a patient's caretaker is struggling to meet the demands of the patients
b b b b b b b b b b b b b b b
btreatment
, regime you should - CORRECT ANSWER -contact social worker
b b b b b b b b
The Psychosocial Assessment completed by the social worker - CORRECT ANSWER -
b b b b b b b b b b b
an evaluation of a person's mental health, social status, and functional capacity within the
b b b b b b b b b b b b b
commun ityCompeted initially and annually
b b b b b
The Clinical Pyramid includes : - CORRECT ANSWER -
b b b b b b b b
• The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target
b b b b b b b b b b
bW eight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management, Diabetes
b b b b b b b b b b
bMa nagement, Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance,
b b b b b b b b b b
Transiti on of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness
b b b b b b b b b b b b
b• Mortal ity, Hospitalization /Re-
b b b b
hospitalization, Patient Experience of Care• What Matters Most • Our patient's health- b b b b b b b b b b b
related Quality of Life
b b b b
DaVita Quality Index (DQI) success is achieved - CORRECT ANSWER -
b b b b b b b b b b
encourage continuous improvement across aboard range of disease management processes (all of t
b b b b b b b b b b b b
he above )
b b b
What can be the most likely result if the surveyor sees a patient with a covered vascular access -
b b b b b b b b b b b b b b b b b b
CORRECT ANSWER -immediate jeopardy
b b b b
A surveyor asks you a question. Which of the following statements would be a good answer ? -
b b b b b b b b b b b b b b b b b
CORRECT ANSWER -I do not know the answer but I will find out.
b b b b b b b b b b b b b
Intra-renal causes of AKI - CORRECT ANSWER - b b b b b b b
Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture Syndrome, Acute
b b b b b b b b b b
bGlomeru lonephritis, Trauma, Open Heart Surgery b b b b b
Knowing what caused your patients kidney failure - CORRECT ANSWER -
b b b b b b b b b b
can cause complications to treatment
b b b b b
A patient with acute kidney injury dialyzes in the out-
b b b b b b b b b
patient facility. With regards to the patients target weight, why is being "wet" better that being
b b b b b b b b b b b b b b b
to o dry? - CORRECT ANSWER -
b b b b b b b
The excretory function of the kidneys include - CORRECT ANSWER -
b b b b b b b b b b
remove access water, urea, and metabolic wastes from the bTl oE oA dC .H Lesson Plan
b b b b b b b b b b b
Murray: Foundations of Maternal- b b b
Acid concentrate replaces the excretory functN
b i oenw
MobfoM nrnor&
maW
l M okim
dneeny'sM fHuneac tlitohn MNbuyrMs-ing, 8th Edition
b b b b b b
CORRECT ANSWER - b b
Hemodialysis removes urea, salts, and excess water from the blood normalizing electrolytes, b b b b b b b b b b b
bremov es metabolic acidosis, b b b
Ultrafiltration is defined as - CORRECT ANSWER - b b b b b b b
controlled fluid removed by manipulation of hydrostatic pressure b b b b b b b
The endocrine functions of the kidneys are - CORRECT ANSWER -
b b b b b b b b b b
Renin and erythropoietin secretion ,activation of vitamin D
b b b b b b b b
Dialysis replaces only b b b percent of normal kidney function. - CORRECT ANSWER -15%
b b b b b b b b b
QUESTIONSWITHCORRECTANSWERS
b b b b
Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
b b b b b b b b b b b b b b
CORRECT ANSWER -bacteria and endotoxins b b b b
what problems will cause a more positive (less negative) pre-pump arterial pressure. -
b b b b b b b b b b b b
CORRECT ANSWER -blockage of arterial blood flow from the vascular access.
b b b b b b b b b b b
what is the most likely reason for a blood leak detector alarm during recirculation -
b b b b b b b b b b b b b b
CORRECT ANSWER --air bubbles in the dialysate, dirty sensor
b b b b b b b b b
-check dialysate connections, bleach machine b b b b
what is an appropriate interventions with an air/foam detector alarm? - CORRECT ANSWER
b b b b b b b b b b b b
- look at circuit for blood in the system. DO NOT return blood with air in the system.
b b b b b b b b b b b b b b b b b b
what will cause a more negative pre-pump arterial pressure? - CORRECT ANSWER -
b b b b b b b b b b b b
Kinking of the arterial blood line between the vascular access and arterial monitor
b b b b b b b b b b b b b
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
b b b b b b b b b b b b b
CORRECT ANSWER -decrease b b
what could be the reasons for a conductivity alarm on the dialysis machine - CORRECT ANSWER -
b b b b b b b b b b b b b b b b
when the dialysate is mixed incorrectly or there is no water acid or bicarb.
b b b b b b b b b b b b b b
the person responsible for implementation, adherence, and training of the facility specific
b b b b b b b b b b b
bemergenc y management plan (EMP) and applicable policy and procedures is - CORRECT b b b b b b b b b b b b
bANSWER - b
Fa or designee b b
Teammates MUST be able to readily identify patients who may require additional assistance in the b b b b b b b b b b b b b b
event of an emergency evacuation. This will include patients who need help with or are unable to
b b b b b b b b b b b b b b b b b
- CORRECT ANSWER -both b and c
b b b b b b
what is an important action prior to returning a patients blood using the hand crank in the event
b b b b b b b b b b b b b b b b b
o f a power failure ? - CORRECT ANSWER -remove the venous line for the line clamp
b b b b b b b b b b b b b b b b b
Per physician order and based on individual patient needs, CThEroAnCiH
b c KL iedsns eo yn M DP li as en a s e Mineral and Bone
b b b b b b b b b b b b b
Disorder (MBD) is treated with - CORRECT A NSWERM
b M - urray: Foundations of Maternal-
b b b b b b b
b b b
phosphate binders, Vit D (Hectorol), and C i n a Nc ael w
c ebt o r n & Women's Health Nursing, 8th Edition
b b b b b b
b b b b b b
Poor wound healing is directly related to - CORRECT ANSWER -low protein intake
b b b b b b b b b b b b
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is b b b b b b b b b b b b b
th e best time to take them ? - CORRECT ANSWER -with meal
b b b b b b b b b b b b b
The definition of Health Literacy is - CORRECT ANSWER -
b b b b b b b b b
ability to obtain, read, understand, and use healthcare information in order to make appropriate
b b b b b b b b b b b b b
bhe alth decisions and follow instructions for treatment
b b b b b b b
If you notice that a patient's caretaker is struggling to meet the demands of the patients
b b b b b b b b b b b b b b b
btreatment
, regime you should - CORRECT ANSWER -contact social worker
b b b b b b b b
The Psychosocial Assessment completed by the social worker - CORRECT ANSWER -
b b b b b b b b b b b
an evaluation of a person's mental health, social status, and functional capacity within the
b b b b b b b b b b b b b
commun ityCompeted initially and annually
b b b b b
The Clinical Pyramid includes : - CORRECT ANSWER -
b b b b b b b b
• The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target
b b b b b b b b b b
bW eight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management, Diabetes
b b b b b b b b b b
bMa nagement, Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance,
b b b b b b b b b b
Transiti on of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness
b b b b b b b b b b b b
b• Mortal ity, Hospitalization /Re-
b b b b
hospitalization, Patient Experience of Care• What Matters Most • Our patient's health- b b b b b b b b b b b
related Quality of Life
b b b b
DaVita Quality Index (DQI) success is achieved - CORRECT ANSWER -
b b b b b b b b b b
encourage continuous improvement across aboard range of disease management processes (all of t
b b b b b b b b b b b b
he above )
b b b
What can be the most likely result if the surveyor sees a patient with a covered vascular access -
b b b b b b b b b b b b b b b b b b
CORRECT ANSWER -immediate jeopardy
b b b b
A surveyor asks you a question. Which of the following statements would be a good answer ? -
b b b b b b b b b b b b b b b b b
CORRECT ANSWER -I do not know the answer but I will find out.
b b b b b b b b b b b b b
Intra-renal causes of AKI - CORRECT ANSWER - b b b b b b b
Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture Syndrome, Acute
b b b b b b b b b b
bGlomeru lonephritis, Trauma, Open Heart Surgery b b b b b
Knowing what caused your patients kidney failure - CORRECT ANSWER -
b b b b b b b b b b
can cause complications to treatment
b b b b b
A patient with acute kidney injury dialyzes in the out-
b b b b b b b b b
patient facility. With regards to the patients target weight, why is being "wet" better that being
b b b b b b b b b b b b b b b
to o dry? - CORRECT ANSWER -
b b b b b b b
The excretory function of the kidneys include - CORRECT ANSWER -
b b b b b b b b b b
remove access water, urea, and metabolic wastes from the bTl oE oA dC .H Lesson Plan
b b b b b b b b b b b
Murray: Foundations of Maternal- b b b
Acid concentrate replaces the excretory functN
b i oenw
MobfoM nrnor&
maW
l M okim
dneeny'sM fHuneac tlitohn MNbuyrMs-ing, 8th Edition
b b b b b b
CORRECT ANSWER - b b
Hemodialysis removes urea, salts, and excess water from the blood normalizing electrolytes, b b b b b b b b b b b
bremov es metabolic acidosis, b b b
Ultrafiltration is defined as - CORRECT ANSWER - b b b b b b b
controlled fluid removed by manipulation of hydrostatic pressure b b b b b b b
The endocrine functions of the kidneys are - CORRECT ANSWER -
b b b b b b b b b b
Renin and erythropoietin secretion ,activation of vitamin D
b b b b b b b b
Dialysis replaces only b b b percent of normal kidney function. - CORRECT ANSWER -15%
b b b b b b b b b