Davita's Final Questions &
Answers(RATED A)
Intra-renal causes of Acute Kidney Injury (AKI) - ANSWER Sepsis, trauma, anaphylaxis,
drugs, acute glomerulus
Knowing what caused your patients' renal failure - ANSWER Is important to figure about
possible problems during data collection and assessment
A patient with acute kidney injury (AKI) dialyzes in the out-patient facility. In regards to
the patient's target weight, why is being "wet" better than being too dry? - ANSWER
Being wet helps avoid hypovolemia and hypotensive episodes
The excretory function of the kidneys include - ANSWER removes access water, urea,
and metabolic waste from the blood.
Acid concentrate replaces the excretory function of normal kidney function by -
ANSWER Normalizing electrolytes
Ultrafiltration is defined as - ANSWER controlled fluid removal by manipulation of
hydrostatic pressure
The endocrine functions of the kidneys are - ANSWER Renin and erythroprotein
secretion; activation of vitamin D
The dialysis prescription, nursing assessments, interventions, and follow ups help us to
provide the highest quality treatment for every patient, every time. Despite our efforts,
dialysis replaces only ______percent of normal kidney function. - ANSWER 15%
You are assisting a patient to step onto the scale by holding the patient's hand. Such a
casual contact - ANSWER Requires wearing gloves and hand hygiene afterwards
Which statement is true about sinks used for handwashing? - ANSWER Handwashing
sinks must be dedicated for handwashing purpose only and should remain clean
The most common infectious complication for hemodialysis patients is - ANSWER The
use of catheters
What is one method surveyors use to verify infection control training and education? -
ANSWER Documentation of infection control training in teammate's file or transcript
Which infectious disease requires frequent handwashing instead of using alcohol based
hand gels? - ANSWER Open wounds testing positive for VRE or MRSA
, Per the Centers for Disease Control and Prevention (CDC), which is the most important
route by which pathogens are transmitted in health-care settings including dialysis
centers? - ANSWER Contact transmission
V-tags for Centers for Medicare & Medicaid Services (CMS) surveys state specific
regulations to be met within a condition such as Infection Control, provide interpretive
guidance for each regulation, and cite deficiencies by tag number. How can knowledge
of these V-tags affect the practice of patient care providers? - ANSWER All of the above
Why is meticulous hand hygiene so important in healthcare? - ANSWER It is the single
most important intervention in preventing HAIS
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment? - ANSWER Caring for HBsAg positive and
Hepatitis B susceptible patients at the same time.
Per the Centers for Disease Control and Prevention (CDC), which is the most common
factor contributing to bacterial infections in dialysis patients? - ANSWER Contact
transmission
Upon completing machine set up and before treatment initiation it is important to verify
the prescription and machine settings: - ANSWER Both B and C
What should be done to the heparin infusion line if a patient does not have maintenance
(hourly) heparin prescribed? - ANSWER Clamp and knot the heparin line.
What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients? - ANSWER Counter- current flow
When is a pre-treatment assessment by the licensed nurse required? Check all that
apply: - ANSWER Select All options .
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices
that the patient's lips are a blue hue. The PCT would: - ANSWER Not start treatment,
immediately notify the nurse
In those states that do not require a nursing assessment to be completed prior to
treatment initiation, the PCT would be required to report abnormal patient data
collection findings - ANSWER to the nurse prior to treatment initiation
For patients' with Acute Kidney Injury (AKI) which statement is correct? - ANSWER A
nursing assesment prior to tx initiation is always required
How do you verify that the patient is stable and safe for discharge after the dialysis
treatment? - ANSWER Evaluate the effectiveness of the treatment by comparing data to
pre-dialysis findings
Answers(RATED A)
Intra-renal causes of Acute Kidney Injury (AKI) - ANSWER Sepsis, trauma, anaphylaxis,
drugs, acute glomerulus
Knowing what caused your patients' renal failure - ANSWER Is important to figure about
possible problems during data collection and assessment
A patient with acute kidney injury (AKI) dialyzes in the out-patient facility. In regards to
the patient's target weight, why is being "wet" better than being too dry? - ANSWER
Being wet helps avoid hypovolemia and hypotensive episodes
The excretory function of the kidneys include - ANSWER removes access water, urea,
and metabolic waste from the blood.
Acid concentrate replaces the excretory function of normal kidney function by -
ANSWER Normalizing electrolytes
Ultrafiltration is defined as - ANSWER controlled fluid removal by manipulation of
hydrostatic pressure
The endocrine functions of the kidneys are - ANSWER Renin and erythroprotein
secretion; activation of vitamin D
The dialysis prescription, nursing assessments, interventions, and follow ups help us to
provide the highest quality treatment for every patient, every time. Despite our efforts,
dialysis replaces only ______percent of normal kidney function. - ANSWER 15%
You are assisting a patient to step onto the scale by holding the patient's hand. Such a
casual contact - ANSWER Requires wearing gloves and hand hygiene afterwards
Which statement is true about sinks used for handwashing? - ANSWER Handwashing
sinks must be dedicated for handwashing purpose only and should remain clean
The most common infectious complication for hemodialysis patients is - ANSWER The
use of catheters
What is one method surveyors use to verify infection control training and education? -
ANSWER Documentation of infection control training in teammate's file or transcript
Which infectious disease requires frequent handwashing instead of using alcohol based
hand gels? - ANSWER Open wounds testing positive for VRE or MRSA
, Per the Centers for Disease Control and Prevention (CDC), which is the most important
route by which pathogens are transmitted in health-care settings including dialysis
centers? - ANSWER Contact transmission
V-tags for Centers for Medicare & Medicaid Services (CMS) surveys state specific
regulations to be met within a condition such as Infection Control, provide interpretive
guidance for each regulation, and cite deficiencies by tag number. How can knowledge
of these V-tags affect the practice of patient care providers? - ANSWER All of the above
Why is meticulous hand hygiene so important in healthcare? - ANSWER It is the single
most important intervention in preventing HAIS
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment? - ANSWER Caring for HBsAg positive and
Hepatitis B susceptible patients at the same time.
Per the Centers for Disease Control and Prevention (CDC), which is the most common
factor contributing to bacterial infections in dialysis patients? - ANSWER Contact
transmission
Upon completing machine set up and before treatment initiation it is important to verify
the prescription and machine settings: - ANSWER Both B and C
What should be done to the heparin infusion line if a patient does not have maintenance
(hourly) heparin prescribed? - ANSWER Clamp and knot the heparin line.
What type of blood/dialysate flow within the dialyzer increases the rate of diffusion
providing optimal dialysis for patients? - ANSWER Counter- current flow
When is a pre-treatment assessment by the licensed nurse required? Check all that
apply: - ANSWER Select All options .
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices
that the patient's lips are a blue hue. The PCT would: - ANSWER Not start treatment,
immediately notify the nurse
In those states that do not require a nursing assessment to be completed prior to
treatment initiation, the PCT would be required to report abnormal patient data
collection findings - ANSWER to the nurse prior to treatment initiation
For patients' with Acute Kidney Injury (AKI) which statement is correct? - ANSWER A
nursing assesment prior to tx initiation is always required
How do you verify that the patient is stable and safe for discharge after the dialysis
treatment? - ANSWER Evaluate the effectiveness of the treatment by comparing data to
pre-dialysis findings
