2025|26 DAVITA ANNUAL COMPETENCY EXAM | ACTUAL TEST 180+ QUESTIONS WITH DETAILED SOLUTION | NEW!!!

1. Albumin is an important test that tells about the pa- Nutritional
tient status

2. During a hemodialysis treatment the technician re- Disconnection of
sponds to a low venous pressure alarm. The most the bloodline
likely cause for this alarm is:

3. All of the following are phosphate binders EXCEPT: Vitamin B12

4. A semipermeable membrane is a porous barrier that: Allows for only
certain sized parti-
cles to cross

5. Abnormal levels of this electrolyte can cause cardiac Potassium
arrhythmias and even death.

6. Before a hemodialysis treatment , the technician re- discard the needle
moves the cap from the fistula needle and accidental-
ly touches the chair with the tip of the needle. Which
of these actions should the technician take first?

7. A 58- year old patient who is blind comes to treatment Describe the activ-
accompanied by his wife. Which of these approaches ities in the immedi-
should the dialysis technician use when interacting ate environment
with the patient?

8. A patient complains of pain at the venous needle site. an infiltration
The dialysis technician observes there is swelling
distal to the venous needle site and that the venous
pressure is rising. The dialysis technician should sus-
pect..

9. A rapid pulse of 104 beats/minute would indicate that tachycardia(fast
the patient has: heart rate)
b b




10. A rise in transmembrane pressure in a low flux dialyz- Clotting of the b b


er during hemodialysis is an indicative of: extracorporeal
b


cir- cuit
b b




11.


, During pre dialysis data collection, it would be best
b b b b b b b b How have youb b


for the technician to ask the patient which of these
b b b b b b b b b b been since your
b b b


questions?
b last tx
b b




12. Dialysate that is too hot will cause b b b b b b hemolysis

13. During hemodialysis, the air detector on Ms. Foster's Clamp venous line
b b b b b b b b b


machine alarms and foam is visible in the venous
b b b b b b b b b


drip chamber. The immediate action of the dialysis
b b b b b b b b


technician should be to:
b b b b




14. A female dialysis technician has been caring for a
b b Refer to a social b b b b b b b b b


male patient for several months. The patient tells the worker
b b b b b b b b b b


dialysis technician that he is lonely and depressed.
b b b b b b b b


He asked the dialysis technician to go out to dinner
b b b b b b b b b b


with him. In addition to politely declining the patient's
b b b b b b b b b


invitation, which of these actions, if any, should the
b b b b b b b b b


dialysis technician take?
b b b




15. A teammate asks you to document the normal saline Never document
b b b b b b b b b


he just gave to Mr. Smith. You would:
b b b someone elses.
b b b b b b b




16. Asepsis is defined as: b b b the absence of
b b


bdisease
producing
b


borganism

17. AAMI standard for conventional dialysate requires
b b b b b 100 cfu/ml
b


the total microbial count be less than
b b b b b b b




18. A nephron is made up of:
b b b b b glomerulus and b


tubule
b




19. During a hemodialysis treatment, a patient's venous stop the blood
b b b b b b b b


needle infiltrates. Which of these actions should the pump
b b b b b b b b b


dialysis technician take first?
b b b b




20. Biohazardous waste includes any material exposed blood b b b b b


to:
b




21.
2 b/
20

, All of the following may be signs and symptoms of an
b b b b b b b b b b numbness and tin- b b


infected access EXCEPT:
b b b gling
b




22. A dialysis technician observes all of the below on the About one
b b b b b b b b b b


treatment floor, which one poses an environmental ounce(30ml) liquid
b b b b b b b b b


risk?
b on the floor b b b


A. About one ounce (30ml) liquid is on the floorb b b b b b b b


B. A patient's family member is present during initia-
b b b b b b b


tion of treatment
b b b


C. Charts are lying on bed side tables b b b b b b


D. The wheels of the hemodialysis machine are
b b b b b b


locked.
b




23. The AAMI standard for endotoxin level sin conven-
b b b b b b b Less than 0.50 b b


tional dialysate is:
b b b EU/ml
b




24. Excess fluid is forced out of the blood and into the
b b b b b b b b b b Ultrafiltration
dialysate during dialysate by which principle?
b b b b b b




25. ESKD specific tests such as BUN, Creatinine, and
b b b b b b b hemoglobin/hemo-
URR are
b b crit
b




26. During a hemodialysis treatment, a patient says to The machine was
b b b b b b b b b


the technician, "Three hours of time have passed
b b in bypass for 30 b b b b b b b b b b


according to the clock on the wall, but the machine minutes.
b b b b b b b b b b b


shows that only 2.5 hours have passed. What could
b b b b b b b b b


be the problem? The technician should understand
b b b b b b b


that the
b b




27. A dialysis technician observes a drop of blood on the Clean immeditaly
b b b b b b b b b b


surface of a patient's hemodialysis machine. Which
b b b b b b b


of these actions should the technician take?
b b b b b b b




28. A true aneurysm can be dangerous because it:
b b b b b b b may rupture and b b


cause the patient b b


to bleed profusely
b b b




29. During a hemodialysis treatment a patient goes into Call for assistance
b b b b b b b b b


cardiac arrest. The first action for the dialysis techni-
b b b b b b b b b


cian is:
b b




3 b/
20