CERTIFIED DIALYSIS NURSE TEST
BANK OF 170 QUESTIONS WITH
SOLUTIONS AND EXPLANATIONS
ALL VERIFIED AND GRADED A+
1.When educating a peritoneal dialysis patient about the prescribed icodextrin solution,
which teaching points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF.
Deferoxamine (Desferal)
2.The nurse caring for a dialysis patient with known aluminum overload should be
prepared to administer which medication during the latter part of the dialysis treatment
to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides.
3.What are the likely reasons that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
,Charcoal may be used in association with deferoxamine chelation to remove excess
aluminum or iron from body tissues.
Hemoperfusion is more effective than hemodialysis for removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated.
4. When caring for a patient who is experiencing a severe transplant rejection, what
complications should the nurse anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period.
5.Which teaching points must be mastered by patients before they can perform their
automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-
3 days postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent
is no longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is
undergoing PD. - A small volume of heparinized solution should remain in the
peritoneum to inhibit the formation of fibrin
-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are
performed using a cycler with the patient in the supine position.
During the period called catheter break-in, when the peritoneal dialysis catheter is
placed and healing has begun, the nurse should anticipate which prescribed dialysis
orders?
,rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss.
A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss.
A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment.
When a patient is deciding between peritoneal dialysis and hemodialysis, what are
some of the benefits the staff can share regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally.
Which manifestations might lead the clinician to believe that a patient on PD requires an
increased dose of dialysis?
• Active chronic infection or sepsis
• Active malignancy
, • Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen
Absolute Contraindications to Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted.
The dialysis nurse should suspect the toddler weighing less than 20 kg. is experiencing
hypotension if these clinical manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD.
In which areas of care has the nonprofit foundation Kidney Disease Improving Global
Outcomes (KDIGO) provided written evidence-based guidelines related to the
prevention or management of kidney disease?
2019 - National Dialysis Accreditation Commission (NDAC).
Which organization was recently approved by CMS to conduct surveys for Medicare
certification fostering faster approval of dialysis clinics?
Hypotension.
Cramping.
BANK OF 170 QUESTIONS WITH
SOLUTIONS AND EXPLANATIONS
ALL VERIFIED AND GRADED A+
1.When educating a peritoneal dialysis patient about the prescribed icodextrin solution,
which teaching points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF.
Deferoxamine (Desferal)
2.The nurse caring for a dialysis patient with known aluminum overload should be
prepared to administer which medication during the latter part of the dialysis treatment
to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides.
3.What are the likely reasons that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
,Charcoal may be used in association with deferoxamine chelation to remove excess
aluminum or iron from body tissues.
Hemoperfusion is more effective than hemodialysis for removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated.
4. When caring for a patient who is experiencing a severe transplant rejection, what
complications should the nurse anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period.
5.Which teaching points must be mastered by patients before they can perform their
automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-
3 days postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent
is no longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is
undergoing PD. - A small volume of heparinized solution should remain in the
peritoneum to inhibit the formation of fibrin
-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are
performed using a cycler with the patient in the supine position.
During the period called catheter break-in, when the peritoneal dialysis catheter is
placed and healing has begun, the nurse should anticipate which prescribed dialysis
orders?
,rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss.
A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss.
A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment.
When a patient is deciding between peritoneal dialysis and hemodialysis, what are
some of the benefits the staff can share regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally.
Which manifestations might lead the clinician to believe that a patient on PD requires an
increased dose of dialysis?
• Active chronic infection or sepsis
• Active malignancy
, • Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen
Absolute Contraindications to Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted.
The dialysis nurse should suspect the toddler weighing less than 20 kg. is experiencing
hypotension if these clinical manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD.
In which areas of care has the nonprofit foundation Kidney Disease Improving Global
Outcomes (KDIGO) provided written evidence-based guidelines related to the
prevention or management of kidney disease?
2019 - National Dialysis Accreditation Commission (NDAC).
Which organization was recently approved by CMS to conduct surveys for Medicare
certification fostering faster approval of dialysis clinics?
Hypotension.
Cramping.
