1
Davita final exam 2025
What complication would you expect to see if a patient is exposed to
chlorine/chloramines? - answer Hemolysis
You are performing the first chlorine/chloramine testing of the day after the
RO has been running for 10 minutes. Performing thetest at this time - answer
Could result in a false negative test
At what time do you perform water hardness testing? - answer At the end of each
treatment day
What is your immediate response to a final water quality alarm on the treatment
floor? - answer Place all machines into bypass
Benifits of peritoneal dialysis and home hemodialysis? -
answer Home based Flexible schedule
Fewer diatary restrictions
The two types of peritoneal dialysis are - answer CAPD and CCPD
Procedure when useing hemostatic sponges such as SureSeal? - answer Remove
the hemostatic sponge after hemostasis has been acheived and dress needle site w
bandaid or gauze
- answer Two weeks
Why should a pt be in a comfortable supine position when performing Pre dialysis
CVC care? - answer The supine position increases pressure with in central veins
and diminishes the risk of an air embolism
Flipping the arterial vascular access needle - answer Is not necessary since all
arterial needles now have a back eye
A new AVF has received his post op exam and meets KDOQIs rule of 6s which
NFACT cannulator would the AVF - answer Advanced cannulater
, 2
AV graft and hear whistling sound could be indicative of - answer
An outflow stenosis KDOQI rule of 6s - answer Provides
guidelines for use of new AV fistula
To prevent the formation of aneurysms in pseudo aneurysm the following should
be practice - answer Good needle site rotation in complete needle site clotting
techniques
During cannulation of all AV fistula's - answer A tourniquet is to be applied to
increase vein engorgement and stabilize vessel
What is an important action prior to returning a patient's blood using the hand
crank in the event of a power failure - answer Remove the venous line from the
line clamp
What problems will cause a more negative (high-pressure alarm) pre-pump
arterial pressure - answer Kinking of the arterial blood line between the
vascular access in the arterial monitor
What problems will cause an increase in venous pressure - answer Clotting of the
Venus drip chamber
Which statement is true regarding the "reason of prudent" standard of care -
answer When supervising patient care technicians and other non-licensed
personnel it is the responsibility of the license nurse to ensure these teammates
also meet the standard of care
, 3
Performing a procedure "your way" rather than following to daVitas policy and Can
procedures - answer lead to civil liability in the event of an adverse patient outcome
A surveyor ask you a question which of the following statements would be a good
answer? - answer know the answer but I will find out I do not
A surveyor fdiscovers fthat fthe fchlorine fchecks fhave fnot fbeen fdone fcorrectly fwhat fkind fof
fdeficiency fwould fthe fsurveyor fgive fthe ffacility? f- fanswer fImmediate fjeopardy
When fcomparing fthe fdialysis fmachines fconductivity freading fto fyour fmanual freading
fpolicy fstates fthat fthe fdifference fbetween fthese ftwo freadings fis fto fbe f- fanswer fNo
fgreater fthan f+/- f0.4
Why fdo fwe fmeasure fthe fpH fof fthe fdialysis fsolution? f- fanswer fTo fverify fit's facid fbase
fbalance fis fwithin fthe facceptable frange
What fcomplication foccurs fif fblood fis fexposed fto fdialysate fthat fis ftoo fhot? f- fanswer fHemolysis
The fwaiting ftime fafter fadministration fof fthe finitial fheparin floading fdose fprior fto finitiation fof
fhemodialysis fis f- fanswer f3-5 fmins
In foptimal fnutrition fstatus fis fevidenced fby f- fanswer fA fstable fdesirable ftarget fweight
,adequate ffat fstores fand fmuscle fmass f,appropriate fappetite fand fintake, fand fa fserum falbumin fof
fequal fto for fgreater fthan f4gm/dl
Phosphate fbinders fare fprescribed fto fprevent fphosphorus fand fmeals ffrom fbeing fabsorbed.
when fis fthe fbest ftime fto ftake fthem? f- fanswer f With fa fmeal
Your fpatient fpulls fout fher fsnack fduring fdialysis fas fshe fsavers fthe ffirst fbite fof fher fbanana fshe
fsmiles fand ftells fyou fshe falways fwants fto feat ffoods fhigh fin fpotassium fduring fdialysis fso fit
fwon't fharm fher fwhat fis fyour fappropriate fresponse? f- fanswer fExplain fto fthe fpatient fthat fthe
fpotassium fand ffood featen fduring fdialysis fis fnot fdialyzed foff
Definition fof fhealth fliteracy f- fanswer fThe fdegree fto fwhich findividuals funderstand fbasic
fhealth finformation fEducational ftips ffor fauditory flearners f- fanswer fUsing fword fassociations
fand fmnemonic
, 4
Educational ftips ffor fkinesthetic flearner's finclude f- fanswer fTaking fshort fbreaks fand
fallowing fyour fpatient fto fget fup fand fwalk faround
Educational ftips ffor fvisual flearners finclude f- fanswer f Selecting fquiet fsurroundings
The fsign fthat fNumbing fhas ftaken feffect fand fit fis ftime fto fstop fspraying ftopical
fanesthetic fonto fa fvascular faccess fcannulation fsites fis f- fanswer fBlanching fon fthe
fskin
Unless fotherwise fdirected fby fthe fmanufacture for fstate fspecific fpharmacy
fregulations fwhen fmust fmedications fcontaining fa fpreservative fbe fdiscarded f-
fanswer f28days fafter fopening
Diffusion fis fdefined fas Particles fmove ffrom fan farea fof fhigher fsolute
- fanswer flower fsolute fconcentration fto fan farea fof
fconcentration
Osmosis fis fdefined fas f- Fluid fmoves ffrom fan farea fof flower fsolute fconcentration fto
fanswer fsolute fan farea fof fhigher
fconcentration
Hemodialysis fhelps fnormalize fbody fpH fthrough f- fanswer fDiffusion fof fbio
fcarbonate ffrom fthe fdialysate finto fthe fblood
The fendocrine ffunction fof fthe fkidney fare f- fanswer fRenin fand ferythropoietin
fsecretion f,activation fof fvitamin fD
Davita final exam 2025
What complication would you expect to see if a patient is exposed to
chlorine/chloramines? - answer Hemolysis
You are performing the first chlorine/chloramine testing of the day after the
RO has been running for 10 minutes. Performing thetest at this time - answer
Could result in a false negative test
At what time do you perform water hardness testing? - answer At the end of each
treatment day
What is your immediate response to a final water quality alarm on the treatment
floor? - answer Place all machines into bypass
Benifits of peritoneal dialysis and home hemodialysis? -
answer Home based Flexible schedule
Fewer diatary restrictions
The two types of peritoneal dialysis are - answer CAPD and CCPD
Procedure when useing hemostatic sponges such as SureSeal? - answer Remove
the hemostatic sponge after hemostasis has been acheived and dress needle site w
bandaid or gauze
- answer Two weeks
Why should a pt be in a comfortable supine position when performing Pre dialysis
CVC care? - answer The supine position increases pressure with in central veins
and diminishes the risk of an air embolism
Flipping the arterial vascular access needle - answer Is not necessary since all
arterial needles now have a back eye
A new AVF has received his post op exam and meets KDOQIs rule of 6s which
NFACT cannulator would the AVF - answer Advanced cannulater
, 2
AV graft and hear whistling sound could be indicative of - answer
An outflow stenosis KDOQI rule of 6s - answer Provides
guidelines for use of new AV fistula
To prevent the formation of aneurysms in pseudo aneurysm the following should
be practice - answer Good needle site rotation in complete needle site clotting
techniques
During cannulation of all AV fistula's - answer A tourniquet is to be applied to
increase vein engorgement and stabilize vessel
What is an important action prior to returning a patient's blood using the hand
crank in the event of a power failure - answer Remove the venous line from the
line clamp
What problems will cause a more negative (high-pressure alarm) pre-pump
arterial pressure - answer Kinking of the arterial blood line between the
vascular access in the arterial monitor
What problems will cause an increase in venous pressure - answer Clotting of the
Venus drip chamber
Which statement is true regarding the "reason of prudent" standard of care -
answer When supervising patient care technicians and other non-licensed
personnel it is the responsibility of the license nurse to ensure these teammates
also meet the standard of care
, 3
Performing a procedure "your way" rather than following to daVitas policy and Can
procedures - answer lead to civil liability in the event of an adverse patient outcome
A surveyor ask you a question which of the following statements would be a good
answer? - answer know the answer but I will find out I do not
A surveyor fdiscovers fthat fthe fchlorine fchecks fhave fnot fbeen fdone fcorrectly fwhat fkind fof
fdeficiency fwould fthe fsurveyor fgive fthe ffacility? f- fanswer fImmediate fjeopardy
When fcomparing fthe fdialysis fmachines fconductivity freading fto fyour fmanual freading
fpolicy fstates fthat fthe fdifference fbetween fthese ftwo freadings fis fto fbe f- fanswer fNo
fgreater fthan f+/- f0.4
Why fdo fwe fmeasure fthe fpH fof fthe fdialysis fsolution? f- fanswer fTo fverify fit's facid fbase
fbalance fis fwithin fthe facceptable frange
What fcomplication foccurs fif fblood fis fexposed fto fdialysate fthat fis ftoo fhot? f- fanswer fHemolysis
The fwaiting ftime fafter fadministration fof fthe finitial fheparin floading fdose fprior fto finitiation fof
fhemodialysis fis f- fanswer f3-5 fmins
In foptimal fnutrition fstatus fis fevidenced fby f- fanswer fA fstable fdesirable ftarget fweight
,adequate ffat fstores fand fmuscle fmass f,appropriate fappetite fand fintake, fand fa fserum falbumin fof
fequal fto for fgreater fthan f4gm/dl
Phosphate fbinders fare fprescribed fto fprevent fphosphorus fand fmeals ffrom fbeing fabsorbed.
when fis fthe fbest ftime fto ftake fthem? f- fanswer f With fa fmeal
Your fpatient fpulls fout fher fsnack fduring fdialysis fas fshe fsavers fthe ffirst fbite fof fher fbanana fshe
fsmiles fand ftells fyou fshe falways fwants fto feat ffoods fhigh fin fpotassium fduring fdialysis fso fit
fwon't fharm fher fwhat fis fyour fappropriate fresponse? f- fanswer fExplain fto fthe fpatient fthat fthe
fpotassium fand ffood featen fduring fdialysis fis fnot fdialyzed foff
Definition fof fhealth fliteracy f- fanswer fThe fdegree fto fwhich findividuals funderstand fbasic
fhealth finformation fEducational ftips ffor fauditory flearners f- fanswer fUsing fword fassociations
fand fmnemonic
, 4
Educational ftips ffor fkinesthetic flearner's finclude f- fanswer fTaking fshort fbreaks fand
fallowing fyour fpatient fto fget fup fand fwalk faround
Educational ftips ffor fvisual flearners finclude f- fanswer f Selecting fquiet fsurroundings
The fsign fthat fNumbing fhas ftaken feffect fand fit fis ftime fto fstop fspraying ftopical
fanesthetic fonto fa fvascular faccess fcannulation fsites fis f- fanswer fBlanching fon fthe
fskin
Unless fotherwise fdirected fby fthe fmanufacture for fstate fspecific fpharmacy
fregulations fwhen fmust fmedications fcontaining fa fpreservative fbe fdiscarded f-
fanswer f28days fafter fopening
Diffusion fis fdefined fas Particles fmove ffrom fan farea fof fhigher fsolute
- fanswer flower fsolute fconcentration fto fan farea fof
fconcentration
Osmosis fis fdefined fas f- Fluid fmoves ffrom fan farea fof flower fsolute fconcentration fto
fanswer fsolute fan farea fof fhigher
fconcentration
Hemodialysis fhelps fnormalize fbody fpH fthrough f- fanswer fDiffusion fof fbio
fcarbonate ffrom fthe fdialysate finto fthe fblood
The fendocrine ffunction fof fthe fkidney fare f- fanswer fRenin fand ferythropoietin
fsecretion f,activation fof fvitamin fD
