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DAVITA PCT EXAM
QUESTIONS WITH VERIFIED CORRECT ANSWERS
"upon completing machine set up and before tx initiation it is important to verify the Rx &
machine settings - CORRECT ANSWER -to confirm pt's unique Rx parameters are programmed
correctly into dialysis delivery system (DDS) -to validate that all safety features"
"the excretory fxn of the kidneys includes - CORRECT ANSWER -fluid balance
-electrolyte balance -waste removal -acid-base balance"
"your immediate intervention for a pt experiencing an anaphylactic rxn - CORRECT ANSWER -
discontinue the suspected therapy -stop the blood pump -do not return blood" "what steps are performed during the recirculation of blood in the extracorporeal circuit when
there has been a tx interruption (pt used the bathroom) - CORRECT ANSWER -the saline
infusion line is opened and if the patient is receiving a interdialytic heparin infusion via the dialysis machine -the heparin pump remains"
"knowing what caused your patients' kidney failure - CORRECT ANSWER is important to
identify possible problems during data collection and assessment"
"intradialytic treatment monitoring and data collection is performed every - CORRECT
ANSWER 30 minutes"
"phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is
the best time to take - CORRECT ANSWER with a meal"
"for patient's with AKI which statement is correct - CORRECT ANSWER a nursing assessment
before tx is always required"
"which of the following may be, but doesn't have to be a sign of hemolysis - CORRECT
ANSWER cherry red colored blood in the venous line"
"V-tags cite deficiencies, provide interpretive guidance, and provide a condition that must be met
for each regulation. how can knowledge of V-tags affect the practice of patient care providers? -
CORRECT ANSWER -provide patient care within CMS conditions for coverage
-understand rationales for specific regulations as outlined in the interpretive guidance -assist in the development of policies and procedures"
"what will cause a more negative (less positive) pre-pump arterial pressure - CORRECT
ANSWER kinking the arterial blood line btw the vascular access & the arterial monitor"
"a pt with AKI dialyzes in the out-pt facility. with regards to the pt's target weight, why is being
"wet" better than being "dry" - CORRECT ANSWER it reduced the risk of hypovolemia and
hypotensive episodes"
"the endocrine fxns of the kidneys are - CORRECT ANSWER -renin secretion
-EPO secretion -activation of vitamin D" "per the CDC which is the most common factor contributing to bacterial infections in dialysis pts
CORRECT ANSWER the use of catheters for hemodialysis"
"which statement is true regarding the administration of Normal Saline - CORRECT ANSWER a
teammate must remain with the pt to monitor the process until administration is complete and lines secured"
"DaVita quality index (DQI) success of achieved - CORRECT ANSWER -through managing
individual pts first & allowing scores to follow -through knowing each team member's role in improving DQI scores -through use of continuous quality improvement process to help identify trends and make improvements"
"why is meticulous hand hygiene so important in healthcare - CORRECT ANSWER it ranks right
after proper environmental cleaning procedures in preventing HAIs"
"intervention for a pt complaining of chest pain includes - CORRECT ANSWER -decrease BFR to
-decrease UFR -take vital signs -administer Rx O2 (nurse)" "pt tx time is 3 hrs, has a 10oz coffee, has an IV antibiotic 100 ml, prime/rinseback 400ml, pt 2.2 kg
over target weight. What is UF goal? - CORRECT ANSWER 1000 (pre-target + fluids,prime,rinse
/ tx time)"
"the psychosocial assessment completed by the social worker - CORRECT ANSWER is
completed initially and annually" "what is an important action prior to returning a pt's blood using the hand crank in an event of a
power failure? - CORRECT ANSWER take pt's BP"
"you are assisting a pt to step onto the scale by holding a pt's hand, such a casual contact -
CORRECT ANSWER does not require gloves but you must perform hand hygiene after"
"scrubbing of each hub as a part of CVC care is done for - CORRECT ANSWER 30 seconds"
"the person responsible for implementation, adherence, and training of the facility specific
emergency management plan & application process & procedures - CORRECT ANSWER FA or
designee"
"fever caused by a pyrogenic rxn will most likely occur at what time during the tx? - CORRECT
ANSWER within 45-75 mins"
"which statement is true about sinks used for handwashing - CORRECT ANSWER handwashing
sinks must be dedicated for handwashing purposes only and should remain clean"
"which of the following would influence the "t" of the Kt/V formula? - CORRECT ANSWER
shortened tx time"
"the blood flow rate is reduced to 100 ml/min for _________ before obtaining post dialysis blood
specimen from Kt/V - CORRECT ANSWER 15 seconds"
"acid concentrate replaces the excretory fxns of normal kidney fxn by - CORRECT ANSWER
normalizing electrolytes"
"the most common infectious complication for hemodialysis patients is - CORRECT ANSWER
vascular access infection"
"if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - CORRECT
ANSWER decrease"
"the Clinical Pyramid includes - CORRECT ANSWER -fundamentals
-complex programs -quality of life"
"intrarenal causes of acute kidney injury (AKI) - CORRECT ANSWER sepsis, trauma,
anaphylaxis, drugs, acute glomerulonephritis"
"dialysis replaces only _____ percent of normal kidney fxn - CORRECT ANSWER 15"
"per the CDC which is the most important route by which pathogens are transmitted through
health-care facilities - CORRECT ANSWER contact transmission"
"which of the following factors would decrease - CORRECT ANSWER inadequate
anticoagulation" "the waiting time after administration of the initial heparin loading dose prior to initiation of
hemodialysis is a minimum of - CORRECT ANSWER 3-5 minutes"
"water tx is needed in the dialysis setting to - CORRECT ANSWER meet renal networks
standards"
"what should be done to the heparin infusion line if a pt does not have maintenance (hourly)
heparin prescribed? - CORRECT ANSWER clamp and knot the heparin line"
"the urea reduction ratio calculates - CORRECT ANSWER the amt of urea removed during
dialysis tx"
"poor wound healing is directly related to - CORRECT ANSWER inadequate protein intake"
"when the lab receives a test tube with double labeling: - CORRECT ANSWER specimen will be
rejected at the lab for pt safety"
"a recommended intervention for muscle cramps is - CORRECT ANSWER turning the UFR off"
"what are 3 things you should NOT include in a risk event management (REM) report? -
CORRECT ANSWER -personal opinions
-speculation -vendettas"
"the pt position used for suspected air embolism is - CORRECT ANSWER Trendelenburg, LEFT
side"
"what could be the reasons for a conductivity alarm on the dialysis machine - CORRECT
ANSWER -absence of concentrate or incorrect concentrate preparation
-debris or precipitate in the lines or filter -equipment failure or machine needing calibration"
"what are the 3 steps included in the vascular access assessment - CORRECT ANSWER look,
listen, feel"
"what is an appropriate intervention(s) with an air/foam detector alarm - CORRECT ANSWER -
look at circuit -do NOT return blood with air in system -fix problem"
"what must be completed prior to medication preparation - CORRECT ANSWER -PPE & hand
hygiene -disinfect surface area with 1: -visually inspect for cracks/leaks/discoloration"
"what can be the most likely result if the surveyor sees a pt with a covered vascular access -
CORRECT ANSWER an immediate jeopardy"
"water and dialysate cultures are drawn every month in the dialysis unit to monitor - CORRECT
ANSWER bacteria & endotoxins"
"which is the primary device for purifying the water use in dialysis - CORRECT ANSWER
reverse osmosis"
"post tx data collection and assessment is performed - CORRECT ANSWER after the tx is
terminated"
"the dialysis team prevents additional blood loss by - CORRECT ANSWER administering
heparin dose per Rx & only rinseback 200ml NS after tx" "what is the acceptable mg/L or part per million (ppm) limit for total chlorine in the water leaving
the carbon filter - CORRECT ANSWER less than or equal to 0.1ppm or mg/L"
"the sign that numbing has taken effect & its time to stop spraying topical anesthetic on the
vascular access cannulation sites is when - CORRECT ANSWER you observe frosting of the
skin"
“To assist in survey readiness you should - CORRECT ANSWER -stay current & follow p&p
-assist with internal audits -maintain a culture of safety"
"where is pre-treatment assessment by the RN required? - CORRECT ANSWER -when is is
mandated by state law -when PCT reports abnormal findings -when pt reports unusual symptoms -when nurse or PCT observes unusual behaviors"
"the PCT notes that a pt still has considerable edema in her legs when performing the post-tx
what should the PCT document - CORRECT ANSWER document the noted swelling and that
the RN was informed"
"prior to use, how should the medication preparation surface area be disinfected - CORRECT
ANSWER with 1:10 bleach solution and disposable wipes"
"you listen to your pt's AVG and hear a whistling sound - CORRECT ANSWER this could be
indicative of an outflow stenosis"
"you listen to your pt's AVG and hear a high-pitched squeak - CORRECT ANSWER this could be
indicative of an inflow stenosis" "in those states that do not require a nursing assessment to be completed prior to tx initiation,
the PCT would be required to report abnormal patient data collection - CORRECT ANSWER to
the nurse before tx initiation"
"your pt asks whether it is ok to take an OTC cold remedy, what is your appropriate response? -
CORRECT ANSWER let's ask your nephrologist what they recommend to treat your cold
symptoms" "if you notice that a pts caretaker is struggling to meet the demands of the pt tx regime you
should - CORRECT ANSWER notify the social worker bc he/she is there for pts & their families"
"ultrafiltration is defined as - CORRECT ANSWER fluid moves from an area of lower solute
concentration to an area of higher solute concentration"
"performing a procedure "your way" rather than following the dialysis facility's P&P - CORRECT
ANSWER can lead to personal and/or organizational liability in the even of an adverse patient
outcome"
