Download DAVITA PCT Final Exam 2023/2024: Questions and Answers and more Exams Personal Health in PDF only on Docsity!
DAVITA PCT FINAL EXAM 2023/
UPDATED QUESTIONS WITH 100% CORRECT ANSWERS
"A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the patients
target weight, why is being "wet" better that being too dry? - CORRECT ANSWER "
"The excretory function of the kidneys include - CORRECT ANSWER remove access water,
urea, and metabolic wastes from the blood."
"Acid concentrate replaces the excretory function of normal kidney function by - CORRECT
ANSWER Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis," "If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be
appropriate patient care assignment. - CORRECT ANSWER caring for HBsAG positive and
hepatitis B susceptible patients at the same time" "The patient is using a central venous catheter for dialysis and has a new arteriovenous fistula (AVF) present in his lower arm, What observation/assessment should the PCT perform the AVF?
CORRECT ANSWER checking for the bruitand thrill every time treatment day"
"all documentation on machine set up and pre treatment patient information - CORRECT
ANSWER Must be entered into the computer before the treatment is initiated"
"the neuprologist has ordered the use of hemostatic sponges, sureseal, for your patient. what is
the correct procedure when using these sponges? - CORRECT ANSWER Remove the
hemostatic sponge after hemostasis has been achieved and dress the needle site with sterile gauge or band-aid." "the sign that numbing has taken affect and it is time to stop spraying topical anastetic on the
vascular access canulation sites is when - CORRECT ANSWER Blanching of skin"
"When the lab receives a laboratory test tube with double labeling: - CORRECT ANSWER The
double labed specimen will be rejected at the laboratory for pt safety"
"which statement is true regarding the administration of normal saline - CORRECT ANSWER
the teammate must remain with the patient to monitor their progress until administration is complete and lines are securely clamp." "Cynthia missed her treatment on Saturday and returns the following Tuesday for her next scheduled treatment. She complains of feeling weakness in her legs. David, a PCT, gets a wheelchair for her, helps her weigh in, and brings her back for the nurse to assess prior to starting her treatment. Which patient complication would the PCT and RN suspect Cynthia is most likely
suffering from? - CORRECT ANSWER Hyperkalymia"
"The dialysis team prevents additional blood loss by - CORRECT ANSWER providing
appropiate heparin dose per physician order using good cannulation and proper rinseback after tx."
"Your immediate intervention for a patient experiencing an anaphylactic reaction is -
CORRECT
"what problems will cause a more positive (less negative) pre-pump arterial pressure. -
CORRECT ANSWER blockage of arterial blood flow from the vascular access."
"what is the most likely reason for a blood leak detector alarm during recirculation - CORRECT
ANSWER -air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine"
"what will cause a more negative pre-pump arterial pressure? - CORRECT ANSWER Kinking of
the arterial blood line between the vascular access and arterial monitor"
"if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - CORRECT
ANSWER decrease"
"the person responsible for implementation, adherence, and training of the facility specific
emergency management plan (EMP) and applicable policy and procedures is - CORRECT
ANSWER Fa or designee"
"what is an important action prior to returning a patients blood using the hand crank in the event
of a power failure? - CORRECT ANSWER remove the venous line for the line clamp"
"Per the Centers for Disease Control and Prevention (CDC), which is the most important route by
which pathogens are transmitted in health care setting including dialysis centers. - CORRECT
ANSWER contact transmission"
"Per The centers for disease control prevention, which is the most common factor contributing to
bacterial infections in dialysis patients? - CORRECT ANSWER the use of catheters for
hemodialysis" "what type of blood/dialysate flow within the dialyzer increases the rate of diffusion providing
optimal dialysis for patients? - CORRECT ANSWER concurrent flow"
"When is a pre-treatment assessment by the licensed nurse required? - CORRECT ANSWER ⁃
when it is mandated by state. ⁃ when the pct performing a data collection notices abnormal findings ⁃ when the patient reports unusual symptoms to the nurse prior to treatment initiation. ⁃ when nurse observes initial behavior" "a PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the
patients lips have a blue hue. The PCT would: - CORRECT ANSWER Complete data collection
and PCT must notify the RN if there are any abnormal findings prior to initiation of tx" "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. -
CORRECT ANSWER yes"
"Can you document patient vital signs under another teammate already signed into the
computer? - CORRECT ANSWER no"
"A standing post- treatment blood pressure reading of __is considered an abnormal finding and
should be reported to a licensed nurse - CORRECT ANSWER "
"what are the three things you should not include in a Risk Event Management (REM) report -
CORRECT ANSWER personal opinions"
"documentation in the medical record - CORRECT ANSWER Is a permanent legal record of the
care provided"
"post treatment data collection and assessment is performed - CORRECT ANSWER After the tx
was terminated" "the pct notes that a patient still has considerable in edma in her legs when performing the post
treatment data collection, in addition to informing the nurse, what should the pct document? -
CORRECT ANSWER Document the swelling and that RN was informed."
"the maximum ultrafiltration rate should not exceed ___ because it may lead to hypotensive
episodes which increase the risk of organ stunning or mortality. - CORRECT ANSWER An UFR
13 ml/hr/Kg"
"what amount of fluid weight is considered excessive - CORRECT ANSWER 5% of target weight
is considered excessive"
"The patients target weight is - CORRECT ANSWER Both a and B prescribed and determined by
physicians order"
"what are the three steps included in the vascular access assessment - CORRECT ANSWER
look, listen and feel"
"Scrubbing of each hub as part of CVC care is done for: - CORRECT ANSWER 15 seconds"
"the nephrologist has prescribed a 400 bfr for your patient. you would expect the physician order
to also include - CORRECT ANSWER 15 gauge needle for the prescribed BFR"
"You listen to your patient's AV graft and hear a whistling sound a. This could be inactive of an inflow stenosis b. This could be indicative of an outflow stenosis c. This could be indicative of advanced access thrombosis
"Prior to use, how should the medication preparation surface area be disinfected? - CORRECT
ANSWER with 1:100 bleach solution and disposible wipes"
"what must be completed prior to medication preparation? - CORRECT ANSWER All of the
above"
"water treatment is needed in the dialysis setting to - CORRECT ANSWER Meet renal networks
standards" "what is the acceptable mg/L or parts per million (ppm) limit for total chlorine in the water leaving
the carbon filter - CORRECT ANSWER less than or equal to 0.1"
"which is the primary device for purifying the water used in dialysis - CORRECT ANSWER
reverse osmosis"
"what complication would you expect to see if a patient is exposed to chlorine/chloramines -
CORRECT ANSWER Hemodialysis"
"what time do you perform water harness testing? - CORRECT ANSWER at the end of each
treatment day"
"left ventricular hypertrophy leads to - CORRECT ANSWER Hypertension"
"fever caused by a pyrogenic reaction will most likely occur at what time during the treatment -
CORRECT ANSWER Within 45 to 75 minutes"
"Per DaVita Policy, fever and chills is defined as: - CORRECT ANSWER any temperature greater
than 100 or increase over baseline of 2° with symptoms"
"a recommended intervention for muscle cramps is - CORRECT ANSWER Turning the UFR off"
"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"
"in the event of a patient experiencing a seizure, the dialysis treatment should be - CORRECT
ANSWER Discontinued if the seizure is severe or the patient does not respond to treatment"
"the patient position used for a suspected air embolism is - CORRECT ANSWER
Trendelenburg, on the left side"
ANSWER Stop the blood pump, discontinue tx, and do not return blood"
"interventions for a patient complaining of chest pain include - CORRECT ANSWER Placed
patient in a flat supine position place machine into bypass"
“Water and dialysate cultures are drawn every month in the dialysis unit to monitor - CORRECT
ANSWER bacteria and endotoxins"
"what is an appropriate interventions with an air/foam detector alarm? - CORRECT ANSWER
look at circuit for blood in the system. DO NOT return blood with air in the system."
"what could be the reasons for a conductivity alarm on the dialysis machine - CORRECT
ANSWER when the dialysate is mixed incorrectly or there is no water acid or bicarb."
"Teammates MUST be able to readily identify patients who may require additional assistance in the event of an emergency evacuation. This will include patients who need help with or are
unable to - CORRECT ANSWER both b and c"
"The Psychosocial Assessment completed by the social worker - CORRECT ANSWER an
evaluation of a person's mental health, social status, and functional capacity within the communityCompeted initially and annually"
"The Clinical Pyramid includes : - CORRECT ANSWER • The Fundamentals: Immunizations,
Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management, Diabetes Management, Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of Care• What Matters Most • Our patient's health-related Quality of Life"
b. Can lead to civil liability in the event of an adverse patient outcome c. May be defended in court by demonstrating that your way is as good as DaVita's P&Ps
d. Is accepted practice since there is no one right way to performing most procedures -
CORRECT ANSWER b"
