Fresenius Clinical Annual Competency
Exam – (Q/A)
Inadequate Heparinization Correct Ans - The adequacy of a dialysis
treatment may be compromised by
Post reinfusion and prior to disconnection Correct Ans - Routine post
dialysis treatment documentation on the patients dialysis treatment record
should include patients blood pressure and temperature both
Chemical content Correct Ans - Individual acid containers should be
labeled with
Notify the RN Correct Ans - The patient complains of pain at the
catheter exit site. What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should
be secured on the venous line) Correct Ans - Which of these findings
noted on a safety check would indicate that an intervention is needed.
Notify the RN Correct Ans - The patient presents to the dialysis center
with a pulse rate of 44/bpm but doesn't appear to be in distress. What should
be the dialysis technicians immediate action?
Assessment for possible clotting in the dialyzer Correct Ans -
Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in
Circulation of water during the day only Correct Ans - Which of the
following would minimize bacterial growth in the water treatment system?
Pressure Correct Ans - A major factor affecting ultrafiltration is
Palpating for a thrill Correct Ans - Pre-treatment evaluation of an
internal vascular access includes
, Hypotension Correct Ans - A patient having a dialysis treatment
complains of feeling dizzy, and begins to yawn. These symptoms are most
likely to indicate that the patient has
Check the dialysate effluent with a blood leak test indicator Correct Ans -
If a blood leak detector alarms a second time and no visible blood is noted,
what should the PCT do next?
Surface area of the dialyzer Correct Ans - Which has the most impact
on dialyzer clearance?
Turn the blood pump off, clamp the venous line. Correct Ans - The
patient exhibits signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium Correct Ans - Softener tanks remove
Technical must perform a functional test on the machine. Correct Ans -
During dialysis a patient has a cardiac arrest. Which action should be
completed on the dialysis machine before the machine is used by another
patient?
Low clearance, hold heparin dose Correct Ans - The following KECN's
are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood Correct Ans - The arterial
needle is placed
Priming the dialyzer venous end up Correct Ans - An important factor
in achieving adequacy during machine set up is
Ultra Care Correct Ans - The FMC program that utilizes technology to
improve our patient care is
Bicarbonate Correct Ans - The component of the dialysate that helps
treat acidosis is
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