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PCT Certification Exam Reviewed questions with answers.
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PCT Certification Exam Reviewedquestions with answers.
AAMI Chemical Analysis of water used for hemodialysis is tested ANS -annually.
A 58-year old patient who is blind comes to treatment accompanied by his wife. Which of these
approaches should the dialysis technician use when interacting with the patient?
Avoid using phrases that refer to sight, such as "It looks like..."
Describe the activities in the immediate environment
Give instructions to his wife instead of him
Touch the patient before speaking to him ANS -Describe the activities in the immediate environment
A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis machine. Which
of these actions should the dialysis technician take?
Clean the machine surface at the end of treatment
Clean the machine surface immediately
Notify the equipment technician
Notify the nurse ANS -Clean the machine surface immediately
A dialysis technician observes all of the below on the treatment floor, which one poses an
environmental risk?
About one ounce (30ml) fluid is on the floor
A patient's family member is present during initiation of treatment
Charts are lying on bedside tables
The wheels of the hemodialysis machine are locked ANS -About one ounce (30ml) fluid is on the floor
A female dialysis technician has been caring for a male patient for several months. The patient tells the
dialysis technician that he is lonely and depressed. He asks the dialysis technician to go out to dinner
,with him. In addition to politely declining the patient's invitation, which of these actions, if any, should
the dialysis technician take?
No further action is needed
Recommend an over-the-counter mood stimulant, such as St. John's Wort
Refer the patient to the social worker
Share the patient's need for socialization with other patients ANS -Refer the patient to the social worker
A fistula connects ANS -an artery to a vein.
A marker used to determine the middle molecule clearance of a dialyzer is ANS -vitamin B12.
A mixed-bed DI tank contains ANS -Cations and anions.
A nephron is made up of: ANS -A glomerulus and a tubule system
A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling
distal to the venous needle site and that the venous pressure is rising. The dialysis technician should
suspect ANS -an Infiltration.
A patient who is to receive their first dialysis treatment is prone to? ANS -Dialysis disequilibrium
syndrome
A patient tells the technician that the dietitian reviewed high-potassium foods with her. During the
conversation she states she routinely eats the following foods. Which one is highest in potassium?
Bananas
Ice Cream
Pasta
Rice ANS -Bananas
A slow pulse of 54 beats/minute would indicate the patient has ANS -Bradycardia
, A reason why a dialysis technician is to be certified is: ANS -It is a CMS requirement
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of: ANS -Clotting
of the extracorporeal circuit
A teammate asks you to document the normal saline he just gave to Mr. Smith. You would: ANS -never
document something that someone else did
A true aneurysm can be dangerous because it ANS -may rupture and cause the patient to bleed
profusely.
A patient's laboratory results indicate that the predialysis BUN level was lower than the post dialysis
BUN level. When interpreting these findings the technician should seek the answer to which of these
questions.
Was the machine in bypass during the post sampling?
Was the patient's heparin pump turned off when the post sample was drawn?
Was the post dialysis sample drawn correctly?
Was the port used for predialysis sampling cleaned with disinfectant? ANS -Was the post dialysis sample
drawn correctly?
A rapid pulse of 104 beats/minute would indicate that the patient has: ANS -tachycardia
A patient's target weight is 154.0 lb (70 kg) and the patient's pre treatment weight is 158.4 lb (72 kg).
For a four-hour treatment, how many mL/hour must the patient lose to reach dry weight? ANS -500
AAMI standard for conventional dialysate requires the total microbial count be less than ANS -100
CFU/mL
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. ANS -Potassium
Acceptable interdialytic weight gains are ANS -3 - 5% of TW.
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