Clinical Annual Competency Exam – Fresenius test with complete solutions
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Course
FRESENIUS CCHT
Institution
FRESENIUS CCHT
Inadequate Heparinization
The adequacy of a dialysis treatment may be compromised by
Post reinfusion and prior to disconnection
Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature both
Chemica...
Clinical Annual Competency Exam –
Fresenius test with complete solutions
Inadequate Heparinization - correct answer The adequacy of a dialysis treatment may be
compromised by
Post reinfusion and prior to disconnection - correct answer Routine post dialysis treatment
documentation on the patients dialysis treatment record should include patients blood pressure
and temperature both
Chemical content - correct answer Individual acid containers should be labeled with
Notify the RN - correct answer 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 answer Which of these findings noted on a safety check would indicate
that an intervention is needed.
Notify the RN - correct answer 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 answer 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 answer Which of the following would minimize
bacterial growth in the water treatment system?
, Pressure - correct answer A major factor affecting ultrafiltration is
Palpating for a thrill - correct answer Pre-treatment evaluation of an internal vascular access
includes
Hypotension - correct answer 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 answer 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 answer Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - correct answer The patient exhibits signs of
hemolysis. What is the appropriate action to take?
Calcium and magnesium - correct answer Softener tanks remove
Technical must perform a functional test on the machine. - correct answer 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 answer 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
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