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Exam (elaborations)

DAVITA PCT EXAM 200+ QUESTIONS AND CORRECT ANSWERS

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DAVITA PCT EXAM 200+ QUESTIONS AND CORRECT ANSWERS

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  • November 7, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Davita pct
  • Davita pct
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Hosmerit
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DAVITA PCT EXAM 200+ QUESTIONS AND CORRECT
ANSWERS 2024-2025

Which of the following side effects may occur if the rollers of the blood pump are over
tightened? - ANSWER: Hemolysis may occur


The internal access that is created using the patients own artery and vein is a? - ANSWER:
Fistula


A patient is in the third hour of a four hour treatment. The technician notices the patient
yawning. The patient says that they feel fine. Which of the following should the technician next
action be? - ANSWER: Check the blood pressure


Which of the following is LEAST likely to be a common psychological reaction for a patient just
staring hemodialysis? - ANSWER: Guilt


A patient complains that their hand feels cold, especially the fingers. The technician should tell
the patient it may be caused by? - ANSWER: Poor blood flow to the hand from fistula
construction


A patient arrives at the facility diaphoretic and complaining of chest pain. Your first reaction
would be to: - ANSWER: Notify the charge nurse for further assessment of patient
complications


Complications of fistulas and grafts could be: - ANSWER: All of the above; Clotting and
infection. Peripheral ischemia. Aneurysms and pseudo-aneurysms


According to AAMI standards, the total microbial count of dialysate is: - ANSWER: Shall not
exceed 200 cfg/ml

,The Li mulus Ameboycte (LAL) sample tests for? - ANSWER: Gram-negative bacterial
endotoxins


What does the acronym AAMI stand for what is their responsibility? - ANSWER: Association
for the Advancement of Medical Instrumentation. Sets the standards for dialysis machines, reuse
for dialers and quality of water for dialysis.


A patient complains of dizziness. The technician notices the patient is pale and clammy. The
blood pressure is elevated and the respirations have increased in rate and depth. Which of the
following does the assessment reveal? - ANSWER: Hyperglycemic reaction


What problem is so commonly associated with recirculating systems and central dialysate
delivery systems? - ANSWER: gram-negative bacterial contamination


All of the following techniques might improve the blood flow rate in a central venous catheter
except? - ANSWER: Rotating or further inserting the catheter


When selecting a site for cannulation, you should consider all of the following except: -
ANSWER: Ensure that a strong bruit has been palpated


Which lab results requires a pre and post BUN to be drawn? - ANSWER: Urea Reduction Ratio


Venous pressure high alarm causes - ANSWER: kink in tubing
infiltration
clotting in the venous drip chamber


Davita Quality Index - ANSWER: the purpose of selecting the component measure for DQI is to
encourage continuous improvement across a broad range of disease management processes


DQI success is achieved by - ANSWER: -managing individual patients first and allowing scores
to follow
-knowing each team members role and improving DQI scores

, -using the CQI (continuous quality improvement) process to help identify trends and make
improvements
(answer all of the above)


Importance of P&P - ANSWER: when supervising non-licensed, assistive personnel, it is the
responsibility of the licensed nurse to ensure these teammates also meet the standard of care


What are the risks of doing it your way - ANSWER: it can lead to civil liability


What makes dialysis patients more susceptible to HAIs? - ANSWER: they have weakened
immune systems and prolonged access to blood


Why are dialysis patients at increased risk for acquiring a HAI at the facility? - ANSWER:
CONTACT TRANSMISSION


what is the most common transmission route for HAIs? - ANSWER: contact transmission


What is the most important intervention you can do to prevent HAIs? - ANSWER: Hand
washing


What is the most common infectious complication in hemodialysis patients? - ANSWER: Per
the CDC, the most common factor contributing to bacteremia is CVC


What germ causes the most common infections in hemodialysis patients? - ANSWER: MRSA


Why is wearing gloves so important? - ANSWER: Decreases risk of hand contamination


Who can use sinks designated for hand washing? - ANSWER: clean sinks must be dedicated for
hand washing only

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