{"id":111355,"date":"2023-08-03T06:56:49","date_gmt":"2023-08-03T06:56:49","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111355"},"modified":"2023-08-03T06:56:54","modified_gmt":"2023-08-03T06:56:54","slug":"fresenius-clinical-annual-competency-exam-2023-2024-actual-exam-140-questions-and-correct-detailed-answers-verified-answers-agrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/03\/fresenius-clinical-annual-competency-exam-2023-2024-actual-exam-140-questions-and-correct-detailed-answers-verified-answers-agrade\/","title":{"rendered":"FRESENIUS CLINICAL ANNUAL COMPETENCY EXAM 2023-2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |AGRADE"},"content":{"rendered":"\n<p>FRESENIUS CLINICAL ANNUAL COMPETENCY<br>EXAM 2023-2024 ACTUAL EXAM 140 QUESTIONS AND<br>CORRECT DETAILED ANSWERS (VERIFIED<br>ANSWERS) |AGRADE<br>The arterial needle is placed &#8211; ANSWER- Either with or against the flow<br>of blood<br>An important factor in achieving adequacy during machine set up is &#8211;<br>ANSWER- Priming the dialyzer venous end up<br>The FMC program that utilizes technology to improve our patient care is<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ANSWER- Ultra Care<br>The component of the dialysate that helps treat acidosis is &#8211; ANSWERBicarbonate<br>The PCT notices the patient yawning toward the end of treatment. The<br>PCT should take which action immediately &#8211; ANSWER- Check the<br>patient blood pressure<br>Several patients with normal pre-dialysis temperatures develop sudden<br>chills and a spike in temperature. This situation is most likely caused by<\/li>\n\n\n\n<li>ANSWER- Presence of endotoxins in the dialysate<br>What is the correct blood flow rate for priming the dialyzer &#8211; ANSWER150 ml\/min<br>What is NOT true when cannulating a new AVF? &#8211; ANSWER- Use of a<br>tourniquet is optional when cannulating a new AVF<\/li>\n<\/ul>\n\n\n\n<p>If bicarbonate concentrate jugs are used, the frequency for disinfecting<br>jugs is &#8211; ANSWER- Weekly<br>Using the sodium variation module during the dialysis treatment will &#8211;<br>ANSWER- Aid in fluid removal<br>Oral nutrition supplements are given to FMS in-center dialysis patients<br>who are malnourished while they are at the dialysis facility for what<br>reason? &#8211; ANSWER- To improve nutritional status and ensure<br>compliance with oral intake and reduce the risk of morbidity and<br>mortality<br>When instructing patients with CKD, who are receiving dialysis, the RN<br>should include the fact that &#8211; ANSWER- Elevated potassium levels may<br>cause changes in heart rhythm<br>One way to establish a patient has orthostatic hypotension is to obtain a<br>patients &#8211; ANSWER- Sitting blood pressure followed by the standing<br>blood pressure<br>The QSR is a monthly report detailing quality outcomes as primary or<br>secondary. Primary quality outcomes are those that have the highest<br>impact on patient survival. These include &#8211; ANSWER- Albumin, Hgb,<br>Phosphorous, Adequacy, Catheter Rate<br>Dialysis has been initiated on a patient using a right internal jugular<br>catheter, as the blood pump is turned up to 200 ml\/min, foam begins to<br>accumulate in the lines. The patient begins to wheeze, and becomes<br>short of breath. The care givers FIRST action would be to &#8211; ANSWERClamp the venous line<br>If the bicarbonate jugs have been in storage and are needed for<br>emergency use, what action must be taken prior to use? &#8211; ANSWERDisinfect with 1:100 bleach water and rinse with RO water until<br>negative for bleach<\/p>\n\n\n\n<p>According to FMS policy, the safe level for total chlorine is &#8211;<br>ANSWER- Less than 0.10 ppm<br>What has the highest potassium content &#8211; ANSWER- Bananas, orange<br>juice, and salt substitute<br>What notification process would alert the staff of poor water quality<br>during the dialysis treatment &#8211; ANSWER- Remote Total Dissolved<br>Solids (TDS) alarms in treatment room<br>Following FMC policy, when should the second hardness test be<br>completed &#8211; ANSWER- After the completion of the last patient<br>treatment<br>According to AAMI standards the required exposure time of water to the<br>carbon filters to effectively remove chlorine and chloramine is &#8211;<br>ANSWER- 10 minutes<br>If the second GAC (carbon) filter exceeds the acceptable limit for total<br>chlorine, what is the next step? &#8211; ANSWER- Notify the RN in charge to<br>stop treatment<br>Excessive fluid removal during dialysis, combined with the patients<br>taking an anti hypertension medication may result in the patient having &#8211;<br>ANSWER- Hypotension<br>When removing needles from an internal access the needles safety<br>device &#8211; ANSWER- Should be engaged before removing the needle<br>from the patient access<br>To properly collect a post BUN sample, it is necessary to &#8211; ANSWERTurn off ultrafiltration rate<br>get pdf at ; https:\/\/learnexams.com\/search\/study?query=<\/p>\n","protected":false},"excerpt":{"rendered":"<p>FRESENIUS CLINICAL ANNUAL COMPETENCYEXAM 2023-2024 ACTUAL EXAM 140 QUESTIONS ANDCORRECT DETAILED ANSWERS (VERIFIEDANSWERS) |AGRADEThe arterial needle is placed &#8211; ANSWER- Either with or against the flowof bloodAn important factor in achieving adequacy during machine set up is &#8211;ANSWER- Priming the dialyzer venous end upThe FMC program that utilizes technology to improve our patient care is [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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