ANDERSON CONTINUING EDUCATION: REVIEW OF

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ANDERSON CONTINUING EDUCATION: REVIEW OF

HEMODIALYSIS FOR NURSES AND DIALYSIS PERSONNEL

10TH EDITION COURSE CODE: HEMOTECH21 EXPIRATION

DATE: DEC. 31, 2024 EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -98 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: d. 1 and 3

Answer:

Among dialysis patients, infections account for about one in ten fatalities. Which conditions increase a patient's susceptibility to infection?

• Diabetes mellitus

• Malnutrition

• Bone abnormalities

• Frequent invasive procedures.

• 1, 2 and 3

• 1, 2 and 4

• 2 and 4

• 1, 2, 3 and 4

Question 2: In a conversation with a dialysis technician, a patient with renal failure asks if his kidney will regenerate. He says that his neighbor has had liver problems and his liver has regenerated. How does the technician answer?

• "If the doctors can get your renal arteries open with a stent, you might have a good chance to

have the kidney regenerate."

• "If nephrons are damaged, they do not regenerate."
• "With a diet low in sodium and exercise, there is a good chance you will get some of your

kidney function back."

• "If your heart can pump enough blood to the kidney, there is a possibility that some of the

nephrons can regenerate."

Answer:

• "If nephrons are damaged, they do not regenerate."

Question 3: A patient with CKD is having difficulty controlling her phosphorus intake. Why is control of phosphorus particularly challenging?

• Almost all foods contain high amounts of phosphorus.
• Phosphorus is abundant in fresh food such as vegetables and fruit.
• Phosphorus additives are commonly found in many best-selling processed foods.
• Phosphorus is found in high amounts in coffee and tea.

Answer:

• Phosphorus additives are commonly found in many best-selling processed foods.

Question 4: a. 1 and 2

Answer:

When preparing for reverse osmosis, what type of membranes should the technician be prepared to utilize?

• The peritoneum

• Cellulose acetate

• Thin-film composites

• Chlorine-resistant polysulfone

• 1 and 2

• 1 and 4

• 2 and 3

• 3 and 4

Question 5: b. 15 seconds

Answer:

What are the most common ways hepatitis B virus is transmitted in dialysis units?

• Skin penetration by contaminated sharps.

• Contact of contaminated blood with broken skin or mucous membranes.

• Patients with hepatitis B breathing, coughing, or sneezing on health care workers.

• Holding the hand of a person with hepatitis B infection

• 1 and 2

• 1 and 3

• 1, 3 and 4

• 1, 2 and 4

Question 6: a. Kussmaul respiration

Answer:

What are some disadvantages of using hollow0fiber dialyzers?

• They are not compliant.

• They require meticulous care to remove air or gas from the fiber bundle.

• Blood distribution may be uneven at the inflow header space.

• Higher heparin does may be needed to prevent clotting in hollow fibers.

• 1 and 2

• 1, 2 and 3

• 2, 3 and 4

• 3 and 4

Question 7: a. Increased risk of bacteria and endotoxins moving from the dialysate into the blood.

Answer:

***According to the Standard Precautions, when should gloves be changed and hands washed?***

• When gloves are contaminated with blood, dialysate, or other body fluids.

• When going from a clean body site on the same person.

• After handling infectious waste containers.

• After touching a patient as in performing a physical assessment.

• 1 and 2

• 1 and 3

• 1, 3 and 4

• 1, 2, 3 and 4

Question 8: c. Increased viscosity of the blood in the dialyzer.

Answer:

The KDOQI issue the "rule of 6s" to help staff identify objective measures to assess maturation of a new arteriovenous fistula. Six weeks after it is created, the fistula should have which characteristics?

• A diameter of at least 6mm with discernible margins.

• Be no more than 0.6 mm below the skin surface.

• At least 6 branches on the vein where the access is located.

• Support a blood flow rate of 600 mL/min.

• 1 and 2

• 1 and 3