DaVita (RN) FINAL REAL EXAM QUESTIONS AND ANSWERS UPDATE

DaVita (RN) FINAL REAL EXAM QUESTIONS AND ANSWERS UPDATE

When dialyzing a patient with acute kidney injury, one task of the patient care
teammates is to monitor blood pressure and weight closely. Why is it important? ---
ANSWER---hypovolemia and hypotensive episodes can cause renal ischemia and can
further damage the kidneys
CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following
conditions is an intra-renal cause of CKD ---ANSWER---HTN
Knowing what caused your patient's CKD ---ANSWER---is important because the
underlying disease could cause health complications that can impact the dialysis
treatment
When a PCT documents the extent of a patient's edema, for example as +3 ---
ANSWER---the PCT is preforming an assessment which is not allowed legally
When a patient has an irregular heartbeat, ---ANSWER---the automatic BP reading may
not be accurate
Which of the following is a data collection ---ANSWER---HR 72
at what time should the post treatment data collection be completed ---ANSWER---after
the treatment has been completed
the A in smart communication stands for ---ANSWER---actual- just report the facts
which of the following events is defined as a near miss ---ANSWER---the wrong dialyzer
was set up and primed for a patient, but it was caught before dialysis was initiated and
the dialyzer was replaced
using the __________ approach is one way to fill out an REM ---ANSWER---SBAR
What is your main priority when returning a patient's blood with the hand crank during a
power outage? ---ANSWER---you must be vigilant in watching for air in the blood lines
what problem will cause an increase in the patient's VP ---ANSWER---a clot in the
venous drip chamber
Which blood test must be performed at regular intervals on patients susceptible to HPB
---ANSWER---HBsAg
who is accountable for appropriate patient and teammate scheduling in the acute setting
---ANSWER---
you are dialyzing a patient and the only available HPB surveillance test is a HBsAb of 8.
What are the machine disinfection requirements after dialyzing this patient? ---
ANSWER---the machine must be heat disinfected at the end of each day
What is the most common factor contributing to bacteremia in dialysis patients? ---
ANSWER---use of catheters for HD
which infectious disease requires frequent hand washing instead of using alcohol based
hand gels ---ANSWER---active clostridioides difficile infection
What precautions must be used when handling lab specimens? ---ANSWER---universal
precautions
waiting only five seconds between lowering the blood pump speed and drawing the post
treatment blood sample could ---ANSWER---cause the post treatment BUN reading to
be falsely low (wait 15 seconds)
which may cause a decrease in the hemoglobin of a patient with ESRD ---ANSWER---
infection/inflammation
fluid overload and HTN lead to LVH, this means ---ANSWER---hypotensive episodes
are more likely to occur during the dialysis treatment
your role in CKD-MBD management includes ---ANSWER---reminding the patient who
is eating a snack during dialysis to take his phosphate binder
your role in anemia management includes ---ANSWER---rinsing back as much of the
patient's blood as you can at the termination of each treatment
the licensed nurse has delegated a specific task to a PCT, but the PCT gets called
away before performing this task. Can the PCT asek another PCT to take over? ---
ANSWER---no, a task delegated by the licensed nurse to a non-licenced teammate
cannot be re-delegated by this teammate
the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not performed
this task during the last 2.5 months. What is Nicole's responsibility in the delegation
communication process? ---ANSWER---Nicole is to inform the nurse that she performed
the task only infrequently

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