HEMODIALYSIS ANDERSON CCHT PRACTICE EXAM EXAM

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HEMODIALYSIS ANDERSON CCHT PRACTICE EXAM EXAM

QUESTIONS

Qs and Ans - Expert- Explanation - ing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A reused dialyzer would be rejected if:

Answer:

visual inspection reveals a few clotted fibers Question 2: which of the following may be caused of postrenal acute renal failure (ARF)

Answer:

obstruction in the ureter or the urethra Question 3: president (blank) signed the bill that allowed medicare coverage to pay for treatment for all patients with chronic kidney disease

Answer:

President Nixon Question 4: what infection control precautions should be instituted for HIV -infected patient on a dialysis unit?

Answer:

standard precautions

Question 5: An electrolyte is a substance that dissolves in water to form

Answer:

electrical current Question 6: what was the primary anticoagulant used in the first arifical kidney

Answer:

hirudin Question 7: which of the following chemicals may cause methemoglobinemia, in which red cell hemoglobin cannot transport oxygen

Answer:

1.nitrates 2.chloramines Question 8: CKD patients are at risk for developing peripheral neuropathy, which may manifest

as:

Answer:

• burning feet

• restless legs

Question 9: what principle is used to decrease complications relate to fluid removal

Answer:

ultrafiltration profiling Question 10: which of the following statements regarding hand washing is accurate

Answer:

• hand washing should be done before and after glove removal

• hands should be washed before and after entering patient areas

• hands should be washed between patient contacts, and after touching an environmental surface

without having gloved first

Question 11: polyamide membranes, used for reverse osmosis

Answer:

• have a wide pH tolerance

• are very susceptible to degradation by free chlorine

Question 12: common skin changes related to CKD stage 5 include

Answer:

brittle nails and Ecchymosis Question 13: dialyzing a patient at a high blood flow rate with a small - gauge needle may result

in:

Answer:

hemolysis of RBCs Question 14: long term exposure to cellulosic membranes used during dialysis has been associated with

Answer:

1.infection 2.malignancy Question 15: in order to remove smaller solutes, such as endotoxins, which filter should be utilized?

Answer:

ultrafilter

Question 16: how can air enter the dialysis blood lines

Answer:

• At connections that are not absolutely tight

• By osmosis thru contract with blood tubing

Question 17: the national kidney foundation (NKF) recommends that all individuals be assessed for increased risk for developing chronic kidney disease (CKD) utilizing which lab value

Answer:

creatinine level

Question 18: which of the following statements about bicarbonate dialysate is accurate?

Answer:

the "B" [bicarbonate] concentrate is very stable and has a long shelf life Question 19: in 1989, FDA approval of (blank) diminished the need for blood transfusions in chronic renal disease patients

Answer:

Epoetin Alfa (Epogen)

Question 20: high efficiency dialysis requires

Answer:

highly permeable cellulosic membrane with surface area of 1.5 m or more Question 21: the patient with low post dialysis weight is at risk for:

Answer:

• hypovolemia

• clotting of the vascular access

Question 22: which of these patients populations has the highest proportion of body water

Answer:

infants

Question 23: what are the effects of over mixing the bicarbonate concentrate

Answer:

the patient can experience an increase in sodium levels Question 24: what is the target blood pressure (BP) reccomended by the joint national committee on prevention, detection, evaluation and treatment if high blood pressure in patients with CKD?

Answer:

less that 130/80