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DaVita Exam Module 1 Exam Questions And Answers, Exams of Nursing

DaVita Exam Module 1 Exam Questions And Answers

Typology: Exams

2024/2025

Available from 07/03/2025

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DaVita Exam Module 1 Exam Questions And
Answers
Ultrafiltration definition -
correct answer (Fluid movement) Controlled fluid removal by
manipulation of hydrostatic pressure
Convection definition -
correct answer (Particle/solute movement) Solutes are dragged
across the semipermeable membrane along with fluid
Diffusion definition -
correct answer (Particle/solute movement) Particles move from
an area of higher solute concentration to lower solute
concentration
Osmosis definition -
correct answer (Fluid movement) fluid moves from lower solute
concentration to higher solute concentration
What are the kidney's excretory functions? -
correct answer Water removal, electrolyte balance, toxin removal
and acid base balance
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Answers

Ultrafiltration definition - correct answer ✅(Fluid movement) Controlled fluid removal by manipulation of hydrostatic pressure Convection definition - correct answer ✅(Particle/solute movement) Solutes are dragged across the semipermeable membrane along with fluid Diffusion definition - correct answer ✅(Particle/solute movement) Particles move from an area of higher solute concentration to lower solute concentration Osmosis definition - correct answer ✅(Fluid movement) fluid moves from lower solute concentration to higher solute concentration What are the kidney's excretory functions? - correct answer ✅Water removal, electrolyte balance, toxin removal and acid base balance

Answers

How do we replace normal excretory kidney functions? - correct answer ✅By normalizing the electrolytes and providing fluid balance through ultrafiltration What is the function of the acid concentrate? - correct answer ✅It provides the concentration gradient for diffusion What is the function of bicarbonate in the dialysate solution? - correct answer ✅It buffers the acid concentrate What is the function of bicarbonate when it diffuses into the patient's blood? - correct answer ✅It normalizes the patients body temp pH in the blood stream (7.35-7.45) Signs and symptoms of Hyperkalemia - correct answer ✅Greater than 6.5 EXTREME muscles weakness and abnormal heart rhythm

Answers

Outline the treatment goals for a patient with CKD - correct answer ✅Acid base balance, fluid removal, electrolyte balance and toxin removal Why is it important to know what caused your patients CKD - correct answer ✅So the nurse and pct can inquire about possible problems during data collection and assessment Signs and symptoms of fluid balance - correct answer ✅Hypertension (high BP), swelling or edema, and shortness of breathe Why is sodium balance important? - correct answer ✅Sodium creates thirst which leads to volume expansion, increases the bp, LVH, leads to higher mortality rate Advice for a pt that complains of dry, itchy skin - correct answer ✅Hyper fatty soaps and lotion, emotional support

Answers

Peripheral neuropathy (nerve pain in the extremities) - correct answer ✅Advise not to walk barefoot, bath water temp GI problems (nausea/vomiting) - correct answer ✅Get nurse involved Psychological problems (anxiety/depression) - correct answer ✅Get it up to the social worker What does hypertension lead to? - correct answer ✅Left ventricular hypertrophy (LVH) What is pericarditis? - correct answer ✅Inflammation of the membrane (pericardiosack) What is included in pericarditis treatment? - correct answer ✅Decrease or stop heparin or give more dialysis Why are dialysis patients anemic? (Primary cause) - correct answer ✅Lack of Erythropoietin

Answers

Define the term AKI - correct answer ✅encompasses wide spectrum of kidney issues, including kidney failure and kidney function changes 3 examples of pre-renal causes of AKI - correct answer ✅Volume depletion (hemorrhage, burns), decrease in cardiac output, renal vascular obstruction

  1. examples of Intra-renal causes of AKI - correct answer ✅Acute interstitial nephritis, acute tubular necrosis, chemotherapy 3 examples of post-renal causes of AKI - correct answer ✅Bladder or ureteral malignancy, kidney stones, benign prostatic hyperplasia Explain the difference between AKI and CKD - correct answer ✅AKI- happens suddenly, hoping to eliminate the cause and hope of recovery CKD- slowly progressing and irreversible

Answers

How do you help in restoring kidney function with AKI pts? - correct answer ✅Find the cause of AKI and try to get rid of it What do you need to consider in regards to AKI pts vascular access - correct answer ✅Make sure to follow policy and procedures to prepare the access sites so they don't get septic (infection) How do you protect kidneys from further injury? - correct answer ✅Avoid substances that may be toxic to the kidneys What is important when monitoring weight and BP? - correct answer ✅Always want to keep a little bit of fluid on so the kidneys stay perfused AKI pts are at increased risk for which complications? - correct answer ✅hypovolemia (loss of fluid volume in blood) which leads to hypotension

Answers

What germ causes the most common infections in hemodialysis patients? - correct answer ✅MRSA - can remain on surfaces for days with plastic and vinyl Why is wearing gloves so important? - correct answer ✅reduces the risk of hand contamination Why do you need to perform hand hygiene before and after wearing gloves? - correct answer ✅Hands can become contaminated despite gloves through microscopic holes or contamination from the outside comes in contact with skin What is the difference between OSHA and CMS infection control requirements? - correct answer ✅OSHA requires employees to provide workers with a safe workplace while CMS is concerned with patient care and patient safety What are V-tags and why are they important? - correct answer ✅They state specific regulations to be met within a

Answers

condition providing interpretive guidance for each regulation and siting deficiency by tag number Is a cleaned dialysis machine considered a "clean area"? - correct answer ✅No, they are always considered dirty When should sharps containers be removed from the treatment floor? - correct answer ✅They are removed when they are 3/4 full State 3 strategies recommended by KDOQI to decrease the risk of infection when working with a CVC (central vinus catheter) - correct answer ✅1) Make sure you're using face masks when Lumans or exit sites are exposed

  1. Wearing clean gloves and avoid touching exposed surfaces
  2. Minimizing catheter Luman exit sites from being exposed Who can use clean sinks for hand washing? - correct answer ✅Teammates and patients

Answers

How long can a dial user and blood lines be set up for once recirculation is complete? - correct answer ✅No longer than 2 hours Why can't the recirculation remain set up longer? - correct answer ✅Due to bacterial proliferation The manual conductivity value must match +/- what on the fresenius (FMC) dialysis delivery system displayed conductivity? - correct answer ✅+- .4 mS What is a safe dialysate pH range? - correct answer ✅6.9-7. What is "strikethrough" of an external pressure transducer and why is it of concern? - correct answer ✅When fluid could have entered the machine and contaminated the internal pressure transducer protector, providing a reservoir of microorganisms to the next pt getting on

Answers

Why is it important for patient care teammates to know when the water treatment system disinfection was performed? - correct answer ✅The end to end disinfection process could also introduce the disinfection into deliver system, then the pt The reasonable & prudent" standard of care for nephrology nursing key concepts - correct answer ✅Care, actions, nephrology nursing, following standard of care, & license nurse ensuring teammates also meet the standard of care What role does DaVita P&P play? - correct answer ✅Provides evidenced based guidance, meets medicare conditions for coverage and complies with state and federal law What are the risks of performing activities your way? - correct answer ✅not providing safe evidence based care and can lead to civil liability

Answers

What is the difference between the role of a Nurse and a PCT? - correct answer ✅Nurse - Assessment ( the depth of edema) PCT - Data collection ( the present of edema) What is the role of the licensed nurse prior to treatment initiation?

correct answer ✅Assessment of the abnormal findings from data collections When is a pre-treatment assessment by the nurse required for a CKD hemodialysis pt? - correct answer ✅Based on state law or abnormal findings during data collection When is a pre-treatment assessment by the nurse required for a AKI hemodialysis pt? - correct answer ✅Pre-treatment assessment

Answers

What is the role of the PCT prior to treatment initiation? - correct answer ✅complete pre-treatment data collection and let RN know if they're any abnormal findings What are the appropriate times for documentation? - correct answer ✅Pre tx, intradialyte, post treatment and every 30 minutes Appropriate times for pre-treatment safety checks - correct answer ✅Prior to treatment Appropriate times for pre-treatment patient data collection - correct answer ✅prior to treatment Appropriate times for observations during treatment - correct answer ✅statistic line (e line) that you're getting in every 30 min. Appropriate times for post-treatment data collection/assessment - correct answer ✅after treatment

Answers

What is a normal pre-treatment blood pressure? - correct answer ✅140/90 (abormal: +/- 20mm/Hg) What is the normal heart rate range? - correct answer ✅60-100 beats a min. What is the normal respiratory range? - correct answer ✅16-20 breaths a min. What is the normal temperature? - correct answer ✅98.6 F (abnormal: greater than 100 F or 2 degrees rise over baseline) 3 words for access evaluation - correct answer ✅Look, Listen, Feel When is post-treatment assessment by the licensed nurse required? - correct answer ✅After treatment, state law determined, and ALWAYS when there is an abnormal findings

Answers

What are the 5 W's to be used when completing a REM? (Risk event management) - correct answer ✅1) What happened?

  1. When did it occur?
  2. Where did it occur?
  3. Why did it occur?
  4. Any witnesses? (Who) What are the 3 things you should not include in a REM? - correct answer ✅1) Personal opinions
  5. speculations
  6. Vendettas What are the four consequences of sodium loading during dialysis?

correct answer ✅1) increase thirst

  1. large fluid gains
  2. more hypotension during the treatment
  3. High BP