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DAVITA PCT FINAL EXAM (LATEST 2025
UPDATE) QUESTIONS AND VERIFIED
ANSWERS 100% CORRECT ALREADY
GRADE A
Water and dialysate cultures are drawn every month in the dialysis unit to monitor CORRECT
ANSWER>>> bacteria and endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure. CORRECT
ANSWER>>> blockage of arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation CORRECT
ANSWER>>> - air bubbles in the dialysate, dirty sensor
- check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? CORRECT ANSWER>>> look at
circuit for blood in the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? CORRECT ANSWER>>> Kinking of the
arterial blood line between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will CORRECT
ANSWER>>> decrease
what could be the reasons for a conductivity alarm on the dialysis machine CORRECT
ANSWER>>> when the dialysate is mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility specific emergency
management plan (EMP) and applicable policy and procedures is CORRECT ANSWER>>> Fa or
designee
Teammates MUST be able to readily identify patients who may require additional assistance in the event
of an emergency evacuation. This will include patients who need help with or are unable to CORRECT
ANSWER>>> both b and c
what is an important action prior to returning a patients blood using the hand crank in the event of a
power failure? CORRECT ANSWER>>> remove the venous line for the line clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral and Bone
Disorder (MBD) is treated with CORRECT ANSWER>>> phosphate binders, Vit D (Hectorol), and
Cinacalcet
Poor wound healing is directly related to CORRECT ANSWER>>> low protein intake
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is the
best time to take them? CORRECT ANSWER>>> with meal
The definition of Health Literacy is CORRECT ANSWER>>> ability to obtain, read, understand, and use
healthcare information in order to make appropriate health decisions and follow instructions for treatment If you notice that a patient's caretaker is struggling to meet the demands of the patients treatment
regime you should CORRECT ANSWER>>> contact social worker
The Psychosocial Assessment completed by the social worker CORRECT ANSWER>>> an evaluation of
a person's mental health, social status, and functional capacity within the communityCompeted initially and annually
The Clinical Pyramid includes : CORRECT ANSWER>>> • The Fundamentals: Immunizations, Iron,
Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management, Diabetes Management, Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness • Mortality, Hospitalization /Re-
Dialysis replaces only ___ percent of normal kidney function. CORRECT ANSWER>>> 15%
The most common infectious complication for hemodialysis patients is CORRECT
ANSWER>>> centenal line infections
What is one method surveyors used to verify infection control training and education? CORRECT
ANSWER>>> patient interview
Which infectious disease requires frequent handwashing instead of using alcohol based hand gels?
CORRECT ANSWER>>> Active Clostridioides difficile infection C.diff
Per the Centers for Disease Control and Prevention (CDC), which is the most important route by which
pathogens are transmitted in health care setting including dialysis centers. CORRECT
ANSWER>>> contact transmission
V-tags cite deficiencies, provide interpretive guidance, and provide a condition that must be met for
each regulation. How can knowledge of V-tags affect the practice of patient care providers? CORRECT
ANSWER>>> all of the above
Why is meticulous hand hygiene so important in healthcare? CORRECT ANSWER>>> its the single
most important intervention in preventing HAI's If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be appropriate
patient care assignment. CORRECT ANSWER>>> caring for HBsAG positive and hepatitis B susceptible
patients at the same time Per The centers for disease control prevention, which is the most common factor contributing to
bacterial infections in dialysis patients? CORRECT ANSWER>>> the use of catheters for hemodialysis
upon completing machine set up and before treatment initiation it is important to verify the prescription
and machine settings: CORRECT ANSWER>>> both b and c
What should be done to the heparin infusion line if a patient does not have maintenance
(hourly)heparin prescribed? CORRECT ANSWER>>> Clamp and knot the heparin line.
what type of blood/dialysate flow within the dialyzer increases the rate of diffusion providing optimal
dialysis for patients? CORRECT ANSWER>>> concurrent flow
When is a pre-treatment assessment by the licensed nurse required? CORRECT ANSWER>>> ⁃ when it
is mandated by state. ⁃ when the pct performing a data collection notices abnormal findings ⁃ when the patient reports unusual symptoms to the nurse prior to treatment initiation. ⁃ when nurse observes initial behavior a PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the patients
lips have a blue hue. The PCT would: CORRECT ANSWER>>> Complete data collection and PCT must
notify the RN if there are any abnormal findings prior to initiation of tx In those states that do not require a nursing assessment to be completed prior to treatment initiation,
the PCT would be required to report abnormal patient data collection findings. CORRECT
ANSWER>>> yes
For patients with Acute Kidney Injury (AKI)which statement is correct? CORRECT ANSWER>>> A
nursing assesment prior to tx initiation is always required How do you verify that the patient is stable and safe for discharge after the dialysis treatment?
CORRECT ANSWER>>> Evaluate the effectiveness of the treatment by comparing data to pre-dialysis
findings PCT's notify the nurse if there are any unusual findings The patient is using a central venous catheter for dialysis and has a new arteriovenous fistula (AVF)
present in his lower arm, What observation/assessment should the PCT perform the AVF? CORRECT
ANSWER>>> checking for the bruitand thrill every time treatment day
the maximum ultrafiltration rate should not exceed ___ because it may lead to hypotensive episodes
which increase the risk of organ stunning or mortality. CORRECT ANSWER>>> An UFR >13 ml/hr/Kg
what amount of fluid weight is considered excessive CORRECT ANSWER>>> 5% of target weight is
considered excessive
The patients target weight is CORRECT ANSWER>>> Both a and B prescribed and determined by
physicians order
what are the three steps included in the vascular access assessment CORRECT ANSWER>>> look,
listen and feel
Scrubbing of each hub as part of CVC care is done for: CORRECT ANSWER>>> 15 seconds
the nephrologist has prescribed a 400 bfr for your patient. you would expect the physician order to also
include CORRECT ANSWER>>> 15 gauge needle for the prescribed BFR
You listen to your patient's AV graft and hear a whistling sound a. This could be inactive of an inflow stenosis b. This could be indicative of an outflow stenosis c. This could be indicative of advanced access thrombosis
d. This is a normal sounding bruit CORRECT ANSWER>>> b
to prevent the formation of aneurisms and pseudo aneurysms the following should be practiced
CORRECT ANSWER>>> Good needlesites rotation and complete needle site clotting techniques
the neuprologist has ordered the use of hemostatic sponges, sureseal, for your patient. what is the
correct procedure when using these sponges? CORRECT ANSWER>>> Remove the hemostatic
sponge after hemostasis has been achieved and dress the needle site with sterile gauge or band-aid.
flipping the artireal vascular access needle CORRECT ANSWER>>> s not necessary since all arterial
needles now have a back eye the sign that numbing has taken affect and it is time to stop spraying topical anastetic on the vascular
access canulation sites is when CORRECT ANSWER>>> Blanching of skin
when a patient is prescribed topical anastatic spray, the appropriate time to clean the canulation site is
CORRECT ANSWER>>> is prior to applying spray
the nephrologist orders a blood flow rate of 450 ml/min for a patient with established AV fistula. what
needle gage would be appropriate for this BFR CORRECT ANSWER>>> 15
the urea reduction ratio calculates CORRECT ANSWER>>> The amount of urea removed during the
dialysis treatment
which of the following factors would influence the; t of the kt/v formula CORRECT
ANSWER>>> Shortened treatment time
which of the following factors would decrease the; k of the kt/v formula CORRECT
ANSWER>>> Inadequate anticoagulation
When the lab receives a laboratory test tube with double labeling: CORRECT ANSWER>>> The double
labed specimen will be rejected at the laboratory for pt safety the blood flow rate is reduced to 100 ml-min for ___________ before obtaining post dialysis blood
specimen for kt/v CORRECT ANSWER>>> 15 seconds
what steps are performed during the recirculation of blood in the extracorporeal circuit when there has
been a treatment interruption (restroom?) CORRECT ANSWER>>> return patients blood and
recirculate the extracorporeal circuit with normal saline
intredialytic treatment monitoring the data collection is performed every CORRECT ANSWER>>> 30
minutes
her weigh in, and brings her back for the nurse to assess prior to starting her treatment. Which patient
complication would the PCT and RN suspect Cynthia is most likely suffering from? CORRECT
ANSWER>>> Hyperkalymia
The dialysis team prevents additional blood loss by CORRECT ANSWER>>> providing appropiate
heparin dose per physician order using good cannulation and proper rinseback after tx. fever caused by a pyrogenic reaction will most likely occur at what time during the treatment
CORRECT ANSWER>>> Within 45 to 75 minutes
Per DaVita Policy, fever and chills is defined as: CORRECT ANSWER>>> any temperature greater than
100 or increase over baseline of 2° with symptoms
a recommended intervention for muscle cramps is CORRECT ANSWER>>> Turning the UFR off
which of the following may be, but doesn't have to be a sign of hemolysis CORRECT
ANSWER>>> Cherry red colored blood in the venous line
in the event of a patient experiencing a seizure, the dialysis treatment should be CORRECT
ANSWER>>> Discontinued if the seizure is severe or the patient does not respond to treatment
the patient position used for a suspected air embolism is CORRECT ANSWER>>> Trendelenburg, on
the left side
Your immediate intervention for a patient experiencing an anaphylactic reaction is CORRECT
ANSWER>>> Stop the blood pump, discontinue tx, and do not return blood
interventions for a patient complaining of chest pain include CORRECT ANSWER>>> Placed patient in
a flat supine position place machine into bypass
