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You are assisting a patient to step onto the scale by holding the patient's hand. Such a casual contact: A) Requires wearing gloves and hand hygiene afterwards B) Requires neither gloves nor hand hygiene since there is no contact with blood or body fluids C) Requires gloves only without performing hand hygiene when discarding the gloves D) Does not require wearing gloves but you must perform hand hygiene afterwards - correct answer ✅D) Does not require wearing gloves but you must perform hand hygiene afterwards Which statement is true about sinks used for handwashing? A) Patients may not use sinks that are dedicated for teammate handwashing, but should have their own sinks B) Handwashing sinks may be used to discard clean solutions such as left-over normal saline in a sterile bag C) Handwashing sinks must be dedicated for handwashing purposes only and should remain clean D) Handwashing sinks may be used to discard bleach solution since the solution kills germs and has the added benefit of disinfecting the sink -
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correct answer ✅C) Handwashing sinks must be dedicated for handwashing purposes only and should remain clean Which infectious disease requires frequent handwashing instead of using alcohol based gels? - correct answer ✅Active Clostridioides difficile infection C. diff Per the CDC, which is the most important route by which pathogens are transmitted in health-care setting including dialysis centers? A) Contact transmission B) Airborne transmission C) Fecal-oral transmission D) Vector-borne (flies, mites, etc.) transmission - correct answer ✅A) 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? A) Provide patient care within CMS Conditions of Coverage B) Understand rationales for specific regulations as outlined in the interpretive guidance
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B) The use of catheters for hemodialysis C) Poor needle site rotation when cannulating an internal vascular access D) Exposing needle insertion sites to unclean environmental areas, e.g. contaminated chair side tables during dialysis - correct answer ✅B) 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 ✅----- A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the patient's lips have a blue hue. The PCT would: - correct answer ✅----- In 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 ✅To the nurse
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How do you verify that the patient is stable and safe for discharge after the dialysis treatment? A) Evaluate the effectiveness of the treatment by comparing data to pre-dialysis findings B) PCTs notify the nurse if there are any unusual finding C) Nurses perform a post treatment assessment as required D) All the above - correct answer ✅D) All the above Can you document patient vital signs under another teammate already signed into the computer? - correct answer ✅Nah Normal post-tx BP range? - correct answer ✅Under 130/ What are three things you should NOT include in a Risk Event Management (REM) report? - correct answer ✅Personal opinions, speculation, vendettas.
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pressure gradient between two sides of a filter, which pushes fluid through a semipermeable membrane. Convection: - correct answer ✅Solutes and water are dragged across the semipermeable membrane. Diffusion: - correct answer ✅The movement of dissolved particles from the side with the higher concentration to the side with the lower concentration. Osmosis: - correct answer ✅the movement of water/solvent across a semipermeable membrane from the side with the lower solute concentration to the side w/higher solute concentration. Eventually results in equilibrium. Fully functional hemodialysis replaces what percent of normal kidney function? - correct answer ✅15%.
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The most common infectious complication for hemodialysis patients is - correct answer ✅vascular access infection. What is one method surveyors use to verify infection control training and education? - correct answer ✅----- (v-tags maybe?) Why is meticulous hand hygiene so important in healthcare? A) It ranks right after proper environmental cleaning procedures in preventing HAIs B) It is the single most important intervention in preventing HAIs C) It is part of the "sanitary environment" initiative D) It is mandated by OSHA to provide a safe, germ-free environment - correct answer ✅B) It is the single most important intervention in preventing HAIs What should be done to the heparin infusion line if a patient does not have maintenance (hourly) heparin prescribed? - correct answer ✅Clamped and tied in a knot.
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D) When supervising patient care technicians and other non- licensed personnel, it is the responsibility of the licensed nurse to ensure these teammates also meet then Standard of Care - correct answer ✅D) When supervising patient care technicians and other non-licensed personnel, it is the responsibility of the licensed nurse to ensure these teammates also meet then Standard of Care. The nephrologist orders a BFR of 450 ml/min for a patient with an established AV Fistula. What needle gauge would be appropriate for this BFR? - correct answer ✅15 gauge Needle gauges corresponding with BFR ranges: - correct answer ✅17G=200-250 mL/min 16G=250-350 mL/min 15G=350-450 mL/min 14G=more than 450 mL/min Needle gauges with corresponding arterial pressures: - correct answer ✅17G: -150mmHg or less 16G: -200mmHg or less
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15G: -220mmHg or less 14G: -260mmHg or less What does the Urea Reduction Ratio (URR) calculate? - correct answer ✅URR measures adequacy of dialysis by calculating ((U[pre]-U[post])/U[pre])*100. This represents change in amount of urea in the blood with treatment, and should be above 65%. Water and dialysate cultures are drawn every month in the dialysis unit to monitor: - correct answer ✅bacteria and endotoxin presence. What is the primary device for purifying the water used in dialysis?
correct answer ✅Reverse osmosis [device] If clotting occurs in a high flux dialyzer, the TMP will - correct answer ✅Decrease. What happens if the venous drip chamber is clotted? - correct answer ✅Venous pressure will increase.
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Why is it better for a patient with AKI to be "wet" rather than too dry in regards to their target weight? - correct answer ✅Being wet helps avoid hypovolemia and hypotensive episodes. Excretory kidney functions: - correct answer ✅Fluid balance, electrolyte balance, waste removal, acid/base balance Endocrine kidney functions: - correct answer ✅Renin secretion, Erythropoietin secretion, vitamin D activation
