BONENT REVIEW Questions and Answers (Latest Update 2025) 100% Verified Answers, Exams of Nursing

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management of pericarditis might include all of the following EXCEPT: a. controlled hepranization during dialysis b. aggressive BP control c. increased frequency of dialysis d. use of anti-inflammatory drugs - Correct Answer ✅b. aggressive BP control A patient telephones the dialysis unit to complain of shortness of breath. The technician is concerned because she realizes that this symptom in indicative of: a. cardiac problems b. disequilibrium syndrome c. fluid overload d. high serum potssium - Correct Answer ✅c. fluid overload

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Which of the following organizations is primarily concerned with providing the dialysis unit staff with educational opportunitied for continued professional growth and development? a. Council of Nephrology Nurses and Technicians (CNNT) of the National Kidney Foundation b. American Society of Artificial Internal Organs (ASAIO) c. American Kidney Fund (AKF) d. American Society of Nephrology (ASN) - Correct Answer ✅a. Council of Nephrology Nurses and Technicians (CNNT) of the National Kidney Foundation Which of the following is NOT essential to the successful completion of a research project a. review of the literature in the problem area b. publication results c. problem definition

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d. gram- positive bacteria - Correct Answer ✅b. gram- negative bacteria In the event of a natural disaster (e.g. earth quake, fire, flood) , the PRIMARY responsibility of the technician in the dialysis setting is the protection of the: a. dialysis staff b. dialysis equipment c. patients d. facility - Correct Answer ✅c. patients If the dialysis machine has been disinfected with formaldehyde, it is important to test for residual formaldehyde after rinsing to minimize the risk of: a. potential for a pyrogenic reaction b. alteration of the chemical composition of the dialysis fluid c. patient exposure to formaldehyde

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d.. alteration of components in the machine - Correct Answer ✅c. patient exposure to formaldehyde In hemodialysis, the most commonly used volume expander is 0.9% NaCl. If this solution has the same effective osmolarity as body fluids, it is called: a. isotonic b.hypertonic c. hypotonic d. monotonic - Correct Answer ✅a. isotonic Which of the following is NOT a possible sequela of hepatitis B? a. chronic active or chronic persistent hepatitis b. cirrhosis c. pancreatitis d. liver cancer - Correct Answer ✅c. pancreatitis

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d. automated modular systems with factory set limitations which can decrease operator error - Correct Answer ✅c. educated and motivated staff and properly maintain equipment Homeostasis can be defined as : a. the steady state of internal environment b. a holisitic approach in medicine c. a balance between nature and man d. the state of physical and psychological well-being - Correct Answer ✅a. the steady state of internal environment Decreased glomerular filtration reate of the kidney may be due to all of the following EXCEPT: a. shock b. dehydration c. fluid overload

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d. cardiac decompensation - Correct Answer ✅c. fluid overload Hemolysis of RBCs will occure if which of the following types of dialyzing fluids is delivered to the dialyzer: a. hypertonic b.hypotonic c. hyperthermic d. hypothermic - Correct Answer ✅c. hyperthermic The dose of heparin required to achieve anticoagulation varies widely among patients. In general, however, the goal of anticoagulation in dialysis is to maintain the degree of anticoagulation at: a. normal baseline clotting studies b. 1.5 to 2 times baseline clotting studies c. 5 times the baseline clotting studies

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performance if a creatinine clearance test requires: a. spot urine and serum creatinine measurement b. urine measurements of protein, uric acid, and urea c. a timed urine collection and serum creatinine measurement - Correct Answer ✅c. timed urine collection and serum creatinine measurement which of the following is a cause of hemolysis during dialysis? a. minimal hospitalizations b. improper dialysate preparation c. extremely high levels of iron in the water d. excessively low dialysate temperature - Correct Answer ✅b. improper dialysate preparation hypertension may be a complication of the renal failure. It may be influenced by all of the following EXCEPT:

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a. nephrectomy b. fluid overload c. sodium retention d. use of bicarbonate dialysate - Correct Answer ✅d. use of bicarbonate dialysate correct needle placement is important in the initiation of dialysis to minimize the risk of all of the following except: a. steal syndrome b. reciculation c. inadequate blood flow d. hematoma formation - Correct Answer ✅a. steal syndrome cyclers for peritoneal dialysis are automatic exchange devices which:

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c. serum potassium d. urea clearance of dialyzer - Correct Answer ✅d. urea clearance of the dialyzer a patients' venous needle falls out. the first thing the technician would do is: a notify the charge nurse b. clamp the venous line, reinsert the needle , and restart the treatment c. turn off the blood pump , clamp the venous line , and put pressure on the puncture sites d. assess the patient's blood loss - Correct Answer ✅c. turn off the blood pump, clamp the venous line, put pressure on the puncture site all of the following are potential problems associated with the use of bicarbonate dialysate EXCEPT: a. increased risk of bacterial growth

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b. dangerous electrolyte concentrations due to concentrate mix ups c. precipitation of calcium and magnesium in the delivery system d. carbon dioxide levels in the bicarbonate dialysate becoming dangerously high - Correct Answer ✅d. carbon dioxide levels in the bicarbonate dialysate becoming dangerously high A patient who has gone on high-efficiency dialysis now dialyzes for 3 hours per session instead of 4. Which of the following findings would indicate that the current prescription is inadequate? a. an increased sense of well being: at Kt/v value <1.1; a midweek BUN value < 75; BP = 128/84 mm Hg; and PCR value of 1. b. a decreased in the midweek BUN value from 85 to70; decreased incidence of cramps; and a decreased estimated dry weight

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populations. Which of the following is true regarding the effect of heparin in a dialysis patient? a. hemodialysis patients may exhibit increased bleeding tendencies for up to 24 hours post- dialysis b. the "rebound-effect" of heparin metabolism increases the incidence of bleeding in this population c.platelet aggregation in the dialysis population is markedly increased, placing patients at risk of bleeding d. diabetic dialysis patient exhibit a heparin half-life up to 3 times longer than non-diabetic dialysis patients - Correct Answer ✅b. the "rebound-effect" of heparin metabolism increases the incidence of bleeding in this population Constipation is a common problem for dialysis patients. the primary reason for this is: a. decreased motility of the GI tract b. decreased mobility caused by anemia c. the inability of the kidney to filter water

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d. medications such as phosphate binders or ferrous sulfate - Correct Answer ✅d. medications such as phosphate binders or ferrous sulfate all of the following are relevant factors in ensuring the accuracy of the activated clotting line (ACT) EXCEPT for: a. temperature of the ACT tube b. patient's blood hematocrit c. volume of blood in the ACT tube d. prompt admixing of blood and clotting reagent - Correct Answer ✅b. patient's hematocrit value for which of the following purposes is mannitol use? a. to support blood pressure by expanding volume b.to decrease clotting c.to relieve symptoms of restlessness in the elderly

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a. normal, nothing needs to be done b. abnormal; the test should be repeated with a fresh test strip c. abnormal; the dialyzer should be discarded d. abnormal; rinsing and retesting should be continued per unit protocol - Correct Answer ✅d. abnormal; rinsing and retesting should be continued per unit protocol with subclavian catheters, poor blood flow can be caused by all of the following EXCEPT: a. vascular spasms b. an incorrect cannula lumen size c. blood pumps set higher than 150ml/mm d. incorrect placement of the cannula within the host vessel - Correct Answer ✅c. blood pumps set higher than 150ml/mm

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the procedure most likely ordered after placement of a subclavian catheter is: a. chest x-ray to verify catheter placement b. CAT scan to rule out pulmonary embolism c. echocardiogram to verify catheter placement d. pulmonary scan to assess the degrees of recirculation in the access - Correct Answer ✅a. chest x-ray to verify catheter placement complications associated with AV fistula for hemodialysis access included which of the following: a. infection, aneurysm, hypovolemia, hypoxia b. stenosis, thrombosis, hypovolemia, hypoxia c. thrombosis, infection, stenosis, arterial steal syndrome d. arterial steal syndrome, infection, epistaxis, hyperkalemia - Correct Answer ✅c. thrombosis, infection, stenosis, arterial steal syndrome