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Davita PCT Exam Study Guide | Hemodialysis Technician, Exams of Study of Commodities

Herzing UniversityStudy of Commodities

Davita Patient Care Technician exam study guide with questions and answers on hemodialysis, kidney function, water treatment, and patient safety. Davita PCT, hemodialysis technician, patient care technician exam, Davita training, dialysis study guide, CCHT exam prep, nephrology nursing, kidney disease, water treatment dialysis, dialysis technician test

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2025/2026

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Davita PCT Final Exam | QUESTIONS & ANSWERS |ALREADY
GRADED A+| VERIFIED & UPDATED| 2027
1) Known as solute drag, solute move w/ water across the semipermeable
membrane. *kidneys remove waste this way*(answer) Convection
2) Movement of dissolved particles across a semipermeable membrane
from
*high* to *low* concentration(answer) Diffusion
3) Fluid move from *low* to *high* solute concentration(answer) Osmosis
4) 1) Fluid Balance (ultrafiltration)
2) Electrolyte balance (diffusion)
3) Acid/Base balance(answer) Kidneys excretory functions
5) 1) Renin (angiotensin aldosterone system)
2) Erythropoiesis
3) Vitamin D & Calcium regulation(answer) Kidneys endocrine functions
6) Function of Bicarbonate(answer) Maintains acid-base balance and help
clean blood by functioning as the primary buffer in the body
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Download Davita PCT Exam Study Guide | Hemodialysis Technician and more Exams Study of Commodities in PDF only on Docsity!

Davita PCT Final Exam | QUESTIONS & ANSWERS |ALREADY

GRADED A+| VERIFIED & UPDATED| 202 7

  1. Known as solute drag, solute move w/ water across the semipermeable membrane. kidneys remove waste this way(answer) Convection
  2. Movement of dissolved particles across a semipermeable membrane from high to low concentration(answer) Diffusion
  3. Fluid move from low to high solute concentration(answer) Osmosis
    1. Fluid Balance (ultrafiltration)
  5. Electrolyte balance (diffusion)
  6. Acid/Base balance(answer) Kidneys excretory functions
    1. Renin (angiotensin aldosterone system)
  8. Erythropoiesis
  9. Vitamin D & Calcium regulation(answer) Kidneys endocrine functions
  10. Function of Bicarbonate(answer) Maintains acid-base balance and help clean blood by functioning as the primary buffer in the body
  1. How do we replace excretory functions?(answer) Hemodialysis removes urea, salt, excess water from blood which normalizes electrolytes and metabolic acidosis
  2. Hormones replaced by medications such as Epogen, Iron, Antihyperten- sive (ACE inhibitors), Phosphate binders, Vitamins D, Calcimetric agents(answer) - How we replace endocrine functions?
    1. Edema & Pulmonary Edema
  4. Hypertension
  5. Chronic Heart Failure
  6. Shortness of breath
  7. Headaches(answer) Signs & symptoms of fluid imbalance
  8. Hypertension leads to(answer) Left Ventricular Hypertrophy (LVH)
  9. Why is sodium balance important?(answer) Sodium holds onto water, thirst and blood pressure control
    1. Extreme muscle weakness
  1. Dysrhythmias (irregular heartbeat)
  2. Cardia arrest(answer) Signs and symptoms of Hypokalemia
  3. Lack of Erythropoeitin(answer) Primary cause of anemia
  4. Secondary Cause of anemia?(answer) blood loss
    1. Heparin lines are clamped
  1. Wait 3-5 min after Heparin dose
  2. Proper priming(answer) How to prevent blood loss
  1. What is the sac inflammation of the heart that is indicated by fever, hearing rub, low blood pressure, and chest pain?(answer) Pericarditis
    1. Lower heparin
  1. More dialysis
    • More antibiotics & anti-inflammatory meds*(answer) Treatment of Pericarditis
  1. Recommend fatty lotions, lukewarm water, antihistamine (allergy reliev- ers), pat not rub skin dry and checking phosphorus levels(answer) If patient is com- plaining of dry, itchy skin
  1. What would you do if patient complaints of Peripheral Neuropathy (nerve pain)?(answer) Check water temperature, wear good shoes, no barefeet, and observe/in- spect feet
    1. Calcium
  1. Phosphorus
  2. PTH (Parathyroid Hormone)
  1. What is important when monitoring weight and BP?(answer) Hypovolemia and hypotension episodes can cause renal/schiema and further damage to kidneys
  2. AKI patients are risk of ?(answer) Kidney infections
    1. Risk at infections
  1. Access may not run well(answer) Things to consider with vascular access (CVC)
  1. Difference between AKI & CKD(answer) Acute(answer) some urine production/kidney func- tion ( Temporary Chronic(answer) no urine & kidney function (permeant)
    1. Immunocompromised because of kidney failure
  1. Technicians going from patient to patient(answer) Are what makes dialysis patients more susceptible to HAIs (Healthcare Associated Infections)
    1. Prolonged access to patient's blood during hemodialysis
  1. Bacterial infections especially w/ CVC's(answer) Reasons why dialysis patients have an increase risk for acquiring a HAI at the facility
  1. What is the difference between OSHA and CMS infection control require- ments?(answer) OSHA (employers providing a safe workplace) CMS (patient care & safety)
  2. What are v-tags and why are they important(answer) CMS/State regulations to be met to state guidelines important for infection control
  3. Which V-tags are relative for patient care and safety?(answer) 110 - 148
    1. Surgical masks
  1. Sterile gloves/gown
  1. Avoid touching exposed surfaces(answer) Three strategies recommended by KDOQI to decrease risk of infection when working w/ CVC's
  1. Hepatitis B surface Antigen (HBsAg) are performed...?(answer) Monthly
  2. Anti-HBs(answer) Hepatitis B surface antibody
  1. The manual conductive value must match +/- on the Fresenius (FMC) dialysis delivery system displayed conductivity.(answer) 0.
  2. What is the safe dialysate pH range?(answer) 6.9 to 7.
  3. What is "strikethrough" of an external pressure transducer?(answer) blood cont- amination
  4. Why is strikethrough important?(answer) Fluid could have enter the machine and contaminated the internal pressure and transducer protector provider a revivor for microorganisms which can lead to blood infections
  5. Why is it important for patient care teammates to know when the water treatment system disinfection was performed?(answer) It will introduce disinfectant solution in the dialysis delivery systems thru water inlet lines
    1. Following standard care makes the care given defensible and avoids negligence's part of the ...(answer) Reasonable & Prudent Standard Care for Nephrology Nursing Key Concept
  7. When supervising non - licensed techs it is the responsibility of the to ensure these teammates also meet standard of care(answer) li- censed nurse
    1. Davita provides standard of care
  1. Acting accordingly to Davita & is "prima facie" (first sight) evidence to compliance
  2. Davita & serves "best demonstrated practice"(answer) P & P (Policy and Procedure)
  1. What are risks of doing it your way?(answer) civil liability
  1. Six occurrences when to chart(answer)(answer) 1) change from assessment
  1. change of patient condition
  2. change of procedure/tx
  3. change of medication/patient response
  4. patient education/teaching
  5. care plan review and interventions
  1. These are done prior to initaition for treatment and must be documented within an hour(answer) Pre-treatment safety checks
  2. Pre-treatment data collection(answer) are done prior to treatment, 10 second access listen, feel, and raise arm to see flatten
  1. What does SMART communication stand for?(answer) Simple Meaningful Actual Read Teach
  2. What are the 5 W's?(answer) Who When What Where Why
  3. Three things to not include in a REM (Risk Event Mangement)(answer) personal opinions, speculations, rendattas
  4. When is post-treatment assessment by the licensed nurse required? (answer) Re- quired by state; or if data collection includes abnormal findings
  5. How to calculate Interdialytic Weight Gain (IDWG)?(answer) pre weight - last post weight
  6. How to calculate UF goal?(answer) pre weight - target weight + rinse back
    • oral intake
  7. How to calculate UFR?(answer) UF goal divided by tx time
  8. Four consequences of sodium loading(answer) 1) Increased sodium in post tx weight 2) Increased thirst
  1. Increased fluid weight gain
  2. Hypertension
  1. Three ways to contribute to sodium loading(answer) 1) Diffusion from dialysate
  1. Normal saline administration
  2. Dietary intake
    1. Hypertension
  1. LVH (left ventricular hypertrophy) 3) CVD (cardiovascular disease) are consequences of ...(answer) Hypervolemia (Fluid overload)
    1. Ischemia & damage to initial vital organs
  1. Loss of residual renal function
  2. Increase mortality rate(answer) Hypovolemia
    1. Access has been cannulated w/ 2 needles for 2 months w/o complica- tions
  1. Beginner cannulator can cannulate(answer) Established AVF
  1. The needle gauge for initial cannulation.(answer) 17
  2. What does BESTIPS stand for?(answer) Bleeding Erosion Stenosis Thrombosis Infection Pseudo aneursym Steel syndrome
  1. What is the distance should be from a anastomosis ?(answer) 1. inches same as for needle tips
  2. What is K in Kt/V?(answer) clearance of urea
  3. Treatment factors that increase K(answer) DFR, BVP, UF goal, adequate antico- agulation (heparin)
  4. Decrease in *BFR and DVP * Inadequate heparin(answer) Can decrease K in Kt/V
  5. T in Kt/V stands for time of dialysis session What factors influence T?(answer) Longer blood/dialysate contact time Frequent/extra tx's
  6. V stands for volume for patient's body water, which urea is distributed What factors influence V?(answer) sex, body weight, height, age, and amputations
  7. What is the suggested BFR for the following needle gauges? 17 (answer) 16 (answer) 15 (answer) 14 (answer) Note the smaller the needle size the larger the BFR(answer) 17 (answer) 200 - 250 16(answer) 250 - 350 15 (answer) 350 - 450 14 (answer) >
  8. What should you do for a post BUN lab draw?(answer) 1) Turn off/decrease UF to 50 mL/hr
  1. Decrease DFR to 300 or place in bypass
  1. At what time are medications containing a preservative discarded? (answer) 28 days
  2. What is the time frame during which a single use medications should be prepared and administered?(answer) 4 hours
  1. How do you verify your needle is not in the access when administering Lidocaine?(answer) By aspirating (pulling back on the plunger of a syringe)
    1. Wash arm
  1. Clean according to P&P guidelines
  2. Spray 4-10 seconds 3-7 inches away
  3. Try to not frost skin(answer) How to administer topical anesthetic spray
  1. What does TRAMP stand for?(answer) Time Route Amount Medication Patient
    1. patient safety
  1. prevent equipment malfunction(answer) Two reasons for water treatment
  1. What does aluminum in waster used for dialysis causes?(answer) *Anemia, bone disease, nausea, and vomiting
  2. Chlorine in water used for treatment causes RBC RUPTURE(answer) Hemolysis
  3. Excess calcium & sodium in water used for treatment causes(answer) hyperten- sion
  4. Excess calcium & magnesium in water used for treatment causes(answer) muscle weakness
  5. What removes chlorine/chloramines?(answer) carbon tanks 98. When should chlorine/chloramine testing should be done? Where? and acceptable result?(answer) After RO runs for 15 mins before 1st shift, every 4 hours. In the Primary carbon tank