Download Fresenius Exam Latest 2024/2025 Q-Bank With Complete Solutions and more Exams Nursing in PDF only on Docsity! July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Fresenius Exam Latest 2024/2025 Q-Bank With Complete Solutions/ Verified Answers; Guarantee Pass WHICH Is Of The Following Complications Is Most Likely Caused By A Kink In The Blood Line: A. Allergic Reaction B. Cramping C. HAEMOLYSIS D. Hypokalaemia Excessive Fluid Removal During Dialysis, Combined With The Patient's Taking An Antihypertensive Medication May Result In The Patient Having: A. HYPOTENSION B. Hypertension C. Haemolysis D. Hematoma A Patient Is Being Observed For Symptoms Of Uremia WHICH Include: A. Increased Energey Level B. LOSS OF APPETITE C. Darkening Of The Stool D. Heat Intolerance July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Haemolyzed Blood Could Be Caused By A. An Arterial Pressure Of Negative 190 B. AN ARTERIAL PRESURE OF NEGATIVE 270 C. A Venous Pressure Of Half The Blood Flow Rate D. A Machine Temperature Of 36 Celsius During The Final Thirty Minutes Of Dialysis, The Patient Complains Of Blurred Vision And Dizziness. The Caregiver Should Evaluate For Signs Of A. HYPOTENSION B. Hypertension C. Hyperkalaemia D. Hypokalaemia The Group Of Symptoms That Include Feelings Of Faintness, Double Vision, Perspiration, Irritability, And Hunger May Be Associated With WHAT Patient Complication: A. Anemia B. Pyrogen Reaction C. Hyperglycaemia D. HYPOGLYCAEMIA The Primary Cause Of Anemia In The Dialysis Patient Is A. Abnormal Red Blood Cell Production B. The Blood Loss That Occurs During The Procedure C. A DECREASE IN THE PRODUCTION OF ERYTHROPOIETIN D. An Ability To Convert Vitamin D July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK B. USE PLASTIC TUBS AND STORE THEM WELL ABOVE THE FLOOR C. Cover Them In Place With Heavy Duty Plastic Tarps D. No Need To Bother If The Clinic Is Not In The Flood Zone How Can You Help Dialysis Machines In Your Clinic From Water Damage? A. Dialysis Machines Are Water Proof And Do Not Require Protection B. Cover Them In Place With Heavy Duty Plastic Tarps C. Move Them To An Interior Room That Will Stay Dry D. BAG THEM FROM THE TOP DOWN AND BOTTOM UP, AND RAISE THEM OFF THE FLOOR How Should A Facility Prepare For A Disaster Such As A Hurricane Or Possible Flooding? A. LOCK DOWN LIDS ON SHARPS CONTAINERS, SEAL BOXES/BAGS, SECURE ALL THE LOCKED BIO-HAZARD ROOM B. Arrange To Move All Boxes And Sharps Containers To An Offsite Rented Storage Facility That Remains Locked C. Tape Sharps Containers And Boxed Closed As They Can Remain In The Patient Area D. Ensure That Sharps Containers Are Secure In Their Brackets WHAT Clinic-Specific Document Will You Learn About In Your Orientation To Your New Clinic? A. CLINICAL EMERGENCY PLAN B. B. CMS Conditions Of Coverage C. C. KCER Emergency Manual D. Policies And Procedures July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Where Is The Path Urine Takes To Exit The Body? Correct Ans: - Urinary Track - Kidneys - Ureters - Bladder - Urethra WHAT Is The Relationship Between Dialysis And Kidney Function? Correct Ans: - Fluid Removal, Waste Removal, Electrolyte Balance WHAT Is A Solvent? Correct Ans: - Fluids Into WHICH Something Is Dissolved Water WHAT Is A Solute? Correct Ans: - A Component That Will Be Dissolved Into A Solvent Chloride Potassium Urea Creatinine WHAT Is A Solution? Correct Ans: - Fluid That Contains A Dissolved Solute Blood WHAT Is A Solution In The Body? Correct Ans: - Blood Contains Water, Red And White Cells, Electrolytes, Glucose WHAT Is A Solution In Dialysis? Correct Ans: - Dialysate Water Acid Bicarbonate Where Is Water In The Body? Correct Ans: - Intracellular Fluid 70% July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Plasma (Blood)10% Interstitial 20% How Is Fluid Removed In Dialysis? Correct Ans: - Osmosis Where Is Fluid Removed During Dialysis? Correct Ans: - Plasma (Blood) Where Is Most Of The Fluid Located In The Body? Correct Ans: - Intracellular WHAT Does Tmp Mean? Correct Ans: - Transmembrane Pressure WHAT Does The Tmp Measure Correct Ans: - The Pressure Difference Across The Membrane Fibers Inside The Dialyzer The Pressure Across The Dialyzer Membrane WHAT Is Osmosis? Correct Ans: - Movement Of Fluid From An Area Of Low Solute Concentration To An Area Of High Solute Concentration Until Equilibrium Is Reached WHAT Is Diffusion? Correct Ans: - The Movement Of Particles Or Solutes From An Area Of High Solute Concentration To An Area Of Low Solute Concentration Until Equilibrium Is Reached? WHAT Is Ultraflitration? Correct Ans: - The Removal Of Fluid With Added Pressure WHAT Is A Major Factor Affecting Ultrafiltration? Correct Ans: - Pressure WHAT Does A Rise In Tmp Indicate During Hemodialysis Correct Ans: - Clotting Water In The Dialysate Is Referred To As Correct Ans: - Ro Water If A Patient Does Not Have Hypertension, WHAT Is The Preferred Access? Correct Ans: - Fistula July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK The Online Clearance Olc Single Pool Spkt/V Goal For Each Treatment Is Correct Ans: - 1.4 The Group Of Symptoms That Include That Feelings Of Faintness, Double Vision, Perspiration, Irritability, And Hunger May Be Associated With WHAT Patient Complication? Correct Ans: - Hypoglycemia Hyperkalemia (High Potassium) Can Result In Correct Ans: - Muscle Weakness And Death The Three Types Of Errors Associated With A "Just Culture" Are Correct Ans: - Simple Human At Risk Restless Near Misses, Are Sometimes Referred To As _____________ Because They Help Diagnose A ___________ And Reduce ________ Correct Ans: - Good Catches System Problem Patient Injury Failure To Report Errors Or Near-Missed Can Result In Correct Ans: - An Advance Event The Three Keys To A Culture Of Safety Are Correct Ans: - Communication Error Learning Right Way Reporting An Adverse Event Is A _____________ Requirement That Provides Opportunity To Identify, Report, And Evaluates Correct Ans: - Regulatory Near Misses Are Also Referred To As "Good Catch" Because, Reporting A Near Miss Can Diagnoses _________ And Reduce Patient ________ Correct Ans: - System Problem Injury July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Failure To Report ________ Or _________ Can Result In An Adverse Event, And An Increase Of Patient Injury Correct Ans: - Errors Near Misses ______ Is Defined As Any Time There Is A Falure To Follow Established Procedures, Treatment Prescriptions, Or An Event That Causes Patient Injury Or Death Correct Ans: - An Adverse Event During Dalysis A Patient Has A Cardiac Arrest. WHAT Action Should Be Completed On The Dialysis Machine Before Is Used By Another Patient? Technical Must Perform ________ On The Machine Correct Ans: - A Function Test To Prepare For A Disaster Such As A Hurricane Or Possible Flooding, Staff Should Lock Down _______ Seal ________ And Secure All In The Locked _________ Correct Ans: - Lids On Sharp Container Boxes/Bags Biohazard Storage Room The Purpose Of Maintaining A Long Of Water Quality Checks Is To Prove ______ Has Been Documented Correct Ans: - Safe Water Fluids Or Water In With Solutes/Substances/Particles Are Dissolved Correct Ans: - Solvents Substance That Can Be Dissolved Correct Ans: - Solutes Mixture Of Solvent And Solute Correct Ans: - Solution Solute Level Is Lower Than In The Blood Correct Ans: - Hypotonic Solute Level Is High Than In The Blood Correct Ans: - Hypertonic Solute Level Is The Same As Blood Correct Ans: - Isotonic July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Movement Of Solute Or Particles Cross A Semipermiable Membrane From A Higher Solute Level To A Lower One Correct Ans: - Diffusion Constant Internal Balance In The Body Healthy Kidney Help Maintain Fluid Balance, Acid/Base Balance, Hormal Balance, And Electrolyte Balance Correct Ans: - Homeostasis Movement Of Water Or Fluid Across Semi-Permiable Membrane From Lower Concentration Is Higher Concentration Correct Ans: - Osmosis Blood Side Pressure And Dialysate Side Pressure Across The Dialyzer Membrane To Keep Dialysate From Moving Into More Than That Of The Dialysate Side Correct Ans: - Transmembrane Pressure Tmp Pressure Of Gradient Between Two Sides Of Filter Correct Ans: - Ultrafiltration Conductivity Correct Ans: - Ability Of A Solution To Transmit Or Conduct Electric Use To Calucate The Electrolyte Concentration In The Final Dialysate Conductivity Greater Than 14.5 Is Hypertonic Dialysate That Can Cause Correct Ans: - Crenation Conductivity Lower Than 13.5 Is Hypotonic Dialysate That Can Cause Correct Ans: - Hemolysis Ph Ph Is Short For Potential Of Hydrogen Correct Ans: - A Measure Of Hydrogen Ion Concentration Of A Solution Measure Acidity And Alkaline Of Body Fluids Important That The Ph Of Dialysate Is Similar To The Ph Of The Human Body July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Is The Term Used To Describe Movement Of Fluid Through A Semipermiable From An Area Of Low Solute Concentration To An Area Of High Concentration Correct Ans: - Osmosis Can Be Defined As The Movement Of Particles Through A Semipermiable Membrane From A Greater To A Lesser Concentration Correct Ans: - Diffusion A Major Factors Affecting Ultrainfiltration Is Correct Ans: - Pressure A Rise In _____ During Hemodialysis Is Likely To Indicate Clotted Fibers Correct Ans: - Tmp Water In The Dialysate May Be Reffered To As _____ Correct Ans: - Ro Water A ______ Is Considered The Access Of Chouse Because They Have The ______ Correct Ans: - Fistula Lowest Complication Rate A Patient With Severe Hypertension Is To Start Hemodialysis. The Patient Does Not Have Diabetes Or Cardiact Problems. WHAT Type Of Access Is Preferable? Correct Ans: - Arteriovenous Fistula Counter Current Flow Of Blood And Dialysis Increases The Rate Of _____ Correct Ans: - Diffusion Use Of A Dialysate Filter Allows The Production Of ______ Correct Ans: - Ultrapure Dialysate Is The Ability Of A Substance To Conduct An Electrical Charge Correct Ans: - Conductivity ______ Is Used To Rinse And Prime The Tubing Of The Extracorporeal Circut To Remove _____ And ______ Correct Ans: - Normal Saline Sterilant Air July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Air Is Removed From The Extracorporeal Circuit Before Initiating Treatment Because It May Cause _______ When Trapped In The Dialyzer Correct Ans: - Clotting The Most Likely Cause Of Contamination Of The Extracorporeal Circuit Area _____ Are In The Prime Bucket With _____ Correct Ans: - Open End Caps A Low-Level Arterial Drip Chamber Can Result In _____ Entering The System Causing An Air Embolism Or Clotting. Correct Ans: - Air Is The Ability Of A Substance To Conduct An Electrical Charge Correct Ans: - Conductivity When Blood Escapes From The Dialyzer Blood Compartment Into The Dialysis Fluid Compartment, This Is Know As A ________ Correct Ans: - Blood Leak Dialysate Used For In Center Hemodialysis A. Sterile B. Non-Sterile Correct Ans: - Non-Sterile Who Ultimately Determines The Dialysate Bath Used For A Patient's Treatment? Correct Ans: - Physician Only Individual Acid Containers Must Be ____ Labeled With Chemical Content Correct Ans: - Labeled Three Solutes That May Be Present In A Prescribed Dialysate Solution Correct Ans: - Sodium Bicarbonate Potassium Calcium Besides Potassium, An Electrolyte That Is Commonly Adjusted In The Hemodialysis Acid Bath Is _____ Correct Ans: - Calcium July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK The Three Ingredients In A Dialysate Solution Bath Are Correct Ans: - Acid Bicarbonate Ro Water A Major Complication That Can Occur When The Patient Is Dialyzed On Hypotonic Dialysate Is Correct Ans: - Hemolysis The ______ Area Of The Dialysate Has The Most Impact On Dialyzer Clearance Correct Ans: - Surface Area WHICH Of The Following Would Adversely Affect Clearance? A. Blood Flow Rate B. Air In Dialyzer Correct Ans: - Air In Dialyzer The Online Clearance Goal For Hemodialysis Is A Spktv Of Correct Ans: - 1.4 Dialysis Is Affected By These 4 Things: Correct Ans: - Dialysate Flow Dialysis Treatment Dialyzer Size Blood Flow Rate Prior To Applying The Blood Pressure Cuff On A New Patient, The Patient Care Technician Should ______ Both The Patient's Arms For The Presence Of An _____ Correct Ans: - Examine Access Available Weight Gain Is Described As The Pre-Treatment Weight Minus Correct Ans: - Dry Weight A Red And Warm Vascular Access May Be A Sign Of An ______ Correct Ans: - Infection July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK The Adequacy Of A Dialysis Treatment May Be Compromised By ______ Correct Ans: - Heparination The Patient Presents To The Dialysis Center With A Pulse Of 44/Min But Does Not Appear To Be In Any Distress. WHAT Should The Dialysis Technician's Immediate Action? Correct Ans: - Notify Rn During Dialysis, The Patient's _____ And _____ Must Be Uncovered Correct Ans: - Access Face WHAT Can Cause Result From A Low-Level Arterial Pressure Drip Chamber? Correct Ans: - Air Entering The System If The Needle Infiltrates, The First Thing You Should Do Is Turn Off The _____ Correct Ans: - Blood Pump During Dialysis, A Large Clot Is Noticed In The Venous Chamber. The Clinician Should Replace The _____ Correct Ans: - Venous Line The Venous Pressure On A Dialysis Machine Begins To Rise, But The Venous Needle Is Not Infiltrated. The Most Likely Cause Is A Correct Ans: - Clotted Venous Line The Condition Most Likely To Raise The Venous Pressure Is ____ Correct Ans: - Venous Needle Occlussion When It Is Suspected That A Patient Has An Air Embolism, The First Intervention, Should Be To _____ Correct Ans: - Clamp The Patient's Venous Bloodline A Mjor Compl That Occ When The Patient Is Dialyzed On Hypotonic Dialysate Is Correct Ans: - Hemolysis During The Dialysis Treatment A Large Clot Is Noted In The Venous Chamber. The Clinician Should Replace The ______ Correct Ans: - Venous Line July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK The New Needle Replacement Following An Arterial Needle Infiltration Should Be Located ______ The Infiltration Correct Ans: - Above Or Below To Properly Collect A Post Bun Sample, It Is Necessary To Turn Off The ______ Correct Ans: - Ultrafiltration Rate To Determine The Adequacy Of Dialysis Treatment, Evaluate The ______ Correct Ans: - Bun Blood Urea Nitrogen Lab When Removing Needle From An Internal Access, The Needle Safely Devise Should Be A. Engage B. Disengage While Removing Needle From Access Correct Ans: - Engage When A Conductivity Alarm Occurs, The Machine Enters Correct Ans: - Bypass Mode When Teaching A Patient About The Prevention Of Hypotension During Treatment, The Nurse Should Instruct The Patnet To Measure Their Daily _____ Including Foods That _____ At Room Temp Correct Ans: - Food Intake Melt The First Thing You Should Do If A Fistula Needle Has Infiltrated Is To Turn Off The ____ Correct Ans: - Blood Pump A Rise In Transmembrane Pressure (Tmp) During Hemodialysis Is Like To Indicate ____ Correct Ans: - Clotted Fibers Sharps Containers Must Be Replaced When They Are _____ Correct Ans: - 2/3 To 3/4 Full July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK WHAT Causes Diffusion Inefficiency Across The Dialyzer Membrane? Correct Ans: - Clotting In Fiber Air Pockets Poor Blood Flow Insufficient Dialysate Flow Cooler Dialysate Temperatures Recirculation WHAT Is Online Clearance Olc? Correct Ans: - Test Patient Clearance Kecn 6x Every Treatment Measures Amount Of Sodium At The Inflow And Outflow _____ Measurements Used To Calculate The Amount Of Diffusion That Occurs = Clearance Correct Ans: - Sodium How Does The Online Clearance Work? Correct Ans: - It Calculates The Amount Of Diffusion WHAT Is Kecn Correct Ans: - Time And Clearance In Ml/Min Of Each Completed Test Normal Range Is 200 - 300 ______ Indicates The Projected Spkt/V Is At Or Above The Facility Goal Of _____ Correct Ans: - Green Light 1.4 _____ Machine Is In Alarm Mode & Blood Pump Has Stopped Correct Ans: - Red Light Needs Immediate Response From Staff _____ Indicates The Olc Spkt/V Has Fallen Below The Goal Of 1.4 Correct Ans: - Yellow Light July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK During The Flood, WHAT To Do With The Items? Locked Them Up In The Biohazard Room - Sharp Container Correct Ans: - Rubber Maid Water Type Bin Put Them Up High - Paper Documents For The Machine - Take Big Bags; Seal The Machine With Heavy Duty Bag Severe Immediate Emergency: Clam & Disconnect Correct Ans: - 1. Off Blood Pump 2. Clamp Arterial And Venous Blood Lines 3. Clamp Both Access Needle Lines And Pinch Line Clamps Closed 4. Add Another Clamp To Needle Access Lines/Catheter Lumens 5. Disconnect From Blood Tubing 6. Tape Lines/Lumens To Patient Serious Adverse Effects Any Event That Causes Serious Patient Injury Or Death Correct Ans: - Hand Cranking The Blood Pump Remove Venous Line From Occlusion Clamp Maintain Fluid Level In Venous Chamber Monitor Air In Line After Venous Chamber Near Miss Potential Hazard Or Incident No Patient Injury Yet Correct Ans: - Adverse Event Failure To Follow: Established Clinical Procedures A Treatment Prescription With Whom Must Your Clinic's Emergency Preparations Coordinate? Local Emergency Operations Centers And Hospitals Correct Ans: - If You Are Sent To Work Dialysis Shifts At A Back-Up Clinic, WHAT Might You Need? July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Training On Equipment You Are Not Used To Using A Disaster-But Not A Flood-Strikes Your Clinic. How Can You Assure A Safe Water Supply? After Flushing, Disinfecting, And Testing, Compare The Product Water To Pass Readings Correct Ans: - WHAT Is The Purpose Of Triage During An Emergency? To Sort Patients By How Ill Or Injured They Are Who Will Be In Charge If A Disaster Affects Your Clinic? Someone Who Has Been Designated For That Role During Disaster Planning Correct Ans: - Fluid Is Removed From The Intravascular Space Total Blood Volume = Red Cell Volume + : Plasma Volume Correct Ans: - After The Worker Tank Chlorine Breathrough The Post Polisher Water Test Results Is Less Than 0.10 Ppm, And The Medical Director Approved The Continuation Of Patient Treatments. In Two Hours The Post Polisher Test Is Greater Than 0.10 Ppm. WHAT Action Must Be Taken? A. Call The Director Of Operations And See WHAT They Think Would Be Best B. Immediately Stop All Patient Treatments C. Document The Results And Get Back To The Floor D. Restest The Sample A Few More Times Before Letting Anyone Correct Ans: - B. Immediately Stop All Patient Treatments July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK WHAT Is Responsible To Ensure All Staff With Responsibilites For Water Treatment Or Dialysate Preparation Are Qualified By Training And Have Documentation Of Current Competency? A. Medical Director B. Nurse Manager C. Registered Nurse In Charge Correct Ans: - B. Nurse Manager The Work Carbon Tank Is Experiencing A Chlorine Breakthrough, All Dialysis Machines Have Been Put In Bypass To Stop Patient Treatments, And These Events Have Been Documented On The Tms And/Or Tlc-1 Log. WHAT Action Should Be Taken Next? A. Test The Ro Water B. Test The Total Chlorine After The Polisher Carbon Take And If Below 0.10ppm Resume Treatments C. No Additional Testing Is Required D. Test The Total Chlorine After The Polisher Carbon Tank And Notify Medical Director Correct Ans: - D. Test The Total Chlorine After The Polisher Carbon Tank And Notify Medical Director WHAT Is The Purpose Of The Pre-Treatment Water Softener? A. Remove Chlorine And Chloramines From Water B. Removes Chemical And Microbiological Contaminants C. Prevent A Carbon Tank Chlorine Breakthrough D. Prevent Water Hardness From Damaging The Ro Membranes Correct Ans: - D. Prevent Water Hardness From Damaging The Ro Membranes In WHAT Circumstances Must Patient Treatments Be Stopped? Select Three Answer A. Ro Percent Rejection Is 80% Or Less B. Total Chrlorine Test Post Polisher Carbon Tak Is 0.07 Or Greater C. Final Dialysate Ph Level Is 7.2 Ph D. Total Chlorine Test Post Worker Carbon Tank Is 0.10 Or Greater July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Chlorine Chemical To Disinfect Water Correct Ans: - Chloramines Produced By Combining Chlorine And Ammonia Total Chlorine Measurement Of Chlorine And Chloramines Combined Test Results Must Be Less Than 0.1 Ppm To Be Safe For Patients Correct Ans: - WHAT Test Strips Used To Test Carbon Filters Every Four Hours? A. Ph Test Strips B. Residual Chlroine Test Strips C. Low Range Hardness Test Strips D. Rpc Ultra-Low Total Chlorine Test Strips Answer D After Testing The Ro Water First Thing In The Morning, The Result Is 0.10 Ppm. WHAT Should You Do? A. Document The Result And Start Treatments B. Request Medical Director Approval To Start Treatments C. Re-Test And If Result Is The Same Do Not Start Treatement D. Test The Work Carbon Tank Next Correct Ans: - C. Re-Test And If Result Is The Same Do Not Start Treatement You Just Completing The 2nd Total Chlorine Test Of The Day And The Result Is Greater Than 0.10 Ppm. WHAT Should You Do? A. Test The Ro Water B. End The Treatments And Send The Patients Home C. Documdent The Results And Get Back To The Treatment Floor July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK D. Notify Change Nurse And Place All Dialysis Machine In Bypass Correct Ans: - D. Notify Change Nurse And Place All Dialysis Machine In Bypass The Worker Tank Is Experiencing A Chlorine Breakthrough, The Dialysis Machines Are In Bypass And Now The Post Polisher Carbon Tank Sample Test Result Is Greater Than 0.10ppm. WHAT Shold You Do? A. Document The Results And Get Back To The Floor B. Call The Director Of Operations For Direction C. Retest Both Tanks And Cosult The Nurse D. Immediately Stop Treatment Correct Ans: - D. Immediately Stop Treatment Why Is It Important Test For Residual Bleach After Equipment Has Been Disinfected? A. Presence Of Bleach Ensures Equipment Has Been Adequately Disinfected B. Bleach Remaining On Equipment Can Case Damage C. Bleach Present In Water Distribution And Bicarb Loops Removes Contaminants From Dialysate D. Ensures Residual Bleach That Could Cause Serious Harm To Patient Is Present Correct Ans: - D. Ensures Residual Bleach That Could Cause Serious Harm To Patient Is Present When Testing A Dialysis Machine For Residual Bleach, WHAT Does It Mean When The Strip Color Indicates A Reading Of Less Than 0.5 Ppm? A. Water Exiting The Worker Carbon Tank Contains Acceptable Levels B. Rest Is Negative And The Sample Passes The Residual Bleach Test C. Result In Negative And The Sample Fails The Residual Bleach Test D. Residual Bleach Level Is Too High To Safely Treat Patients Correct Ans: - B. Rest Is Negative And The Sample Passes The Residual Bleach Test When Preforming A Quality Control Test On A New Bottle Of Water/Check Rc Resident Chlorine Reagent Test Strips, WHAT Does It Mean When The Test Result Of City Water Is Less Than 0.5ppm? July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK A. Strips Pass The Quality Control Test B. Strips Fail The Quality Control Test C. Bottle Has Passed It Expiration Date C. Strips Can Be Used To Test For Total Chlorine Correct Ans: - B. Strips Fail The Quality Control Test Three C's Condition, Complaints, And Changes Correct Ans: - Condition - Observable And Measurable Complaints - Patient's Perspective - Subjective Changes - Objective - Changes In Test Results The Abc's Of Patient In Assessment Correct Ans: - Access Breathing Cardiac Weight Gains Exceeding 4 Kg Are Reported To The Rn For Assessment And Evaluations Correct Ans: - Below 13ml/Kg/Hr To Prevent Cardiac Stunning WHAT Is Ph Measure Of A Solution's Hydrogen On Concentration Ph Is Short For Potential Of Hydrogen Measures The Acidity Or Alkaline Of Body Fluids And Tissues Correct Ans: - Normal Ph For Blood And Body Fluid Is 7.35 - 7.45 Ph It Is Impt That The Ph Of Dialysate Is Similar To The Ph Of The Human Body July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK WHAT Is Ph? A. Probability Of Hydrogen B. Measure Of The Conductivity Of Body Tissues C. Measures Of A Solution's Hydrogen Concentration D. Chemical Component Use In Bicarbonate Correct Ans: - C. Measures Of A Solution's Hydrogen Concentration WHAT Items Are Included In The Tri-Solution? 1% Bleach Solution Ro Water Neo-Care Standard Solutions Correct Ans: - Whos Is Responsible For Performing Level 2 Calibration Of The Phoenix Meter? Technical Staff WHAT Two Solutions Are Used When Performing Level 1 Calibration Of The Phoenix Meter? 7.0 Ph Solution 14.0 Ms Solution Correct Ans: - WHAT Is The Maximum Allowable Difference Between Displayed Conductivity (Calculated By The Dialysis Machine And Measured Conductivity Using The Phoenix Meter) To Be Used For A Patient Treatment? 0.3 Ms Step Of Collecting A Final Dialysis Sample For Testing Into The Correct Sequence 1. Open Shunt Door 2. Disconnect The Blue Hansen Connector 3. Hold Blue Hansen Connector Over A Sample Cup July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK 4. Close Shunt Door 5. Fill Sample Cup To At Least 3/4 Full And Open Shunt Door 6. Reconnect Blue Hansen Connector And Close Shunt Door Correct Ans: - WHAT Is Tcd? A. Equals The Difference Between Calculated And Measured Conductivity B. Conductivity Measured Using A Meter C. Conductivity Calculated By The Dialysis Machine D. 14.0 Millisiemens Correct Ans: - C. Conductivity Calculated By The Dialysis Machine When Pouring A Dialysate Sample Into The Cell Cup For Measurement, How Much Should You Fill The Cell Cup? A. Until The Upper Electrode Is Covered B. Until Needle Is +/- Of Displayed Conductivity C. Until The Plunger Is Half Way Covered D. Until The Cell Cup Is Full Correct Ans: - C. Until The Cell Cup Is Full List Three Blood Borne Pathogens That May Be Found In A Dialysis Unit? Correct Ans: - Hep B Hep C Hiv Hep B - Blood And Bodily Fluids Hep A - Contaminated Food, Oral And Fecal Route Hep C - Blood And Bodily Fluid Hep D - Blood Or Bodily Fluids Route --Uncommon In Dialysis Patient July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Hep E - Oral And Fecal Route Correct Ans: - WHAT Blood Test Indicates Infection With Hep B? Absag Is The Test For The Hepatitis B Antigen If The Hbsag Is Positive Or Reactive, It Indicates Actual Viral Presence, Infection With Hep B, Requires Patient _____ Correct Ans: - Isolation And The Implementation Of A Buffer Zone In The Dialysis Settings When The Anti-Hbs Level Is ________ The Patient Has Immunity To Hep B. Correct Ans: - 10mlu/Ml Or Greater, WHICH Vaccine Provides Long-Term Immunity To Hep B? Recombivax Or Engerix-B Correct Ans: - WHAT Actions Are Necessary When A Patient Is Suspected Of Having Active Tb? Ask The Patient To Don A Mask Call The Physician You Are At The Nurse Desk Charting When A Coworker Asks You For A Second Signature On The Patient They Are About To Put On You Obtain A Sample From The Machine And Perform Your Own Conductivity And Ph Test Correct Ans: - You Obtain A Sample From The Machine And Perform Your Own Conductivity And Ph Test The Machine Reads 13.4 The Phoenix Meter Reads 14.0 Ph Is 7.0. The Tcd Is 13.3 Verify And Recalibrate The Meter. Collect A New Sample And Retest. Whenever A Reading Is Out Of Range, The First Step Is To Verify And Recalibrate The Independent Meter. Once That Is Done, A New Sample Is Collected And Retested. If Parameters Are Still Out Of Range, The Machine Must Be Pulled From Service. July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Iron May Cause: Burning And Pain At The Injection Site Hypotension Hypersensitivity And Itching Anesthetics - A Topical Cream Usually Applied At The Patient's Home To The Vascular Access. Emla Cream® (Lidocaine 2.5%/Prilocaine 2.5% Correct Ans: - The Cream Is Spread Over The Area Planned For Cannulation 1 Hour Before Cannulation To Allow For Maximum Numbing. Emla® Cream Is Applied By The Patient An Hour Before Treatment And Can Cause Vasodilation. Emla Classify The Solutes Removed, Medications Injected, And Electrolytes Balanced. Correct Ans: - Solutes Removed - Creatinine And Urea Medication Injected - Heparin And Saline Electrolytes Balanced - Calcium And Potassium Why Is Heparin Injected In The Blood Stream During The Hemodialysis? A. Maintain Osmotic Gradient B. Balance Electrolyte C. Prevent Clotting Correct Ans: - C. Prevent Clotting Hemodialysis Correct Ans: - Removal Of Wastes Removal Of Excess Fluid Keep Electrolytes In Balance July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Identify The Kidney Functions That Are Replaced By Hemodialysis A. Balance Electrolytes And Removing Excess Fluid B. Regulates Fluid Balances By Removing Excess Fluid C. Removes Waste Products From The Blood D. Restores Complete Kidney Function Correct Ans: - A. Balance Electrolytes And Removing Excess Fluid B. Regulates Fluid Balances By Removing Excess Fluid C. Removes Waste Products From The Blood Access Created By Joining An Artery And Vein Correct Ans: - Av Fistula Access Created By Placing A Synthetic Material Between An Artery And Vein Correct Ans: - Av Graft Catheter Placed In A Large Central Vein Allows For Removal And Return Of The Blood Correct Ans: - Cvc Avf Advantages Correct Ans: - Lowest Infection Rate Mature Avf Lasts Longest Of All Access Surgical Creation Is Simpler Avf Disadvantages Correct Ans: - Not All Patients Have Suitable Blood Vessels 6-8 Weeks For Vein To Mature And Be Ready For Cannulation Ease Of Needle Placement Is Variable Avg Advantage Correct Ans: - Can Be Used In A Few Weeks Needle Placement Is Easier Than In Avf Avg Disadvantages Correct Ans: - Has More Complications Such As Infection And Clotting Requires Expensive Procedures To Maintain Patency July 24 FRESENIUS EXAM LATEST 2024/2025 Q-BANK Doe Snot Last Long As The Avf Catheter Advantages Can Be Used Immediately Correct Ans: - Catheter Disadvantages Leading Cause Of Infections Flows Often Lower Than Prescribed Contributes To Inadequate Treatments May Cause Stenosis Prone To Clotting Most Common Complications Of Hd That May Occur During Hemodialysis Correct Ans: - Hypotension Cramps Nausea And Vomiting Vascular Access Complications Include Complications Of Needle Placement Clotting In The Dialyzer Or Bleeding From The Access Post Procedure May Occur Due To Inadequate Anticoagulation Excessive Or Too Rapid Fluid Removal Correct Ans: - Hypotension Too-Rapid Removal Or Electrolyte Shifts Correct Ans: - Cramps Hypotensive Episodes Correct Ans: - Nausea And Vomiting Needle Placement Correct Ans: - Vascular Access Complications Inadequate Anticoagulation Correct Ans: - Clotting In Dialyzer/Bleeding From Access