Real PCT Davita Final Exam Questions & Answers, Exams of Nursing

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Real PCT Davita Final Exam Questions & Answers

1. Which of the following statements is not an underlying assumption of self management: People with complex chronic kidney conditions such ass ESRD have more difficulties with successful self management
2. Which of the following is a basic principle of self management: Dealing with the consequences of the illness rather than just the physical disease its self
3. Andragogy takes into account: That adults desire to take responsibility for what they learn
4. In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks after creation should be considered mandatory: true
5. Vessel mapping should be performed on all new patients when possible- P a g e 1 | 10

: true

6. The goal of vascular mapping is to assure that every new patient receives a fistula if possible: true
7. A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel).: inflow
8. The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%.: false 84-98%
9. Venous stenosis is the most common cause of late fistula loss.: true
10. Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an inflow stenosis (inability for blood to enter the access): true
11. A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula.: true
12. A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction.: true
13. The most serious catheter related complication is infection: true

.

14. 3 processes that make up the water treatment system: pre treatment, water-purification, distribution
15. 3 roles of davitas pnp play: a standard of care best demonstrated practice prima facieevidence
16. 4 ways to prevent contributing to excess blood loss: eveluate effectiveness of of heparin rinse back blood till lines are pink hold acess site forappropriate time dont waste blood in redraws
17. acronym used when communicating: SMART simple meaningful actual read teach
18. adequacy of dialysis is represented by: kt/v
19. antibiotic that should be administered over a period of at least 60 min: vancomycin
20. what factors influence k: bvp
21. what happens when arterial pressure becomes greater than -260: hemolysis

22. what happens if total Cl is collected before the minimum time the RO should be operating: rsults could be falsely negative
23. what happens to the TMP if clotting occurs in the dialyzer: it decrease
24. what happens when bleach an parecitc acid are mixed: a toxic cl gas is produced
25. wjat is a good adequacy goal for 3 times per week HD: KTV of atleast 1. URR of at least 65%
26. what is KDQOL 36 used: to asses physical health, mental health effects in dialy living symptoms burden of kidney disease
27. what not to include in AOR: personal opinion specu;ation vendettas
28. what shou;d you do if pt needs a bathroom break: return blood and recirculate machine
29. when is a pyrogenic reaction most likely to occur: during the first 45- mins
30. when is risidual bleach testing done: after bleach dis infection and prior to use

.

31 when to chart in medical record: change in baseline assesment or pt condition procedure or treatment medication administration pt teaching care plan

32. when to give hep b booster: when HBsAB drops 10
33. when to use directing communication: when trainning pts
34. when to use folowing communication: when pt need time to process or digest something
35. when to use guiding communication: when creating an action plan
36. what bacteria requires hand washing instead of alcohol rub: c diff
37. which direction should arterial needle be placed: anti or retro who cares
38. which direction should the venous needle be placed: antegrade with flow of blood
39. who educate pt on treatment modality: neph, SW and CN
40. to evaluate if pt is stable before discharge: nurse must complete post treatment assessment

41. pre treatment required by nurse?: if abnormal findings for AKI pt pretreatment always required
42. if a pt with acute kidney injury dialyses in the out pt facility one task of the pt care TM is to monnitor blood pressure and weight closely why?: HYPOvolemia and HYPO tensives episode can cause RENAL ISCHEMIA and can further damage the kidneys
43. CKD can have its origin pre renal, intra renal, or post renal. which of the following conditions is an intrs renal cause of CKD: hypertension
44. pt with cardiac disease are ten times more likely to experience intradailytic hypotension: LVH
45. offering a pt this is an example of sodium loading: broth
46. what is an intra cellular or intersistial symptom of fluid overload: edema
47. this electrolyte is often elevated in pts who experience severe itching: phosphorus
48. the kidneys help regulated BP with this: renin

.

49 this hormone stimulates the bone marrow to make red blood cells: erythopoieten

50. this electrolyte aids in clotting, nerve impluse transmission, muscle contractions and bone formation: calcium
51. restless leg syndrome is a symptom of which complications in CRF: peripheral neuropathy
52. what is classified as a bone disease associated with renal failure: - CKD-MBD
53. the kidneys convert Vitamin D into which hormone: calcitrol
54. these procedures can cause significant blood loss in our patients: access
55. maintaining normal serum calcium levels is the primary function of this hormone: PTH
56. this disease is the leading cause of death in patients at all stages of CKD: cardiovascular

.

57. the transport mechanism when particles move from an area of higher solute concetration to an area of lower solute concentration is called: diffusion
58. during dialysis the movent of bicarb from the dialysate into the blood: helps normalize ph
59. the kineys excretory function include: nomalizing electrolytes
60. chlorine/chloramine testing can be found in: the sample port from the primary carbon filter
61. hardness testing removes: calcium and magnesium
62. excess calcium and magnesium in water used for dialysis: muscle weakness
63. what removes chlorine and chloramines: carbon tanks
64. arterial pressure more positive: seperation of blood tubing from arterial access
65. venous pressure more positive: clotting in drip chamber
66. venous pressure more negative: severely clotted dialyzer
67. role davitas pnp play: best demonstrated practice standard of care

.

68 purpose of DQI: encourage continuous improvement accross a broad range of disease management

69. consequences of fluid overload: increased mortality
70. consequences of hypovolemia during treatment: ischemia and damage to vital organs
71. KDQOL 36: identifies barriers
72. hyperkalemia: muscle weakness abmormal HR
73. 4 key elements affect CKD MBD: soft tissue calcification
74. ultrafiltration: fluid forced through semipermeable membrane
75. covection: slolutes and solvent move
76. vtags: state specific regulations to be met with a condition such as infection providing interpretive guidance for each regulation
77. when is the pretreatment assessment by the licensed nurse required: when it is mandated by the state when the pct performing a data collection notices abnormal findings when the patient reports unusual symptoms to the nurse prior treatment initiation when the nurse observes unusual behaviors in a patient entering the treatment floor

.

ALL OF THE ABOVE

78. data collection: heart rate:
79. fluid overload and hypertension lead to LVH this means: hypotensive episodes are more likely to occur during treatment
80. your role in ckd-mbd management includes: reminding the patient who is eating a snack during dialysis to take his phosphate binders
81. your role in anemia management: rinsing back as much as other patients blood as you can at the termination of each treatment
82. :