Anderson Hemodialysis for Nurses and Dialysis Personnel (HEMOTECH21) Continuing Education (CE) Practice Test

These questions are part of the practice quiz. Start practicing

• A patient arrives for dialysis with a preweight of 70.5 kg and an estimated dry weight of 68 kg. What is the goal for fluid removal today if the patient had a post-weight of 68.5 kg after the last session?
• What is the risk percentage of becoming infected with hepatitis C virus following a needlestick or sharps exposure?
• What adjustment to the dialysis machine can help lower hypertension in a patient receiving acute dialysis?
• If the blood in the extracorporeal circuit appears transparent with "cherry soda pop" color, what complication should be suspected?
• According to KDOQI 2003 Guidelines, what is the recommended postdialysis blood pressure goal for CKD patients?
• What is the primary goal of hemodialysis treatment for CKD patients?
• What should a technician do if a patient reports not cleaning their access site due to soreness?
• What percentage of facility payment can be reduced if quality standards are not met according to CMS?
• What are some barriers to effective patient education?
• What is considered an advantage of coiled catheters for peritoneal dialysis?
• What should be done if a patient feels unwell during the dialysis session?
• What is the most frequent complication of peritoneal dialysis?
• Which common medications are known for being associated with nephrotoxicity?
• What does the eGFR measure to assess kidney function?
• What are the recommendations for caring for patients with Clostridium difficile colitis?
• Why is it vital to monitor a dialysis patient's albumin level?
• What is a common complication associated with hemodialysis?
• What term should be reported when a patient's breathing is rapid and has increased depth?
• A patient’s weight after the last dialysis session was recorded at 68.5 kg. What is the patient's fluid gain since their estimated dry weight?
• Which actions should be avoided postoperatively following the placement of a chronic peritoneal dialysis catheter?
• What is the correct order of steps for reprocessing a dialyzer?
• What adjustments can be made for a CKD patient with an elevated blood urea nitrogen (BUN) level during dialysis?
• For a patient with stage 5 CKD, what should be the maximum recommended phosphorus intake?
• Which of the following knowledge areas is essential for a dialysis technician position?
• What fluid removal target should a nurse set if a patient has a preweight of 70.5 kg and an estimated dry weight of 68 kg?
• Which organization was approved by CMS for conducting surveys for Medicare certification of dialysis clinics?
• What are the most common ways hepatitis B virus is transmitted in dialysis units?
• Which agency is responsible for the certification of dialysis treatment facilities?
• How is heparin commonly administered in hemodialysis?
• Which statement about health literacy is accurate?
• Why is the patient's weight important during a physical assessment in dialysis?
• What laboratory values can result if bicarbonate concentrate is overmixed?
• Which method is most commonly used to check dialysate composition?
• What are some technical complications associated with continuous renal replacement therapy (CRRT)?
• What percentage of total body water is contained in the tricellular fluid compartment (ICF)?
• What is the treatment of choice for older adults requiring maintenance dialysis?
• Which buffer is considered the major plasma buffer important during dialysis?
• Which patient qualifies for diabetes testing based on certain health criteria?
• In which patients is kidney transplantation contraindicated?
• Which member of the dialysis team has the authority to implement changes in staff conduct?
• Which laboratory tests does the KDOQI 2012 guidelines recommend for screening patients with diabetes for diabetic nephropathy?
• What is the benefit of administering intradialytic parenteral nutrition concurrently with dialysis?
• What types of contaminants are removed from the water used in dialysis?
• What category does the medication Velphoro fall under?
• Which complication should be reported if cloudy effluent is observed in peritoneal dialysis?
• What is the proper first response to an air embolism during dialysis?
• What precautions should be taken when restraining a pediatric patient for needle insertion?
• According to KDOQI Clinical Practice Guidelines, what should be the goal for predialysis albumin levels in dialysis patients?
• What symptoms might family members notice in a patient diagnosed with acute kidney injury (AKI)?
• How long does a patient typically stay in the hospital after undergoing a kidney transplant?
• Before starting dialysis, what critical step must be verified by the technician or nurse?
• Which condition is suggested by a family member experiencing blood in urine and flank pain?
• Which symptoms may indicate intradialytic complement activation?
• What type of program does the question "What about my work interferes with my ability to do what needs to be done to achieve the best possible outcome for patients?" exemplify?
• Reducing intake of which nutrient is known to be beneficial for delaying the progression of kidney disease?
• What is a potential consequence of bacterial endotoxins in dialysis fluid?
• Which of the following are disadvantages of kidney transplantation that should be shared with patients and their families?
• Why is reverse filtration important?
• Which statement correctly describes the role of the dialysis technician during a treatment session?
• What characterizes palliative care in contrast to hospice care?
• For a poison to be effectively removed during dialysis, what characteristics must it have?
• What integumentary changes are commonly seen in patients with chronic CKD?
• When preparing for reverse osmosis, which type of membranes should be utilized?
• How can patients infected with MRSA or VRE be safely cared for in the dialysis unit?
• When should gloves be changed and hands be washed according to Standard Precautions?
• Technically, how many mL/day is defined as anuria?
• Which vaccinations should a transplant patient avoid after obtaining their new kidney?
• When is a patient considered to be at their "dry" weight postdialysis?
• Which medication is given to a dialysis patient to support blood pressure prior to treatment?
• A dialysis patient requiring a blood transfusion is being monitored. Which symptom should be reported immediately?
• What is the recommended hemoglobin A1c target level for patients with CKD according to NKF KDOQI guidelines?
• A patient's arterial pressure has suddenly increased from -110 mm Hg to -210 mm Hg. Which could be the cause of this change?
• What modifications can be made to prevent intradialytic complications associated with fluid removal?
• What dietary recommendations might a nephrologist provide for a patient with stages 3 or 4 chronic kidney disease (CKD)?
• If a patient reports unusual feelings in their fistula arm after sleeping on it, what complication should be assessed?
• Which modifiable risk factors could a dialysis technician suggest to slow kidney disease progression?
• What are some disadvantages of peritoneal dialysis for older adults?
• What is the most appropriate approach when a family member expresses hostility towards the dialysis treatment?
• Which patient condition should the dialysis technician be aware of in case of a drug overdose?
• What is needed to accomplish solute removal in dialysis?
• Which condition is most prevalent in patients with an estimated GFR less than 60 mL/min/1.73²?
• Which health conditions contribute to a patient's predisposition to nephrotoxicity?
• What is the target hemoglobin range recommended by the KDOQI for patients receiving erythropoiesis-stimulating agents?
• Which health condition is most associated with the need for dialysis?
• If a patient's nephrons are damaged, what is the best explanation regarding kidney regeneration?
• According to CMS Conditions for Coverage, what is the maximum level of bacteria allowed in dialysate?
• If a dialysis patient is taking the drug class calcimimetic, which laboratory value indicates that the drug is effective?
• What is a common complication of dialysis that involves the access site?
• What is appropriate care for a new peritoneal catheter exit site?
• What could be a consequence of not removing enough fluid during a dialysis session?
• What can cause hypotension during dialysis treatment?
• Which comorbidities place older patients at high risk for nephrosclerosis?
• What is the recommended maximum rate of ultrafiltration during hemodialysis?
• What is the proper hand hygiene technique recommended for healthcare personnel?
• What actions are required when preparing a dialyzer for patient use prior to beginning the dialysis session?
• Which nutrients require special attention in the diet of a patient with CKD?
• What are the three key elements of motivational interviewing (MI)?
• Which aspect of patient care is supported by grouping all content about a topic on one slide?
• Do older adult patients with comparable comorbidities to younger patients do as well on hemodialysis?
• What is the minimum time duration for rubbing hands together when washing with soap and water?
• Why is it important to monitor serum potassium levels in dialysis patients?
• Which factors affect the removal of toxins in dialysis?
• What is a crucial aspect of infection control in dialysis centers?
• Which child is at high risk for developing latex allergy?
• What practice is essential to ensure the integrity of the dialyzer membrane during reprocessing?
• What are some benefits of peritoneal dialysis compared to hemodialysis?
• Which effects are caused by low serum calcium levels in relation to parathyroid hormone?
• What is the significance of the patient's antibiotic requirement during their dialysis session?
• What type of medication is required with every meal and snack for managing renal bone disease?
• How often should the patient's estimated dry weight be reassessed during long-term dialysis treatment?
• What consideration should be made regarding plant-based protein sources for dialysis patients?
• In a patient with gross edema, which symptoms should the dialysis technician monitor for hypotension?
• If a dialysis technician suspects a patient with CKD is depressed, which symptoms should be reported?
• What is a significant reason that transplanted patients with diabetes may undergo limb amputation more than dialysis patients?
• What risk is associated with using certain herbal remedies in dialysis patients?
• Which symptoms will alert dialysis personnel that a patient is experiencing a Type A dialyzer reaction?
• In the context of ionic charges, what is the term for a positively charged ion?
• How may peripheral neuropathy present in a patient with CKD?
• Which procedure can notably improve outcomes in patients hospitalized with AKI?
• Which members of the dialysis team should intervene when a patient appears to be grieving?
• Why is it necessary to monitor serum sodium levels frequently during dialysis?
• Which patient would be considered a good candidate for peritoneal dialysis?
• Which of the following is important for patient safety during hemodialysis?
• Which condition indicates that a child needs isolation during hemodialysis treatment?
• How often is it recommended to cleanse all components of the water treatment system with an approved disinfectant?
• For patients undergoing hemodialysis, what is essential for maintaining safety?
• In what way can a low sodium diet benefit patients undergoing hemodialysis?
• What could be a primary concern for elderly patients on peritoneal dialysis?
• What are the system requirements for high-flux dialysis?
• Which type of garment should be worn during procedures that may generate droplets or splashes?
• How can a patient ensure their kidney disease does not progress?
• What steps should a dialysis technician take if a patient is experiencing hemolysis?
• Which president signed the Social Security Amendments that expanded Medicare coverage for chronic kidney disease treatments?
• How much water is typically lost through evaporation from the lungs and insensible perspiration daily?
• In the management of patients undergoing dialysis, which factor is crucial in evaluating the effectiveness of the procedure?
• If a patient is experiencing adverse reactions from ethylene oxide sterilization, what alternatives exist?
• Which approach should be taken if a patient shows signs of a serious allergic reaction to a dialysis treatment?
• Which factors could contribute to cognitive impairment in dialysis patients?
• In the context of self-care, which activities are patients allowed to perform?
• A patient with chronic kidney disease and diabetes is most likely to have which type of diabetes?
• What should a technician do if the skin prep for cannulation has dried due to interruption?
• Which member of the interdisciplinary team should a dialysis patient be referred to concerning weight gain?
• What advice would a physician likely give to a CKD patient with a low calcium level?
• What problems may be present in a patient prescribed urgent-start peritoneal dialysis?
• What factors can be monitored continuously using a Crit-Line monitor during dialysis?
• In what situation should a case manager get involved during a hemodialysis session?
• When should a dialysis patient be referred to a social worker?
• What happens to ions in water when resin tanks are exhausted?
• What is the impact of temperature on solute removal during dialysis?
• Which complications are associated with untreated anemia in CKD patients?
• Which teaching techniques/strategies should be used when teaching patients with limited literacy?
• When the technician questions the patient about a flu shot, which condition is being monitored?
• Which electrolyte abnormalities are treated with dialysis following transplantation?
• What is the maximum safe fluid removal rate during a standard hemodialysis treatment?
• What diagnostic indicator suggests a patient is experiencing rejection of a transplanted kidney?
• Which venous access sites should be avoided in patients with stage 4 or 5 CKD to prevent complications?
• When monitoring a patient receiving hemofiltration, what issues should the technician be aware of?
• How is the temperature of the dialysate controlled?
• What is an essential skill for healthcare providers when interacting with anxious patients?
• What measurement is done first for a patient beginning their dialysis session?
• What is a common cause of postrenal failure?
• What process is utilized to remove chlorine and chloramine from tank water?
• Which patients are considered at higher risk for developing chronic kidney disease (CKD)?
• What should be done if a technician notices an unfavorable condition during a fistula site assessment?
• Which checks should a dialysis technician perform on the dialysis machine before a patient's first hemodialysis session?
• Which water contaminants may cause methemoglobinemia?
• Which factors increase susceptibility to infections in dialysis patients?
• After a patient loses detectable antibodies post-vaccination for hepatitis B, what is the recommended treatment?
• How should a technician respond to a patient's request to meet for lunch to enjoy a normal meal?
• What blood pressure category would a 13-year-old with 140/90 for three days be diagnosed with?
• Assessing for which symptoms should be prioritized when monitoring a patient for a Type A dialyzer reaction?
• What should a healthcare provider do to foster collaboration in motivational interviewing?
• Which dietary aspect is most critical for patients on dialysis to manage?
• Which of the following statements is true regarding bicarbonate concentrate?
• What is the recommended treatment following accidental exposure to blood from a patient known to be HIV positive?
• What are some disadvantages of using hollow-fiber dialyzers?
• What is an important assessment for patients before they begin dialysis?
• What is the primary cause of "hardening of the kidneys" in a patient with CKD?
• Hostility towards dialysis personnel may often stem from what underlying issue?
• What does "nocturnal intermittent peritoneal dialysis" mean for a new client with CKD?
• When caring for a patient on dialysis, which is the most crucial aspect of patient-centered care?
• What is the correct composition of physiological saline?
• Which patients are likely to have a low serum albumin?
• What is one primary responsibility of a registered nurse in the dialysis unit?
• What is essential to check after needle insertion during dialysis treatment?
• Why is anticoagulation therapy used in patients undergoing hemodialysis?
• In assessing a dialectical patient's dietary compliance, which factor is essential?
• What should be monitored if a teenager has significant kidney stones?
• How does a technician determine the flow of blood in a looped arteriovenous graft?
• What is an important aspect of care for adolescents undergoing dialysis?
• What patient complaint may indicate air has entered the peritoneal cavity?
• In the context of infection control, what should be the first step after glove contamination?
• When is it appropriate to isolate a child during a hemodialysis treatment session?
• Which external agencies provide guidelines in infectious disease testing and dialysis treatment safety?
• Why is it important to achieve the estimated dry weight during hemodialysis?
• How does chronic kidney disease (CKD) primarily affect medication effects in patients?
• Which condition could be indicated by a patient reporting numbness in the fistula arm?
• Which training method can enhance a technician’s understanding of procedural rationale?
• Which values determine whether the dose of dialysis/volume status is within standard treatment protocols?
• In which patient populations is a blood pressure of 130/80 mmHg or higher considered hypertension?
• A diabetes patient with a hemoglobin A1C level of 7.5% is managing diet and exercise well. What treatment is best for them?
• During in-center dialysis, which team member must always be present according to best practices?
• What problems may arise when using a deionizer?
• Which member of the interdisciplinary team is responsible for ensuring the quality of water used for dialysis meets standards?
• In case of hemolysis, what vital parameter should be monitored closely?
• What risk does poor monitoring of dialysis patients' vaccination rates present?
• The rinseback process typically occurs at what point in the dialysis process?
• What is the recommended spacing for needles during cannulation of a fistula?
• What does the term "dialyzer" refer to in dialysis treatment?
• Which statements indicate a patient may not be adhering to their treatment plan and should be reported to the RN?
• When transfusing blood during heparin-free dialysis, what complication should be monitored?
• What is a common emotional response to the challenges of dialysis treatment?
• Which functions do kidneys perform in addition to producing urine?
• What does low-dose or "tight" heparinization refer to?
• What is the recommended diameter for a mature arteriovenous fistula six weeks after creation?
• What is the most common complication during dialysis due to a rapid decrease in circulating blood volume?
• Why is managing phosphorus intake particularly challenging for patients with CKD?
• What is the typical volume of saline used for an antibiotic requirement during a dialysis session?
• For a CKD patient with a potassium level of 2.9 mEq/L, what action should the healthcare provider consider?
• What term describes the emotional and physical stress experienced by caregivers of patients with CKD?
• What is the significance of feeling a thrill in the fistula site?
• During dialysis, what is a critical parameter that should be consistently monitored?
• What can cause a "false" blood leak alarm?
• Which credentialing agency includes topics such as dialysate preparation and complications of dialysis?
• What are the most common methods for reducing microbiological contaminants in the water used during dialysis?
• Who holds the primary responsibility for disciplinary actions within the hemodialysis team?
• Which method is used to create an alternative access when a patient does not have adequate vessels for an internal arteriovenous fistula?
• Who likely made the report about the coaching required in patients to select a suitable modality?
• What does a C-reactive protein (CRP) level of 25 mg/L indicate in a patient with CKD?
• For a patient with severely decreased kidney function, what is a likely estimated glomerular filtration rate (eGFR)?
• To achieve the best blood flow, where should the arterial needle be placed in relation to the anastomosis?
• What is the typical duration of a hemodialysis session?
• What does it indicate if a patient has a weight gain exceeding their estimated dry weight?
• What symptoms may arise if the dialysate solution contains insufficient sodium during dialysis?
• What are some of the common indications for acute dialysis?
• Which two symptoms might indicate low serum albumin in CKD patients?
• What type of programs do the CDC provide for dialysis centers?
• A patient experiencing "first-use" syndrome is having breathing difficulties. What should the dialysis technician do?
• What does the term "estimated dry weight" refer to in hemodialysis?
• A dialysis patient's weight on arrival is 156.2 pounds. What is the weight gain in kilograms if the leaving weight was recorded as 69 kg?
• What concern might arise from reprocessing dialyzers with bleach that increases membrane permeability?
• Which dialyzer is appropriate for pediatric hemodialysis?
• Which behaviors indicate that a newly hired dialysis technician is struggling in a clinical setting?
• What may happen if the body absorbs too much water due to low sodium levels in the dialysate?
• In a 2-year-old child, which serum creatinine level would indicate kidney failure?
• If a patient learns best through reading words or looking at pictures, what is their learning style?
• If there is an absent thrill during a fistula site assessment, what action should the technician take?
• In hemodialysis, a rinseback procedure is used for what primary purpose?
• How should a preceptor technician handle a newly hired technician who forgets to wash her hands?
• For CKD stage 5 patients, which of the following is a reason for phosphorus control in diet management?
• Which statement regarding the importance of monitoring blood pressure in CKD patients is correct?
• What care is recommended for a fistula arm between dialysis treatments?
• What is the role of a medical director in a dialysis treatment center?
• What serious complication should be monitored immediately after inserting a jugular catheter?
• Which behavior indicates a patient is experiencing financial stress related to dialysis?
• What should a dialysis technician advise a patient considering a total plant-based diet regarding protein intake?
• During the dialysis process, excess fluid in a patient is primarily assessed through?
• Which actions by dialysis staff can help prevent disequilibrium?
• Which method combination is most effective for ensuring water safety in dialysis?