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

These questions are part of the practice quiz. Start practicing

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