Download DAVITA PCT EXAM QUESTIONS AND ANSWERS 2025 and more Exams Nursing in PDF only on Docsity!
ANSWERS 2025
To assist in survey readiness you should - correct answer ✅-stay current & follow p&p -assist with internal audits -maintain a culture of safety the nephrologist orders a BFR of 450 ml/min with an established AV fistula, what needle gauge? - correct answer ✅14 gauge What complications would you expect to see if a patient is exposed to chlorine/chloramines? - correct answer ✅hemolysis where is pre-treatment assessment by the RN required? - correct answer ✅-when is is mandated by state law -when PCT reports abnormal findings -when pt reports unusual symptoms -when nurse or PCT observes unusual behaviors
ANSWERS 2025
when a pt is prescribed topical anesthetic spray, the appropriate time to clean the cannulation site is - correct answer ✅before applying the spray a PCT greets a pt who reports feeling short of breath, pt lips are blue-toned. PCT should do what? - correct answer ✅not start tx, immediately notify the nurse the nephrologist has prescribed a 400 BFR for your pt, you would expect the physician order to also include - correct answer ✅15 gauge per DaVita policy, fever is defined as - correct answer ✅any temp greater than 100 or a baseline increase over 2 WITH symptoms what is the most likely reason for a blood leak detector alarm during recirculation? - correct answer ✅air bubbles in dialysate or a dirty sensor
ANSWERS 2025
a surveyor asks you a question, which of the following statements would be a good answer? - correct answer ✅i do not know the answer but i will find out which infectious disease requires frequent handwashing instead of usuing alcohol base hand gels - correct answer ✅active C-Diff the definition of Health Literacy is - correct answer ✅the degree to which individuals understand basic health info intervention for a pt complaining of chest pain includes - correct answer ✅-decrease BFR to 150 -decrease UFR -take vital signs -administer Rx O2 (nurse) pt tx time is 3 hrs, has a 10oz coffee, has an IV antibiotic 100 ml, prime/rinseback 400ml, pt 2.2 kg over target weight. What is UF
ANSWERS 2025
goal? - correct answer ✅1000 (pre-target + fluids,prime,rinse / tx time) what is one method surveyors use to verify infection control training and education? - correct answer ✅documentation of infection control training in teammate file upon completing machine set up and before tx initiation it is important to verify the Rx & machine settings - correct answer ✅-to confirm pt's unique Rx parameters are programmed correctly into dialysis delivery system (DDS) -to validate that all safety features the psychosocial assessment completed by the social worker - correct answer ✅is completed initially and annually what is an important action prior to returning a pt's blood using the hand crank in an event of a power failure? - correct answer ✅take pt's BP
ANSWERS 2025
scrubbing of each hub as a part of CVC care is done for - correct answer ✅30 seconds the person responsible for implementation, adherence, and training of the facility specific emergency management plan & application process & procedures - correct answer ✅FA or designee can you document pt vital signs under another teammate already signed into the computer - correct answer ✅No, log in under self your immediate intervention for a pt experiencing an anaphylactic rxn - correct answer ✅-discontinue the suspected therapy -stop the blood pump -do not return blood fever caused by a pyrogenic rxn will most likely occur at what time during the tx? - correct answer ✅within 45-75 mins
ANSWERS 2025
teammates MUST be able to readily identify pts who may require additional assistance in the event of an emergency evacuation. This will include pts who need help with or are unable to - correct answer ✅evacuate in a safe & timely manner due to impairment which statement is true about sinks used for handwashing - correct answer ✅handwashing sinks must be dedicated for handwashing purposes only and should remain clean how do you verify that the pt is stable and safe for discharge after the dialysis tx - correct answer ✅-evaluate the effectiveness of the tx by comparing pre & post data -PCTs notify the nurse if there are any abnormal findings -nurses perform a post tx assessment as required which of the following would influence the "t" of the Kt/V formula?
correct answer ✅shortened tx time
ANSWERS 2025
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - correct answer ✅decrease the Clinical Pyramid includes - correct answer ✅-fundamentals -complex programs -quality of life documentation in the medical record - correct answer ✅provides data for continuity and planning of patient intrarenal causes of acute kidney injury (AKI) - correct answer ✅sepsis, trauma, anaphylaxis, drugs, acute glomerulonephritis dialysis replaces only _____ percent of normal kidney fxn - correct answer ✅ 15
ANSWERS 2025
per the CDC which is the most important route by which pathogens are transmitted through health-care facilities - correct answer ✅contact transmission which of the following factors would decrease - correct answer ✅inadequate anticoagulation a standing post-tx blood pressure realizing of ______ is considered an abnormal finding and should be reported to a licensed nurse - correct answer ✅-standing systolic BP greater than 140mm/Hg or less than 90 mm/Hg -standing diastole BP greater than 90 mm/Hg or less than 50 mm/Hg knowing what caused your patients' kidney failure - correct answer ✅is important to identify possible problems during data collection and assessment the waiting time after administration of the initial heparin loading dose prior to initiation of hemodialysis is a minimum of - correct answer ✅3-5 minutes
ANSWERS 2025
at what time do you perform water hardness testing - correct answer ✅at the end of the tx day what amt of fluid weight is considered excessive - correct answer ✅greater than 5% prior to use, how should the medication preparation surface area be disinfected - correct answer ✅with 1:10 bleach solution and disposable wipes you listen to your pt's AVG and hear a whistling sound - correct answer ✅this could be indicative of an outflow stenosis you listen to your pt's AVG and hear a high-pitched squeak - correct answer ✅this could be indicative of an inflow stenosis in those states that do not require a nursing assessment to be completed prior to tx initiation, the PCT would be required to report abnormal patient data collection - correct answer ✅to the nurse before tx initiation
ANSWERS 2025
the pt is using CVC for dialysis & has a new AVF present in his lower arm. What should PCT perform on pt? - correct answer ✅check for bruit and thrill every tx day for patient's with AKI which statement is correct - correct answer ✅a nursing assessment before tx is always required which of the following may be, but doesn't have to be a sign of hemolysis - correct answer ✅cherry red colored blood in the venous line what problems will cause a more positive (less negative) pre-pump arterial pressure - correct answer ✅kinking of the arterial blood tubing btw access & monitor your pt asks whether it is ok to take an OTC cold remedy, what is your appropriate response? - correct answer ✅let's ask your nephrologist what they recommend to treat your cold symptoms
ANSWERS 2025
per Rx and based on individual pt needs, CKD-MBD is treated with - correct answer ✅phosphate binders, vitamin D (hectorol), & cinacalcet ultrafiltration is defined as - correct answer ✅fluid moves from an area of lower solute concentration to an area of higher solute concentration performing a procedure "your way" rather than following the dialysis facility's P&P - correct answer ✅can lead to personal and/or organizational liability in the even of an adverse patient outcome V-tags cite deficiencies, provide interpretive guidance, and provide a condition that must be met for each regulation. how can knowledge of V-tags affect the practice of patient care providers? - correct answer ✅-provide patient care within CMS conditions for coverage -understand rationales for specific regulations as outlined in the interpretive guidance -assist in the development of policies and procedures
ANSWERS 2025
what type of blood/dialysate within the dialyzer increases the rate of diffusion providing optimal diaylsis for pts? - correct answer ✅counter-current flow what should be done to the heparin infusion line if a pt does not have maintenance (hourly) heparin prescribed? - correct answer ✅clamp and knot the heparin line the urea reduction ratio calculates - correct answer ✅the amt of urea removed during dialysis tx poor wound healing is directly related to - correct answer ✅inadequate protein intake what will cause a more negative (less positive) pre-pump arterial pressure - correct answer ✅kinking the arterial blood line btw the vascular access & the arterial monitor a pt with AKI dialyzes in the out-pt facility. with regards to the pt's target weight, why is being "wet" better than being "dry" -
ANSWERS 2025
per the CDC which is the most common factor contributing to bacterial infections in dialysis pts - correct answer ✅the use of catheters for hemodialysis the pt position used for suspected air embolism is - correct answer ✅Trendelenburg, LEFT side what could be the reasons for a conductivity alarm on the dialysis machine - correct answer ✅-absence of concentrate or incorrect concentrate preparation -debris or precipitate in the lines or filter -equipment failure or machine needing calibration what are the 3 steps included in the vascular access assessment - correct answer ✅look, listen, feel which statement is true regarding the administration of Normal Saline - correct answer ✅a teammate must remain with the pt to monitor the process until administration is complete and lines secured
ANSWERS 2025
what is an appropriate intervention(s) with an air/foam detector alarm - correct answer ✅-look at circuit -do NOT return blood with air in system -fix problem what must be completed prior to medication preparation - correct answer ✅-PPE & hand hygiene -disinfect surface area with 1: -visually inspect for cracks/leaks/discoloration DaVita quality index (DQI) success of achieved - correct answer ✅-through managing individual pts first & allowing scores to follow -through knowing each team member's role in improving DQI scores -through use of continuous quality improvement process to help identify trends and make improvements
