1.Which of the following
best describes the reason for wearing gloves when handling machine prior to blood?
a) patient comfort
b) asepsis
c) universal ... [Show More] precautions
d) HIV
c) universal precautions
2 You test for sterilant levels in a
hemodialysis machine prior to patient use. The test
is positive for sterilant. This means the machine:
a) is sterile & bacteria free
b) needs further rinsing
c) needs more sterilant
d) is in conductivity
b) needs further rinsing
3.Choose the correct
statement regarding
serum abnormalities in
renal failure:
a) creatinine, BUN, &
phosphorus are elevated
b) creatinine BUN creatinine, BUN, &
phosphorus are depressed
c) calcium & bicarbonate are
elevated
d) calcium & bicarbonate are
depressed
a) creatinine, BUN, &
phosphorus are elevated
4.Hemodialysis requires
a means to channel the
patient's blood to the
hemodialyzer & then back to the body. It's
called:
a) vascular access
b) hemodialyzer
c) dialyzing fluid delivery system
d) infusion pump
a) vascular access
5.Which of the following is correct regarding a fistula?
a) usually created in the leg, near the ankle
b) usually created in the
forearm, near the wrist
c) are made of salastic tubing
d) none of the above
b) usually created in the
forearm, near the wrist
6.Blood leak detectors are extremely sensitive
& can determine:
a) blood type
b) amount of blood loss
c) blood leakage immediately
d) volume changes
e) serum potassium levels
c) blood leakage immediately
7.Which of the following foods are high in
potassium?
a) milk, ice cream, yogurt
b) legumes, cheese, pizza
c) chips, colas, canned meat
d) bananas, tomatoes, oranges
d) bananas, tomatoes, oranges
8.What lab values are monitored for
assessing bone disease?
a) calcium, phosphorus &
PTH
b) calcium, phosphorus &
albumin
c) calcium, phosphorus &
potassium
d) calcium, phosphorus &
magnesium
a) calcium, phosphorus &
PTH
9.Which is the most common cause of chronic kidney failure in the US?
a) diabetes
b) hypertension
c) polycystic kidney smaller molecular
disease
d) glomerulonephritis
a) diabetes
10.The reason potassium dialyzes and
RBC's do not is:
a) potassium has a larger molecular weight
b) potassium has a smaller molecular weight
c) RBC's are not water soluble
d) RBC's have a negative charge
b) potassium has a smaller molecular weight
11.Acceptable limits for total chlorines in water for hemodialysis are?
a) less than 0 .1mg/L (ppm)
b) 0.5 mg/L to 1 mg/L(ppm)
c) 3.5 mg/L to 5.5 mg/L to 5.5 mg/L(ppm)
d) greater than 6.0 mg/L(ppm)
a) less than 0 .1mg/L (ppm)
12.If a new patient starts with a very high
BUN, dialysis is purposely made less efficient to prevent:
a) rapid decrease in hct
b) dialysis disequilibrium syndrome
c) cardiac arrhythmia's
d) excessive coagulation
b) dialysis disequilibrium syndrome
13.The following are factors in poor clearance during
dialysis except:
a) poor dialyzer reuse
b) access recirculation
c) low hematocrit
d) low blood flow rate
c) low hematocrit
14.The movement of water from an area of low solute
concentration to an area of high solute
concentration is called:
a) diffusion
b) osmosis
c) ultrafiltration
d) dialysis
b) osmosis
15.Potting compound, casing, fibers and headers are part of a:
a) dialysis machine
b) water treatment system
c) R. O. system
d) dialyzer
d) dialyzer
16.Mr. Jones has a dry weight of 72 kg. He weighed 73 kg after last treatment. Today he weighs 75.5 kg. Assume prime and rinse back =500 ml total. What is Mr.Jones' fluid removal goal for today?
a) 2.5 liters or 2500 ml
b) 3.0 liters or 3000 ml
c) 4.0 liters or 4000 ml
d) 4.5 liters or 4500
c) 4.0 liters or 4000 ml
17.A hematocrit test indicates which of the
following?
a) concentration of platelets
b) concentration of creatinine in the blood
c) concentration of red blood cells in the blood
d) concentration of white blood cells in the blood
c) concentration of red blood cells in the blood
18.What factors should be considered when
establishing a patient's dry weight?
a) blood pressure
b) patient well being
c) evidence of dehydration or fluid overload
d) all of the above
d) all of the above
19.In a dialysis machine, the
proportioning system does what?
a) prepare the dialysate to the proper pH
b) warm the dialysate to the proper temperature
c) appropriately mix the dialysate concentrates
with water
d) to monitor the dialysate flow rate
c) appropriately mix the dialysate concentrates
with water
20.The complication in which blood has a
"cherry pop"appearance is:
a) blood leak
b) air embolism
c) hemolysis
d) none of the above
c) hemolysis
21.The use of high a sodium dialysate may
predispose a patient to:
a) fluid overload
b) hypertension
c) thirst
d) all of the above
d) all of the above
22.The capability of a dialyzer to remove fluid, expressed as ml/mmHg/hr is:
a) UF Coefficient
b) clearance
c) surface area
d) priming volume
a) UF Coefficient
23.A pre-pump arterial pressure reading is
measuring:
a) the pressure required to pump the blood
through the dialyzer
b) resistance to blood flow out of the access
c) pressure within the dialyzer
d) none of the above
b) resistance to blood flow out of the access
through the dialyzer
24.What determines the surface area of a
hollow fiber dialyzer?
a) number of fibers
b) internal diameter of fibers
c) length of fibers
d) all of the above
d) all of the above
25.The purpose of using counter-current flow is to:
a) increase the rate of fluid removal
b) increase the rate of waste removal
c) decrease the amount of dialysate used
d) decrease the surface area of the membrane
b) increase the rate of waste removal
26.Chloramine exposure in dialysis can result in:
a) hypernatremia
b) hemolysis
c) pericarditis
d) bleeding
b) hemolysis
27.Part of the reuse process involves the reuse machine testing the dialyzer to verify:
a) the dialyzer is free of sterilant
b) the dialyzer is free of bacteria
c) the dialyzer is free of endotoxins
d) the dialyzer fibers are free of leaks
d) the dialyzer fibers are free of leaks
28.According to AAMI RD52, what is the
maximum allowable level of bacteria in dialysate?
a) 1,000 CFU's
b) 50 CFU's
c) 200 CFU's
d) 500 CFU's
c) 200 CFU's
29.According to AAMI RD52, how often
should bacterial cultures be sampled?
a) weekly
b) monthly
c) quarterly
d) annually
b) monthly
30.According to AAMI RD52, what is the action level for bacteria in dialysate?
a) 50 CFU's
b) 75 CFU's
c) 100 CFU's
d) 200 CFU's
a) 50 CFU's
31.Bacterial exposure from water may cause which of the following symptoms?
a) hemolysis
b) fever/chills
c) bone disease
d) hypotension
b) fever/chills
32.Who developed the first permanent blood access, the "Shunt"?
a) Scribner and Quinton
b) Kolff
c) Brescia and Cimino
d) Turner
a) Scribner and Quinton
33.Venous pressure meters are calibrated in:
a) PSI
b) mm/Hg
c) mL/hour
d) mg%
b) mm/Hg
34.TPM is measured as:
a) mL/hr
b) mm/Hg
c) mL/min
d) none of the above
b) mm/Hg [Show Less]
