DaVita PCT Final Exam
A patient position used for a suspected air embolism is - correct answer-Trendelenburg on
left side
A patient target weight is - correct answer-Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
A patient with AKI dialyzes in the out-patient facility. With regards to the patients target
weight, why is this important - correct answer-It reduces the risk of hypovolemia and
hypotension episodes
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that
the patient's lips are a blue hue. The PCT would: - correct answer-Not start treatment,
immediately notify the nurse
A recommended intervention for muscle cramps is - correct answer-Turning the ultrafiltration
(UFR) off.
A surveyor asks you a question - what's a good answer - correct answer-I do not know the
answer but I will find out
Acid concentrate replaces the excretory function of normal kidney function by - correct
answer-normalizing electrolytes
Administration of normal saline - correct answer-The teammate must remain with the PT to
monitor the process until administration is complete and lines are secure
All documentation on machine setup and pre-treatment patient information - correct
answer-a. Must be entered into the computer before the treatment is initiated
At what time do you perform water hardness testing - correct answer-At the end of the
treatment day
Can you document patient vitals under another teammate already signed in the computer -
correct answer-No log in to the computer system under your credentials and document
Cynthia missed her treatment on Saturday and returns the following Tuesday for her next
scheduled treatment. She complains of feeling weakness in her legs. David, a PCT, gets a
wheelchair for her, helps her weigh in, and brings her back for the nurse to assess prior to
starting her treatment. Which patient complication would the PCT and RN suspect Cynthia is
most likely suffering from? - correct answer-Hyperkalymia
DaVita Quality Index (DQI) success is achieved - correct answer-all of the above
Through managing individual PT first and allowing scores to follow
, Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends and
make improvements
Dialysis replaces only ____ percent of normal kidney function - correct answer-15%
Documentation in the medical record - correct answer-Provides data for the continuity and
planning of patient care
Fever caused by pyrogenic reaction will most likely occur at what time during the treatment -
correct answer-within 45 to 75 minutes
Flipping the arterial vascular access needle - correct answer-d. Is not necessary since all
arterial needles have a back eye
For a patient with AKI, which statement is correct - correct answer-A nursing assessment
before treatment initiation is always required
How do you verify that the patient is stable and safe for discharge after treatment - correct
answer-All
Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
If clotting occurs in a high flux dialyzer, the TMP will - correct answer-decrease
If you notice that a patient's caregiver is struggling to meet the demands of the patients
treatment regime you should? - correct answer-Notify the social worker because he/she is
there for the patient and their family
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment - correct answer-b. Caring for HBsAg and Hepatitis B
susceptible patients at the same time
In the event a patient experiences a seizure, the dialysis treatment should be - correct
answer-Discontinue if the seizure is severe or the patient does not respond to treatments
In those states that do not require a nursing assessment to be completed prior to treatment
initiation, the PCT would be required to report abnormal patient data collection findings -
correct answer-To the nurse before the treatment initiation
Interventions for a patient complaining of chest pain include - correct answer-decrease BFR
to 150
decrease ultrafiltration rate (UFR)
take vital signs
administer oxygen.
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