Certified Dialysis Nurse Actual Exam
Update 2024 | Certified Dialysis Nurse
Test Review 2024 Questions and Correct
Answers Rated A+
Deferoxamine (Desferal) - ANSWER-The nurse caring for a dialysis patient
with known aluminum overload should be prepared to administer which
medication during the latter part of the dialysis treatment to help correct this
abnormality?
Overdose of diuretics, Toxic exposure to pesticides. - ANSWER-What are
the likely reasons that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
Charcoal may be used in association with deferoxamine chelation to
remove excess aluminum or iron from body tissues. - ANSWER-
Hemoperfusion is more effective than hemodialysis for removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic,
edematous, and hypoproteinemic.
-Cardiopulmonary and cardiovascular systems often labile, and
hypotension or cardiac dysrhythmias and pulmonary congestion should be
anticipated. - ANSWER-When caring for a patient who is experiencing a
severe transplant rejection, what complications should the nurse
anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour
period. - ANSWER-When educating a peritoneal dialysis patient about the
prescribed icodextrin solution, which teaching points should the nurse
include?
,- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF. - ANSWER-Which teaching points must be mastered by
patients before they can perform their automated peritoneal dialysis at
home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours
for the first 1-3 days postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate
until the effluent is no longer bloody. then daily for 1 to 2 weeks, and
weekly thereafter until the patient is undergoing PD. - A small volume of
heparinized solution should remain in the peritoneum to inhibit the
formation of fibrin
-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL)
are performed using a cycler with the patient in the supine position. -
ANSWER-During the period called catheter break-in, when the peritoneal
dialysis catheter is placed and healing has begun, the nurse should
anticipate which prescribed dialysis orders?
rapid waste clearance, poor UF of fluid, high glucose absorption, and high
protein loss. - ANSWER-A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of
protein loss. - ANSWER-A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. - ANSWER-When a
patient is deciding between peritoneal dialysis and hemodialysis, what are
some of the benefits the staff can share regarding quality-of-life benefits
related to PD?
, The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally. - ANSWER-Which
manifestations might lead the clinician to believe that a patient on PD
requires an increased dose of dialysis?
• Active chronic infection or sepsis
• Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen - ANSWER-Absolute
Contraindications to Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. - ANSWER-The dialysis nurse should suspect
the toddler weighing less than 20 kg. is experiencing hypotension if these
clinical manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD. - ANSWER-In which areas of care has the nonprofit
foundation Kidney Disease Improving Global Outcomes (KDIGO) provided
written evidence-based guidelines related to the prevention or management
of kidney disease?
2019 - National Dialysis Accreditation Commission (NDAC). - ANSWER-
Which organization was recently approved by CMS to conduct surveys for
Medicare certification fostering faster approval of dialysis clinics?
Hypotension.
Cramping. - ANSWER-When caring for a patient on dialysis, if the dialysate
solution contains too little sodium, the water may shift into the patient's
blood cells, causing which signs or symptoms?
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