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Dialysis Test Reviewed with answers.
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Dialysis Test Reviewed with answers.While technical staff are performing duties in the dialysis unit, which other team member
must always be present during in-center dialysis?
A. The medical director for the unit.
B. A registered nurse (RN).
C. The nephrology advanced practice nurse.
D. A laboratory technician. ANS -B. A registered nurse (RN).
Two dialysis technicians are heatedly discussing a patient care situation. Which
hemodialysis team member is responsible for disciplinary action as the first chain of
command?
A. Dialysis unit administrator.
B. Nephrology advanced practice nurse.
C. Dialysis nurse manager.
D. Human resources manager. ANS -C. Dialysis nurse manager.
You are planning to apply for a position as a dialysis technician. What knowledge and
skills are required as essential components for this position?
1. Some understanding of human anatomy and physiology and the pathophysiology of
chronic kidney disease (CKD),
2. Treatment complications.
3. Care of the vascular access.
4. How to read a kidney, ureter, and bladder (KUB) x-ray. ANS -1, 2, and 3
Prior to passing the Social Security Amendments, treatment for chronic kidney disease (CKD) was
available only to the few who met certain criteria or could afford to pay for their own treatment. The
amendments extended Medicare coverage to almost all patients with CKD. Who signed the
amendments and in what year?
,A. President John F. Kennedy in 1961.
B. President Lyndon Johnson in 1965.
C. President Richard Nixon in 1972.
D. President Jimmy Carter in in 1979. ANS -C. President Richard Nixon in 1972.
Which organization was recently approved by CMS to be an independent organization
allowed to conduct surveys for Medicare certification fostering faster approval of dialysis
clinics?
a. Kidney Disease Improving Global Outcomes (KDIGO).
b. National Kidney Foundation (NKF).
C. Medicare Bundled Dialysis Prospective Payment System (MBDPPS).
d. National Dialysis Accreditation Commission (NDAC). ANS -d. National Dialysis Accreditation
Commission (NDAC).
How much water is lost through evaporation from the lungs and insensible perspiration
every day?
a. 250-499 mL of water.
b. 700-1,000 mL of water.
C. 1,500-2,000 mL of water.
D. 2,100-2,400 mL of water. ANS -b. 700-1,000 mL of water.
The patient asks a dialysis technician if there is anything she can do to slow or delay the
progression of her kidney disease. Which modifiable risk factors could the technician
mention during the conversation?
1. "Control your blood glucose levels if you are a diabetic."
2. "Maintain a healthy weight."
3. "Control cholesterol levels."
4. "Stop use of alcohol." ANS -1, 2, and 3
, Which recommendations would a nephrologist likely make for a patient who has reached
stages 3 or 4 chronic kidney disease (CKD)?
1. Weekly telehealth visits discussing daily urine output and if glucose or blood is noted via
dipsticks.
2. Dietary restrictions on sodium, phosphorus, and protein.
3. Monitoring for mineral bone disease.
4. Education on cardiovascular disease. ANS -2, 3, and 4
Which patients would be considered at higher risk for developing CKD?
1. Hispanic female who is unaware that she is hypertensive.
2. Caucasian female with family history of diabetes who watches her diet and exercises
regularly.
3. Male of Asian descent who schedules regular visits with his health care provider.
4. African American female whose parents both died following strokes. ANS -1 and 4
A patient with CKD asks what her goal hemoglobin Alc level should be. Which level is
recommended by National Kidney Foundation Kidney Disease Outcomes Quality Initiative
(NKF KDOQN) guidelines?
a. For all diabetics, the ideal target is 5%.
b. A target of 7%.
c. A target of 9% so long as the patient follows a strict low carbohydrate diet.
d. A target of 11% if the patient experiences hypoglycemia frequently. ANS -b. A target of 7%.
The majority (more than 80%) of patients with an estimated GFR less than 60
mL/min/1.732 have which condition/disease?
A. History of heart attacks.
B. Weakness and drooping on one side of the body.
C. Hypertension.
D. Kidney stones treated with lithotripsy ANS -C. Hypertension.
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