Hemo Practice Test 1

Hemodialysis Practice Test
May 29, 2020

You will have an hour to complete this test.

You will have 3 attempts to complete this test.

Good Luck!

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1. A patient is in the 3rd hour of a 4-hour dialysis session when the technician notices the patient yawning. The patient says he feels fine. Which of the following should be the technician’s next action?
2. Whithin the first hour of treatment, a patient complains of chills, hypotension, and there is a discolored blood returning to the patient. The technician should suspect
3. Of the following substances is OMITTED from dialysate prescriptions?
4. The ultimate responsibility for maintaining water purity levels for water used for hemodialysis lies with the
5. During the setup of a single patient machine, the conductivity has not come up to safe limits within 15 minutes. In this situation, the technician should investigate all of the following EXCEPT the
6. Which of the following substances is OMITTED from dialysate prescriptions?
7. According to AAMI (not facility standards) standards, how often should the equipment be cleansed?
8. A patient whose serum calcium and phosphorus levels are in the low-normal range is started on IV vitamin D3 therapy (Calcijex).The technician should expect the patient’s
9. A practical method for determining the direction of flow in a fistula or graft segment is to
10. Which of the following is the most important to monitor to ensure safety during dialysis treatment?
11. Heparin is used during dialysis to
12. Which statement is true about diffusion:
13. Which of the following is LEAST likely to be a common psychological reaction for patients beginning maintenance dialysis?
14. All of the following statements about hepatitis B vaccine correct EXCEPT that
15. The dialysis staff should not eat or drink in the dialysis treatment area of laboratory primarily because doing so
16. Volume loss in a reused hollow fiber dialyzer can cause a significant reduction of the dialyzer’s efficiency. Which of the following is defined as the maximum acceptable loss?
17. What affect will sodium modeling have on a dialysis patient during their treatment?
18. In which of the following ways can air enter the extracorporeal circuit?
19. With regard to the evaluation of a new piece of dialysis equipment ,the LEAST helpful resource would be the
20. Commercial heparin is obtained from which of the following?
1.Beef lung.
2.Hog intestinal mucosa.
4.Sheep lung
21. Checking the bloodlines for kinks or twists as part of patient monitoring helps to prevent hemolysis. Hemolysis can result in
22. A patient reports for dialysis with complaints of generally feeling poorly.Patient assessment reveals an elevated apical scattered railes, and 2+ jugular venous distension.Which of the following complications may be anticipated during the dialysis treatment?
23. What problem is commonly associated with recirculating system and central dialysate delivery system?
24. When using negative pressure dialyzing systems in cold climates,what factor must be considered to prevent frothing, false-positive alarms in a blood leak detectors,and a masking of the dialyzer surface area?
25. Which of the following are some of the factors that contribute to anemia in a dialysis patients?
1.Clotting of dialyzer.
2. Excess amount of blood drawn for monthly blood work.
3. Low transferring saturation rate.
26. Chloramines are MOST EFFECTIVELY removed by which of the following components of water treatment system?
27. All of the following might improve blood flow in central venous catheter (CVC)EXCEPT
28. A patient complains of feeling dizzy. The technician notes that the patient is pale and cyanotic, the blood pressure has increased, and respiration have increased in rate and depth. Which of the following does the assessment reveal?
29. A dialysis technician in the unit has contracted hepatitis B. The most probable cause would be introduction
30. Which of the following is the first thing that a technician should do when initiating a dialysis treatment and burning sensation occurs?
31. Which of the following are the two most important factors to consider when choosing a dialyzer?
32. Patients with which of the following indicate the need for universal precautions?
33. The action that should be taken when an air embolism has occurred during hemodialysis is to place the patient on the
34. The total pressure in the blood circuit is a result of all of the following EXCEPT the
35. The most effective treatment for muscle cramping during dialysis treatment is to inject a bolus of
36. A patient complaints of a cold hand, especially the fingers.The technician should tell the patient it may be caused by
37. Using Schiff reagent,the acceptable residual formaldehyde level in a rinsed reused dialyzer is
38. When cannulating a graft, the staff should use
39. A flushed sensation, headache, profound thirst, and vomiting are all symptoms indicating that the dialysate water is high in
40. A system of water treatment that removes pyrogens as well as solutes is called
41. While performing blood procedure and monitor checks,the technician notices that a patient’s bloodlines look like “cherry soda” .The patient feels like something bad is going to happen and becomes short of breath and panicky.Which of the following should the technician suspect is happening ?
42. The system in which fresh dialysate is delivered continuously in a counter current flow and achieves a maximum gradient throughout dialysis, is known as an
43. Evaluation of internal vascular access prior to treatment includes
44. Which of the following descriptions best defines diffusion?
45. Convection is:
46. Recent laboratory results have been placed in the patient’s chart. The KT/V results are 1.0. Which of the following is the significance of these results?
47. Conductivity meter all function on the ability to
48. A patient complains to a technician that during his most recent dialysis he underwent a great deal of pain due to a co-worker’s venopuncture technique. The technician’s most constructive response to this patient would be to
49. The appropriate level ultra filtration rate of control in today’s high efficiency hemodialysis therapy is achieved by
50. Careful rinsing of reused the dialyzer prior to its being used for a patient is done primarily to remove