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PCT Practice #2

Total questions: 29

Worksheet time: 25mins

Name
Class
Date
1.

Which is the more accurate blood test for monitoring anemia?

a)

Hematocrit

b)

Transferrin

c)

Hemoglobin

d)

Ferritin

2.

What is the risk to the patient with exposure to high levels of chloramines?

a)

Osteodystrophy

b)

Hemolytic anemia

c)

Crenation

d)

Pyrogenic reaction

3.

Which component of the water treatment system has as its primary function the removal of chlorine/chloramines?

a)

RO

b)

DI

c)

Carbon tanks

d)

Water softeners

4.

Acceptable limits for total chlorines in water for hemodialysis are

a)

Less than 0.1 mg/L (ppm)

b)

0.5 mg/L to 1 mg/L (ppm)

c)

3.5 mg/L to 5.5 mg/L (ppm)

d)

greater than 6.0 mg/L (ppm)

5.

Which component of the water treatment system exchanges sodium ions for calcium and magnesium ions?

a)

RO

b)

DI tanks

c)

Carbon tanks

d)

Water softener

6.

The part of the cell wall of bacteria that, when released, can cause fever in hemodialysis patients is

a)

Nucleus

b)

Endotoxin

c)

Red blood cell

d)

Transferrin

7.

Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death

a)

Sodium

b)

Potassium

c)

Chloride

d)

Bicarbonate

8.

All the following are true except:

a)

The nephrologist is part of a team responsible for the dialysis patient's plan of care.

b)

The care plan is reviewed every six month for patients considered unstable.

c)

A plan of care is mandated by federal government regulations.

d)

The plan of care is individualized for each patient.

9.

The group that has a goal to "improve the care and outcomes of all individuals with kidney disease" is called

a)

AAMI

b)

JCAHO

c)

K/DOQI

d)

USRDS

10.

Low albumin levels in the dialysis patient have been linked with:

a)

Higher incidence of clotting the vascular access

b)

Lower cholesterol and les heart disease

c)

Higher hospitalization and death rates

d)

Decreased edema and infection rate

11.

Chlorine in water used for hemodialysis causes hemolysis which releases what?

a)

Potassium

b)

Sodium

c)

Chloride

d)

Ferritin

12.

Which is a function of bicarbonate?

a)

Acts as a buffer

b)

Activates vitamin D3

c)

Blood pressure control

d)

Helps with the movement of fluid

13.

Machine alarm tests are performed

a)

before the first patient shift

b)

at the end of the day

c)

before each patient shift

d)

when there is a machine problem

14.

Safe range for conductivity is

a)

12.5-13.5

b)

13.0-14.0

c)

13.5-15.0

d)

14.0-16.0

15.

What is the maximum allowable dwell time for dialyzers reprocessed with peracetic acid?

a)

5 days

b)

7 days

c)

14 days

d)

30 days

16.

The sample for peracetic acid residual is take from

a)

the venous line at the recirculation connector

b)

the venous line at the drip chamber

c)

the venous line at the medication port

d)

the saline infusion line

17.

Dialyzers should be reprocessed with ______ or stored in a designated refrigerator.

a)

2 hours

b)

4 hours

c)

6 hours

d)

8 hours

18.

Dialysate pH should be between

a)

4.0 and 6.0

b)

6.0 and 8.0

c)

7.0 and 9.0

d)

8.0 and 9.5

19.

Which of the following is considered to be safe water for dialysis?

a)

Tap water

b)

Well water

c)

RO water

d)

City water

20.

Recirculation time for a reprocessed dialyzer prior to patient initiation should be

a)

8 mins

b)

10 mins

c)

15 mins

d)

30 mins

21.

What does dialysis do?

a)

Removes waste, salt and extra water from the body

b)

Helps to control blood pressure

c)

Regulates the body's fluid balance

d)

All of the above

22.

If someone is on a renal diet, what do they most need to avoid eating?

a)

Grapefruit

b)

Foods high in phosphorus and potassium

c)

Foods high in sugar

23.

What are the two different types of dialysis?

a)

Hemodialysis (HD) and peritoneal dialysis (PD)

b)

Hemodialysis and chronic kidney dialysis

c)

Peritoneal dialysis and kidney disease dialysis

d)

None of the above

24.

A person usually needs dialysis when kidney function is less than ______

a)

50%

b)

25%

c)

15%

d)

45%

25.

What is the average amount of time spent per HD session at the dialysis clinic?

a)

1-2 hours

b)

30-45 minutes

c)

6-8 hours

d)

3-4 hours

26.

On average, how many times a week do people need HD?

a)

Every day

b)

3 times per week

c)

2 times per week

d)

1 time per week

27.

After someone has a kidney transplant, they never need dialysis again

a)

True

b)

False

28.
Dialysate that is too warm will cause hemolysis.
a)
True
b)
False
29.
The dialysis machine measures temperature but not pH.
a)
True
b)
False