NEW
Font size
WorksheetsDialysis Patient Care Quiz
Total questions: 20
Worksheet time: 10mins
A patient with an arteriovenous fistula for hemodialysis reports tingling and numbness in the access arm. What is the nurse’s priority action?
Notify the physician immediately
Continue to monitor for changes
Apply a warm compress
Elevate the arm on a pillow
A hemodialysis patient asks why the nurse checks for a “thrill” over the fistula each day. Which is the best explanation?
It tells us if the blood is flowing properly through the access.
It means the fistula is healing well.
It helps prevent clotting.
It ensures your blood pressure is stable.
During dialysis, a patient develops muscle cramps. What should the nurse do first?
Stop the dialysis immediately
Notify the nephrologist
Slow the ultrafiltration rate and give saline
Apply a cold compress to the affected area
Before initiating hemodialysis, the nurse notes the patient’s blood pressure is 80/50 mmHg. What should the nurse do?
Proceed with dialysis as scheduled
Hold dialysis and notify the healthcare provider
Give antihypertensive medication
Increase fluid removal during dialysis
A patient undergoing dialysis complains of headache, nausea, and confusion. The nurse suspects dialysis disequilibrium syndrome. What is the best initial action?
Stop dialysis immediately
Reduce the rate of dialysis
Give antiemetic medication
Reassure the patient
A hemodialysis patient has a tunneled central venous catheter. What is the most important teaching?
You can open the catheter to the air if you’re careful.
Keep the catheter dressing clean and dry at all times.
You can remove the dressing at night for comfort.
You may draw blood from this catheter if needed.
Which statement by a hemodialysis patient with an AV fistula indicates the need for further teaching?
I check my fistula for a thrill every day.
I avoid carrying heavy objects with my access arm.
I let my nurse draw blood from my access arm if needed.
I don’t wear tight sleeves over my access.
A patient undergoing hemodialysis suddenly becomes hypotensive during the session. What should the nurse do first?
Place the patient in Trendelenburg position
Decrease ultrafiltration rate
Stop dialysis immediately
Give antihypertensive medication
A hemodialysis patient asks why they can’t sleep on the arm with the AV fistula. The nurse’s best reply is:
It will make your arm numb.
It may stop the blood flow through the access.
It will make your blood pressure rise.
It could make your arm swell.
A patient scheduled for hemodialysis asks what it does for their body. Which is the best nurse response?
It removes waste and extra fluids from your blood.
It repairs your damaged kidneys.
It increases your urine production.
It permanently replaces your kidney function.
A nurse is preparing a patient for hemodialysis. Which action should be performed before starting the procedure?
Check the patient’s weight and vital signs
Give a high-protein meal
Administer scheduled antihypertensives
Apply a warm compress to the access site
During dialysis, the patient reports itching and redness at the access site. What is the priority nursing action?
Check for infection
Apply lotion
Give antihistamine
Continue dialysis without intervention
Which patient statement indicates correct understanding of AV fistula care?
I avoid lifting heavy objects with my access arm.
I keep my access arm tightly wrapped for protection.
I let my nurse take my blood pressure on my access arm.
I don’t need to check for a thrill daily.
A patient undergoing dialysis develops chills, fever, and low blood pressure. What should the nurse do first?
Stop dialysis and notify the healthcare provider
Give acetaminophen
Continue dialysis at a slower rate
Offer warm blankets
Which complication is most likely if a patient’s vascular access is repeatedly used for blood draws?
Hypotension
Access clotting
Increased urine output
Electrolyte imbalance
A patient undergoing dialysis experiences severe headache and confusion. Which complication should the nurse suspect?
Hypotension
Dialysis disequilibrium syndrome
Hepatitis
Muscle cramps
Which lab finding should be reported immediately in a patient scheduled for dialysis?
Potassium level of 6.5 mEq/L
Hemoglobin of 12 g/dL
Sodium level of 138 mEq/L
Calcium level of 9 mg/dL
A nurse is teaching a patient about hepatitis prevention during dialysis. Which statement shows understanding?
I will avoid sharing razors and toothbrushes.
I can donate blood once I start dialysis.
I don’t need vaccines since I’m on dialysis.
I should reuse my catheter caps to save cost.
What is the nurse’s priority when a dialysis patient has a blood pressure of 78/40 mmHg during treatment?
Stop ultrafiltration and place the patient flat
Call the physician
Increase fluid removal
Administer antihypertensive drugs
A patient with an AV fistula is scheduled for dialysis. The nurse cannot palpate a thrill. What should be done first?
Notify the healthcare provider
Apply warm compress
