1. Which of the following practices helps to build a patient's immunity to hepatitis B?: Vaccination 2. A patient asks the technician, "What does uremia mean?" The technician response should be based on the understanding that uremia is: an increase of wasters in the blood 3. A central venous catheter may be used as a vascular access when a: patient has inadequate blood vessels in the limbs 4. Before a dialysis treatment, the patient tells the technician, "Yesterday, I felt terrible and vomited up some blood. I feel much better today."The technician can expect the patient's treatment will be modified by: decreasing the heparin dose 5. The technician is unsure which one of a patient's arteriovenous (AV) graft's anastomoses is arterial and which one is venous. In order to differentiate between the two, the technician should: compress the graft in the middle and palpate each side 6. At the end of a patient's treatment, which of these findings, if observed by the technician, should be reported to the nurse?: A pulse rate of 55bpm (normal HR 60-100bpm) 7. A patient asks the dialysis technician, "Why am I getting vitamin D therapy?" What is the accurate response?: Vitamin D is needed for healthy bones 8. Why are dialysis patients more likely to become infected with germs like MRSA?: They usually have weak immune systems 9. The technician prepares and cannulates an arteriovenous (AV) fistula. AV fistula is an example of what?: a peripheral access placed in the arm 10. A patient says to the tech "The doctor says that I have mineral bone disorder, what does that mean?" what should be the tech's response?: It is pretty complicated. I'll ask the nurse to explain it to you 11. A tech notices a patient has a notebook where he/she records all lab results, weights, and, meds.What should the tech conclude?: The patient is feels empowered and is self managing 12. During the last hour of a patient's dialysis treatment, their blood pressure measures 82/40. After changing the fluid removal rate, what should the tech do?: Place patient in Trendelenburg position 2 / 22 13. Legally, if a treatment was performed but not charted in the patient's record, it was: not done 14. The most common cause of low conductivity alarm during hemodialysis- : a exhausted concentrate supply 15. A patient who has diabetes mellitus should be observed for signs of low blood sugar, which include: anxiety, confusion, hunger, sleepiness, or dizziness 16. How is low blood sugar treated: by giving carbohydrates 17. Linda Chase target weight 70kg. she weights at 72kg before treatment. How much fluid should be removed?: 2kg 18. True or False At Linda Chase target post dialysis weight of 70kg , she is most likely normotensive: True 19. what is the water supply to the water system called: feed water 20. What is feed water?: is the water that comes from outside of the dialysis center and must pass through water treatment system before it is used for mixingconcentrates and making dialysate 21. what is the primary goal of QAPI in a dialysis facility is to: achieve better patient outcomes 22. After Linda Chase treatment her standing bp was 90/58. She complains if feeling dizziness but insists she can walk to the scale.What is the first thing to do?: instruct her to sit down 23. How do you know if an access is clotted: a bruit was absent 24. What is the most common reason for high venous pressure alarm: clotted blood in access 25. In dialysis the term "reuse" refers to cleaning and disinfecting of what?- : dialyzers 26. A patient tests positive for hepatitis BWhat should the tech do to prevent the spread of hepatitis B?: Dialyze the patient using a dedicated machine in an assigned area 27. A patient tells tech that they have a preschedule routine every morning and now will have to stop. What should the tech do?: Exploring changing treatment time so patient can continue regular schedule 28. what part of the water system removes endotoxins: ultrafilter 29. Why would a patient need ultrafiltration profiling?: minimize hypotension 3 / 22 30. What occurs when the dialysis machines alarms and goes into bypass: - dialysate stops following through the dialyzer 31. Care provides must wash hands with soap and water when: their hands are visibly soiled 32. How does a tech properly lift a box?: bend with knees and hold box close tothe body 33. AAMI Chemical analysis of water used for hemodialysis is tested: annually 34. A 58 year old patient who is blind comes in for treatment with his wife. How should the tech interact with the patient?: Describe activities in the immediate environment 35. Tech sees blood on the surface of a patient's dialysis machine.What should you do?: Clean the machine immediately 36. A dialysis tech observes all of the below options on the treatment floor, which is an environmental risk? A) about one ounce of fluid on the floor B) A patient's family is present during initiation of treatment C) Charts are lying on bedside tables D) The wheels of the dialysis machine are locked: A) about one ounce (30ml) fluid is on the floor 37. A patient asks a tech to dinner because he is lonely and depressed. After tech politely declines offer what should tech do?: Refer patient to social worker 38. A fistula connects: an artery and a vein 39. A marker used to determine the middle molecule clearance of a dialyzer is: vitamin B12 40. A mixed-bed DI tank contains: cations and anions 41. Nephron is made up of: A glomerulus and a tubule system 42. A patient complains of pain at the venous needle and tech observes swelling along with venous pressure rising.What should the tech suspect?- : infiltration 43. A patient who is to receive their first dialysis treatment is prone to?: Dialysis disequilibrium syndrome 44. A slow pulse of 54 beats/minute would indicate the patient has: bradycardi

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