DAVITA(RN) FINAL EXAM 2023-2024 ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS(100% VERIFIED ANSWERS)|ALREADY GRADED A+

DAVITA(RN) FINAL EXAM 2023-2024 ACTUAL EXAM 200

QUESTIONS AND CORRECT DETAILED ANSWERS(100%

VERIFIED ANSWERS)|ALREADY GRADED A+

hemodialysis helps normalize body pH through

a. Diffusion of acids from the blood into the dialysate

b. Convection of bicarbonate during backfiltration

c. Diffusion of bicarbonate from the dialysate into the blood

d. Stimulation of the respiratory system to increase exhalation of acids -

ANSWER- c. Diffusion of bicarbonate from the dialysate into the blood

The excretory function of the kidney is:

a. Erythropoietin production

b. To bind to phosphorus

c. To absorb vitamins

d. To normalize electrolytes - ANSWER- d. To normalize electrolytes

Unless otherwise directed by the manufacturer or state specific

pharmacy regulations, when must medications containing a preservative

be discarded?

a. At 28 days after opening

b. At 25 days after opening

c. At 23 days after opening

d. At 21 days after opening - ANSWER- a. At 28 days after opening

Educational tips for visual learners include

a. Providing soft background music

b. Selecting quiet surroundings

c. Using lively hand gestures when delivering long lectures

d. Allowing plenty of time for the patient to talk - ANSWER- b.

Selecting quiet surroundings

An optimal nutrition status is evidenced by

a. An appropriate amount of energy, ability to sleep well at night, serum

potassium of no greater than 5.5 mEq/L, and a BUN of 60-80 mg/dl

b. A 30 minute exercise tolerance, calcium 8.4-10.2 mg/dl, phosphorus

3-5.5 mg/dl and PTH intact 150-600 pg/ml

c. Patient report of feeling well, no excess fluid weight gains, bringing

appropriate snacks to dialysis, and taking phosphate binders with every

meal

d. A stable, desirable target weight, adequate fat stores and muscle mass,

appropriate appetite and intake, and a serum albumin of equal to or

greater than 4 gm/dl - ANSWER- d. A stable, desirable target weight,

adequate fat stores and muscle mass, appropriate appetite and intake,

and a serum albumin of equal to or greater than 4 gm/dl

When comparing the FMC dialysis machine's conductivity reading to

your manual reading, policy states that the difference between these two

readings is to be

a. No greater than +/- 0.4

b. No greater than +/- 0.3

c. No greater than +/- 0.2

d. No greater than +/- 0.1 - ANSWER- a. No greater than +/- 0.4

Which statement is true regarding the "Reasonable and Prudent"

Standard of Care?

a. The Standard of Care is based on providing highly specialized care

after a caregiver is certified

b. Caregivers who are doing it "their way" without regard to DaVita

P&P can easily defend their actions in the event of an adverse patient

outcome

c. The Standard of Care only includes actions a nephrology nurse would

do, but not those the nurse would avoid doing

d. When supervising patient care technicians an other non-licensed

personnel, it is the responsibility of the licensed nurse to ensure these

teammates also meet the Standard of Care - ANSWER- d. When

supervising patient care technicians an other non-licensed personnel, it is

the responsibility of the licensed nurse to ensure these teammates also

meet the Standard of Care

What is an important action prior to returning a patient's blood using the

hand crank in the event of a power failure?

a. Take the patient's blood pressure

b. Check for a blood leak

c. Place the machine into bypass

d. Remove the venous line from the line clamp - ANSWER- d. Remove

the venous line from the line clamp

The KDOQI (Kidney Disease Outcomes Quality) Rule of 6s

a. Provides guidelines for use of a new AV fistula

b. Provides guidelines for use of a new AV graft

c. Provides guidelines for use of a new AV fistula and a new AV graft

d. Provides guidelines for use of a tunneled CVC - ANSWER- a.

Provides guidelines for use of a new AV fistula

During cannulation of all AV fistulas

a. A tourniquet is to be applied to increase vein engorgement and

stabilize vessel

b. A tourniquet may be applied to increase vein engorgement if deemed

necessary by the cannulator

c. A tourniquet to increase vein engorgement is not necessary if the AVF

is well developed

d. Tourniquets should not be applied to decrease the risk of AVF clotting

- ANSWER- a. A tourniquet is to be applied to increase vein

engorgement and stabilize vessel

At what time do you perform water hardness testing?

a. At the beginning of each day prior to the first treatment

b. About halfway through your treatment day

c. Every four hours

d. At the end of the treatment day - ANSWER- d. At the end of the

treatment day

Why should the patient be in a comfortable supine position when you

perform pre-dialysis CVC care?

a. The supine position allows easier visualization of the CVC exit site

b. The supine position decreases blood flow through the catheter and

diminishes the risk of hemorrhage

c. The supine position prevents clean barriers from dropping off

d. The supine position increases pressure within central veins and

diminishes the risk of an air embolism - ANSWER- d. The supine

position increases pressure within central veins and diminishes the risk

of an air embolism

What is your immediate response to a final water quality alarm on the

treatment floor?

a. Place all machines into bypass

b. Terminate treatments

c. Notify your biomed technician

d. Perform manual water testing to verify results - ANSWER- a. Place

all machines into bypass

What complication would you expect to see if a patient is exposed to

chlorine/chloramines?

a. Bone disease

b. Hemolysis

c. Hypertension

d. Muscle weakness - ANSWER- b. Hemolysis

The nephrologist has ordered the use of hemostatic sponges, such as

SureSeal, for your patient. What is the correct procedure when using

these sponges?

a. Apply a sterile band aid over the hemostatic sponge to keep it in place

b. Tape a folded sterile gauge over the hemostatic sponge to create a

pressure dressing

c. Remove the hemostatic sponge after hemostasis has been achieved

and dress the needle sites with sterile gauge or band aid