FRESENIUS CLINICAL ANNUAL COMPETENCY EXAM 2023-2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |AGRADE

FRESENIUS CLINICAL ANNUAL COMPETENCY

EXAM 2023-2024 ACTUAL EXAM 140 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |AGRADE

The arterial needle is placed - ANSWER- Either with or against the flow

of blood

An important factor in achieving adequacy during machine set up is -

ANSWER- Priming the dialyzer venous end up

The FMC program that utilizes technology to improve our patient care is

- ANSWER- Ultra Care

The component of the dialysate that helps treat acidosis is - ANSWERBicarbonate

The PCT notices the patient yawning toward the end of treatment. The

PCT should take which action immediately - ANSWER- Check the

patient blood pressure

Several patients with normal pre-dialysis temperatures develop sudden

chills and a spike in temperature. This situation is most likely caused by

- ANSWER- Presence of endotoxins in the dialysate

What is the correct blood flow rate for priming the dialyzer - ANSWER150 ml/min

What is NOT true when cannulating a new AVF? - ANSWER- Use of a

tourniquet is optional when cannulating a new AVF

If bicarbonate concentrate jugs are used, the frequency for disinfecting

jugs is - ANSWER- Weekly

Using the sodium variation module during the dialysis treatment will -

ANSWER- Aid in fluid removal

Oral nutrition supplements are given to FMS in-center dialysis patients

who are malnourished while they are at the dialysis facility for what

reason? - ANSWER- To improve nutritional status and ensure

compliance with oral intake and reduce the risk of morbidity and

mortality

When instructing patients with CKD, who are receiving dialysis, the RN

should include the fact that - ANSWER- Elevated potassium levels may

cause changes in heart rhythm

One way to establish a patient has orthostatic hypotension is to obtain a

patients - ANSWER- Sitting blood pressure followed by the standing

blood pressure

The QSR is a monthly report detailing quality outcomes as primary or

secondary. Primary quality outcomes are those that have the highest

impact on patient survival. These include - ANSWER- Albumin, Hgb,

Phosphorous, Adequacy, Catheter Rate

Dialysis has been initiated on a patient using a right internal jugular

catheter, as the blood pump is turned up to 200 ml/min, foam begins to

accumulate in the lines. The patient begins to wheeze, and becomes

short of breath. The care givers FIRST action would be to - ANSWERClamp the venous line

If the bicarbonate jugs have been in storage and are needed for

emergency use, what action must be taken prior to use? - ANSWERDisinfect with 1:100 bleach water and rinse with RO water until

negative for bleach

According to FMS policy, the safe level for total chlorine is -

ANSWER- Less than 0.10 ppm

What has the highest potassium content - ANSWER- Bananas, orange

juice, and salt substitute

What notification process would alert the staff of poor water quality

during the dialysis treatment - ANSWER- Remote Total Dissolved

Solids (TDS) alarms in treatment room

Following FMC policy, when should the second hardness test be

completed - ANSWER- After the completion of the last patient

treatment

According to AAMI standards the required exposure time of water to the

carbon filters to effectively remove chlorine and chloramine is -

ANSWER- 10 minutes

If the second GAC (carbon) filter exceeds the acceptable limit for total

chlorine, what is the next step? - ANSWER- Notify the RN in charge to

stop treatment

Excessive fluid removal during dialysis, combined with the patients

taking an anti hypertension medication may result in the patient having -

ANSWER- Hypotension

When removing needles from an internal access the needles safety

device - ANSWER- Should be engaged before removing the needle

from the patient access

To properly collect a post BUN sample, it is necessary to - ANSWERTurn off ultrafiltration rate