- | P a g e
pg. 1
DAVITA PCT EXAM 2 AND STUDY GUIDE EXAM
NEWEST 2025 TEST BANK| COMPLETE 300
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
DAVITA PCT EXAM PREP 2025| BRAND NEW!!
What can be the most likely result if the surveyor sees a patient with a covered vascular access - ANSWER - immediate jeopardy
Intra-renal causes of AKI - ANSWER - Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open Heart Surgery
Knowing what caused your patients kidney failure - ANSWER - can cause complications to treatment
The excretory function of the kidneys includes - ANSWER - remove access water, urea, and metabolic wastes from the blood.
Acid concentrate replaces the excretory function of normal kidney function by - ANSWER - Hemodialysis removes urea, salts, and excess water from the blood normalizing electrolytes, removes metabolic acidosis,
- / 4
- | P a g e
pg. 2 Ultrafiltration is defined as - ANSWER - controlled fluid removed by manipulation of hydrostatic pressure
The endocrine functions of the kidneys are - ANSWER - Renin and erythropoietin secretion, activation of vitamin D
Dialysis replaces only ___ percent of normal kidney function. -
ANSWER - 15%
The most common infectious complication for hemodialysis patients is - ANSWER - centennial line infections
What is one method surveyors used to verify infection control training and education? - ANSWER - patient interview
What complications would you expect to see if a patient is exposed to chlorine/chloramines? - ANSWER - hemolysis
where is pre-treatment assessment by the RN required? - ANSWER - - when is mandated by state law -when PCT reports abnormal findings -when pt reports unusual symptoms -when nurse or PCT observes unusual behaviors
- / 4
- | P a g e
pg. 3 when a pt is prescribed topical anesthetic spray, the appropriate time to clean the cannulation site is - ANSWER - before applying the spray
the nephrologist has prescribed a 400 BFR for your pt, you would expect the physician order to also include - ANSWER - 15 gauge
per DaVita policy, fever is defined as - ANSWER - any temp greater than 100 or a baseline increase over 2 WITH symptoms
what is the most likely reason for a blood leak detector alarm during recirculation? - ANSWER - air bubbles in dialysate or a dirty sensor
Chronic kidney failure: Wet or Dry Why? - ANSWER - Dry-unable to
excrete fluid on their own
Acute kidney failure: Wet or Dry Why? - ANSWER - Wet- to preserve
remaining kidney function
Why is hypotension (low BP) bad for our patients? - ANSWER - Causes organ stunning (impaired tissue perfusion) and increased mortality
What causes DDS (dialysis disequilibrium syndrome)? - ANSWER - - Missing treatment for longer than 1 week
- Not enough dialysis
- / 4
- | P a g e
pg. 4 How do we treat air embolism? - ANSWER - Lay patient on left side in Trendelenburg position
What is the first thing we do for a patient who starts having an anaphylactic reaction? - ANSWER - - Stop treatment
- Do not return blood
The maximum UF rate should not exceed ______ because it may lead to hypotensive episodes which increases the risk of organ stunting or mortality - ANSWER - 13 mL/kg/hr.
In the event of a pt. experiencing a seizure, the dialysis Tx should be - ANSWER - discontinued if the seizure is severe or if the pt. does not response to Tx
what amt of fluid weight is considered excessive - ANSWER - greater than 5%
what could be the reasons for a conductivity alarm on the dialysis machine - ANSWER - -absence of concentrate or incorrect concentrate preparation -debris or precipitate in the lines or filter -equipment failure or machine needing calibration
what are the 3 steps included in the vascular access assessment - ANSWER - look, listen, feel
- / 4