Module 6: Vascular Access Self-Test Sample Questions

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* 1. What should you suspect is happening if you insert a needle and the flashback is not smooth?

The needle is not centered

The needle has infiltrated

The flashback should “chug”)

The fistula has a stenosis

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* 2. What should your concern be if part of a patient’s fistula looks swollen and red?

Stenosis

Infection

Steal syndrome

Primary failure

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* 3. What step can you take that may improve the flow of blood during treatment with a catheter?

Adjust the patient’s position

Turn up the blood pump rate

Raise the dialysate temperature

Give the patient some saline

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* 4. Which direction is antegrade?

Toward the feet

Toward the head

Toward the heart

Toward the hand

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* 5. What is the leading reason that grafts may need procedures?

Neonatal hypertension

Neointimal hyperplasia

Neoplastic hyperbola

Neocortex hypercomplex

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* 6. Which of the following blood vessels is the preferred first choice for a hemodialysis catheter?

Vena cava

Internal jugular

Femoral

Subclavian

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* 7. What is the correct amount of pressure to hold on a cannulation site after removing the needle?

A lot, to counter arterial pressure

Light, so we don’t occlude the fistula

About the same as if we are taking a pulse

Enough to leave light bruising over the area

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* 8. Which of these needle gauges has the smallest diameter?

14-gauge

15-gauge

16-gauge

17-gauge

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* 9. What is an aneurysm?

A serious blood infection

Ballooning of a weak spot

A narrow spot in a vessel

A large blood clot

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* 10. What are the biggest risks of vascular access for patients who do hemodialysis?

Body image and needle pain

Infection and running out of sites

Ultrasound imaging and liver failure

Ultrafiltration and organ stunning