Module 7: Hemodialysis Procedures and Complications Self-Test Sample Questions

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* 1. Tell the nurse if you see a patient’s diastolic blood pressure rising over the course of a treatment, because:

The patient’s access may be about to infiltrate—and you don’t want to harm it

This could signal a rapid drop in blood volume—and hypotension may be next

The patient may be developing a migraine headache—and the nurse can help

The patient may be about to have a heart attack—and the doctor needs to know

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* 2. Which of these practices are recommended to secure a patient’s bloodlines?

Cross the bloodlines over the patient, then anchor them to the machine

Loosely loop the lines so patients can move freely; anchor the bloodlines to the chair

Put the machine on the patient’s access side and anchor the bloodlines to the patient

Keep the bloodlines as taut as possible to avoid catching them on anyyhing

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* 3. You suspect that one of your patients is having an anaphylactic reaction. His chest is tight, and his pulse is racing. What will you be expected to do?

Put the patient in Trendelenburg position, on his left side

Call for help and stop the blood pump

Ask the patient if he would like a drink of water

Give a bolus of normal saline immediately

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* 4. When should you draw a predialysis BUN blood sample?

Just before treatment

10 minutes before treatment

Just after you start the blood pump

Within the first 2 minutes of treatment

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* 5. Which is the safest way to lift a patient who cannot bear weight?

Stand and pivot

Use a gait belt

Use a lift device

Pick him or her up

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* 6. If your hands are NOT visibly soiled with dirt, blood, or bodily fluids, which product(s) can you use for hand hygiene?

Soap and water

Alcohol-based hand gel

Either product

Both products together

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* 7. Where does an enterococcus live?

In the liver

In the trachea

In the heart

In the intestines

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* 8. What must happen for the following alarms: machine conductivity, dialysate temperature, and UF check to pass your safety check?

It must be within the manufacturer’s limits

It must stop the blood pump, clamp the venous line, and the alarms must work

It must be within your clinic’s limits

It must go into bypass mode and be within the limits set by your clinic

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* 9. What is the minimum level of Kt/V for standard in-center hemodialysis?

1.2

2.0

0.01

1.4

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* 10. What is infection transmission through “direct contact”?

You touch a germy surface and then your eyes, nose, mouth or a wound

You eat food prepared by someone who did not wash his or her hands

You touch an infected person, then your eyes, nose, mouth or a wound

You accidentally stick yourself with a needle from an infected patient