Fresenius Annual Competency Latest Exam Questions with Verified Answers., Exams of Health sciences

Download Fresenius Annual Competency Latest Exam Questions with Verified Answers. and more Exams Health sciences in PDF only on Docsity! Fresenius Annual Competency Latest Exam Questions with Verified Answers.  Adverse events must be documented on the medical record, - ANS QAI, and Adverse Event Report  The action of Renin is to raise the blood pressure. - ANS to raise the blood pressure.  According to FMS policy, intravenous medications are permitted to be pre-drawn how many hours before administration? - ANS 4  According to FMC policy, the safe level for total chlorine is - ANS less than 0.10 ppm  All of the following can contribute to hyperkalemia - ANS Hemolysis, dietary indiscretion, blood transfusions  The arterial needle is placed - ANS Either with or against the flow of blood  After the placement of a new central venous catheter, the patient suddenly develops SOB, pain in the side, and unilateral distention of the chest. Suspecting a possible catheter related complication, in addition to notifying the physician, the RN should? - ANS Immediately stop TX  The adequacy of a dialysis TX may be compromised by? - ANS Inadequate heparinization  All of the following can contribute to hyperkalemia except - ANS Diarrhea  Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of SOB, HA, and burning at the needle site. In view of these findings, the care giver should: - ANS stop blood pump and do not return blood to patient  Certified Clinical Hemodialysis Technicians role in education is to? - ANS Reinforce  The component of the dialysate that helps treat acidosis is - ANS bicarbonate.  Chloramines or bleach in the dialysate during dialysis can cause a patients' death due to - ANS hemolysis  During the OLC testing, a gradual drop in clearance effectiveness by conductivity, Ken, is most likely to indicate the need to - ANS increase heparin dosage.  Documentation and interpretation of the Ken results can assist the staff member in - ANS assessment for possible clotting in the dialyzer.  Dialysis has been initiated on a patient using a right internal jugular catheter, as a blood pump is turned to 200, foam begins to accumulate in the lines. The patient begins to P a g e 1 | 6 wheeze, and becomes SOB. The care givers first action would be - ANS clamp the venous line  During dialysis a patient has a cardiac arrest which action should be completed on the dialysis machine before the machine is used by another patient. - ANS Technical must perform a functional test on the machine.  The dialysis technician has performed a rinse back on a patient and failed to gather all the supplies needed to disconnect the patient. What must the technician do prior to getting clean supplies? - ANS Remove gloves, wash hands, and put on clean gloves  An equivalent marker for inflammation as well as an indicator of future mortality risk and length of hospitalization stay is a body protein known as? - ANS Serum albumin  Excessive fluid removal during dialysis, combined with the patient's taking an antihypertensive med may result in patient having? - ANS Hypotension  Apogent is a medication used to treat the anemia that accompanies renal failure. The physician has ordered 8000u each TX. The facility stocks Apogent 20,000/ml concentrate. How much should be administered? - ANS 0.4ml  Following FMC policy, when should the first and second hardness test be completed? - ANS Before the first treatment and after the completion of the last patient's treatment.  The following Ken are noted: 0015=268, 0045=254, 0115=242, 0145=243, and 0215=238. These results indicate? - ANS A need to increase heparin.  A forty year old patient who has severe HTN, is to start on hemodialysis. No diabetes or cardiac problems what type of access is preferable. - ANS An arteriovenous fistula  A fistula is considered the access of choice because fistulas... - ANS Have the lowest complication rate  Gentamycin, kanamycin is used primarily with patients who are on dialysis for - ANS treating CVP infections.  How long can mixed biker be kept for use without Medial Director Approval and validation procedures? - ANS Must be used the same day it is mixed 24 hours  High phosphorus foods that must be limited or avoided in patients who are on dialysis are - ANS Nuts and cola  Hemolysis blood could be caused by? - ANS Arterial pressure of -270  Improperly primed dialyzers and blood lines can increase the risk of - ANS air embolism and clotting in the dialyzer. P a g e 2 | 6  The physician orders 750mg of Vancomycin to be given during the last hour of the TX. The Vance is available in 1g vial requiring reconstitution with 2ms NS. The reconstituted solution will contain 500mg Vance/ 1 ml. How many mess of the solution must be administered? - ANS 1.5mls  Patient on dialysis are frequently anemic because they have... - ANS .a decreased production of erythropoietin.  The purpose of an ultraviolet UV irradiator is to... - ANS destroy bacteria in the water system.  The physician orders the dialysis orders the dialysis patient to receive iron sucrose injection 100mg IVP monthly. Therefore the nurse would administer... - ANS 50mg IVP every other week.  Patients must be dialyzed on a designated dialysis machine in a separate area and designated BP cuff and stethoscope must be used if the patients have - ANS MRSA  The patient complains of pain at the catheter exit site. What would the patient technician do first? - ANS Notify the RN  The patient care technician observes at the j30 min safety check. What signs or symptoms will prompt the patient care tech to wake the patient for further evil? - ANS The patient does not respond to verbal questions and vital signs are trending down.  The patient arrives for dialysis TX with complaints of SOB and swelling in her ankles. The patient care tech assigned to her notes a pre-TX HR of 48. The tech notifies the RN of the findings. What action is appropriate for the nurse to take initially? - ANS Verify the patient's HR apically and radially.  The patient has just returned from radiology from having a new central line catheter placed. Prior to initializing TX, the RN should. - ANS Call the radiologist and request written documentation that the central line catheter was placed appropriately.  The patient is supine, breathing normally with eyes closed, all machine parameters are normal and extracorporeal circuit is intact. Based on these observations at this time, what would be the most appropriate observation documented? - ANS Patient is resting quietly, rasp 18, no changes in VS, connections secure, no unusual findings.  The purpose of using heparin during dialysis is to: - ANS improve dialysis adequacy.  Post treatment when auscultating the base of the right lower lobe of the patient, the RN hears crackles due to fluid accumulating in the area. When reporting this finding to the MD, the RN should expect order for ... - ANS a decrease in EDW.  The physician writes the following intradialytic orders for a patient who has just returned to the unit with a diagnosis of pericarditis. Which order would the nurse question? - ANS Heparin 100u/kg. P a g e 5 | 6  The patient exhibits signs of hemolysis. What is the appropriate action to take? - ANS Turn the blood pump off, clamp the venous line.  A patient has fallen to the floor post dialysis outside the facility that results in a laceration. This incident is considered a... - ANS Serious Adverse Event.  Per FMS chlorine breakthrough policy who must sign to resume normal operations? - ANS Medical Director.  The purpose of hectored is to... - ANS Suppress PTH synthesis  The Quality Status Report 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... - ANS Albumin, HGB, and Phosphorus, Adequacy, and Catheter rate.  Routine post dialysis TX documentation on the patient’s dialysis TX record should include patient's BP and temp... - ANS post reinfusion and prior to disconnect. P a g e 6 | 6