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