DaVita Segment Quiz

Once set up for treatment, the recirculation time for a dialyzer should not exceed 1. 2 hours 2. 2.5 hours 3. 3 hours 4. 3.5 hours

1. 2 hours

What is HIPAA? 1. A law requiring us to keep protected health information confidential 2. Medicare Guidelines for patient care in dialysis facilities 3. ESRD Facility Quality Outcomes Standards 4. DaVita's Code of Conduct for health care providers

1. A law requiring us to keep protected health information confidential

If a Total Chlorine sample is collected prior to the minimum time the RO should be operating, test results 1. Could be falsely negative 2. Could be falsely positive 3. Will be inconclusive 4. Are not affected

1. Could be falsely negative

Some of the information in the MAN1000 courses 1. Must be completed prior to working on the treatment floor with the preceptor 2. Must be taken with an instructor who can answer questions 3. Require passing a corresponding posttest 4. All of the above

4. All of the above

A post treatment patient assessment 1. Is completed to verify that the patient is stable, to determine the patient's discharge status, and to evaluate the effectiveness of the treatment plan 2. Is compared to the patient's pre treatment assessment findings 3. Requires the licensed nurse to notify the physician as needed of changes in patient status 4. All of the above

4. All of the above

To determine the difference between a pleural friction rub and a pericardial friction rub, ask patients to briefly hold their breath and 1. If the rubbing sound continues, it's pericardial friction rub 2. If the rubbing sound continues, it's pleural friction rub 3. If the rubbing sound stops, it's pericardial friction rub 4. The difference between the two rubs cannot be determined this way

1. If the rubbing sound continues, it's pericardial friction rub

What is the purpose of testing the pH of the final dialysate composition? 1. It verifies that the bicarbonate concentrate has been prepared correctly 2. It verifies that the acid concentrate has been prepared correctly 3. It verifies that correct amounts of dialysate quality water, acid and bicarbonate concentrate are mixed by the machine 4. It verifies that the patient is receiving the ordered dialysate composition

1. It verifies that the bicarbonate concentrate has been prepared correctly

The electrolyte that plays a major role in muscle contraction and high or low levels can lead to weakness or even cardiac arrest is 1. Potassium 2. Magnesium 3. Phosphorus 4. Sodium

1. Potassium

What is the correct procedure for residual bleach testing after chemical disinfection of distribution loops and equipment fluid pathways? 1. Residual bleach testing is performed after bleach disinfection and prior to use 2. Residual bleach testing is performed once after bleach disinfection 3. Residual bleach testing is performed once prior to use 4. If the machine completed the mandatory rinse cycle, bleach testing is not necessary

1. Residual bleach testing is performed after bleach disinfection and prior to use

The Hand Hygiene video states 1. Supplies needed to wash your hands are liquid antiseptic soap, paper towels and a clean sink with running water 2. Instead of handwashing, alcohol based hand rubs that contain at least 50% alcohol may be used 3. For visibly contaminated hands an alcohol based hand rub is preferred to disinfect hands while cleaning 4. After applying an alcohol based hand rub, dry your hands with a clean paper-towel

1. Supplies needed to wash your hands are liquid antiseptic soap, paper towels and a clean sink with running water

What is the purpose of professional boundaries? 1. They keep the relationship between you and your patient appropriate and safe 2. They keep an appropriate distance between individual patient stations 3. They separate patient treatment areas from areas used by visitors 4. They separate clean from dirty areas on the dialysis treatment floor

1. They keep the relationship between you and your patient appropriate and safe

To prepare a 1:100 bleach solution, you would 1. Add 1 part of bleach to 100 parts of water 2. Add 1 part of bleach to 99 parts of water 3. Add 1 part of water to 100 parts of bleach 4. Add 1 part of water to 99 parts of bleach

2. Add 1 part of bleach to 99 parts of water

After collecting a blood specimen, the vacutainer holder is ___________ after use. 1. Soaked in a 1:10 Bleach solution and cleaned 2. Discarded 3. Recycled 4. Reused only on the same patient

2. Discarded

The PPE Training video lists the order in which to don PPE. Which item is first? 1. Gloves 2. Gown 3. Face Shield 4. Mask

2. Gown

One For All 1. Is the definition of DaVita's Mission 2. Is a program to help you understand the DaVita Way 3. Is one of DaVita's Core Values 4. Is part of your Orientation Scavenger Hunt

2. Is a program to help you understand the DaVita Way

Placing the access needles into the same confined area time after time is also known as 1. Constant site or Buttonhole cannulation 2. One-site-itis 3. Rope ladder method 4. Circular cannulation

2. One-site-itis

Why is it important for patient care teammates to know when the water treatment system is disinfected using an end-to end disinfection process? 1. Water to the dialysis delivery systems will be cut off interrupting any unfinished treatments 2. The end-to-end disinfection process will also introduce the disinfectant solution to the dialysis delivery systems through their water inlet lines 3. Teammates must shut down all dialysis delivery systems prior to the end-to-end disinfection process to prevent damage to the machines 4. The end-to-end disinfection process is always done on a Sunday and teammates must check machines for residual disinfectant on Monday morning

2. The end-to-end disinfection process will also introduce the disinfectant solution to the dialysis delivery systems through their water inlet lines

What is the role of the licensed nurse in regards to the Daily Water Treatment Log? 1. The licensed nurse is to perform and record all observations on the log 2. The licensed nurse reviews the log for completeness, verifies all parameters are within specified limits, and initials and signs the log 3. The licensed nurse is to assign teammates to perform the observations and tests on a rotating basis to ensure their skills are up-to-date 4. The licensed nurse has no specific role in regards to this log

2. The licensed nurse reviews the log for completeness, verifies all parameters are within specified limits, and initials and signs the log

If a pericardial friction rub is suspected in a patient, 1. The dialysis treatment should be extended by 60 minutes as the rub is indicative of pericarditis which is a complication of uremia 2. The patient should receive no heparin and the physician be contacted immediately 3. The patient's target weight should be increased as the rub is a sign of not enough fluid between the layers of the pericardium 4. It is of no immediate concern as cardio-vascular disease is common in dialysis patients

2. The patient should receive no heparin and the physician be contacted immediately

Post treatment, a patient's temperature increased from 96.6°F to 98.8°F and the patient complains of a headache. 1. This is a normal temperature as patients' temperatures are expected to rise post treatment 2. This is considered a fever which should be investigated 3. An order should be obtained for or a pain medication to alleviate the headache 4. The patient should be told to take it easy and rest for two hours after getting home

2. This is considered a fever which should be investigated

The manual conductivity must match the dialysis delivery system displayed conductivity 1. +/- 0.2mS 2. +/- 0.3mS 3. +/- 0.4mS 4. +/- 0.5mS

3. +/- 0.4mS

Pre-treatment water samples for chlorine testing are collected after the RO has operated for at least _____ minutes. 1. 5 2. 10 3. 15 4. 30

3. 15

Mrs. Thirsty's target weight is 73kg. Her pre-dialysis weight is 77.8kg. Her last post weight was 74.2 kg. What is Mrs. Thirsty's UF-goal today (not including prime & rinseback)? 1. 2.5kg 2. 3.6kg 3. 4.8 kg 4. 5.2kg

3. 4.8 kg

Total Water Hardness is checked 1. At the beginning of the treatment day 2. Half-way through the treatment day 3. At the end of the treatment day 4. Once a week

3. At the end of the treatment day

Patients presenting to dialysis below their target weight should 1. Have their target weight decreased 2. Receive fluid replacement during the treatment 3. Be re-weighed and evaluated for the cause of the weight loss 4. Receive education on proper fluid intake

3. Be re-weighed and evaluated for the cause of the weight loss

Machine alarm tests are performed: 1. Before the first patient shift of the day 2. After the last treatment of the day to prepare for the next day 3. Before the initiation of each patient treatment 4. When there is a machine problem to identify the source

3. Before the initiation of each patient treatment

What is the safe range for dialysate pH? 1. Between 4.9 and 6.7 2. Between 5.8 and 8.3 3. Between 6.9 and 7.6 4. Between 7.3 and 9.2

3. Between 6.9 and 7.6

Which of the following statements is correct when documenting in the patient's medical record? 1. Chart what you anticipate you do so you will not forget it 2. Add your opinion to clarify statements about specific patient behaviors 3. Chart what you do. Others need to chart what they do 4. Leave blank spaces if you anticipate adding more info at a later time

3. Chart what you do. Others need to chart what they do

A 1:10 bleach solution is used to 1. Clean environmental surfaces 2. Wipe down the SNAPPY computer cart 3. Clean up visible blood or gross blood spills 4. Wipe down the computer monitor screen

3. Clean up visible blood or gross blood spills

Discussing personal problems with your patients 1. Will establish a trusting relationship 2. Allows patients to "give back" by offering you some advice 3. Is considered unprofessional behavior 4. Makes patients feel better realizing they are not the only ones with struggles

3. Is considered unprofessional behavior

If the confirmed result of Total Chlorine testing from the primary carbon filter indicates a level of greater than 0.1 ppm 1. The result is within normal limits 2. The result is too high and dialysis treatments must be discontinued 3. Testing is performed after the secondary carbon filter 4. The primary carbon filter must be bypassed

3. Testing is performed after the secondary carbon filter

Who is considered the best source of a patient's current disposition? 1. The patient's physician 2. A teammate who knows the patient well 3. The patient him/herself 4. A family member

3. The patient him/herself

What happens if bleach and peracetic acid are mixed? 1. A strong disinfectant is created, effectively eliminating fungus 2. A watery solution is created which no longer has any disinfecting properties 3. An explosion occurs requiring evacuation of the premises for at least 48 hours 4. A chemical reaction occurs, producing toxic chlorine gas

4. A chemical reaction occurs, producing toxic chlorine gas

Use of an arm board to support an arterial venous access extremity requires 1. The patient's permission 2. Approval from the Board of Directors 3. Approval from the facility administrator 4. A physician's order

4. A physician's order

If the result of Total Chlorine testing from the primary carbon filter is too high, but results from the secondary carbon filter are within normal limits 1. Breakthrough Total Chlorine testing is done at 4 hour intervals 2. Dialysis operations may continue for that day 3. The primary carbon filter will be replaced with a new filter 4. Breakthrough Total Chlorine testing is done every 30 minutes

4. Breakthrough Total Chlorine testing is done every 30 minutes

The Association for the Advancement of Medical Instrumentation (AAMI) provides which dialysis quality standards? 1. Quality ratings of dialysis machines by medical review boards 2. Testing of dialyzer performance 3. Patient satisfaction questionnaires in regards to medical instruments used in the dialysis center 4. Dialysis water treatment, dialysis solution preparation, and dialyzer reprocessing

4. Dialysis water treatment, dialysis solution preparation, and dialyzer reprocessing

Why is a "strikethrough"‖ of an external pressure transducer protector of concern? 1. A wet transducer protector may cause pressure readings to be inaccurate 2. The patient's treatment must be discontinued to prevent adverse effects 3. The machine is considered internally contaminated and must be sequestered until three consecutive negative cultures have been obtained 4. Fluid could have entered the machine and contaminated the internal pressure transducer protector providing a reservoir for microorganisms and causing subsequent patient blood infections

4. Fluid could have entered the machine and contaminated the internal pressure transducer protector providing a reservoir for microorganisms and causing subsequent patient blood infections

In states where a pre-treatment patient assessment is not required, select the best answer 1. The licensed nurse should complete the assessment as time permits within the first hour of treatment 2. The licensed nurse may complete the assessment whenever time permits 3. The licensed nurse does not need to complete an assessment as long as the dialysis technician's data collection observations are within normal parameters 4. It is the responsibility of the licensed nurse to be aware of data collection findings that may preclude treatment initiation, and assess the patient immediately and intervene as appropriate.

4. It is the responsibility of the licensed nurse to be aware of data collection findings that may preclude treatment initiation, and assess the patient immediately and intervene as appropriate.

If you have residual acid concentrate from a single gallon container, you should 1. Top it off with residual acid concentrate from another container to decrease waste 2. Discard it into a clean sink since acid concentrate is a clean solution 3. Dispose down the drain as is if the amount is less than ¼ gallon 4. Neutralize it with sodium bicarbonate powder prior to disposal

4. Neutralize it with sodium bicarbonate powder prior to disposal

According to the PPE Training video, which supplies may be carried in pockets? 1. An extra pair of clean gloves 2. A role of tape for emergencies 3. Supplies that are inside a protective covering such as alcohol swabs 4. None of the above

4. None of the above

What did Janelle tell you about spores in our Hand Hygiene video? 1. Spores have a soft outer coating and can be easily destroyed 2. Spores cannot survive in subzero temperatures 3. Spores require moisture to survive 4. Some spores have been revived after laying dormant for 250 million years

4. Some spores have been revived after laying dormant for 250 million years

When taking a patient's blood pressure who also has an irregular heart beat with an automatic BP cuff 1. It has no effect on the recorded blood pressure 2. The recorded blood pressure will be too high 3. The recorded blood pressure will be too low 4. The recorded blood pressure may not be accurate

4. The recorded blood pressure may not be accurate