Dialysis Nursing Skills Test

1. A nephron is made up of:

A glomerulus and a tubule The nephrons and a capsule The loop of Henle and the capillary ball The bladder and the ureter

2. A unit of the kidney, or the structure in the kidney that does the work, is the:

Medulla Cortez Calyx Nephron

3. Diffusion is movement of particles

By filtration through a biocompatible membrane From an area of higher concentration to an area of lower concentration Into a vacuum created when fluids are forced through a membrane Into a space created by solutions moving in countercurrent flow.

4. During dialysis, ultra-filtration occurs when:

Water is removed from blood because there is a pressure gradient between blood and dialysate Phosphorus is removal from blood because dialysate is low on phosphorus. A higher concentration of sodium causes water to move from body compartments into the dialysate A suction device is applied to the venous trap and the Harvard Clamp is applied to the arterial side of the blood set

5. Name the two compartments of the dialyzer:

Conventional and high flux Convection and adsorption Blood and dialysate Hollow fiber and flat plate

6. Muscle cramps are primarily caused by the shifting concentrations of this ion during hemodialysis:

Phosphorus Potassium Manesium Sodium

7. According to AAMI standards, the total microbial count of dialysate shall not exceed:

1000/CFU/mL 2000/CFU/mL 3000/CFU/mL 4000/CFU/mL

8. Chloramine exposure in hemodialysis may cause:

Bleeding Hypernatremia Hemolysis Pericarditis

9. Poor blood flow during dialysis in patients with catheters is NOT due to which of the following factors?

A blood clot An aneurysm Poor placement of the catheter within the blood vessel A fibrin sheath that has formed around the catheter

10. Which statement is NOT true about recirculation?

Recirculation reduces dialysis efficiency Recirculation can be caused when dialysis needles are placed too close together or are reversed. Recirculation can be used when dialysis needles are placed too close together or are reversed Stenois or obstructions in the access can cause recirculation

11. A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse's response is based on the knowledge that hemodialysis works by:

Passing water through a dialyzing membrane Eliminating plasma proteins from the blood Lowering the pH by removing nonvolatile acids Filtering waste through a dialyzing membrane

12. Increased serum calcium levels in an immobile patient are most likely the result of:

bone demineralization disruption of normal kidney function decreased intake of vitamin D increased intake of milk and milk products

13. Which chemical is released during an inflammatory response?

histamine dopamine antihistamine chemotaxis

14. What is the best source of patient history information?

patient's medical record patient's family patient himself patient's physician

15. The purpose of a directive interview is intended to:

get answers to a specific set of questions. determine the underlying cause of the present illness. assist the patient to get in touch with his inner feelings. obtain the patient's perspective regarding his symptoms and his present illness.

16. Your 75 year old male patient begins to hyperventilate and experiences tachycardia after the doctor has been in to visit him. The most therapeutic intervention you could initiate would be to:

notify the physician and ask for an order for a sedative. promote a diversional activity to help him to redirect the focus of his attention. offer to call a family member or his pastor. talk with him and encourage him to express his feelings.

17. Which type of soak would you expect to put on an open, draining wound?

hot, dry cool, dry warm, moist cool, moist

18. Your patient is being discharged with a prescription for a sedative. What information should you include in your discharge instructions?

only take the medication if all other coping measures have failed sedatives can be addictive and should be discontinued as soon as possible if drowsiness occurs, the physician should be notified do not drink alcohol

19. Which of the following would be evidence of a systemic infection?

erythema localized edema pain at the site of infection increased body temperature

20. Which position is best for a comatose patient?

side-lying prone trendelenburg supine

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<form method="post" action="https://www.flufo.com/Fortus Group Travel, Inc./776/dialysis-nursing-skills-test">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Dialysis Nursing Skills Test </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>A nephron is made up of:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6100]" value="A" /> A glomerulus and a tubule</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6100]" value="B" /> The nephrons and a capsule</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6100]" value="C" /> The loop of Henle and the capillary ball</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6100]" value="D" /> The bladder and the ureter</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>A unit of the kidney, or the structure in the kidney that does the work, is the:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6101]" value="A" /> Medulla</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6101]" value="B" /> Cortez</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6101]" value="C" /> Calyx</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6101]" value="D" /> Nephron</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Diffusion is movement of particles</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6102]" value="A" /> By filtration through a biocompatible membrane</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6102]" value="B" /> From an area of higher concentration to an area of lower concentration</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6102]" value="C" /> Into a vacuum created when fluids are forced through a membrane</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6102]" value="D" /> Into a space created by solutions moving in countercurrent flow.</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>During dialysis, ultra-filtration occurs when:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6103]" value="A" /> Water is removed from blood because there is a pressure gradient between blood and dialysate</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6103]" value="B" /> Phosphorus is removal from blood because dialysate is low on phosphorus.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6103]" value="C" /> A higher concentration of sodium causes water to move from body compartments into the dialysate</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6103]" value="D" /> A suction device is applied to the venous trap and the Harvard Clamp is applied to the arterial side of the blood set</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Name the two compartments of the dialyzer:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6104]" value="A" /> Conventional and high flux</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6104]" value="B" /> Convection and adsorption</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6104]" value="C" /> Blood and dialysate</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6104]" value="D" /> Hollow fiber and flat plate</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>Muscle cramps are primarily caused by the shifting concentrations of this ion during hemodialysis:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6105]" value="A" /> Phosphorus</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6105]" value="B" /> Potassium</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6105]" value="C" /> Manesium</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6105]" value="D" /> Sodium</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>According to AAMI standards, the total microbial count of dialysate shall not exceed:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6106]" value="A" /> 1000/CFU/mL</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6106]" value="B" /> 2000/CFU/mL</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6106]" value="C" /> 3000/CFU/mL</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6106]" value="D" /> 4000/CFU/mL</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>Chloramine exposure in hemodialysis may cause:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6107]" value="A" /> Bleeding</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6107]" value="B" /> Hypernatremia</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6107]" value="C" /> Hemolysis</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6107]" value="D" /> Pericarditis</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>Poor blood flow during dialysis in patients with catheters is NOT due to which of the following factors?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6108]" value="A" /> A blood clot</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6108]" value="B" /> An aneurysm</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6108]" value="C" /> Poor placement of the catheter within the blood vessel</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6108]" value="D" /> A fibrin sheath that has formed around the catheter</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>Which statement is NOT true about recirculation?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6109]" value="A" /> Recirculation reduces dialysis efficiency</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6109]" value="B" /> Recirculation can be caused when dialysis needles are placed too close together or are reversed.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6109]" value="C" /> Recirculation can be used when dialysis needles are placed too close together or are reversed</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6109]" value="D" /> Stenois or obstructions in the access can cause recirculation</label>
      <br />        
      <div style="padding: 5px 0;">11.
      <strong>A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys.  The nurse&#039;s response is based on the knowledge that hemodialysis works by:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6110]" value="A" /> Passing water through a dialyzing membrane</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6110]" value="B" /> Eliminating plasma proteins from the blood</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6110]" value="C" /> Lowering the pH by removing nonvolatile acids</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6110]" value="D" /> Filtering waste through a dialyzing membrane</label>
      <br />        
      <div style="padding: 5px 0;">12.
      <strong>Increased serum calcium levels in an immobile patient are most likely the result of:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6111]" value="A" /> bone demineralization</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6111]" value="B" /> disruption of normal kidney function</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6111]" value="C" /> decreased intake of vitamin D</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6111]" value="D" /> increased intake of milk and milk products</label>
      <br />        
      <div style="padding: 5px 0;">13.
      <strong>Which chemical is released during an inflammatory response?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6112]" value="A" /> histamine</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6112]" value="B" /> dopamine</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6112]" value="C" /> antihistamine</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6112]" value="D" /> chemotaxis</label>
      <br />        
      <div style="padding: 5px 0;">14.
      <strong>What is the best source of patient history information?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6113]" value="A" /> patient&#039;s medical record</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6113]" value="B" /> patient&#039;s family</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6113]" value="C" /> patient himself</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6113]" value="D" /> patient&#039;s physician</label>
      <br />        
      <div style="padding: 5px 0;">15.
      <strong>The purpose of a directive interview is intended to:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6114]" value="A" /> get answers to a specific set of questions.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6114]" value="B" /> determine the underlying cause of the present illness.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6114]" value="C" /> assist the patient to get in touch with his inner feelings.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6114]" value="D" /> obtain the patient&#039;s perspective regarding his symptoms and his present illness.</label>
      <br />        
      <div style="padding: 5px 0;">16.
      <strong>Your 75 year old male patient begins to hyperventilate and experiences tachycardia after the doctor has been in to visit him. The most therapeutic intervention you could initiate would be to:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6115]" value="A" /> notify the physician and ask for an order for a sedative.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6115]" value="B" /> promote a diversional activity to help him to redirect the focus of his attention.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6115]" value="C" /> offer to call a family member or his pastor.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6115]" value="D" /> talk with him and encourage him to express his feelings.</label>
      <br />        
      <div style="padding: 5px 0;">17.
      <strong>Which type of soak would you expect to put on an open, draining wound?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6116]" value="A" /> hot, dry</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6116]" value="B" /> cool, dry</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6116]" value="C" /> warm, moist</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6116]" value="D" /> cool, moist</label>
      <br />        
      <div style="padding: 5px 0;">18.
      <strong>Your patient is being discharged with a prescription for a sedative. What information should you include in your discharge instructions?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6117]" value="A" /> only take the medication if all other coping measures have failed</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6117]" value="B" /> sedatives can be addictive and should be discontinued as soon as possible</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6117]" value="C" /> if drowsiness occurs, the physician should be notified</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6117]" value="D" /> do not drink alcohol</label>
      <br />        
      <div style="padding: 5px 0;">19.
      <strong>Which of the following would be evidence of a systemic infection?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6118]" value="A" /> erythema</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6118]" value="B" /> localized edema</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6118]" value="C" /> pain at the site of infection</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6118]" value="D" /> increased body temperature</label>
      <br />        
      <div style="padding: 5px 0;">20.
      <strong>Which position is best for a comatose patient?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6119]" value="A" /> side-lying</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6119]" value="B" /> prone</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6119]" value="C" /> trendelenburg</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6119]" value="D" /> supine</label>
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      <div><label for="userName">Your name</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
      <input type="text" name="userName" id="userName" value="" style="width: 300px;" />     
    </div><br />
    <div>
      <label for="userEmail">E-mail address</label>
      <input type="text" name="userEmail" id="userEmail" value="" style="width: 300px;" />     
    </div><br />
    	<input type="submit" name="submit" value="Ready" /> <span style="margin-left: 200px;">powered by: <a href="http://www.flufo.com" target="_blank">flufo.com</a></span>
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