EXIT

Module 1: Today's Dialysis Environment Sample Self-Test Questions

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* 1. Which of these factors can affect how well a patient may do on dialysis?

Other illnesses and how gently the dialysis treatment is delivered

Race and mode of transportation to the dialysis clinic

Gender and availability of television during treatments

Sexual orientation and how many chairs a dialysis clinic has

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* 2. What is the main job of healthy kidneys?

Digest the water we drink

Clean the urine

Keep the body in homeostasis

Cure illnesses

Recycle damaged skin cells

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* 3. Which parts of healthy kidney function can dialysis replace?

Producing erythropoietin and renin

Testing every drop of blood

Removing some water and wastes

Converting vitamin D to its active form

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* 4. Which of the following is true about dialysate?

It is injected into the patient’s blood and then removed again

It is a costly solution of nanoparticles that scrub out wastes and water

It is not necessary for hemodialysis, only for peritoneal dialysis

It is a mix of purified water and chemicals that wastes and water flow into

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* 5. Your job with in-center HD may routinely include the following tasks:

Writing the prescription for dialysis and the patient’s medications, and directing the clinic

Setting up the machine, taking the patient’s vital signs, and explaining what you are doing

Planning the patient’s meals based on his or blood test results and food preferences

Helping the patient cope with dialysis, finding local resources, and giving out surveys

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* 6. Your job with home HD may routinely include the following tasks:

Training the patient to do hemodialysis at home

Adapting the patient’s diet and medications to adjust for more dialysis

Setting up the patient’s home, preparing equipment, providing respite treatments

Handling insurance billing and payment questions

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* 7. In peritoneal dialysis, what is “dwell time”?

How long the fresh PD fluid stays in the patient’s belly before it is drained out

How long it takes for PD fluid to drain out of the patient’s belly

How long it takes for PD fluid to drain into the patient’s belly

How long it takes for PD fluid to be warmed enough to use for PD

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* 8. What tasks might your job with PD commonly include?

Place the PD catheter in the patient’s belly and check its position

Train the patient to do sterile PD exchanges and check medications

Check patient’s vital signs and draw blood for labs, reinforce teaching, manage supplies

Develop a meal plan based on the patient’s blood tests and food preferences

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* 9. What are the Medicare “rules” that apply to U.S. dialysis clinics?

Conditions for Coverage

Prospective Payment System

Centers for Medicare and Medicaid Services

Composite Measurement Strategy

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* 10. What is the Medicare QIP?

A way to give poorly performing clinics more money so they can improve

A payment program that allows a clinic to charge based on where it is located

A set of performance standards that must be met to for a clinic to receive full reimbursement

A way for clinics to make their own decisions about what treatment outcomes to measure