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Nursing
BONENT-CHN
BONENT Certified Hemodialysis Nurse (CHN)
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Question: 762
During a routine assessment of a patient in hemodialysis, the nurse notes a change in the patient's mental status. Which of the following interventions should the nurse prioritize?
ssess for signs of infection at the access site
ffer the patient a snack to Improve energy levels otify the healthcare provider immediately ncourage the patient to engage in conversation
wer: C
anation: A change in mental status may indicate serious complications as uremic encephalopathy or electrolyte imbalances, requiring prompt ication of the healthcare provider for further evaluation and interventi
stion: 763
anaging a patient with a central venous catheter, what is the most effe od for ensuring that the catheter remains patent and free from occlusi
eeping the catheter capped at all times ushing with saline and heparin regularly
A
O
N
E
Ans Expl
such
notif on.
Que
In m ctive
meth ons?
1. K
2. Fl
3. Avoiding any movement of the catheter
4. Reducing the frequency of dressing changes Answer: B
Explanation: Regular flushing with saline and heparin is the most effective method for maintaining catheter patency and preventing occlusions.
Question: 764
In the context of kidney transplantation, which immunosuppressive agent is commonly used to prevent acute rejection during the initial post-operative period?
ycophenolate mofetil rednisone
zathioprine wer: A
anation: Tacrolimus is commonly used as part of the immunosuppress men to prevent acute rejection in the initial post-operative period due t nt immunosuppressive effects on T lymphocytes.
stion: 765
When evaluating the effectiveness of unit policies related to personnel agement, which of the following metrics would be most indicative of ess in a hemodialysis unit?
he number of patient complaints received
Tacrolimus
M
P
A
Ans
Expl ive
regi o its
pote
Que
man succ
1. T
2. Staff retention rates and job satisfaction surveys
3. The frequency of patient treatments administered
4. The overall cost of staffing for the unit Answer: B
Explanation: Staff retention rates and job satisfaction surveys are key indicators
of effective personnel management and a positive work environment, directly impacting patient care quality.
Question: 766
Which of the following aseptic techniques is critical when initiating hemodialysis to prevent infection during the cannulation process?
sing a single-use tourniquet
erforming hand hygiene before accessing the vascular access repping the skin with alcohol alone
annulating the access site without a mask wer: B
anation: Performing hand hygiene before accessing the vascular acces ntial to minimize the risk of infection. It is a key component of aseptic nique. Using a single-use tourniquet and preparing the skin with antise ions are also important, but hand hygiene is the foremost step.
stion: 767
ng a safety meeting, a nurse learns that some staff members are not liar with the fire evacuation plan. What should the nurse do to address wledge gap effectively?
U
P
P
C
Ans
Expl s is
esse
tech ptic
solut
Que
Duri
fami this
kno
1. Organize a comprehensive review session
2. Assume they will learn during drills
3. Provide them with written copies of the plan
4. Rely on senior staff to guide them Answer: A
Explanation: Organizing a comprehensive review session ensures that all staff members understand the fire evacuation plan fully, enhancing safety preparedness in the unit.
Question: 768
ribes the importance of peer-reviewed journals in nursing practice?
hey are primarily used for advertising new products in the healthcare stry
hey provide a platform for nurses to publish their personal experience hey focus solely on the historical aspects of nursing and do not presen nt data
hey ensure that the information disseminated is based on rigorous scie ods and validated research
wer: D
anation: Peer-reviewed journals are essential in nursing practice as the re that published studies undergo rigorous evaluation by experts, there iding reliable, evidence-based information that practitioners can apply clinical decision-making.
stion: 769
In the context of professional literature, which of the following statements best desc
1. T
indu
2. T s
3. T t
curre
4. T ntific
meth Ans
Expl y
ensu by
prov in
their
Que
In a hemodialysis setting, what is the primary reason for monitoring the pH of the dialysate?
1. To ensure adequate clearance of toxins
2. To maintain patient comfort
3. To facilitate the removal of excess fluid
4. To prevent metabolic acidosis or alkalosis Answer: D
Explanation: Monitoring the pH of the dialysate is essential for preventing metabolic acidosis or alkalosis, which can have significant effects on the patient's overall health during hemodialysis.
stion: 770
sessing a patient with a newly placed arteriovenous graft, which symp d be most concerning for the nurse indicating potential graft failure?
armth at the site ow capillary refill ight redness
bsence of a palpable thrill wer: D
anation: The absence of a palpable thrill indicates potential graft failu mbosis, which is a critical finding that requires immediate investigatio
stion: 771
context of biological agents, which of the following routes of
Que
In as tom
woul
1. W
2. Sl
3. Sl
4. A
Ans
Expl re or
thro n.
Que
In the
transmission poses the highest risk for healthcare workers in a hemodialysis setting, particularly when handling contaminated blood?
1. Parenteral route
2. Airborne transmission
3. Fecal-oral route
4. Vector-borne transmission
Answer: A
Explanation: The parenteral route, particularly exposure to contaminated blood through needlesticks, is the most significant risk for healthcare workers in a hemodialysis setting.
event of a blood leak detected during dialysis, which of the followin ns should the nurse prioritize?
lamp the blood lines and notify the physician crease the blood flow rate
ontinue dialysis and monitor the patient lush the lines with saline
wer: A
anation: Clamping the blood lines and notifying the physician is cruci ent further complications from the blood leak.
stion: 773
ituation where a hemodialysis patient presents with hypotension duri ment, which of the following medications might be considered for acu
Question: 772
In the g
actio
1. C
2. In
3. C
4. F
Ans
Expl al to
prev
Que
In a s ng
treat te
management of this condition?
1. Calcium gluconate
2. Ferrous sulfate
3. Midodrine
4. Furosemide
Answer: C
Explanation: Midodrine is an oral medication that can help increase blood pressure in patients who experience hypotension during hemodialysis.
Question: 774
cted during research is valid and can be replicated by others?
ypothesis formulation ata analysis
esearch design iterature review
wer: C
anation: A well-structured research design is vital as it outlines the odology, including how data will be collected and analyzed, ensuring tudy can be replicated and the results validated.
stion: 775
When conducting the priming procedure for a new dialyzer, which of the wing actions is essential to prevent air embolism during the initiation sis?
In the scientific method, which step is crucial for ensuring that the data colle
1. H
2. D
3. R
4. L
Ans Expl
meth that
the s
Que
follo of
dialy
1. Connect the dialyzer to the patient before completely priming it.
2. Use a roller clamp to occlude the blood line during priming.
3. Prime the dialyzer with the dialysis bath only, avoiding saline.
4. Ensure that the dialyzer is filled with saline before connecting to the patient.
Explanation: Filling the dialyzer with saline before connecting to the patient is crucial to prevent air embolism, as it ensures there are no air bubbles in the blood path.
Question: 776
eing used consistently by staff. What is the most effective strategy to ove compliance?
onitor staff more closely during procedures crease the availability of PPE in the unit mplement regular training sessions on PPE usage rovide written reminders about PPE policies
wer: C
anation: Implementing regular training sessions on PPE usage is essen mprove understanding and compliance, ensuring staff are aware of the
rtance of PPE in infection control.
stion: 777
ch record-keeping format is most effective for tracking the reuse and ning status of dialyzers in a clinical setting?
During a safety audit, a nurse finds that personal protective equipment (PPE) is not b
impr
1. M
2. In
3. I
4. P
Ans
Expl tial
to i impo
Que
Whi clea
1. Spreadsheet
2. Handwritten logs
3. Calendar entries
4. Electronic health records
Explanation: Electronic health records provide an efficient and organized method for tracking the reuse and cleaning status of dialyzers, enhancing accessibility and compliance.
Question: 778
ypersensitivity reactions and should be carefully monitored in hemodi nts?
on sucrose
alcium supplements minoglycosides ancomycin
wer: D
anation: Vancomycin can cause severe hypersensitivity reactions, ding anaphylaxis, making monitoring essential in patients with a histo reactions.
stion: 779
is the primary rationale for using multiple immunosuppressive agent anagement of kidney transplant recipients?
Which of the following medications is contraindicated in patients with a history of h alysis
patie
1. Ir
2. C
3. A
4. V
Ans Expl
inclu ry of
such
Que
What s in
the m
1. To reduce costs of treatment
2. To minimize the risk of opportunistic infections
3. To simplify the medication regimen
4. To enhance drug efficacy and prevent acute rejection
Explanation: The primary rationale for using multiple immunosuppressive agents is to enhance efficacy and minimize the risk of acute rejection by targeting different mechanisms of the immune response.

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