CDN Patient Education and Psychosocial Care 3

Question 1

A dialysis patient repeatedly misses treatments. What is the most effective first step in addressing non-adherence?

Accepted Answer

Explore underlying barriers such as transportation, depression, or financial concerns

Answer

Identifying and addressing root causes of non-adherence — such as psychosocial barriers, depression, or logistical obstacles — is more effective than punitive approaches.

Question 2

Which dietary education point is MOST important for a dialysis patient with consistently elevated pre-dialysis potassium levels?

Accepted Answer

Identify and limit high-potassium foods like bananas, oranges, potatoes, and tomatoes

Answer

Educating patients to identify and limit specific high-potassium foods is the primary dietary strategy for managing hyperkalemia between dialysis sessions.

Question 3

What is the purpose of measuring serum albumin in a dialysis patient's monthly labs?

Accepted Answer

Assess nutritional status as a predictor of morbidity and mortality

Answer

Serum albumin is a key marker of nutritional status in dialysis patients; levels below 3.5 g/dL are associated with significantly increased morbidity and mortality.

Question 4

When teaching a patient about signs of access complications to report between treatments, which symptom requires the most urgent notification?

Accepted Answer

Uncontrolled bleeding from the access site that does not stop with 20 minutes of pressure

Answer

Uncontrolled bleeding from the access site despite prolonged pressure is a life-threatening emergency requiring immediate emergency services contact.

Question 5

Which nutritional supplement is routinely recommended for hemodialysis patients due to dialytic losses?

Accepted Answer

Water-soluble vitamins B and C (dialysis-specific formulation)

Answer

Water-soluble vitamins (B-complex and C) are lost during dialysis and must be replaced with dialysis-specific formulations that contain appropriate doses to prevent deficiency.

CDN - Certified Dialysis Nurse Practice Test

CDN - Certified Dialysis Nurse Practice Test

CDN Patient Education and Psychosocial Care 3