CDN Certified Dialysis Nurse 3

Question 1

A dialysis patient with diabetes has an AV fistula. When assessing the fistula, the nurse palpates a thrill and hears a bruit. This finding indicates:

Accepted Answer

Normal fistula function

Answer

A palpable thrill and audible bruit indicate adequate blood flow through a patent, functional AV fistula.

Question 2

Which of the following is a sign of disequilibrium syndrome during hemodialysis?

Accepted Answer

Headache, nausea, and altered consciousness

Answer

Disequilibrium syndrome presents with neurological symptoms including headache, nausea, and altered mental status due to rapid osmotic shifts.

Question 3

A patient receiving continuous renal replacement therapy (CRRT) has a filter clotting frequently. Which anticoagulation method is typically used first-line in CRRT?

Accepted Answer

Regional citrate anticoagulation

Answer

Regional citrate anticoagulation is the preferred first-line method for CRRT as it provides effective circuit anticoagulation with minimal systemic effects.

Question 4

The target hemoglobin range for dialysis patients receiving erythropoiesis-stimulating agents (ESAs) per KDIGO guidelines is:

Accepted Answer

10–11.5 g/dL

Answer

KDIGO guidelines recommend maintaining hemoglobin between 10–11.5 g/dL for dialysis patients on ESAs to balance benefit and cardiovascular risk.

Question 5

A peritoneal dialysis patient using automated peritoneal dialysis (APD) reports the machine alarming 'drain incomplete.' The nurse's first intervention is to:

Accepted Answer

Reposition the patient and check catheter kinks

Answer

Repositioning the patient and checking for catheter kinks addresses the most common mechanical causes of incomplete drainage.

CDN - Certified Dialysis Nurse Practice Test

CDN - Certified Dialysis Nurse Practice Test

CDN Certified Dialysis Nurse 3