DaVita Peritoneal Dialysis (PD) Practice Exam

These questions are part of the practice quiz. Start practicing

• What is the initial empiric intraperitoneal antibiotic strategy for suspected PD-associated peritonitis?
• Name two major advantages of PD over in-center hemodialysis.
• How is a PD catheter placed, and what imaging may confirm placement?
• What components are typically included in standard PD dialysate?
• Which statement about PMN percentage in peritonitis evaluation is true?
• What best confirms proper catheter tip position post placement?
• In Kinetic PET, what is the solution concentration overnight and the daytime dwell times?
• Which PD adequacy metric includes residual renal function in its calculation?
• Which of the following are common signs of an exit-site infection?
• How should a PD patient be managed if effluent culture is negative after suspected peritonitis but symptoms persist?
• Staph aureus and coagulase-negative staphylococci are examples of what category in PD infections?
• After initial assessment of a new patient, reassessments are due in how many days?
• Why is monitoring for weight gain and edema important in PD patients?
• Which dietary strategy is commonly recommended for PD patients?
• Albumin level greater than 4 can cause which condition?
• If hemoglobin is greater than 12 g/dL, what is typically done?
• If a PD patient has high transporter status and inadequate ultrafiltration, which changes would you consider?
• What does QAPI stand for?
• Which statement is true regarding new patient assessments?
• Bundled medications are covered by which payer?
• Which component is essential to include in PD patient safety education?
• What is the role of the PD cycler, and when is it typically used?
• What does DQI stand for?
• Target Hgb for Epogen therapy is?
• How can exit-site infections be prevented?
• A comprehensive assessment will be conducted on all new patients within how many days?
• What is the purpose of monitoring potassium and phosphorus in PD patients?
• Which signs suggest a catheter tunnel infection?
• A comprehensive re-assessment of each patient and revision in the POA is conducted how often?
• Which signs suggest a PD catheter obstruction?
• If there is an abnormal heart rhythm, which lab should be drawn?
• How does environmental cleaning contribute to infection prevention in PD care?
• Low albumin can lead to edema associated with which condition?
• PMN stands for which term in lab reporting?
• What is the recommended oxygen delivery rate in the emergency protocol?
• In CKD, iron deficiency is indicated by TSAT below 20% and ferritin below 200.
• In CAPD, which action is performed immediately after draining the dialysate?
• During emergency treatment in an in-center setting, what should be done with UF?
• Gram stains go in which color tube?
• What are common features of exit-site infection?
• How does pregnancy affect PD management?
• Tailoring antibiotics after culture?
• DaVita lab reports neutrophils as which term?
• Calcium is essential for which physiological processes?
• What is the function of dwell time in a PD cycle?
• Which PET modality uses 4 dwell times during the day?
• What is an advantage of automated PD (CCPD) over manual PD (CAPD)?
• What is the recommended treatment for a catheter-related tunnel infection?
• What can cause volume overload in a PD patient and how can it be prevented?
• What is the first step in an exit-site dressing change?
• Which organism is commonly implicated in PD-related peritonitis along with skin flora?
• The initial comprehensive assessment for all new patients should be completed within how many days?
• What is the role of residual kidney function in fluid and toxin removal in PD?
• In an emergency, which action is recommended first?
• How is total weekly Kt/V calculated in PD?
• Quick score is used for what?
• How does higher PD adequacy relate to patient outcomes?
• When training a patient, how long should the break be?
• What is the role of residual renal function in PD clearance, and which actions help preserve it?
• Which substance is typically used as the osmotic agent in standard PD dialysate?
• Which of the following is covered under bundled medications?
• Empiric treatment for penicillin-allergic PD peritonitis regimen includes which antibiotic to cover Gram-positive organisms?
• What arrangement should be made if a PD patient travels out of area?
• TW for PD is defined as the weight at which a patient has a normal blood pressure and no fluid in the lungs.
• Which statement is true about reassessment timing for unstable patients?
• Following the decision to stop PD due to chest pain, which action should be taken if symptoms do not rapidly resolve?
• Which drug is used to treat anemia and is bundled?
• The SHAPES protocol does what?
• What are common risk factors for PD-related infections in elderly patients?
• How should a patient evaluate catheter placement postoperatively?
• In CKD, iron deficiency is suggested by which lab values?
• What is the recommended approach to sampling PD effluent for culture in suspected peritonitis?
• Using dry weight helps avoid which risk in PD therapy?
• If PD effluent culture shows Candida or there is no improvement after 5 days of antibiotics, what is the recommended management?
• Which statement best describes the role of buffering agents in PD dialysate?
• Which scenario would prompt switching from PD to hemodialysis due to ultrafiltration failure?
• The V tag serves what purposes?
• If a PD patient experiences sudden severe chest pain during dialysis, what is the first action?
• In PD, when is icodextrin particularly beneficial?
• How should phosphorus intake be managed in PD patients?
• If a PD patient develops fever and severe abdominal pain with cloudy effluent, what steps should be taken first?
• Which statement best describes the use of dry weight in PD?
• Which statement correctly describes CAPD and CCPD schedules?
• How is hyperglycemia managed in PD patients on glucose-containing dialysis solutions?
• DaVita lab reports WBC as which of the following?
• Which scenario would indicate switching from PD to in-center hemodialysis?
• When should iron therapy start per the protocol for new patients?
• Which clinical finding may prompt reassessment of PD prescription and dietary guidance?
• What is the minimum target weekly Kt/V urea for PD adequacy?
• Who is primarily responsible for home dialysis training?
• PD catheter obstruction management technique?
• Which of the following is recommended for addressing dry skin in dialysis patients?
• If a patient is above target Hgb and does not require ESA, which approach is correct per policy?
• Why is monitoring serum phosphorus important in PD patients?
• When and how should icodextrin be used in PD?
• In Fast PET, which statement is true?
• What is the primary mechanism by which PD removes waste products from the body?
• Total clearance in PD is determined by combining peritoneal clearance with what factor?
• Which scenario would prompt switching from PD to hemodialysis?
• What are the steps for an appropriate exit-site dressing change?
• Calcimimetics that are bundled are ordered through what?
• Welldyne is a dispensing what?
• In adynamic bone disease, intact PTH is less than what value?
• Which signs suggest a pleuroperitoneal leak in a patient on peritoneal dialysis?
• For suspected peritonitis in a PD patient, what is the essential diagnostic step?
• What is the role of sterile connectors in PD?
• Nurses responsible for home dialysis training must be what credentials?
• Which of the following best relates to gastric acid and ulcers?
• What is the management approach for a suspected tunneled infection requiring antibiotic therapy?
• When is sublingual nitroglycerin recommended during the emergency scenario?
• Icodextrin is particularly helpful for long dwells in which type of transporter patients?
• What are considerations for PD in pregnant patients?
• How can constipation contribute to PD outflow problems?
• What does the IRONWORKS protocol measure?
• PD catheter repair kit is used for what?
• Which investigation is essential to guide treatment for suspected PD-related peritonitis?
• Which approach describes process development best?
• Before starting empiric antibiotics for suspected PD peritonitis, what is the recommended step?
• What is the minimum effluent WBC/TNC count after a 2-hour dwell used to evaluate peritonitis?
• What is the purpose of a PD exit-site dressing?
• What is the purpose of using icodextrin in PD, and when is it especially helpful?
• What does CMT stand for?
• Hungry bone syndrome results in which electrolyte change?
• What are the three main requirements for time management?
• What is the typical adult PD fill volume per exchange and how is it determined?
• Kt/V requires four factors. Which are they?
• How often should unstable patients have a comprehensive re-assessment and revision of their POA?
• What electrolyte is the primary driver of mineral bone disorder (MBD) labs?
• What is the primary purpose of aseptic technique during PD connections?
• PD safety training should cover which elements?
• Which tasks cannot be performed by PCTs?
• In Kinetic PET, which times are used for daytime dwells?
• How can pleuroperitoneal (dialysate) leaks present in a PD patient, and how are they managed?
• What imaging is typically used to evaluate PD catheter position when migration is suspected?
• Hungry bone syndrome is characterized by which process after prolonged time?
• Which strategy is commonly used to balance fluid management in PD during pregnancy?
• How is peritonitis most often identified in a PD patient?
• Which symptom combination is commonly associated with pleuroperitoneal (dialysate) leaks?
• What steps should be followed if there is a spill of PD solution?
• What hand hygiene approach is recommended for home PD to prevent infections?
• How do you calculate weekly Kt/V for a PD patient?
• Which should not be given to patients receiving antibiotics?
• NOT part of bundled MBD medications?
• What should be evaluated in addition to pleuroperitoneal leak in a PD patient with sudden chest pain?
• When a dialysate leak is suspected at the catheter site, what is the recommended management first step?
• Sign of PD-related peritonitis?
• Common cause of PD catheter obstruction and how addressed?
• What exit-site finding would indicate a possible exit-site infection requiring evaluation?
• How many types of APD are described?
• What is the recommended empiric antibiotic strategy for PD peritonitis in a penicillin-allergic patient?
• What factors can cause ultrafiltration failure in PD?
• Which of the following is a mineral bone disease (MBD) medication?
• QAPI implements which of the following?
• If a PD patient has consistently poor ultrafiltration, which approach is appropriate?
• What is the formula to estimate corrected calcium?
• What is the recommended action if there is persistent blood in dialysate without other symptoms?
• How is peritoneal clearance typically assessed in PD patients?
• TNC/WBC count should be obtained after how long of a dwell?
• Duration for uncomplicated PD peritonitis?
• Which is a key component of exit-site care to prevent infection?
• In Modified PET, what are the daytime solution strength and the UF status?
• What is the typical protein intake recommended for an adult PD patient?
• What overall practice minimizes infection risk during PD exchanges?
• If a PD catheter dislodges and recurs despite fixation, what is commonly considered?
• What are typical signs of a catheter-related tunnel infection?
• What is the most important safety measure for a PD patient traveling to a remote area?
• What is the recommended practice for PD bag and line changes to reduce infection risk?
• What is the recommended action to keep serum phosphate within range for dialysis patients?
• In Fast PET, which component is included in its protocol?
• How does a change in peritoneal membrane transport status affect the dialysis prescription?
• Your patient complains of dry, itchy skin. You would advise her to?
• What monitoring change helps prevent hypokalemia in PD patients?
• In tunneled infection management, what factor determines whether catheter removal or reposition is considered?
• Which of the following factors is a sign of poor candidacy for PD?
• After stopping PD due to chest pain, what is the next step?
• What is Kidney Smart?
• Exit-site infection treatment?
• Which dialysate is preferred for long dwells in high transporter PD patients to improve ultrafiltration?
• What are the goals of electrolyte management in PD?
• How does a cycler function in CCPD?
• What is a common cause of PD catheter migration?
• Why is bicarbonate-buffered dialysate used in PD?
• Which component is essential to prevent exit-site infections in PD?
• How often do core team meetings occur and what tool do we use?
• CCPD schedule?
• Which practice verifies proper tubing connections during each PD exchange?
• True/False: Giving patients medication from facility stock to administer at home is a violation of the nurse's scope of practice.
• What is the role of protein intake in PD patients?
• Which laboratory parameters are most relevant to PD-related bone-mineral disorder?
• What does the PET test measure in peritoneal dialysis assessment?
• When should a patient seek help during PD treatment?
• What is the recommended response to a patient with persistent leakage after PD catheter placement?
• Which of the following is a sign that may indicate catheter-related tunnel infection?
• How do current outcomes affect our patients? Example: peritonitis trends going up; implementing monthly infection quiz to decrease.
• How does residual renal function impact PD adequacy targets?
• To handle high phosphate levels in dialysis patients, which action is recommended?
• How is exit-site infection severity categorized?
• As albumin decreases, what happens to serum calcium level?
• POA meetings are completed within how many days after re-assessment?
• Which imaging finding is typical of a pleuroperitoneal leak in PD?
• What measures define PD adequacy?
• Dry weight information in PD therapy is used to?
• What is a recommended approach to prevent constipation-related PD outflow problems?
• Which statement describes CCPD’s impact on infection risk compared with CAPD?
• Which measures support infection prevention in a PD dialysis center?
• What is a common outcome of PD technique nonadherence?
• Which laboratory monitoring is commonly needed with phosphorus to assess bone-mineral balance in PD patients?
• Exit-site infection definition and treatment?
• For a manual CAPD exchange, which sequence best minimizes contamination risk?
• To keep serum PO4 within range, the dialysis patient should?
• Which statement best describes a condition associated with increased gastric acid production and ulcers?
• What is the purpose of topical antibiotic prophylaxis at the nasal carriage site of S. aureus in PD patients?
• What are the core components of PD training for home patients?
• Which approach should be emphasized for caregiver involvement to reduce PD infections in elderly patients?
• Which arrangement should be planned for a PD patient traveling to a remote area to ensure continuity of care?
• When PD patients travel, what guidance should they follow?
• TNC stands for which term in lab reporting?
• Two common empiric intraperitoneal antibiotic regimens for suspected PD peritonitis?
• What is the initial step if a PD effluent becomes cloudy?
• Which statement about peritonitis diagnostic criteria is true?
• How PD peritonitis is managed after obtaining effluent culture?
• Which PET modality uses a daytime 4.25% solution and overnight 2.5% solution?
• What is a common cause of dialysate leaks around the catheter insertion site?
• What iron loading regimen is described for a new patient with ferritin <500 and TSAT <30%?
• When would automated PD (APD) be preferred over continuous ambulatory PD (CAPD)?
• Name two common electrolyte changes seen in PD patients and their management considerations.
• Which dietary goals are appropriate for a PD patient?
• What is omental wrapping in PD, and how is it managed?
• Which organisms are most commonly implicated in PD-related peritonitis?
• What is the purpose of CMT?
• Which combination of findings is consistent with peritonitis diagnosis?
• What are two main metrics used to assess PD adequacy?
• Which option is NOT the recommended reassessment frequency for unstable patients?
• What does 'free' calcium refer to?
• Which of the following factors indicate a poor candidate for PD?