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FRESENIUS EXAM /
COMPREHENSIVE STUDY GUIDE –
EXPERT STRATEGIES, REVIEW OF
KEY QUIZZES, AND PRACTICE
QUESTIONS FOR GUARAN TEED
SUCCESS / NEWEST
Question 1: What bleach solution must all surfaces be
cleaned with?
CORRECT ANSWER: 1:100
Question 2: What bleach solution is used to disinfect large
blood spills?
CORRECT ANSWER: 1:10
Question 3: What is aseptic technique?
CORRECT ANSWER: A set of practices and
procedures performed under carefully controlled conditions with the goal of minimizing contamination by pathogens.
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Question 4: List three blood borne pathogens that may be
found in a dialysis unit?
CORRECT ANSWER: Hep B, Hep C & HIV
Question 5: What is an exposure incident?
CORRECT ANSWER: A blood/body fluid splash or
spray occurring to the eyes, nose or mouth or to non- intact skin. A contaminated sharps injury is also considered an exposure incident.
Question 6: What steps should you take during an
exposure incident?
CORRECT ANSWER: 1. Wash/rinse the area 2. Report
incident to the clinical manager or charge nurse (if CM not present) 3. Seek medical treatment w/in 1-2 hrs (exposure tx and counseling) 4. OSHA documentation and workman's comp documentation as applies
Question 7: Why are Hep B patients dialyzed in isolation
rooms?
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CORRECT ANSWER: -Hep B is extremely contagious
-It can live outside the body for up to 7 days
Question 8: Why are Hep C patients dialyzed in the clinic
area and not in isolation?
CORRECT ANSWER: -Hep C is not as contagious as
Hep B -It does not survive very long on the outside of the body
Question 9: What blood test indicates infection with Hep
B?
CORRECT ANSWER: HbsAg is the test for the Hep B
antigen. This indicates actual viral presence.
Question 10: Which blood test indicates the presence of
immunity against Hep B?
CORRECT ANSWER: HbsAb is the test for the
antibodies. It indicates the presence of immunity against Hepatitis B.
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Question 11: Which vaccine provides long-term
immunity to Hep B?
CORRECT ANSWER: Multiple injections of either
Recombivax or Engerix vaccine. They help produce Hep B antibodies
Question 12: How is TB spread?
CORRECT ANSWER: Airborne droplets from infected
individuals
Question 13: How do you prevent TB in the clinic?
CORRECT ANSWER: Active TB patients cannot
dialyze in clinics. Pt must have 3 consecutive negative sputum cultures before the can return dialyzing in clinic.
Question 14: What are VRE & MRSA?
CORRECT ANSWER: VRE: a group of gram-negative bacteria that lve in he intestinal tract that can cause infection anywhere in the body. They are resistant to several antibiotics. VRE can survive outside of the body