CRRT Exam Challenge 2025

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Test your knowledge on the 2025 Annual CRRT Exam with this fun quiz game!

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Children's Mercy Learning Center

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CRRT Exam Challenge 2025


CRRT Exam Challenge 2025Online version Test your knowledge on the 2025 Annual CRRT Exam with this fun quiz game! by Children's Mercy Learning Center 1 In terms of pharmacokinetics, the volume of distribution is ___________ in CRRT. a Increased b Decreased c Not affected 2 We primarily run CRRT in which mode on the PrisMax? a CVVHD b CVVH c SCUF d CVVHDF 3 What mode or modes are available on the Carpediem? Choose one or more answers a CVVHD b CVHH c SCUF d CVVHDF 4 Convection is primarily driven by the __________ fluids. a Dialysate b Blood Pump c Replacement d Effluent 5 Citrate is primarily metabolized by the __________. a Liver b Kidneys c Lungs d Spleen 6 What alarm on the PrisMax automatically stops treatment, leaving you unable to override, return blood to the patient or resume treatment? a Access too positive b Flow Problem c Filter Clotting d Fluid Loss/Gain Limit reached. 7 True or False: Drugs that bind to protein form large complex molecules and are less likely to be removed by CRRT. a True b False 8 The _________solution is used to create a gradient across the filter and drives diffusion. a Pre-replacement b Replacement c Anticoagulation d Dialysate 9 ________ is when large molecules, such as cytokines, stick to the filter membrane and therefore are removed from the bloodstream. a Convection b Absorption c Adsorption d Diffusion 10 You draw an ionized calcium level on a 3 kg patient on CRRT. The level comes back 0.91. The patient’s serum calcium is 12 and the patient’s blood gas is showing slight acidosis. You have already increased your calcium infusion once this shift. What do you think is happening and what interventions would you implement per policy? a Citrate lock; increase calcium drip by 20% b The filter is clotting and no longer removing calcium; increase blood flow rate. c Citrate lock: stop citrate infusion for 3-4 hours and then restart at 70% of previous rate. d Citrate lock: leave your citrate at the current rate and increase the calcium infusion. 11 Patients who are fluid overloaded may require _______ doses of medications with large volumes of distribution. a Higher b Lower 12 Why would we use 0.9% sodium chloride (NS) as replacement fluid on a patient on CRRT and citrate anticoagulation? a Persistent respiratory acidosis b Persistent metabolic alkalosis c Persistent metabolic acidosis d DIC 13 Any patient under ______ requires a blood prime. a 5 kg b 20 kg c 12 kg d 8 kg 14 If you are giving a lot of blood products to your patient who is on citrate and calcium for anticoagulation, what may happen to your patients ionized calcium levels? a Increase b Decrease c No change d 15 Blood recirculation while patient disconnected is good for ____________ minutes. a 15 b 30 c 45 d 60 16 Saline recirculation while patient disconnected is good for ___________ minutes. a 30 b 90 c 60 d 120 17 Which recirculation method do we utilize most often? a Blood b Saline 18 Which patient identifier is entered in the pump during set up process? a Room Number b Account Number c Medical Record Number d Birthdate 19 The pump begins to alarm blood leak detected. If you do not see any blood in the ultrafiltrate, your next action is to send a STAT ______ in a _______ lab tube. a Urine from patient in a polycup b Ultrafiltrate for cell count in a polycup c CBC from pump in red d BMP from patient in mint green 20 You change your effluent bag and forget to unclamp it you get an incorrect weight limit alarm. You know that this alarm will affect your weight gain/loss limit. With the effluent bag being clamped you are most concerned that. a The patient would have a loss of fluid. b The patient would have a gain of fluid. c The machine can't differentiate between a gain or loss of fluid. d None of the above. 21 The deaeration chamber is important to: a Keep the blood from clotting before returning to patient. b To catch any air that is in the filter. c Both a and b. d None of the above. 22 A patient using bivalirudin or heparin must have ____________ added to the Prismasol bags. a Magnesium b Bicarb c Sodium d Calcium 23 You are caring for a patient on CRRT that weighs 25 kg. You have an order to be negative 10 an hour. You have fentanyl @ 3mcg/kg/hr =1.5 ml/hr, Dexmedetomidine @ 0.4 mcg/kg/hr= 2.5 ml/hr, Epi @.05 mcg/kg/min = 2.34 ml /hr TPN @ 64ml/hr, Lipids @ 6.1 ml/hr, CaCl @ 25 ml/hr Citrate @ 75 ml/hr. Total Patient fluid is 176.44 ml/hr. You have 16ml of urine out in the previous hour. What would you set your fluid removal rate? a 180 b 150 c 170 d 200 24 You have a Vancomycin dose for 35 ml and flush with 4 ml, you draw labs with a waste of 3ml, 5 ml for labs and flush with 2 ml after labs. You are also giving PRBCs-150 ml over 3 hours. You would take the blood off over the next hour. a True b False 25 Using the previous 2 questions what would your fluid removal be set at? a 250 b 300 c 200 d 100 26 What is the lowest blood flow the Thermax will allow? a 100 b 200 c 80 d 50 27 How long can the blood flow be stopped on the PrisMax before it will force treatment to end? a 5 minutes b 10 minutes c 15 minutes d 30 minutes 28 How long can the PrisMax and the Carpediem sit clear primed before another rinse is required? a 30 minutes, 2 hours b 30 minutes, 30 minutes c 2 hours, 2 hours d 2 hours, 30 minutes 29 When is it most appropriate to utilize the autoeffluent? a Anytime. b Therapies and average hourly fluid removal >1500 c Therapies and average hourly fluid removal >500 d Therapies and average hourly fluid removal >2000 30 True or False: the drain the autoeffluent is draining into needs to be flushed at least once every shift? a True b False 31 The Carpediem machine alarms minimum arterial pressure, what does this mean? a The arterial pressure is too negative meaning the machine is working too hard to pull. b The arterial pressure is too negative meaning it is too easy for the machine to pull. c The arterial pressure is too positive meaning the machine is working too hard to pull. d The arterial pressure is too positive meaning it is too easy for the machine to pull. 32 What are possible causes of the minimum arterial pressure alarm? a Return line obstruction. b Access line obstruction. c Return line disconnection. d Access line disconnection. 33 The Carpediem machine alarms maximum venous pressure, what does this mean? a The venous pressure is too negative meaning the machine is working too hard to push. b The venous pressure is too negative meaning it is too easy for the machine to push. c The venous pressure is too positive meaning the machine is working too hard to push. d The venous pressure is too positive meaning it is too easy for the machine to push. 34 What are possible causes of the maximum venous pressure alarm? a Return line obstruction. b Access line obstruction. c Return line disconnection. d Access line disconnection.

CRRT Exam Challenge 2025

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CRRT Exam Challenge 2025Online version

by Children's Mercy Learning Center

In terms of pharmacokinetics, the volume of distribution is ___________ in CRRT.

We primarily run CRRT in which mode on the PrisMax?

What mode or modes are available on the Carpediem?

Convection is primarily driven by the __________ fluids.

Citrate is primarily metabolized by the __________.

What alarm on the PrisMax automatically stops treatment, leaving you unable to override, return blood to the patient or resume treatment?

True or False: Drugs that bind to protein form large complex molecules and are less likely to be removed by CRRT.

The _________solution is used to create a gradient across the filter and drives diffusion.

________ is when large molecules, such as cytokines, stick to the filter membrane and therefore are removed from the bloodstream.

Patients who are fluid overloaded may require _______ doses of medications with large volumes of distribution.

Why would we use 0.9% sodium chloride (NS) as replacement fluid on a patient on CRRT and citrate anticoagulation?

Any patient under ______ requires a blood prime.

If you are giving a lot of blood products to your patient who is on citrate and calcium for anticoagulation, what may happen to your patients ionized calcium levels?

Blood recirculation while patient disconnected is good for ____________ minutes.

Saline recirculation while patient disconnected is good for ___________ minutes.

Which recirculation method do we utilize most often?

Which patient identifier is entered in the pump during set up process?

The pump begins to alarm blood leak detected. If you do not see any blood in the ultrafiltrate, your next action is to send a STAT ______ in a _______ lab tube.

You change your effluent bag and forget to unclamp it you get an incorrect weight limit alarm. You know that this alarm will affect your weight gain/loss limit. With the effluent bag being clamped you are most concerned that.

The deaeration chamber is important to:

A patient using bivalirudin or heparin must have ____________ added to the Prismasol bags.

You have a Vancomycin dose for 35 ml and flush with 4 ml, you draw labs with a waste of 3ml, 5 ml for labs and flush with 2 ml after labs. You are also giving PRBCs-150 ml over 3 hours. You would take the blood off over the next hour.

Using the previous 2 questions what would your fluid removal be set at?

What is the lowest blood flow the Thermax will allow?

How long can the blood flow be stopped on the PrisMax before it will force treatment to end?

How long can the PrisMax and the Carpediem sit clear primed before another rinse is required?

When is it most appropriate to utilize the autoeffluent?

True or False: the drain the autoeffluent is draining into needs to be flushed at least once every shift?

The Carpediem machine alarms minimum arterial pressure, what does this mean?

What are possible causes of the minimum arterial pressure alarm?

The Carpediem machine alarms maximum venous pressure, what does this mean?

What are possible causes of the maximum venous pressure alarm?

The pump begins to alarm blood leak detected. If you do not see any blood in the ultrafiltrate, your next action is to send a STAT in a _ lab tube.