Review for Hemodialysis: AV Access

1. Review for Hemodialysis
Exam: AV Access

2. 1. ______________________describes blood from
the venous needle going straight back to the arterial
needle.
A. Reactivation
B. Recirculation
C. Rebound

4. 2. Grafts may be surgically created in a
__________________________ configuration.
A. Straight or loop
B. Crossed or loop
C. Straight or crossed

6. 3. The AVG arteriovenous graft is an access created
by a direct connection of the patient’s own artery
and vein.
A. True
B. False

8. 4. The achievement of an adequate haemodialysis
treatment depends on the blood flow through the
dialyser.
A. True
B. False

9. 5. Both synthetic and biological materials can be
used for an AVG creation.
A. True
B. False

10. 6. A graft ___________________________ than a
native vein, resulting in higher pressures inside the
graft.
A. Is less compliant
B. Is more compliant
C. Is softer

11. 7. An anastomosis is a surgically created connection
between an artery and a vein.
A. True
B. False

12. 8. When surgically creating an AVG artificial graft
material is implanted.
A. True
B. False

13. 9. An (AVF) arteriovenous fistula is the safest but
most problematic access
A. True
B. False

14. 10. ____________________________refers to the
cannulation technique used allowing for rotation of
sites.
A. Rope ladder
B. Buttonhole
C. Constant site

15. 11. An arteriovenous fistula AVF is created using a
native vein.
A. True
B. False

16. 12. An AV graft is created using a native vein.
A. True
B. False

17. 13. An AVG arteriovenous graft requires less time for
maturation than an AVF.
A. True
B. False

18. 14. A dysfunctional access will improve dialysis
adequacy.
A. True
B. False

19. 15. An AV graft has less problems and generally a
longer life span than an AV fistula.
A. True
B. False

20. 16. A newly constructed AVF usually needs less than
one week to develop to a size where it can be
cannulated.
A. True
B. False

21. 17. If an AVF arteriovenous fistula is not possible
then an AVG arteriovenous graft is the next choice
for vascular access.
A. True
B. False

22. 18. If an AVF arteriovenous fistula is not possible
then a central venous catheter (CVC) is the next
choice for permanent vascular access.
A. True
B. False

23. 19. Constant site cannulation method is another
name for __________________ cannulation
technique.
A. Rope ladder
B. Area
C. Buttonhole

24. 20. The venous needle must always be placed closest
to the anastomosis and facing towards it.
A. True
B. False

25. 21. Prior to cannulation it is important to listen for
the ____________ and feel for the _____________.
A. Thrill and bruit
B. Bruit and thrill
C. Tamponade and thrill

26. 22. It is important to determine that an access is
________________ before inserting the needles
A. Permeable
B. Pliable
C. Patent

27. 23. The venous needle must always be placed in the
direction of the ______________________ in the
access.
A. Flow of blood
B. Anastomosis
C. Pulse

28. 24. ____________________is the main cause of
access swelling following needle placement.
A. Aneurysm
B. Infection
C. Infiltration

29. 25. The arterial needle must always face in the
opposite direction from the venous needle.
A. True
B. False

30. 26. A functional vascular access is crucial for all
dialysis patients.
A. True
B. False

31. 27. In general an AVF requires 4-6 weeks for
maturation.
A. True
B. False

32. 28. When surgically creating an AVF artificial graft
material is implanted.
A. True
B. False

33. 29. The arterial needle must always be placed
___________________ the anastomosis than the
venous needle.
A. Nearer to
B. Further from
C. Equidistant to

34. 30. An access must be reliable and withstand
repetitive cannulation.
A. True
B. False