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CCHT - Certified Clinical Hemodialysis Technician Exam Questions with Verified Answers 1, Exams of Company Secretarial Practice

University of ChesterCompany Secretarial Practice

CCHT - Certified Clinical Hemodialysis Technician Exam Questions with Verified Answers 100% Guarantee Pass Score CCHT - Certified Clinical Hemodialysis Technician Exam Questions with Verified Answers 100% Guarantee Pass Score

Typology: Exams

2024/2025

Available from 04/17/2025

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CCHT - Certified Clinical Hemodialysis Technician
Exam Questions with Verified Answers
100% Guarantee Pass Score
consists of 150 multiple-choice questions with answers
1. While technical staff are preforming duties in the dialysis unit which
team member must always be present
A. Registered nurse
B. Medical director for unit
C. Lab technician
Ans>> A. Registered nurse
2. Two techs are heatedly discussing pt care situation. Which team
member is responsible for disciplinary action
A. Registered practical nurse
B. Human resource manager
C. Dialysis nurse manager
Ans>> C. Dialysis nurse manager
3. Which credentialing agency for dialysis includes items such as water
treat- ment and dialysate preparation and complication of dialysis as part
of their practice domains
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Partial preview of the text

Download CCHT - Certified Clinical Hemodialysis Technician Exam Questions with Verified Answers 1 and more Exams Company Secretarial Practice in PDF only on Docsity!

CCHT - Certified Clinical Hemodialysis Technician

Exam Questions with Verified Answers

100% Guarantee Pass Score

consists of 150 multiple-choice questions with answers

  1. While technical staff are preforming duties in the dialysis unit which teammember must always be present A. Registered nurse B. Medical director for unit C. Lab technician Ans>> A. Registered nurse
  2. Two techs are heatedly discussing pt care situation. Which team member isresponsible for disciplinary action A. Registered practical nurse B. Human resource manager C. Dialysis nurse manager Ans>> C. Dialysis nurse manager
  3. Which credentialing agency for dialysis includes items such as water treat-ment and dialysate preparation and complication of dialysis as part of their practice domains

A. Board of nephrology examiners nursing in technology B. Nephrology nursing certification commission C. National nephrology certification organization Ans>> C. NNCO

  1. Prior to starting dialysis what must the technician and or nurse verify A. That patient has provided informed written consent for dialysis B. That the patient has not eaten any food or beverages for the last six hours C. That the patient has a driver to pick him up after dialysis Ans>> A. Consent
  2. Which external agencies provide additional guidelines and standards in theareas of infectious disease testing immunizations dialysis treatment safety and infection control? A. Centers for disease control and prevention B. Centers for Medicare and Medicaid service C. Association for the advancement of medical instrumentation D. Council of nephrology Ans>> A B and C
  3. Prior to passing the Social Security amendments treatment for chronic kidney disease was available only to few who met certain criteria. The amend-ments extended Medicare coverage for almost all patients who signed the amendment and then what year A. Jimmy Carter in 1979

Ans>> A and B

  1. Which buffer is the major plasma buffer therefor important during dialysis A. Bicarbonate B. Amino acid C. Protein Ans>> A. Bicarbonate
  2. While reviewing the body weight for a dialysis patient the tech knows that ——— of the total amount of water is contained in the intracellular fluidcompartment A. 20% B. 30% C. 40% Ans>> C. 40%
  3. How much water is lost through evaporation form lungs every day A. 250-499 ml of water B. 700-1,000 ml of water C. 1500-2000 ml of water Ans>> B.
  4. A patient asks to explain what the normal kidney does in addition to makingurine what's the response

A. Regulate fluid volume in body B. Regulate pH in blood C. produce erythropoietin that controls red blood cell production D. I receptor sites for several hormones Ans>> All of the above

  1. A patient with a renal failure asks if his candies will regenerate how doesthe technician answer A. With a diet low in sodium and exercise there's a good chance you'll getsome function back B. If nephrons are damaged they do no regenerate

C. If the heart can pump in a blood to the kidney there is a possibility that some of the nephrons can regenerate Ans>> B. If nephrons are damaged they won'tregenerate

  1. This patient's kidneys have permanently lost most of their ability to removewaste and maintain fluid in chemical balance what's the patient's likely esti- mated glomerular filtration rate A. Less than 15 ml/min/ B. 60-89 ml/min/1. C. 30-44 ml/min Ans>> A. Less than 15
  2. The patient asks the dialysis technician if there's anything she can do to slow the progression of her kidney disease. Which risk factor could thetechnician mention during the conversation

B. 7%

C. 11%

Ans>> B.7%

  1. Patient with chronic kidney disease arrives at the center after his nephrol-ogy visit he relays to the staff that the doctor said he was hardening of the kidneys what is the cause of this condition

A. Prolonged severe hypertension B. Daily ingestion of sugar sweetened drinks C. High fat diet D. Too much calcium in the diet along with hypertension Ans>> A.

  1. What is one cause of postrenal failure A. Renal trauma B. Prostrate disease C. Fluid volume shifts D. Kidney infections Ans>> B. Prostate disease
  2. The family member of a dialysis technician has noted blood in his urine the tech also noted the weight loss and rubbing of the flank to ease the crampingpain which disease comes to mind A. Nephrotic syndrome B. Bladder infection C. Kidney stones D. Renal carcinoma Ans>> D. Renal carcinoma
  3. Which integumentary changes are commonly seen in patients with chronickidney disease A. Brittle nails B. Excessive sweating C. Bruising D. Increase number of moles
  1. What are some disadvantages of using hollow-fibers dialyzers A. They're not compliant B. They require meticulous care to remove air or gas from the fiber bundle C. Blood distribution may be uneven at inflow header space D. Higher heparin doses may be needed to prevent clotting in hollow fibers Ans>> BC and D
  2. If a patient is experiencing adverse reactions from the residual toxic prod-ucts of ethylene oxide sterilization of the hollow fibers what other ways can you sterilize it. A. Gamma radiation B. Pure alcohol flushing C. Electron beam Ans>> A and C
  3. Which manifestation would lead to the tech to suspect the patient isexperiencing intradialytic complement A. Anemia B. Intradialytic hypoxemia C. Chest pain D. Back pain Ans>> B C and D
  4. If the bicarbonate concentrate is over mixed what lab values will result A. Increase pH B. Decrease in serum calcium level C. Increase in magnesium level D. Decrease in RBC level

Ans>> A and B

  1. Which method/test is most commonly used to check the dialysate compo-sition A. Bicarbonate concentration test B. Total conductivity C. Microbial count Ans>> B. Microbial count
  2. How is the temp of the dialysate controlled A. By using one or more sensors and a micro controller circuit on the heater B. By checking accuracy regularly with a certified glass thermometer C. By using a separate center with visual and audible alarms for any out oflimit state Ans>> All of the above
  3. What can cause a "false" blood leak alarm A. Particulate matter and air bubbles in the dialyzer B. Reduction in the light received by a photo cell C. Change in translucency Ans>> A. Particular matter
  4. What are the system requirements for high flux dialysis A. Reliable blood flow rate at at least 200

B. Extend treatment times C. Check serum sodium levels every 15 min Ans>> A and B

  1. Which water contaminants may cause methemoglobinemia in which redcell hemoglobin cannot transport oxygen A. Fluoride and Tin B. Nitrates and chloramines C. Zinc and aluminum Ans>> B. Nitrates and chloramine
  2. What is the process utilized when two carbon tanks are used to removechlorine and chloramine from tank water A. Adsorption B. Absorption C. Diffusion Ans>> A. Adsorption
  3. What type of contaminants are removed from water used in dialysis A. Endotoxins B. Aqueous salts C. Water softeners Ans>> A and B
  4. When preparing for reverse osmosis what type of membranes should thetech be prepared to utilize

A. Peritoneum B. Cellulose acetate C. Thin film composites D. Chlorine resistant polysulfone Ans>> B C and D

  1. Which problems may occur when using a deionizer A. It can be hard initially to obtain the maximum flow rate needed B. The service life of a deionizer may be short and essential that the filters beplaced downstream C. Resin beds tend to exhaust suddenly in the tanks may need to be exchanged D. If the resin tanks are used to exhaustion previously removed ions may bereleased Ans>> All of the above
  2. When preparing the water used for the dialysate and reprocessing of dialyzers the CMS require "conventional dialysate" to have a max level ofbacteria less than ——— CFU A. 300 B. 100 C. 200 Ans>> C. 200
  3. How often at a minimum is it recommended to cleanse all components ofthe water treatment system with an approved disinfectant A. Quarterly B. Monthly
  1. place the steps for a re-processing/re-using a dialyzer in the correct order A. Disinfect with chemical or heat B. Flush dialyzer to remove most of blood C. Test dialyzer D. Cleanse dialyzer with chemicals and reverse ultrafiltration Ans>> B then D then Cthen A
  2. According to standard precautions when should gloves be changed andhands washed A. When gloves are contaminated B. When going from clean body side to contaminated body site on the sameperson C. After handling infectious waste containers D. After touching patient as in preforming physical assessment Ans>> A C and D
  3. How should hand hygiene be performed A. With bar of soap and scrub brush B. With antiseptic soap and water C. With hand sanitizer D. With waterless alcohol base hand rub with 60-90% alcohol content Ans>> B and D
  4. What type of garment should be worn during processes likely to generatedroplets of bodily fluids A. Patient gown tied in back B. Weighted lead aprons

C. Impervious isolation gowns Ans>> C. Isolation gowns

  1. When washing hands with soap and water what's the minimum number ofseconds hands should be rubbed together A. 10 B. 15 C. 30 Ans>> B. 15
  2. What are the most common ways Hep B virus is transmitted in a unit A. Skin penetration by contaminated sharps B. Contact of contaminated blood with broken skin C. Pts with Hep B breathing or coughing on others Ans>> A and B
  3. Filling the accidental exposure to blood from a pt HIV positive what tx isrecommended A. 3 month prescription of med to prevent HIV B. Follow up blood test three months after exposure C. 4 week 2 drug regimen is recommended within 72 hours of exposure Ans>> C.
  4. According to the CDC health care workers exposed to needle stick involv-ing HIV infected blood have a 0.23% chance of becoming infected if untreated.

B. Anaphylaxis reaction C. Increased velocity of the blood in the dialyzer Ans>> C. Increased velocity

  1. If a dialysis patient does not have adequate vessels to create an internalfistula what is the remedy A. Veins surgically transferred from other areas of the body B. Wrapping mesh around scarred veins C. Using synthetic grafts Ans>> C. Using synthetic grafts
  2. A patient tells the text that she woke up in the morning with her fistula armunderneath her head and that it has been asleep and feeling funny all day knowing this which complication should the tech assess the patient for priorto assessing her site A. Cervical disc pain resulting in nerve damage B. Thrombosis caused by compression of blood flow C. Aneurysm of the official site due to kinking of the artery Ans>> B.
  3. After the initial skin prep for cannulation the tech is interrupted by a coworker asking a question when she proceeds to cannulation she noticedthe skin prep has dried what action should the tech take A. Proceed with cannulation

B. Perform new assessment by palpating the site and then cannulate C. Re-prep the access to ensure the patient has not accidentally touch thesite Ans>> C.

  1. How should the needles be positioned A. Please the needles in the same general area during each treatment B. To achieve best blood flow placed the arterial needle near the anastomosiskeeping the tip no closer than 1 1/2 to 2 inches from the anastomosis C. placed the arterial needle point in the direction of the flow D. Space the needles at least 1 inch apart Ans>> B C and D
  2. What care should be provided for official arm between dialysis treatments A. Maintain adequate pressure over the puncture site for 10 to 20 minutes afterthe needles been removed B. Allow the skin over the access site to breathe by removing dressings afterthe bleeding has stopped C. Clean the fistula arm daily with soap Ans>> A and C
  3. In patients with stage four or five chronic kidney disease which access siteshould be avoided to prevent risk of stenosis and thrombosis A. Fistula B. Subclavian vein catheter C. Peripherally Inserted central catheter