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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. AAMI Chemical Analysis of water used for hemodialysis is tested annually monthly semi-annually quarterly Ans>> annually 2. A 58-year old patient who is blind comes to treatment accompanied by his wife. Which of these approaches should the dialysis technician use wheninteracting with the patient?
Avoid using phrases that refer to sight, such as "It looks like..." Describe the activities in the immediate environment Give instructions to his wife instead of him
Touch the patient before speaking to him Ans>> Describe the activities in the immediateenvironment
3. A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis machine. Which of these actions should the dialysis techniciantake?
Clean the machine surface at the end of treatment Clean the machine surface immediately Notify the equipment technician
Notify the nurse Ans>> Clean the machine surface immediately
4. A dialysis technician observes all of the below on the treatment floor, whichone poses an environmental risk?
About one ounce (30ml) fluid is on the floor
A patient's family member is present during initiation of treatment
Charts are lying on bedside tables
The wheels of the hemodialysis machine are locked Ans>> About one ounce (30ml)fluid is on the floor
5. A female dialysis technician has been caring for a male patient for sev- eral months. The patient tells the dialysis technician that he is lonely and depressed. He asks the dialysis technician to go out to dinner with him. In addition to politely declining the patient's invitation, which of these actions, ifany, should the dialysis technician take?
No further action is needed
The loop of Henle and the capillary ball Ans>> A glomerulus and a tubule system
9. A patient complains of pain at the venous needle site. The dialysis techni- cian observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect
a pseudoaneurysm.an Infiltration. recirculation. stenosis Ans>> an Infiltration.
10. A patient who is to receive their first dialysis treatment is prone to?
Crenation Dialysis disequilibrium syndromeFirst use syndrome Steal syndrome Ans>> Dialysis disequilibrium syndrome
11. A patient tells the technician that the dietitian reviewed high-potassiumfoods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium?
Bananas Ice Cream
Pasta Rice Ans>> Bananas
12. A slow pulse of 54 beats/minute would indicate the patient has
A normal rate An arrhythmia Bradycardia Tachycardia Ans>> Bradycardia
- A teammate asks you to document the normal saline he just gave to Mr.Smith. You would
ask what time he gave it and document it with his signature
ask what time he gave it and document it with his signature, as a late entry ask what time he gave it and document that you gave it never document something that someone else did Ans>> never document somethingthat someone else did
14. A true aneurysm can be dangerous because it
can result in hypertension.
may cause the patient to have pain in the fingers.may cause the access to clot. may rupture and cause the patient to bleed profusely
the patient lose to reach dry weight? 500
750
1000 Ans>> 500
18. AAMI standard for conventional dialysate requires the total microbialcount be less than
100 CFU/mL
200 CFU/mL
300 CFU/mL
400 CFU/mL Ans>> 100 CFU/mL
19. Abnormal levels of this electrolyte can cause cardiac arrhythmias and evendeath.
Potassium Sodium Bicarbonate Chloride Ans>> Bicarbonate
20. Asepsis is defined as
an access infection. a bloodstream infection. a reduction in the number of organisms. the absence of disease producing organisms Ans>> the absence of disease producingorganisms.
- During a hemodialysis treatment, a patient says to the technician, 'Three hours of time have passed according to the clock on the wall, but the machineshows that only 2. hours have passed. What could be the problem?' The technician should understand that the
machine requires immediate service.
biocompatibility. infections. time to mature Ans>> time to mature.
25. Sam's TW is 70 kilograms (kg). He arrives for treatment today at a weightof 70 kg. He complains of shortness of breath and you notice his ankles areswollen. You notify the charge nurse. What do you think will be the plan for Sam's treatment today?
The nurse will ask you to give Sam fluid during treatment
The nurse will ask you to remove no fluid during treatment
The nurse will get an order to decrease the TW The nurse will get an order to increase the TW Ans>> The nurse will get an order todecrease the TW
26. The normal range of resting respirations in an adult is
12 - 20 breaths per minute 20 - 30 breaths per minute 30 - 40 breaths per minute 40 - 50 breaths per minute Ans>> 12 - 20 breaths per minute
27. The dextrose used in the Dialysate for peritoneal dialysis can cause
hyperclacemia hyperglycemia hypocalcemia hypoglycemia Ans>> hyperglycemia
28. The leading cause of chronic kidney disease for adults in the United States
Diabetes Glomerulonephritis Hypertension Urinary obstruction Ans>> Diabetes
Disinfecting surfaces Immunizing patients and staff Using personal protective equipment Ans>> Performing hand hygiene
31. The movement of fluid from the tissues toward a higher concentration ofsodium in the blood is an example of
Diffusion. Filtration. Osmosis. Ultrafiltration Ans>> Osmosis.
32. A decrease in transmembrane pressure in a high flux dialyzer during hemodialysis is indicative of
Venous needle malposition Excessive ultrafiltration Clotting of the extracorporeal circuit Nothing- this is normal for high flux Ans>> Clotting of the extracorporeal circuit
33. You have documented incorrectly on a patient's chart. How do you correctthis?
circle it, initial, write correct information above entrywhite out entry, write correct information, initial draw line through wrong entry, write error, initial/date entry
circle wrong entry, writer error, initial/date entry
Ans>> draw line through wrong entry,write error, initial/date entry
34. Which of these technician activities contributes to data collection used tomeasure quality outcomes?
Attending educational programs Ensuring accurate documentation Maintaining professional boundaries
AAMI
CDC
CMS
FDA
Ans>> AAMI
39. Which of the following is used to prevent air in the bloodlines?
Allow the normal saline bag to run dry Maintain prescribed blood flow rates Monitor patient's blood pressure Tighten all connections Ans>> Tighten all connections
40. Which of these types of vascular accesses has the fewest complications?
A Scribner shunt
A synthetic graft A subclavian catheter An arteriovenous fistula Ans>> An arteriovenous fistula
41. Your patient is to receive 2000 units of heparin. The vial you are using is1000u/ml heparin. How many mls will you draw up for this patient?
10 20 Ans>> 2.
42. Which of the following symptoms would indicate a need to increase thetarget weight?
Edema and hypertension Fever and chills Hypotension and cramping Shortness of breath and neck vein distension Ans>> Hypotension and cramping
43. When cannulating, the tips of the needles should be at least
1.0 inches apart. 0.5 inches apart. 2.0 inches apart. 1.5 inches apart Ans>> 1.5 inches apart.
fluid protein urea Ans>> urea
47. Which of the following actions would increase diffusion during dialysis?
decreasing the ultrafiltration rate giving more saline with treatment giving EPO to increase the hematocrit using a bath that will provide a greater concentration gradient Ans>> using a bath thatwill provide a greater concentration gradient
48. Which of the following is the largest gauge?
18 gauge 20 gauge 25 gauge 27 gague Ans>> 18 gauge
49. Which of the following is considered to be safe water for dialysis?
city water dialysis quality water tap water well water Ans>> dialysis quality water
50. Which of the following is NOT a possible cause of an increased tempera-ture pre
dialysis?
The patient has a cold The patient has an access infectionThe patient has fluid overload The patient has the flu Ans>> The patient has fluid overload
51. Which of the following is a cause of hypotension during and after dialysis treatments?
Over the counter cold medicine Patient forgetting to take their blood pressure pills Removing too much fluid Uremia Ans>> Removing too much fluid
