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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
- 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
- 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
- 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
- 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
- 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
- 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
B. Richard Nixon 1972 C. John f Kennedy 1961 Ans>> B. Richard Nixon 1972
C. Protein Ans>> A. Bicarbonate
- 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%
- 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.
- 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
- 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
- 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
- The patient asks the dialysis technician if there's anything she can doto slow the progression of her kidney disease. Which risk factor could the technician mention during the conversation A. Control your blood glucose levels if you're a diabetic
B. Maintain healthy weight C. Control cholesterol levels
D. Stop use of alcohol Ans>> A B and C
- Which recommendation would've nephrologist likely make for a patientwho has read stages three or four chronic kidney disease
A. We'll tele health visits discussing daily urine output B. Dietary restriction on sodium phosphorus and protein
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.
- What is one cause of postrenal failure
A. Renal trauma B. Prostrate disease
C. Fluid volume shifts D. Kidney infections Ans>> B. Prostate disease
- 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 cramping pain which disease comes to mind
A. Nephrotic syndrome B. Bladder infection
C. Kidney stones D. Renal carcinoma Ans>> D. Renal carcinoma
- Which integumentary changes are commonly seen in patients with chronickidney disease A. Brittle nails
B. Excessive sweating C. Bruising
D. Increase number of moles Ans>> A and C
- Monday also patients infection account for about one and 10 fatalitieswhich condition increases a patient's susceptibility to infection A. Diabetes
B. Malnutrition C. Bone abnormalities
D. Frequent invasive procedures Ans>> A B and D
- Management of renal bone disease requires that ministration of which typeof medication with every meal and snack A. Potassium and substitutes
B. Antacids C. Phosphate binders Ans>> C. Phosphate binders
- Patients with chronic kidney disease are at risk for developing peripheral neuropathy. How may neuropathy present in the patient A. Intolerance to touch
B. Burning feet C. Restless legs Ans>> B and C
A. Bicarbonate concentration test B. Total conductivity
C. Microbial count Ans>> B. Microbial count
- 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
- 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
- What are the system requirements for high flux dialysis A. Reliable blood flow rate at at least 200
B. Hi dialysate flow rate
C. Precise control of ultrafiltration volume D. Use of synthetic membrane filters Ans>> B C and D
- Which factors affect removal of toxins in dialysis A. The higher the temperature of dialysate the greater the removal of solute
B. The slower the dialysate flow the greater removal of solute's C. The slower the blood flow rate the greater removal of solute
D. The more permeable the membrane the greater removal of solutes Ans>> A and D
- To accomplish saw you removal and dialysis what is needed
A. Mass transfer B. Countercurrent flow
C. A difference in concentration Ans>> C. Difference
- Why is reversed filtration important
A. The bicarbonate concentrate encourages and supports bacterial prolifera-tion B. Endotoxins may be carried across the high flux membrane into the blood-stream
C. Pyrogens reaction may occur Ans>> All of the above
- What modifications to the dialysis procedure can be made to prevent intradialytic complications associated with fluid removal A. Lower the temp of the machine B. Extend treatment times
C. Check serum sodium levels every 15 min Ans>> A and B
A. Peritoneum
B. Cellulose acetate C. Thin film composites
D. Chlorine resistant polysulfone Ans>> B C and D
- 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
- 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
- How often at a minimum is it recommended to cleanse all components ofthe water treatment system with an approved disinfectant A. Quarterly
B. Monthly C. Biweekly Ans>> B. Monthly
- What are the most common methods for reducing microbiological conta-minants
and water use during dialysis A. Infusion of antibiotics in water tank B. Applying a sub micron filter
C. Use of a filtration device Ans>> B and C
- Which person on the team is responsible for ensuring the quality of waterused for dialysis has met the standards A. Registered nurse
B. Nurse manager C. Medical director Ans>> C. Medical director
- When a dialyzer is prepared to use what actions are required prior to beginning the session
A. Prime the dialyzer B. Remove all air in the dialyzer C. Flush the dialyzer with Celine prime to remove all particulate matter
D. Remove any disinfectant left behind by rinsing under cold water Ans>> B and C
hands should be rubbed together A. 10 B. 15 C. 30 Ans>> B. 15
- 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
- Filling the accidental exposure to blood from a pt HIV positive what tx is recommended
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.
- 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.
After a needle stick or sharps exposure to hep C virus what is the risk ofdeveloping infection A. 0.01% B. 0.5% C. 1.8% Ans>> C. 1.8%
- What are the recommendations for dialysis personnel caring for patientswith clostridium difficile colitis
A. Wear gloves when treating patient B. Impervious gowns upon entering room
C. Wash hands with soap and water Ans>> All of the above
- Why is anticoagulation therapy used in dialysis
A. To foster good venous blood flow in fingers and toes B. To reduce clotting within the extracorporeal circuit
C. To optimize dialyzer efficiency Ans>> B and C
- How is heparin commonly administered
A. Initial loading dose of heparin is given before tx begins B. Directly into arterial needle
C. Administered throughout tx by direct injection Ans>> A. Initial dose
- When blood is transfused into at risk patients during heparin free dialysiswhat complication should the technician be monitoring for
A. Fluid removal overload B. Anaphylaxis reaction
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.
- 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
- 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
- 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 Ans>> B and C
- Immediately after insertion of a jugular catheter which complication should be assessed in the newly diagnosed stage five chronic kidney diseasepatient
A. Slurred speech
B. Collapsed lung C. Chest pain Ans>> B. Collapsed lung
- According to KDOQI guidelines on goals of therapy for CKD patient ondialysis which post dialysis blood pressure goal is recommended
A. Less than 140/ B. Less than 130/
C. Less than 150/ Ans>> B
- According to the centers for Medicare and Medicaid what is the maximumamount of fluid that can be safely removed during a standard treatment A. 30% of fluid way as long as the pressure is normal B. No more than 20% of total body weight
C. Ultrafiltration rate of 13/ML/KG/HR or less Ans>> C.
- Related to rapid decrease in the circulation blood volume caused by ultra-filtration what is the most common complication during treatment A. Hypotension
