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CCHT - Certified Clinical Hemodialysis Technician EXAM TEST BANK Questions with Verified,, Exams of Company Secretarial Practice

CCHT - Certified Clinical Hemodialysis Technician EXAM TEST BANK Questions with Verified, Exams of Company Secretarial Practice CCHT - Certified Clinical Hemodialysis Technician EXAM TEST BANK Questions with Verified, Exams of Company Secretarial Practice

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CCHT - Certified Clinical Hemodialysis Technician
EXAM TEST BANK
Questions with Verified Answers, 100% Guarantee Pass Score
consists of 300+ multiple-choice questions with answers
1. An AV/V fistula is preferred access for hemodialysis because:
a. There is a lower incidence of complications
b. Surgeons are more experience and prefer creating AV fistulas
c. There is a lower incidence of thrombosis
d. Both A and C
Ans: d. Both A and C
2. The pressure difference between the blood side and the dialysate side of the
dialyzer is called
a. Ultrafiltration Factor
b. Dialysate Flow Rate
c. Transmembrane Pressure
d. Urea Reduction Ration
Ans: c. Transmembrane Pressure
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Download CCHT - Certified Clinical Hemodialysis Technician EXAM TEST BANK Questions with Verified, and more Exams Company Secretarial Practice in PDF only on Docsity!

CCHT - Certified Clinical Hemodialysis Technician

EXAM TEST BANK

Questions with Verified Answers, 100% Guarantee Pass Score

consists of 300+ multiple-choice questions with answers

  1. An AV/V fistula is preferred access for hemodialysis because:

a. There is a lower incidence of complications b. Surgeons are more experience and prefer creating AV fistulas c. There is a lower incidence of thrombosis d. Both A and C Ans: d. Both A and C

  1. The pressure difference between the blood side and the dialysate side ofthe dialyzer is called

a. Ultrafiltration Factor b. Dialysate Flow Rate c. Transmembrane Pressure d. Urea Reduction Ration Ans: c. Transmembrane Pressure

  1. What is the best way to prepare an access for cannulation

a. Scrub with a gauze or pad soaked with a germicidal agent in a circularmotion from the outside inward

b. Scrub in a circular motion from the inside to the outside and allow the recommended time for skin contact before cannulation c. rub vigorously up and down the area to be cannulated then insert the needle

d. No further preparation is required if the patient has just washed their access Ans: b. Scrub in a circular motion from the inside to the outside and allow the recommended time for skin contact before cannulation

  1. Which of the following statements is not true about the Nephron?

a. the nephron is the functional unit of the kidney b. nephrons process about 7500 mL of filtrates per hour

c. a nephron is composed of renal tubules and collecting ducts d. nephrons are located in the bladder Ans: d. nephrons are located in the bladder

  1. Mr. Pitt is always joking. He usually requests to be called "Bob". He presentstoday very quiet and when you called him "bob" he did not respond. How would you further investigate this change in behavior?

a. go get the nurse without further investigation b. put him on and worry about it later

c. ask a few open ended questions that would indicate whether there is apersonal issue

d. agitation, low body temperature Ans: a. intense thirst, flushed skin, dry mucusmembrane

  1. Which of the following are symptoms of uremia:

a. fatigue, weakness, mental confusion

b. flu like symptoms c. metallic taste in the mouth d. all of the above Ans: d. all of the above

  1. Factors to be considered in managing nutrition of ESRD patients are:

a. comorbid conditions

b. laboratory date c. medications

d. all of the above Ans: d. all of the above

  1. Mr. Peterson experience an episode of hypotension. He is symptomatic. He only has 10 minutes left of his run and the nurse indicates to take him off.The UF goal was 1.4kg and the machine indicates that 1.3kg was removed his weight 0.8 below his dry weight. What is the possible cause(s) for the variance?

a. the pre weight was inaccurate

b. the math calculated for fluid removal was wrong c. the patient was not wearing the same clothing while weighing both ties

d. all of the above Ans: d. all of the above

  1. Elevated Parathyroid Hormone (PTH) can cause which of the following conditions:

a. uremia b. pericarditis

c. nephritis d. renal osteodystrophy Ans: d. renal osteodystrophy

def: Depletion of bone minerals

  1. Hypokalemia is manifested by

a. muscle weakness and paralysis

b. cardiac arrhythmia c. tingling of lips and fingers

d. both a and b Ans: d. both a and b

a. rinsing patient's blood back until the bloodlines are clear

b. reporting to the nurse if a patient complains of bloody stools c. monitoring access sites for bloodlines separations of exsanguination

d. all of the above Ans: d. all of the above

  1. Your patient is complaining of pain and numbness on the access limb moreso during dialysis treatment. The patient may be experiencing

a. infiltration b. steal syndrome

c. infection d. recirculation Ans: b. steal syndrome

  1. The following statements are true about Hepatitis C (HCV) except:

a. hep c is spread by contact with infected food

b. patients with hep c must be dialyzed in isolation room c. outbreaks of JCV in dialysis centers have been linked to cross contamina-tion among patients

d. universal precautions must be observed in all patients, whether or not theyhave HCV Ans: b. patients with hep c must be dialyzed in isolation room

  1. What is the most common cause of transmission of Hep B (HBV) in dialysiscenters?

a. needles stick from a contaminated needle

b. sharing of contaminated supplies c. reentry of single dose vitals

d. non separation of laboratory from medication preparation areas Ans: a. needlesstick from a contaminated needle

  1. Methicillin Resistant Staphylococcus Aureus (MRSA) an Vancomycin Re- sistant Enterococcus (VRE) can be nosocomial acquired infections. Nosoco-mial is defined as:

a. Hospital acquired infection b. community acquire infection

c. dialysis acquired infection d. none of the above Ans: a. Hospital acquired infection

  1. *You are taking care of Mr. Brown today. His pre treatment temperature is 100.8 F. He complains of weakness and diaphoresis at night. He reports ofcoughing productively for 2 weeks. Your initial reaction is to:

b. 90 c. choose the angle of insertion based on the depth of the vein, in generalabout 45 d. 60* Ans: c.** choose the angle of insertion based on the depth of the vein, in generalabout 45*

  1. The following lab values are monitored at least monthly except:

a. blood urea nitrogen b. zinc

c. calcium d. potassium Ans: b. zinc

  1. John Adam dialyzes 3 hours on a F180 dialyzer using an AV fistula in hisleft forearm. His Urea Reduction ration (URR) this month is 62% and Kt/V is 1.0. These lab values indicate:

a. Mr. Adams is being adequately dialyzed

b. the AV fistula probably has a stenosis and Mr. Adams should be referredback to the vascular surgeon c. Mr Adam is not adequately dialyzed and should be evaluated by the careteam to determine what can be adjusted in his treatment regime d. Mr. Adam needs a bigger dialyzer Ans: c. Mr Adam is not adequately dialyzed andshould be evaluated by the care team to determine what can be adjusted in his treatment regime

  1. Documentation that needs to be noted at each dialysis include all except

a. patient weight gain/loss b. transplant status c. medications given during dialysis

d. overall patient status Ans: b. transplant status

  1. You are helping another technician on the floor. To assist that other techni- cian, you volunteer to document the patient's post dialysis weight. When the patient returns to the station to report his post dialysis scale weight, it is 2kg above his pre dialysis weight. What action(s) should take?

a. Go over to the scale with the patient to verify the weight

b. Ask the patient if he is wearing the same clothing during pre dialysis weight c. Recalculate the fluid removal calculation on the treatment record for accu-racy.

d. all of the above Ans: d. all of the above

c. low levels in the drip chambers

d. not removing all air during dialyzer primer Ans: b. kinked venous bloodline

  1. which would not be a sign or system of exsanguination

a. pain in the access extremity b. hypotension

c. arterial and or venous pressure alarms d. visual observation of blood Ans: a. pain in the access extremity

  1. which vital signs must be assessed before and after every dialysis treat-ment

a. blood pressure

b. temperature c. pain level

d. all of the above Ans: d. all of the above

  1. Mrs. Mantel arrives to dialysis with a complaint of feeling cold, her temper- ature pre dialysis is 97.8% and her blood pressure is 160/80. She dialyzes with a tunneled permacath which has been in place for there months. Shorty after initiation of dialysis she stated having chills and her temperature is no 99 F, B/P is 100/60. You would suspect:*

a. Mrs. Mantel is experiencing a reaction to the dialyzer b. This is probably dialysis disequilibrium syndrome

c. the permacath may have an underlying infection

d. the temperature on the machine is out of range Ans: c. the permacath may havean underlying infection

  1. All of the following make up the extracorporeal circuit except:

a. transducer protectors b. acid and bicarb concentrate

c. dialyzer d. bloodlines Ans: b. acid and bicarb concentrate

  1. When factors need to be considered when setting or adjusting the ultrafil- tration (UF) goals:

a. the desired weight loss

b. fluids given during treatments orally or with IV mediations c. fluid output during dialysis (urine, emesis)

d. all of the above Ans: d. all of the above

d. Call the nurse over and let her or him deal with it Ans: c. " Mr. Tate, taking a standingblood pressure is very important and it's for your safety. I want to ensure that your blood pressure remains stable when you begin to ambulate"

  1. When removing fistula needles, what is the most important things to keepin mind?

a. be sure to completely remove the needle prior to holding pressure to theskin

b. be sure to hold pressure as you are pulling the needle out of the skin c. just ask the patient to remove his/her own needles

d. none above Ans: a. be sure to completely remove the needle prior to holding pressureto the skin

  1. The best method holding sites it

a. Use arm clamps and firmly tape around the clamps

b. Leave the pressure bandages on until the next treatment c. ask patients to hold their own sites d. none of the above Ans: a. Use arm clamps and firmly tape around the clamps

  1. Mr. Simmons is a new dialysis patient. This is the second time you have cannulated him.Your plans of care today include teach him him to hold his ownsites. While you are returning his blood he asks you the following questions, "Why does it take so long for the bleeding o stop after i am done?" How wouldyou best respond to this situation?

a. "Let me get your nurse and she or he can tell you" b. "Part of your dialysis prescriptions includes an order for heparin, a medica-tion that thins your blood so that the can circulate freely outside your body" c. "That is for the doctor to explain'

d. All of the above Ans: b. "Part of your dialysis prescriptions includes an order for heparin, a medication that thins your blood so that the can circulate freely outsideyour body"

  1. After treatment, patient that is at their ordered dry weight should have thefollowing.

a. high blood pressure b. no edema c. no shortness of breath

d. both b and c Ans: d. both b and c

c. prolonged bleeding from the puncture sites

d. both a and b Ans: c. prolonged bleeding from the puncture sites

  1. You are aware the Mr. Brown had a severe episode with cramping and hypotension the previous treatment. Today he is assigned to you. He statesthat he feels tired with some cramping yesterday and reports to you that he felt poorly after his last dialysis treatment. As a patient care technician, you report this to the nurse. She reviews the treatment records, but finds n documentation to support the previous treatment's episode. Knowing that allmedical records can be called into court, what would the previous treatmentrecord, with no documentation, show to the lawyer?

a. The run sheet would not be admissible to court

b. Nothing, if symptoms were not admissible in court c. Mr. Brown lied about the previous treatment

d. both A and C Ans: b. Nothing, if symptoms were not admissible in court

  1. All of the following are reasons that the patients records are kept except:

a. legal document admissible in court

b. data for research and quality assurance c. to get other technicians in trouble

d. a way for the staff to communicate and share patient information; createcontinuity Ans: c. to get other technicians in trouble

  1. Factors that affect patient's treatment time include all of the followingexcept

a. frequent alarms that divert dialysate to the drain b. frequent alarms that stop the blood pump

c. cutting patients treatment time d. size of dialyzer Ans: d. size of dialyzer

  1. Herbert Pinkham usually runs 3.5 hours. His usual access is an arteri- ovenous fistula (AVF) however, it is clotted and he using a central venous catheter (CVC) while awaiting surgery. Surgery is not yet scheduled. His bodflow is only 300 mL/min. What may he need to ensure he is getting adequateclearance?

A. draw a pre and post Blood Urea Nitrogen (BUN) to assess adequacy

b. based on adequacy result of Kt/V of 1.0, increase dialysis time is needed c. Nothing, it is only for a few weeks

d. both a and b Ans: d. both a and b