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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
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consists of 300+ multiple-choice questions with answers
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
a. Ultrafiltration Factor b. Dialysate Flow Rate c. Transmembrane Pressure d. Urea Reduction Ration Ans: c. Transmembrane Pressure
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
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
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
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
a. comorbid conditions
b. laboratory date c. medications
d. all of the above Ans: d. all of the above
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
a. uremia b. pericarditis
c. nephritis d. renal osteodystrophy Ans: d. renal osteodystrophy
def: Depletion of bone minerals
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
a. infiltration b. steal syndrome
c. infection d. recirculation Ans: b. steal syndrome
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
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
a. Hospital acquired infection b. community acquire infection
c. dialysis acquired infection d. none of the above Ans: a. Hospital acquired infection
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*
a. blood urea nitrogen b. zinc
c. calcium d. potassium Ans: b. zinc
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
a. patient weight gain/loss b. transplant status c. medications given during dialysis
d. overall patient status Ans: b. transplant status
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
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
a. blood pressure
b. temperature c. pain level
d. all of the above Ans: d. all of the above
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
a. transducer protectors b. acid and bicarb concentrate
c. dialyzer d. bloodlines Ans: b. acid and bicarb concentrate
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"
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
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
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"
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
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
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
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
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