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CCHT Exam Questions and Answers (Verified)
1. AAMI Chemical Analysis of water used for hemodialysis is tested: annually monthly semi-annually quarterly : 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 when interacting 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 : Describe the activities in the imme- diate environment
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 technician take? Clean the machine surface at the end of treatment Clean the machine surface immediately Notify the equipment technician Notify the nurse : Clean the machine surface immediately 4. A dialysis technician observes all of the below on the treatment floor, which one poses an environmental risk? About one ounce (30ml) fluid is on the floor A patient's family member is present during initiation of treatment
nitrogen. urea. vitamin B12. : vitamin B12.
7. A fistula connects: a vein to a vein. an artery and a vein to synthetic material. an artery to an artery. an artery to a vein. : an artery to a vein.
8. A nephron is made up of: A glomerulus and a tubule system The bladder and the ureters The cortex and a capsule The loop of Henle and the capillary ball: 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.: an Infiltration. 10. A patient who is to receive their first dialysis treatment is prone to? Crenation Dialysis disequilibrium syndrome First use syndrome Steal syndrome: Dialysis disequilibrium syndrome 11. A patient tells the technician that the dietitian reviewed high- potassium foods with her. During the conversation she states she
Bradycardia Tachycardia: Bradycardia
13. 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: never document something that 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.: may rupture and cause the patient to bleed profusely. 15. A patient's laboratory results indicate that the predialysis BUN level was lower than the post dialysis BUN level. When interpreting these findings the technician should seek the answer to which of these questions.
Was the machine in bypass during the post sampling? Was the patient's heparin pump turned off when the post sample was drawn? Was the post dialysis sample drawn correctly? Was the port used for predialysis sampling cleaned with disinfectant?: Was the post dialysis sample drawn correctly?
16. A rapid pulse of 104 beats/minute would indicate that the patient has: an arrhythmia
19. Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. Potassium Sodium Bicarbonate Chloride: 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.: the absence of disease produc- ing organisms.
21. 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 machine shows that only 2.5 hours have passed. What could be the problem?' The technician should understand that the: machine requires immediate service. machine was in bypass for 30 minutes. patient has reached their target weight. patient's target weight has decreased.: machine was in bypass for 30 minutes. 22. During hemodialysis a patient goes into cardiac arrest. The first action for the dialysis technician is: Apply a pericardial thump to the patient Call for assistance Return the patient's blood Stop ultrafiltration: Call for assistance 23. During the hemodialysis treatment, a patient complains of feeling chilled. In addition to getting the patient a blanket, which of these actions should the technician take? Decrease the blood flow rate
infections. time to mature.: time to mature.
25. Sam's TW is 70 kilograms (kg). He arrives for treatment today at a weight of 70 kg. He complains of shortness of breath and you notice his ankles are swollen. 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: The nurse will get an order to decrease 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: 12 - 20 breaths per minute 27. The dextrose used in the Dialysate for peritoneal dialysis can cause: hyperclacemia hyperglycemia hypocalcemia hypoglycemia: hyperglycemia
28. The leading cause of chronic kidney disease for adults in the United States: Diabetes Glomerulonephritis Hypertension Urinary obstruction: Diabetes 29. The dialysis technician's role in patient education is to: Assess patient's barriers to learning
Nothing- this is normal for high flux: Clotting of the extracorporeal circuit
33. You have documented incorrectly on a patient's chart. How do you correct this? circle it, initial, write correct information above entry white out entry, write correct information, initial draw line through wrong entry, write error, initial/date entry
circle wrong entry, writer error, initial/date entry: draw line through wrong entry, write error, initial/date entry
34. Which of these technician activities contributes to data collection used to measure quality outcomes? Attending educational programs Ensuring accurate documentation Maintaining professional boundaries Participating in staff meetings: Ensuring accurate documentation 35. Which of the following might indicate the need to increase heparin? Clotting in the extracorporeal circuit Prolonged bleeding post treatment The patient is having surgery tomorrow The patient is taking aspirin every day: Clotting in the extracorporeal circuit 36. Which of the following might indicate a need to decrease the heparin dose? Clotting in the extracorporeal circuit The patient has an access infection
CDC
CMS
FDA: 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: 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: An arteriovenous fistula 41. Your patient is to receive 2000 units of heparin. The vial you are using is 1000u/ml heparin. How many mls will you draw up for this patient?
10 20: 2.
42. Which of the following symptoms would indicate a need to increase the target weight? Edema and hypertension Fever and chills Hypotension and cramping Shortness of breath and neck vein distension: 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.: 1.5 inches apart. 44. Which learning domain is behavioral based?
