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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'shemodialysis 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
an artery and a vein to synthetic material.an artery to an artery. an artery to a vein Ans>> an artery to a vein.
8. A nephron is made up of
A glomerulus and a tubule system
The bladder and the uretersThe cortex and a capsule 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 thevenous 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
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? Ans>> Wasthe post dialysis sample drawn correctly?
16. A rapid pulse of 104 beats/minute would indicate that the patient has
an arrhythmia atrial flutter bradycardia tachycardia Ans>> tachycardia
17. A patient's target weight is 154.0 lb (70 kg) and the patient's pre treatmentweight is 158.4 lb (72 kg). For a four-hour treatment, how many mL/hour must
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 Bicarbonat
machine was in bypass for 30 minutes.patient has reached their target weight. patient's target weight has decreased Ans>> machine was in bypass for 30 minutes.
22. During hemodialysis a patient goes into cardiac arrest. The first action forthe dialysis technician is
Apply a pericardial thump to the patientCall for assistance Return the patient's blood
Stop ultrafiltration Ans>> 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 thetechnician take?
Decrease the blood flow rate
Increase the bicarbonate concentration in the dialysatePut the patient in Trendelenburg Take the patient's temperature Ans>> Take the patient's temperature
24. One disadvantage of a fistula is an increase in
clotting. biocompatibilit y.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
sHypertension Urinary obstruction Ans>> Diabetes
29. The dialysis technician's role in patient education is to Assess patient's barriers to learning Determine patient's level of readiness to learnEducate patients on all aspects of their care Reinforce educational information provided Ans>> Reinforce educational informationprovided 30. The most important intervention to prevent the spread of infection is
Performing hand hygiene
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 . Filtratio n. Osmosis . Ultrafiltration Ans>> Osmosis.
32. A decrease in transmembrane pressure in a high flux dialyzer duringhemodialysis is indicative of
Venous needle malpositionExcessive ultrafiltration Clotting of the extracorporeal circuit Nothing- this is normal for high flux Ans>> Clotting of the extracorporeal circuit
Participating in staff meetings Ans>> Ensuring accurate documentation
35. Which of the following might indicate the need to increase heparin?
Clotting in the extracorporeal circuitProlonged bleeding post treatment The patient is having surgery tomorrow
The patient is taking aspirin every day Ans>> Clotting in the extracorporeal circuit
36. Which of the following might indicate a need to decrease the heparin dose?
Clotting in the extracorporeal circuitThe patient has an access infection The patient has a catheter with poor blood flow The patient just had surgery yesterday Ans>> The patient just had surgery yesterday
37. Which of the following would cause a high venous pressure alarm?
Blood flow rate is decreased Patient has pulled out the venous needle
Patient just received a 200 ml normal saline bolus Venous needle is against the wall of the vessel Ans>> Venous needle is against thewall of the vessel
38. Which organization establishes the standards and recommendations fordialyzer reprocessing? AAM I 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 dryMaintain 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
2.0 inches apart. 1.5 inches apart Ans>> 1.5 inches apart.
44. Which learning domain is behavioral based?
Affective Cognitive Motor Skill Psychomotor Ans>> Affective
45. What is the most important activity that the dialysis technician can performto prevent the spread of infectious disease in the dialysis clinic?
Hand hygiene Wearing a maskWearing gloves Wearing protective equipment Ans>> Hand hygiene
46. Which of the following diffuses from the patient's blood during dialysis?bacteria
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
