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
- 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
- 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
- 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 therecommended 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
- 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
- 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?
- Hypernatremia is defined as a plasma sodium concentration of a above146mEQ/L. It is manifested by:
a. intense thirst, flushed skin, dry mucus membrane b. headaches, seizures, muscle cramps c. fever d. agitation, low body temperature Ans: a. intense thirst, flushed skin, dry mucusmembrane
- 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
- 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
- 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?
- Which of the follow statements is/are true about transplants?
a. transplant patients have fewer dietary limits than in center hemodialysispatients b. kidney transplant is a cure for kidney disease c. anti-rejection drugs may cause high blood pressure, increase of infectionand weight gain d. both a and c Ans: d. both a and c
- Which of the following complications can happen when removing toomuch fluid during dialysis?
a. low blood pressure, cramps nausea, and vomiting b. pruritis, dry and scaly itch c. bleeding, hematoma, anemia d. chest pain and shortness of breath Ans: a. low blood pressure, cramps nausea, andvomiting
- As a member of the health care team, a dialysis technician can helpimprove anemia outcomes by:
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
- 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
- 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
- What is the most common cause of transmission of Hep B (HBV) in dialysiscenters?
a. tell the nurse about his symptoms b. put on your mask and continue his treatment c. give him acetaminophen to reduce his fever d. tell him to see his primary physician Ans: a. tell the nurse about his symptoms
- About one hour into the treatment, the patients complain of fever, chill, nausea and vomiting. What condition do you think the patient are experienc-ing?
a. bone disease b. hemolysis c. anemia d. pyrogen reaction Ans: d. pyrogen reaction
- Pre-Blood pump arterial pressure alarms are caused by suction on the vascular side by the blood pump. Increasing negative pressure may indicateall of the following except:
a. flow problem with the access related to the blood pump b. kinking of the arterial blood tubing between the access and the arterialmonitor c. increased blood velocity due to ultra filtration d. hypertension Ans: d. hypertension
- When inserting a hemodialysis fistula needle, insert a what angle
until aflashback of blood is observed?
a. 15 b. 90 c. choose the angle of insertion based on the depth of the vein, in general about 45* d. 60* Ans: c.** choose the angle of insertion based on the depth of the vein, in general about 45*
- The following lab values are monitored at least monthly except:
a. blood urea nitrogen b. zinc c. calcium d. potassium Ans: b. zinc
- 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:
c. Recalculate the fluid removal calculation on the treatment record for accu-racy. d. all of the above Ans: d. all of the above
- During the treatment the patient's needle starts to bleed slowly around theinsertion site. You should:
a. change the blue pad beneath the patients arm b. flip the needle to stop the bleeding c. reposition the arm d. place a pressure dressing over the site to control the bleeding Ans: d. place apressure dressing over the site to control the bleeding
- All of the following are causes of air in the blood except
a. pre-blood pump tubing collapsing related to the inadequate blood flow fromthe arterial needle b. kinked venous bloodline
c. low levels in the drip chambers d. not removing all air during dialyzer primer Ans: b. kinked venous bloodline
- 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
- 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
- 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
- Mr. rice's dialyzer has cleared poorly. What may be a factor affecting hisdialyzer rinse back:
a. the blood flow rate is reduced b. he has not dialyzed the prescribed length of treatment on several occasions c. with a catheter he should receive hourly infusions of heparin via a heparin pump or pushed every hour. The amount of heparin he is getting hourly mayneed to be increased d. both a and c Ans: d. both a and c
- Prior to returning the patient's blood , what following things should bedone?
a. check pulse b. check blood pressure c. check temperature d. all of the above Ans: d. all of the above
- Mr. Tate is planning on going to the casino after dialysis today. He is anxious for you to terminate treatment so he can go, after you return the bloodyou request for him to stand for a blood pressure prior to pulling his needles.He gets very upset and says "no one makes me do that". How would you bestrespond to this?
a. "Well, i do not care what other technicians do" b. "okay whatever you want " c. " Mr. Tate, taking a standing blood pressure is very important and it's for your safety. I want to ensure that your blood pressure remains stable whenyou begin to ambulate" 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"
- 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
a. high blood pressure b. no edema c. no shortness of breath d. both b and c Ans: d. both b and c
- Mrs. Hit has just completed her treatment. You note the following on her post assessment, Hypotension, light headaches, cramping even after rinse-back and nausea. What are these signs and symptoms?
a. Patient at the their prescribed weight b. Patient below their dry weight c. Patient above their dry weight d. Hypoglycemia Ans: b. Patient below their dry weight
- You're training a new technician. You ask him or her to recite a sign of toomuch heparin. What is the correct answer?
a. blood clots noted in the venous chamber b. shortness of breath
c. prolonged bleeding from the puncture sites d. both a and b Ans: c. prolonged bleeding from the puncture sites
- 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
- 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;
