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DIALYSIS TECHNICIAN CERTIFICATION
ACTUAL EXAM 2026/2027 COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH
WELL ELABORATED ANSWERS AND
RATIONALES. (100% CORRECT VERIFIED
SOLUTIONS)
Question 1
A dialysis technician is preparing a hemodialysis station. Which
action is MOST critical to prevent healthcare-associated
infection?
A. Wiping the dialysis machine with alcohol once daily
B. Performing hand hygiene before and after patient contact
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C. Wearing the same gloves for all patients to save supplies
D. Changing the external transducer protector every 48 hours
Correct Answer: B
Rationale: Hand hygiene is the single most effective measure
to prevent transmission of pathogens. Alcohol wipes alone are
insufficient; gloves must be changed between patients;
transducer protectors are changed per treatment.
Question 2
A patient develops fever, chills, and hypotension 30 minutes
into dialysis. The technician suspects pyrogenic reaction. What
is the priority action?
A. Increase the blood flow rate
B. Stop the treatment and notify the nurse
C. Administer saline bolus immediately
D. Check the dialysate temperature
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Correct Answer: B
Rationale: Stop treatment immediately to prevent further
infusion of contaminated dialysate or pyrogens. Notify
nursing/medical staff for evaluation and possible blood
cultures. Never increase blood flow in a reaction.
Question 3
Which disinfectant is approved for reprocessing dialyzers in
New York State?
A. Household bleach diluted 1:10
B. Peracetic acid (e.g., Renalin)
C. Isopropyl alcohol 70%
D. Quaternary ammonium compounds
Correct Answer: B
Rationale: Only FDA-approved germicides like peracetic acid,
formaldehyde, or glutaraldehyde are permitted for dialyzer
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reprocessing. Bleach degrades membranes; alcohol and quats
are not sporicidal.
Question 4
A technician accidentally sticks themselves with a needle used
on a hepatitis B positive patient. What is the FIRST action?
A. Finish the dialysis treatment
B. Wash the site with soap and water
C. Squeeze the wound to express blood
D. Apply a bandage and continue work
Correct Answer: B
Rationale: Immediate washing with soap and water reduces
viral load. Then report to supervisor, seek post-exposure
prophylaxis. Do not squeeze (increases tissue damage).
Question 5
How often should hemodialysis machines undergo heat
DIALYSIS TECHNICIAN CERTIFICATION
ACTUAL EXAM 2026/2027 COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH
WELL ELABORATED ANSWERS AND
RATIONALES. (100% CORRECT VERIFIED
SOLUTIONS)
Question 1
A dialysis technician is preparing a hemodialysis station. Which
action is MOST critical to prevent healthcare-associated
infection?
A. Wiping the dialysis machine with alcohol once daily
B. Performing hand hygiene before and after patient contact
,Page 2 of 53
C. Wearing the same gloves for all patients to save supplies
D. Changing the external transducer protector every 48 hours
Correct Answer: B
Rationale: Hand hygiene is the single most effective measure
to prevent transmission of pathogens. Alcohol wipes alone are
insufficient; gloves must be changed between patients;
transducer protectors are changed per treatment.
Question 2
A patient develops fever, chills, and hypotension 30 minutes
into dialysis. The technician suspects pyrogenic reaction. What
is the priority action?
A. Increase the blood flow rate
B. Stop the treatment and notify the nurse
C. Administer saline bolus immediately
D. Check the dialysate temperature
,Page 3 of 53
Correct Answer: B
Rationale: Stop treatment immediately to prevent further
infusion of contaminated dialysate or pyrogens. Notify
nursing/medical staff for evaluation and possible blood
cultures. Never increase blood flow in a reaction.
Question 3
Which disinfectant is approved for reprocessing dialyzers in
New York State?
A. Household bleach diluted 1:10
B. Peracetic acid (e.g., Renalin)
C. Isopropyl alcohol 70%
D. Quaternary ammonium compounds
Correct Answer: B
Rationale: Only FDA-approved germicides like peracetic acid,
formaldehyde, or glutaraldehyde are permitted for dialyzer
, Page 4 of 53
reprocessing. Bleach degrades membranes; alcohol and quats
are not sporicidal.
Question 4
A technician accidentally sticks themselves with a needle used
on a hepatitis B positive patient. What is the FIRST action?
A. Finish the dialysis treatment
B. Wash the site with soap and water
C. Squeeze the wound to express blood
D. Apply a bandage and continue work
Correct Answer: B
Rationale: Immediate washing with soap and water reduces
viral load. Then report to supervisor, seek post-exposure
prophylaxis. Do not squeeze (increases tissue damage).
Question 5
How often should hemodialysis machines undergo heat
