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CCHT-A | Certified Clinical Hemodialysis Technician Exam Prep

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Prepare for the CCHT-A certification by reviewing important hemodialysis and patient-care concepts. Strengthen your professional knowledge, practice relevant topics, and follow a structured study approach.

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Nursing
CCHT-A
NNCC Certified Clinical Hemodialysis Technician -
Advanced




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, Latest Version: 6.0
Question: 1
While setting up, a patient tells the technician she has been skipping her phosphate binder at dinner
because it upsets her stomach, and asks whether it really matters if she takes it only twice a day.
What should the technician do?

A. Refer the question to the nurse and report today that she has been skipping doses.
B. Note the conversation in the record and tell the nurse at her next care plan meeting.
C. Reassure the patient that missing one binder dose a day makes little difference to her laboratory
results.
D. Explain how phosphate binders work, how many she should take with each meal, and what to do
when a dose upsets her stomach.


Answer: A

Question: 2
The blood leak alarm sounds midway through a treatment. The dialysate line has a pink tinge and the
dialysate test performed per facility protocol is positive for blood.
What should the technician do first?

A. Reset the alarm and watch the dialysate line for any further change in color
B. Lower the ultrafiltration rate and observe the patient for the remaining time
C. Return the blood to the patient and change the dialyzer for the rest of the run
D. Stop the blood pump and end the treatment without returning the blood through the dialyzer


Answer: D

Question: 3
During discontinuation of a treatment through a tunneled internal jugular catheter, the technician opens
the venous connection while the patient is sitting upright and breathing in.
Why does this create a risk of air entering the bloodstream?

A. Because sitting upright raises the hydrostatic column between the catheter tip and the open hub, so
blood is pushed outward as the patient breathes in.
B. Because a large-bore catheter lumen holds more blood than the venous drip chamber can
accommodate.
C. Because inspiration in an upright patient drops central venous pressure below atmospheric pressure.




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