CCHT PCT Certification Study Guide Exam| 108 QUESTIONS
WITH COMPLETE SOLUTIONS
AKI Correct Answer: acute kidney injury
Pre-renal causes of AKI Correct Answer: decreased blood flow to kidney, burns, hemorrhage,
heart failure, sepsis, low BP, stenosis, or rhabdomyolysis.
Intra-renal causes of AKI Correct Answer: Nephritis (kidney infection), tubular necrosis,
contrast dyes, the internal working of the kidneys malfunction, chemo, antibiotics, and anti-
inflammatory diseases.
Post-renal causes of AKI Correct Answer: renal vein stenosis, something blocking the urethra,
kidney stones, decreased urination, cancer
Whats important when monitoring weight and BP? Correct Answer: make sure PT is not
hypotensive or hypovelemic (avoid fluid depletion and low BP)
Wegners Granulomatosis Correct Answer: inflamation of blood vessels restricted blood flow to
organs especially to the kidneys and lungs
Outline the treatment goals for a patient with CKD Correct Answer: 1) slow the progression of
CKD
2) manage the comorbidities and complications
3) control the symptoms
4) minimize the effects of CKD on the PTs lifestyle
5) renal replacement therapy modality education
6)encourage PT to actively participate in their healthcare
What are the most common causes for CKD in the USA Correct Answer: Diabetes, hypertension
and polysistic kidney disease
What does Kt/V stand for? Correct Answer: An equation used to determine how well dialysis is
occurring. K=Clearance, t=time, and V=total volume of waste in the patient
What treatment factors decrease K? Correct Answer: low BFR, low BVP, low DFR, low UFG,
and poor priming.
What treatment factors increase K? Correct Answer: A tolerable UFG, good BFR, high BVP
and high DFR.
What factors influence t? Correct Answer: longer blood/dialysate contact time, more frequent
treatments or extra treatments
What factors influence V? Correct Answer: A persons height, weight, sex, age and amputations
are included in calculating V
, Needle gauge and BFR Correct Answer: 17: 200-250ml/min
16:250-350ml/min
15:350-450ml/min
14:450+
Lab draw mistakes that would falsely increase Kt/V Correct Answer: drawing without lowering
BFR
drawing from veinous line
not waiting full 15 seconds
Lab draw mistakes that would falsely decrease Kt/V Correct Answer: Diluting pre BUN sample
with saline
waiting longer than 15 seconds
BP cuff reading errors: Correct Answer: cuff size too small: may make BP appear high
cuff size to big: may make BP appear low
Why do we document Correct Answer: 1) proof that care was rendered
2) permanent legal record
3) provides data continuity
4) communication tool
List six occurrences when to chart Correct Answer: 1. Change in baseline assessment.
2. Change in patient's condition.
3. Procedure or Treatment performed.
4. Meds given and patient's response.
5. Care plan given.
6. Patient Education.
What are the possible consequences or poor or incomplete documentation? Correct Answer:
opens an attack on care provided
What does SMART communication stand for? Correct Answer: Simple
Meaningful
Actual
Read
Touch
What are the six items included in charting administered medications? Correct Answer: 1) med
dosage
2) date and time
3) route of administration
4) REASON FOR ADMINISTRATION**
5) patient response
6)allergies
WITH COMPLETE SOLUTIONS
AKI Correct Answer: acute kidney injury
Pre-renal causes of AKI Correct Answer: decreased blood flow to kidney, burns, hemorrhage,
heart failure, sepsis, low BP, stenosis, or rhabdomyolysis.
Intra-renal causes of AKI Correct Answer: Nephritis (kidney infection), tubular necrosis,
contrast dyes, the internal working of the kidneys malfunction, chemo, antibiotics, and anti-
inflammatory diseases.
Post-renal causes of AKI Correct Answer: renal vein stenosis, something blocking the urethra,
kidney stones, decreased urination, cancer
Whats important when monitoring weight and BP? Correct Answer: make sure PT is not
hypotensive or hypovelemic (avoid fluid depletion and low BP)
Wegners Granulomatosis Correct Answer: inflamation of blood vessels restricted blood flow to
organs especially to the kidneys and lungs
Outline the treatment goals for a patient with CKD Correct Answer: 1) slow the progression of
CKD
2) manage the comorbidities and complications
3) control the symptoms
4) minimize the effects of CKD on the PTs lifestyle
5) renal replacement therapy modality education
6)encourage PT to actively participate in their healthcare
What are the most common causes for CKD in the USA Correct Answer: Diabetes, hypertension
and polysistic kidney disease
What does Kt/V stand for? Correct Answer: An equation used to determine how well dialysis is
occurring. K=Clearance, t=time, and V=total volume of waste in the patient
What treatment factors decrease K? Correct Answer: low BFR, low BVP, low DFR, low UFG,
and poor priming.
What treatment factors increase K? Correct Answer: A tolerable UFG, good BFR, high BVP
and high DFR.
What factors influence t? Correct Answer: longer blood/dialysate contact time, more frequent
treatments or extra treatments
What factors influence V? Correct Answer: A persons height, weight, sex, age and amputations
are included in calculating V
, Needle gauge and BFR Correct Answer: 17: 200-250ml/min
16:250-350ml/min
15:350-450ml/min
14:450+
Lab draw mistakes that would falsely increase Kt/V Correct Answer: drawing without lowering
BFR
drawing from veinous line
not waiting full 15 seconds
Lab draw mistakes that would falsely decrease Kt/V Correct Answer: Diluting pre BUN sample
with saline
waiting longer than 15 seconds
BP cuff reading errors: Correct Answer: cuff size too small: may make BP appear high
cuff size to big: may make BP appear low
Why do we document Correct Answer: 1) proof that care was rendered
2) permanent legal record
3) provides data continuity
4) communication tool
List six occurrences when to chart Correct Answer: 1. Change in baseline assessment.
2. Change in patient's condition.
3. Procedure or Treatment performed.
4. Meds given and patient's response.
5. Care plan given.
6. Patient Education.
What are the possible consequences or poor or incomplete documentation? Correct Answer:
opens an attack on care provided
What does SMART communication stand for? Correct Answer: Simple
Meaningful
Actual
Read
Touch
What are the six items included in charting administered medications? Correct Answer: 1) med
dosage
2) date and time
3) route of administration
4) REASON FOR ADMINISTRATION**
5) patient response
6)allergies
