CCHT Practice Questions Exam Review For Part 2 Test 2023.

CCHT Practice Questions Exam Review For Part 2 Test 2023. 1. If a dialysis patient is very large in both stature and weight, which of the following is most likely to improve the effectiveness of hemodialysis? a. Increase salt restriction b. Decrease treatment time c. Increase dialyzer size d. Change to peritoneal dialysis 2. The duties that the technician is allowed to carry out depend primarily on the a. Centers for Medicare & Medicaid Services guidelines. b. dialysis center guidelines. c. technician’s training. d. state regulations/standards of practice. 3. If a dialysis center carries out dialyzer reprocessing and uses peracetic acid as the germicide, the contact time needed is a. 10 hours. b. 11 hours. c. 20 hours. d. 24 hours. 4. If a dialysis center uses electronic charting, the technician may share his/her password with a. no one. b. nurse. c. supervisor. d. nephrologist. 5. When creating a buttonhole tract, how many consecutive cannulations are usually required before the tract is adequately formed? a. 4 to 5 b. 5 to 8 c. 8 to 10 d. 10 to 12 6. If a patient complains of persistent itching, which of the following nonprescription methods may help relieve symptoms? a. Apply rubbing alcohol b. Take oatmeal baths c. Take cold showers d. Avoid bathing 7. When testing water for the level of chloramine, the technician finds that the total chlorine level is 1.1 parts per million (ppm) and the free chlorine is 0.9 ppm. Therefore, the chloramine level is a. 4.0 ppm Page 1 b. 0.4 ppm c. 2.0 ppm d. 0.2 ppm 8. Patients receiving hemodialysis should be advised to avoid salt substitutes because the substitutes often a. taste bad. b. cause constipation. c. cause nausea. d. contain potassium. 9. Patients with uremia develop foamy or bubbly urine because a. the kidneys remove less water. b. urination is less frequent. c. protein leaks into the urine. d. wastes combine to create a chemical reaction. 10. Which of the following is a function of the End-Stage Renal Disease Networks? a. Help resolve patient-staff conflicts. b. Pay for patient services. c. Set Centers for Medicare & Medicaid Services standards of care. d. Provide the pay-for-performance. 11. When using a slide board to transfer a patient from the dialysis chair to a wheelchair, at what angle should the slide board be placed between the two sitting surfaces? a. 30° b. 45° c. 60° d. 90° 12. When the technician is teaching a patient to self-cannulate using the tandem-hand technique, the a. patient observes and then carries out the procedure on a prosthetic training arm. b. technician places the first needle, and the patient places the second. c. technician places the thumb and finger behind the patient’s thumb and finger. d. patient places the thumb and finger behind the technician’s thumb and finger. 13. A patient has a right internal jugular central venous catheter for hemodialysis, but a pressure alarm sounds during treatment indicating that the blood flow rate is lower than prescribed. On checking, the technician finds that the lines appear clear and there are no signs of kinking, bleeding, or air entering the system. The next intervention should be to a. stop dialysis. b. lower the patient’s head and ask the patient to cough. c. flush the central venous catheter with normal saline. d. reverse the arterial and venous lines. Page 2 14. The PDCA cycle used for continuous quality improvement refers to a. plan-direct-commence-account. b. pick-direct-certify-act. c. plan-do-check-act. d. pick-do-certify-account. 15. Substances that form ions (charged particles) are a. hormones. b. electrolytes. c. enzymes. d. amino acids. 16. Which members of the dialysis center team are responsible for carrying out the quality assessment and performance improvement program at a dialysis center? a. Nephrologist b. Nurses c. Technicians d. All staff 17. A new female patient is admitted to the dialysis center in the company of a male who appears to be her spouse. If the patient’s chart lists her name as Mary Jo Johnson, how should the patient be addressed? a. Ms. Johnson b. Mrs. Johnson c. Mary Jo d. Ask the patient 18. Infections in buttonhole tracts are almost always caused by a. improper scab removal. b. poor skin preparation. c. incorrect cannulation technique. d. contaminated hands. 19. What percentage of the water that is filtered out of the blood by the glomeruli is excreted as urine? a. 0.5% b. 1% c. 10% d. 99% 20. Which of the following hormones directs the bone marrow to produce more red blood cells? a. Calcitriol b. Cortisol c. Erythropoietin d. Parathyroid hormone 21. To reinforce teaching, the technician should remind patients with kidney failure that Page 3 they should avoid a. smoking. b. having X-rays taken. c. taking acetaminophen (Tylenol). d. exercising. 22. Which of the following is a genetic (inherited) disease that can lead to kidney failure? a. Pyelonephritis b. Polycystic kidney disease c. Glomerulonephritis d. Diabetes mellitus, type 2 23. With uremia, as waste products build up in the blood, this can result in a. ringing in the ears. b. rash. c. abdominal pain. d. ammonia breath. 24. The aluminum level in dialysis water should be a. < 0.01 mg/L. b. < 0.02 mg/L. c. < 0.03 mg/L. d. < 0.04 mg/L. 25. Normal saline has a sodium chloride concentration of a. 0.7%. b. 0.8%. c. 0.9% d. 1.0%. 26. As part of anemia management for patients receiving hemodialysis, the technician should a. rinse back as much blood as possible. b. encourage patients to have short treatments. c. provide patients with high-calorie snacks. d. keep statistics regarding the number of anemic patients. 27. Patients receiving hemodialysis are at risk for amyloidosis. Which of the following symptoms may indicate amyloidosis? a. Hypertension b. Anemia c. Joint pain d. Bleeding.