CCHT practice questions
which of the following terms indicates a solution that has the same concentration of
solutes as blood? - ANSWERisotonic
a patient's potassium levels has been running high between dialysis treatment, so
the patient has been working with the renal dietician to restrict potassium in the diet.
which of the following fruits should the patient avoid? - ANSWERbananas
during osmosis, which of the following movements takes place? - ANSWERfluid
moves from an area of lower concentration to higher.
a patient's granddaughter calls the dialysis center and asks for a progress report on
her father, who is a patient in the center. the technician should. - ANSWERstate that
patient information cannot be divulged
if a hematoma forms at the access site where a needle infiltrated, the usual
intervention is to apply - ANSWERcold compresses
which of the following actions by a patient increases the risk of blood clots in a
venous access? - ANSWERwearing a top with very tight- fitting long sleeves
a patient is very anxious during an initial hemodialysis treatment and requires extra
attention. when the treatment is completed, the patient offers a $20 tip. the
technician should - ANSWERpolitely decline the tip
which of the following statements by a hemodialysis patient suggests that the patient
needs more education? - ANSWERi should stay on a low protein diet.
the inner part of the kidney is the - ANSWERmedulla
a nephron is comprised of a glomerulus and a - ANSWERtubule
how much urine does a patient with healthy kidneys usually excrete in 24 hours? -
ANSWER1000 to 2000mL
when removing soiled gloves, the first glove removed should be. - ANSWERgrasped
in the opposite gloved hand
which of the following hormones is produced by the kidneys? -
ANSWERerythropoietin
at which stages of chronic kidney disease should a patient being dialysis? -
ANSWER5
which of the following is a genetic disorder that can lead to kidney failure? -
ANSWERpolycystic kidney disease
,which of the following complains by a patient may be an indication of uremia? -
ANSWERitching
a patient with a right-sided radiocephalic A fistula (above the wrist) needs to have
blood test in the lab for a number of different lab test. the blood should be drawn
from the - ANSWERleft hand
when setting up hemodialysis equipment, the four thing that need to be checked are
[ 1 ] dialysate, [ 2] extracorporeal circuit, [ 3] dialyzer and, [ 4] - ANSWERmachine
alarm
generally, the optimal dialysate flow rate for hemodialysis should be - ANSWER1.5
to 2 times the blood flow rate
a patient is receiving hemodialysis with a dialyzer with an ultrafiltration coefficient
[ kuf ] of 10 and a transmembrane pressure [TMP] of 100 mm hg. how much fluid
should the patient lose per hour of treatment - ANSWER1000 mL
under what circumstances can needle be reused for hemodialysis? - ANSWERunder
no circumstances
if a emergency ( such as a tornado ) occurs and patients need to be evacuated,
which group of patient should be disconnected from dialysis machine first? -
ANSWERpatients able to ambulate independently
for patients on hemodialysis a, 1 kg (2.2 lb.) increased in weight in 24 hours is
approximately equivalent to fluid retention of - ANSWER1.0 L.
a patient has been advised to avoid foods high in phosphorus. food that the patient
should be advised to limit include. - ANSWERdairy products
a patient is scheduled for serum creatinine test and asks the technician about
preparation the day before the test. the patient should be advised to. -
ANSWERavoid excessive exercise
which of the following ethnic group is most at risk for development of kidney failure? -
ANSWERafrican american
a patient has buttonhole tracts for access. after the access is cleaned and prepped
for treatment, what is the next step? - ANSWERuse a crab picker/ aseptic tweezer to
remove the scabs
with buttonhole tracts, the technician should apply pressure as the needle are
removed and then for - ANSWER5 to 10 minutes
if a buttonhole access frequently has long clots that are very difficult to remove, the
most likely reason is - ANSWERfailure to use 2-finger hold for needle removal
, a patient who had an AV fistula in the forearm developed an aneurysm and has had
to have a new AV fistula created in the upper arm. the patient has a temporary
catheter in place for dialysis until the fistula has matured. which of the following
exercise may help strengthen the AV fistula? - ANSWERbicep curl
with buttonhole access sites, what should the technician do to prevent '' hubbing " ? -
ANSWERleave 1/16 th to 1/8 inch of the needle exposed
if a patient has a dialyzer clearance rate of 250 mL/ min with 4- hour treatment, the
total volume of blood cleared is - ANSWER60 L.
what is the most important factor in preventing exsanguination from dialysis line
separation? - ANSWERaccess site visible
if a patient states that she has been skipping lunch because she is too tired to eat
after dialysis, the best solution is to. - ANSWERreport to the nurse and renal
dietician
if a patient exhibits signs and symptoms of hemolysis during dialysis, the immediate
action should be to - ANSWERstops the blood pump and clamp the blood lines
the amount of dialysis that a hemodialysis patient is prescribed is based on the
removal of - ANSWERurea
maturation of a prosthetic arteriovenous graft usually takes - ANSWER3 to 6 weeks
the purpose of the negative germicide test is to ensure that - ANSWERthe
reprocessed dialyzer is free of germicides
if a patient develops angina (chest pain) radiating to the neck, jaw, and left arm and
the patient's blood pressure drops during treatment, the technician should notify the
nurse and - ANSWERdecreased blood flow rate and ultrafiltration
the technician is reinforcing a patient's training regarding management of fluid intake.
the patient, who still urinates, has a base of 1000 ml intake per day. if the patient
urinates 500 ml in a 24-hour period , how much fluid is the patient allowed the
following day? - ANSWER1500ml
the greatest risk of bacteremia (infection in the blood) is associated with which type
of vascular access? - ANSWERdialysis catheter
the external surface of the hemodialysis machine should be cleaned and disinfected
at least. - ANSWERafter every patient
when checking the water temperature in the system, the technician records the
temperature at 78 F (25.5 C). in order for the reverse osmosis (RO) equipment that
is partof the water treatment system to work properly, the water temperature must be
maintained at - ANSWER77' F to 82'F ( 25' C to 28'C )
which of the following terms indicates a solution that has the same concentration of
solutes as blood? - ANSWERisotonic
a patient's potassium levels has been running high between dialysis treatment, so
the patient has been working with the renal dietician to restrict potassium in the diet.
which of the following fruits should the patient avoid? - ANSWERbananas
during osmosis, which of the following movements takes place? - ANSWERfluid
moves from an area of lower concentration to higher.
a patient's granddaughter calls the dialysis center and asks for a progress report on
her father, who is a patient in the center. the technician should. - ANSWERstate that
patient information cannot be divulged
if a hematoma forms at the access site where a needle infiltrated, the usual
intervention is to apply - ANSWERcold compresses
which of the following actions by a patient increases the risk of blood clots in a
venous access? - ANSWERwearing a top with very tight- fitting long sleeves
a patient is very anxious during an initial hemodialysis treatment and requires extra
attention. when the treatment is completed, the patient offers a $20 tip. the
technician should - ANSWERpolitely decline the tip
which of the following statements by a hemodialysis patient suggests that the patient
needs more education? - ANSWERi should stay on a low protein diet.
the inner part of the kidney is the - ANSWERmedulla
a nephron is comprised of a glomerulus and a - ANSWERtubule
how much urine does a patient with healthy kidneys usually excrete in 24 hours? -
ANSWER1000 to 2000mL
when removing soiled gloves, the first glove removed should be. - ANSWERgrasped
in the opposite gloved hand
which of the following hormones is produced by the kidneys? -
ANSWERerythropoietin
at which stages of chronic kidney disease should a patient being dialysis? -
ANSWER5
which of the following is a genetic disorder that can lead to kidney failure? -
ANSWERpolycystic kidney disease
,which of the following complains by a patient may be an indication of uremia? -
ANSWERitching
a patient with a right-sided radiocephalic A fistula (above the wrist) needs to have
blood test in the lab for a number of different lab test. the blood should be drawn
from the - ANSWERleft hand
when setting up hemodialysis equipment, the four thing that need to be checked are
[ 1 ] dialysate, [ 2] extracorporeal circuit, [ 3] dialyzer and, [ 4] - ANSWERmachine
alarm
generally, the optimal dialysate flow rate for hemodialysis should be - ANSWER1.5
to 2 times the blood flow rate
a patient is receiving hemodialysis with a dialyzer with an ultrafiltration coefficient
[ kuf ] of 10 and a transmembrane pressure [TMP] of 100 mm hg. how much fluid
should the patient lose per hour of treatment - ANSWER1000 mL
under what circumstances can needle be reused for hemodialysis? - ANSWERunder
no circumstances
if a emergency ( such as a tornado ) occurs and patients need to be evacuated,
which group of patient should be disconnected from dialysis machine first? -
ANSWERpatients able to ambulate independently
for patients on hemodialysis a, 1 kg (2.2 lb.) increased in weight in 24 hours is
approximately equivalent to fluid retention of - ANSWER1.0 L.
a patient has been advised to avoid foods high in phosphorus. food that the patient
should be advised to limit include. - ANSWERdairy products
a patient is scheduled for serum creatinine test and asks the technician about
preparation the day before the test. the patient should be advised to. -
ANSWERavoid excessive exercise
which of the following ethnic group is most at risk for development of kidney failure? -
ANSWERafrican american
a patient has buttonhole tracts for access. after the access is cleaned and prepped
for treatment, what is the next step? - ANSWERuse a crab picker/ aseptic tweezer to
remove the scabs
with buttonhole tracts, the technician should apply pressure as the needle are
removed and then for - ANSWER5 to 10 minutes
if a buttonhole access frequently has long clots that are very difficult to remove, the
most likely reason is - ANSWERfailure to use 2-finger hold for needle removal
, a patient who had an AV fistula in the forearm developed an aneurysm and has had
to have a new AV fistula created in the upper arm. the patient has a temporary
catheter in place for dialysis until the fistula has matured. which of the following
exercise may help strengthen the AV fistula? - ANSWERbicep curl
with buttonhole access sites, what should the technician do to prevent '' hubbing " ? -
ANSWERleave 1/16 th to 1/8 inch of the needle exposed
if a patient has a dialyzer clearance rate of 250 mL/ min with 4- hour treatment, the
total volume of blood cleared is - ANSWER60 L.
what is the most important factor in preventing exsanguination from dialysis line
separation? - ANSWERaccess site visible
if a patient states that she has been skipping lunch because she is too tired to eat
after dialysis, the best solution is to. - ANSWERreport to the nurse and renal
dietician
if a patient exhibits signs and symptoms of hemolysis during dialysis, the immediate
action should be to - ANSWERstops the blood pump and clamp the blood lines
the amount of dialysis that a hemodialysis patient is prescribed is based on the
removal of - ANSWERurea
maturation of a prosthetic arteriovenous graft usually takes - ANSWER3 to 6 weeks
the purpose of the negative germicide test is to ensure that - ANSWERthe
reprocessed dialyzer is free of germicides
if a patient develops angina (chest pain) radiating to the neck, jaw, and left arm and
the patient's blood pressure drops during treatment, the technician should notify the
nurse and - ANSWERdecreased blood flow rate and ultrafiltration
the technician is reinforcing a patient's training regarding management of fluid intake.
the patient, who still urinates, has a base of 1000 ml intake per day. if the patient
urinates 500 ml in a 24-hour period , how much fluid is the patient allowed the
following day? - ANSWER1500ml
the greatest risk of bacteremia (infection in the blood) is associated with which type
of vascular access? - ANSWERdialysis catheter
the external surface of the hemodialysis machine should be cleaned and disinfected
at least. - ANSWERafter every patient
when checking the water temperature in the system, the technician records the
temperature at 78 F (25.5 C). in order for the reverse osmosis (RO) equipment that
is partof the water treatment system to work properly, the water temperature must be
maintained at - ANSWER77' F to 82'F ( 25' C to 28'C )
