CCHT Exam Part A Questions with Answers
(2025-2026 Latest Update)
WhatAareAsomeAofAtheAresponsibilitiesAandArequirementsAofAtheAmedicalAdirectorAofAaAdialy
sisAfacility?A-AcorrectAanswers-
BeingAknowledgeableAofAandAresponsibleAforAtheAintegrityAofAtheAwaterAtreatmentAsystemAi
nAtheAfacility
PriorAtoAbeginningAdialysis,AwhatAmustAtheAphysicianAorderAinclude?A-AcorrectAanswers-
SpecificAdialyzer,ABFR,ADuration
ToAsitAforAtheACCHT-AAexam,AtheAtechAmustAhaveAwhat?A-AcorrectAanswers-
HoldAanotherAnationalAcertificationAsuchAasACCHT,AandAhaveAworkedAatAleastA5,000Ahours
AasAaAhemoAtech
WhatAabilitiesAareArequiredAofAaAdialysisAtech?A-AcorrectAanswers-
SomeAunderstandingAofAanat/phyAandApathophysAofACKD,AfullAunderstandingAofAtheAprinci
plesAofAdialysisAandAtxAcomplications,AmathAskills
WhatAcertificationAprogramAoffersAtheAdialysisAtechAtheAmostAcognitiveAcontentArelatedAtoA
waterAtxAprinciples?A-AcorrectAanswers-CertAbiomedicalAnephrologyAtechnology
WhatAconsentsAareAneededAforAdialysis?A-AcorrectAanswers-
1AforAtreatment,A1AforAaccessAprocedures
IfAaApatientAdecidesAtoAterminateAdialysis,AwhatAshouldAtheAstaffAdo?A-AcorrectAanswers-
RealizeAitAisAwellAwithinAtheAptsArightAtoAchooseAtermination.
WhoAwasAtheAfirstApersonAtoAuseAtheAtermA'dialysis'?A-AcorrectAanswers-ThomasAGraham
WhatAwasAtheAprimaryAanticoagulantAusedAinAtheAfirstAartificialAkidney?A-AcorrectAanswers-
Hirudin
DrAKolffAcreatedAtheAfirstAbio-
compatibleA(rotatingAdrum)Adilyzer.AWhatAmaterialAwasAusedAtoAconstructAtheAhollowAtube
s?A-AcorrectAanswers-cellophane
TheAfirstAAVAshuntAforACKDAwasAplaced...A-AcorrectAanswers-
externally,AusingATeflonAtubes
WhichAUSAPresidentAsignedAtheAbillAthatAallowedAMedicareAcoverageAforACKDAtx?A-
AcorrectAanswers-Nixon
InA1989,AtheAFDAAapprovedAaAdrugAthatAdiminishedAtheAneedAforAbloodAtransfusionsAinACK
DA-AcorrectAanswers-EpogenA(mircera)
AnAelectrolyteAisAaAsubstanceAthatAdissolvesAinAwaterAtoAformA-AcorrectAanswers-
IonizedAparticles
WhatAhappensAtoAaAptAisAtheAdialysateAcontainsAtooAmuchAsodium?A-AcorrectAanswers-
FluidAleavesAtheAcellsAandAtheyAshrivel,AtheAptAwillAgetAhypotensive,AthirstyAandAgetAaAhead
ache
WithAosmosis,AwaterAmovesAfromAareasAof..A-AcorrectAanswers-
lowAconcentrationAtoAareasAofAhighAconcentrationAofAsolutes
BuffersAminimizeAtheApHAchangesAwhenAanAacidAorAaAbaseAisAaddedAtoAaAsolution.AWhatAis
AtheAmajorAplasmaAbufferAinAtheAbody?A-AcorrectAanswers-Bicarbonate
, KidneyAfailureAcausesAretentionAofAhydrogenAions.AWhatAisAtheAresult?A-AcorrectAanswers-
MetabolicAacidosis
WhichAofAtheseAptApopulationsAhasAtheAlowestAproportionAofAbodyAwater?A-
AcorrectAanswers-AdultAfemales
TheAvasaArectaAcapillariesAsurroundsAtheAloopAofAHenleAnephronsAandAplayAaAmajorAroleAi
n...A-AcorrectAanswers-ConcentrationAofAurineAasAitAmovesAthroughAtheAtubules
InAtheAformationAofAurine,AwhatAactionAisAoccurringAinAstepA2?A-AcorrectAanswers-
WaterAandAotherAdissolvedAsubstancesAmoveAfromAtheAtubulesAintoAtheAbloodAinAtheAperitu
bularAcapillaries.
TheAGFRAisAtheAamountAofAfiltrateAproducedAbyAtheAkidneysAperAminute.AWhatAisAGFRAdep
endentAon?A-AcorrectAanswers-
SufficientAbloodAcirculationAtoAtheAglomerulusA,AandAmaintenanceAofAnormalAfiltrationApres
sures
BloodAureaAlevelsAareAinfluencedAbyAmanyAfactors.ADecreasedAlevelsAmayAresultAfrom:A-
AcorrectAanswers-LowAdietaryAproteinAintake,Aoverhydration
AtAtheAconferenceA'KidneyADisease:AImprovingAGlobalAOutcomesAonACKD'AitAwasArecomm
endedAthatAstageA3AbeAdividedAintoA3aAandA3b.AWhatAisAtheArecommendedAGFRAforA3b?A-
AcorrectAanswers-30-44mL/min/1.73m^2
TheANKFArecommendsAthatAallAindividualsAbeAassessedAforAincreasedAriskAforAdevelopingA
CKD.AWhichAofAtheseAlaboratoryAvaluesAshouldAbeAincludedAinAsaidAeval?A-
AcorrectAanswers-Creatinine
WhenAisAaAptAconsideredAtoAbeAinAstageA5ACKD?A-AcorrectAanswers-
WhenAtheAptArequiresAmaintenanceAdialysisAforAsurvival
AApatientAwithAaAdiagnosisAofAnephrosclerosisAmayAexhibit...A-AcorrectAanswers-
BloodAinAurine,Aproteinuria,AuncontrolledAhypertension
WhatAisAaAcommonAclinicAmanifestationAofArenalAcellAcarcinoma?A-AcorrectAanswers-
BloodAinAurine
WhichAofAtheAfollowingAmayAbeAaAcauseAofApostrenalAacuteArenalAfailure?A-
AcorrectAanswers-ObstructionAinAtheAureterAorAtheAuthera
WhatAisAtheAtargetAbloodApressureAinAptsAwithACKDArecommendedAbyAtheAJNCPDETHBP
?A-AcorrectAanswers-<A130/80
AAptApresentsAtoAtheAnephrologistAofficeAwithAc/oAchestApain,Afever,AandAchills.ADrAhearsAaA
pericardialAfrictionArubAduringAauscultation.AEchocardiogramAconfirmsAaApericardialAtampo
nade.AWhatAprocedureAisAlikelyAnext?A-AcorrectAanswers-
AApericardiocentesisAwhereAaAneedleAisAinsertedAintoAtheApericardialAspaceAtoAremoveAflui
d.
WhatAareAintegumentaryAchangesAcommonlyAseenAinAptsAwithAchronicACKD?A-
AcorrectAanswers-Brittle Anails,Aecchymosis
DialysisAptsAareAatAhigherAriskAofAinfection.AWhatAincreasesAtheirAsusceptibility?A-
AcorrectAanswers-Diabetes,Amalnutrition,AfrequentAinvasiveAprocedures
TheACDCArecommendsAthatADPCAstaffAbeAannuallyAtestedAforAwhatAinfectionAcontrol?A-
AcorrectAanswers-HandAhygiene,ACVCAdressingAchange,AvascularAaccessAtechnique
WhatAareAtheAcausesAofAanemiaAinACKDApts?A-AcorrectAanswers-
DecreasedAproductionAofAerythropoietin,AimpairedAintakeAofAironAfromAfood,AlossAofAbloodAt
hroughAtheAGI
WhatAareAtwoAofAtheAs/sAofAanemiaAinACKDApts?A-AcorrectAanswers-DyspneaAandAfatigue
(2025-2026 Latest Update)
WhatAareAsomeAofAtheAresponsibilitiesAandArequirementsAofAtheAmedicalAdirectorAofAaAdialy
sisAfacility?A-AcorrectAanswers-
BeingAknowledgeableAofAandAresponsibleAforAtheAintegrityAofAtheAwaterAtreatmentAsystemAi
nAtheAfacility
PriorAtoAbeginningAdialysis,AwhatAmustAtheAphysicianAorderAinclude?A-AcorrectAanswers-
SpecificAdialyzer,ABFR,ADuration
ToAsitAforAtheACCHT-AAexam,AtheAtechAmustAhaveAwhat?A-AcorrectAanswers-
HoldAanotherAnationalAcertificationAsuchAasACCHT,AandAhaveAworkedAatAleastA5,000Ahours
AasAaAhemoAtech
WhatAabilitiesAareArequiredAofAaAdialysisAtech?A-AcorrectAanswers-
SomeAunderstandingAofAanat/phyAandApathophysAofACKD,AfullAunderstandingAofAtheAprinci
plesAofAdialysisAandAtxAcomplications,AmathAskills
WhatAcertificationAprogramAoffersAtheAdialysisAtechAtheAmostAcognitiveAcontentArelatedAtoA
waterAtxAprinciples?A-AcorrectAanswers-CertAbiomedicalAnephrologyAtechnology
WhatAconsentsAareAneededAforAdialysis?A-AcorrectAanswers-
1AforAtreatment,A1AforAaccessAprocedures
IfAaApatientAdecidesAtoAterminateAdialysis,AwhatAshouldAtheAstaffAdo?A-AcorrectAanswers-
RealizeAitAisAwellAwithinAtheAptsArightAtoAchooseAtermination.
WhoAwasAtheAfirstApersonAtoAuseAtheAtermA'dialysis'?A-AcorrectAanswers-ThomasAGraham
WhatAwasAtheAprimaryAanticoagulantAusedAinAtheAfirstAartificialAkidney?A-AcorrectAanswers-
Hirudin
DrAKolffAcreatedAtheAfirstAbio-
compatibleA(rotatingAdrum)Adilyzer.AWhatAmaterialAwasAusedAtoAconstructAtheAhollowAtube
s?A-AcorrectAanswers-cellophane
TheAfirstAAVAshuntAforACKDAwasAplaced...A-AcorrectAanswers-
externally,AusingATeflonAtubes
WhichAUSAPresidentAsignedAtheAbillAthatAallowedAMedicareAcoverageAforACKDAtx?A-
AcorrectAanswers-Nixon
InA1989,AtheAFDAAapprovedAaAdrugAthatAdiminishedAtheAneedAforAbloodAtransfusionsAinACK
DA-AcorrectAanswers-EpogenA(mircera)
AnAelectrolyteAisAaAsubstanceAthatAdissolvesAinAwaterAtoAformA-AcorrectAanswers-
IonizedAparticles
WhatAhappensAtoAaAptAisAtheAdialysateAcontainsAtooAmuchAsodium?A-AcorrectAanswers-
FluidAleavesAtheAcellsAandAtheyAshrivel,AtheAptAwillAgetAhypotensive,AthirstyAandAgetAaAhead
ache
WithAosmosis,AwaterAmovesAfromAareasAof..A-AcorrectAanswers-
lowAconcentrationAtoAareasAofAhighAconcentrationAofAsolutes
BuffersAminimizeAtheApHAchangesAwhenAanAacidAorAaAbaseAisAaddedAtoAaAsolution.AWhatAis
AtheAmajorAplasmaAbufferAinAtheAbody?A-AcorrectAanswers-Bicarbonate
, KidneyAfailureAcausesAretentionAofAhydrogenAions.AWhatAisAtheAresult?A-AcorrectAanswers-
MetabolicAacidosis
WhichAofAtheseAptApopulationsAhasAtheAlowestAproportionAofAbodyAwater?A-
AcorrectAanswers-AdultAfemales
TheAvasaArectaAcapillariesAsurroundsAtheAloopAofAHenleAnephronsAandAplayAaAmajorAroleAi
n...A-AcorrectAanswers-ConcentrationAofAurineAasAitAmovesAthroughAtheAtubules
InAtheAformationAofAurine,AwhatAactionAisAoccurringAinAstepA2?A-AcorrectAanswers-
WaterAandAotherAdissolvedAsubstancesAmoveAfromAtheAtubulesAintoAtheAbloodAinAtheAperitu
bularAcapillaries.
TheAGFRAisAtheAamountAofAfiltrateAproducedAbyAtheAkidneysAperAminute.AWhatAisAGFRAdep
endentAon?A-AcorrectAanswers-
SufficientAbloodAcirculationAtoAtheAglomerulusA,AandAmaintenanceAofAnormalAfiltrationApres
sures
BloodAureaAlevelsAareAinfluencedAbyAmanyAfactors.ADecreasedAlevelsAmayAresultAfrom:A-
AcorrectAanswers-LowAdietaryAproteinAintake,Aoverhydration
AtAtheAconferenceA'KidneyADisease:AImprovingAGlobalAOutcomesAonACKD'AitAwasArecomm
endedAthatAstageA3AbeAdividedAintoA3aAandA3b.AWhatAisAtheArecommendedAGFRAforA3b?A-
AcorrectAanswers-30-44mL/min/1.73m^2
TheANKFArecommendsAthatAallAindividualsAbeAassessedAforAincreasedAriskAforAdevelopingA
CKD.AWhichAofAtheseAlaboratoryAvaluesAshouldAbeAincludedAinAsaidAeval?A-
AcorrectAanswers-Creatinine
WhenAisAaAptAconsideredAtoAbeAinAstageA5ACKD?A-AcorrectAanswers-
WhenAtheAptArequiresAmaintenanceAdialysisAforAsurvival
AApatientAwithAaAdiagnosisAofAnephrosclerosisAmayAexhibit...A-AcorrectAanswers-
BloodAinAurine,Aproteinuria,AuncontrolledAhypertension
WhatAisAaAcommonAclinicAmanifestationAofArenalAcellAcarcinoma?A-AcorrectAanswers-
BloodAinAurine
WhichAofAtheAfollowingAmayAbeAaAcauseAofApostrenalAacuteArenalAfailure?A-
AcorrectAanswers-ObstructionAinAtheAureterAorAtheAuthera
WhatAisAtheAtargetAbloodApressureAinAptsAwithACKDArecommendedAbyAtheAJNCPDETHBP
?A-AcorrectAanswers-<A130/80
AAptApresentsAtoAtheAnephrologistAofficeAwithAc/oAchestApain,Afever,AandAchills.ADrAhearsAaA
pericardialAfrictionArubAduringAauscultation.AEchocardiogramAconfirmsAaApericardialAtampo
nade.AWhatAprocedureAisAlikelyAnext?A-AcorrectAanswers-
AApericardiocentesisAwhereAaAneedleAisAinsertedAintoAtheApericardialAspaceAtoAremoveAflui
d.
WhatAareAintegumentaryAchangesAcommonlyAseenAinAptsAwithAchronicACKD?A-
AcorrectAanswers-Brittle Anails,Aecchymosis
DialysisAptsAareAatAhigherAriskAofAinfection.AWhatAincreasesAtheirAsusceptibility?A-
AcorrectAanswers-Diabetes,Amalnutrition,AfrequentAinvasiveAprocedures
TheACDCArecommendsAthatADPCAstaffAbeAannuallyAtestedAforAwhatAinfectionAcontrol?A-
AcorrectAanswers-HandAhygiene,ACVCAdressingAchange,AvascularAaccessAtechnique
WhatAareAtheAcausesAofAanemiaAinACKDApts?A-AcorrectAanswers-
DecreasedAproductionAofAerythropoietin,AimpairedAintakeAofAironAfromAfood,AlossAofAbloodAt
hroughAtheAGI
WhatAareAtwoAofAtheAs/sAofAanemiaAinACKDApts?A-AcorrectAanswers-DyspneaAandAfatigue