Fresenius ~ CCHT Certification
Preparation Test with complete solution
What practics helps to build a pt's immunity to hepatitis B - Vaccination
A pt asks the technician "what does uremia mean?" The technician's response should
be based on the uremia is - an increase of waste in the blood
a Central venous catheter may be used as a vascular access when a - pt has
inadequate blood vessels in the limbs
before a dialysis treatment , the pt tells the Technician, "Yesterday, I felt terrible and
vomited up some blood. I feel much better today." The technician can expect the pt's
treatment will be modified by - decreasing the heparin dose
the technician is unsure of which one of a pt's AV grafts anastomosis is arterial and
which one is venous... how do you tell between the two - compress the graft in the
middle and palpate each side
at the end of a pt treatment, what should be reported to RN - a pulse rate of 120 beats
per min
a pt asked the technician " why am i getting vitamin d therapy" - Vitamin D is needed for
healthy bones
Why are dialysis pt more likely to become infected with germs like MRSA - they usually
have weak immune systems
An AV fistula is an example of - Peripheral access
While giving information to the relief technician if is MOST important for the technician
to - give the relief technician an opportunity to ask and respond to questions
,Pt's who keep a record of their blood test results and weights and medications are - Pt's
who are involved with self-managing their care feel empowered
if a pt BP drops 82/40 mm Hg , after changing the fluid removal rate the technician
should - place pt in trendelendburg
legally if a treatment was performed but not charted in a pt record - it was NOT done
the most common casue of a lotw conductivity alarm during hemodialysis is - an
exhausted concentration supply
signs of low blood sugar includ - anxiety and confusion
pt EDW is 70kg and weight before her hemodialysis treatment today is 72kg ... fluid
removed during treatment should be - 2000mL
at pt target post-dialysis weight of 70kg the pt is likely to be - normotensive
the water supply to the water treatment system is called - feed water
Primary Goal of QAPI is - to achieve better patient outcome
a pt BP is 90/58 mm Hg after treatment and complains of dizziness but isist on leaving,
your first response should be - instructing them to sit down for just a little bit longer
what makes you suspect an access is clotted - a bruit was absent
if a pt has a normal routine outside of Dialysis that they would like to continue - explore
changing their dialysis schedule to hours that would let them continue the usual routine
a pt test positive for Hep B surface antigen, you would then - Dialyze the pt using a
dedicated machine in an assigned area
what part of the water treatment system removes endotoxins - ultrafilter
the purpose of Ultrafiltration profiling is to - minimize hypotension
what occurs when the dialysis machine alarms and goes into bypas - Dialysate stops
flowing through the dialyzer
, Technicians MUST wash you hands with soap and water - when their hands are visibly
soiled
when handling heavy boxes you should - hold the box close to the body
High venous pressure alarm might indicate - clotting in the blood access
"reuse" in dialysis refers to cleaning and disinfecting of - dialyzers
which of the following terms indicates a solution that has the same concentration of
solutes as blood? - ANS isotonic
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? - ANS bananas
during osmosis, which of the following movements takes place? - ANS fluid 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. - ANS state that patient
information cannot be divulged
if a hematoma forms at the access site where a needle infiltrated, the usual intervention
is to apply - ANS cold compresses
which of the following actions by a patient increases the risk of blood clots in a venous
access? - ANS wearing 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 - ANS politely decline the tip
which of the following statements by a hemodialysis patient suggests that the patient
needs more education? - ANS i should stay on a low protein diet.
the inner part of the kidney is the - ANS medulla
a nephron is comprised of a glomerulus and a - ANS tubule