CCHT Exam UPDATED ACTUAL Exam
Questions and CORRECT Answers
What is an infection? - CORRECT ANSWER - An invasion of body tissue by organisms
that are invisible to the eye.
Dialysis surfaces must be disinfected with what solution? - CORRECT ANSWER - 1:100
bleach solution
Large blood spills over 10ml must be disinfected with what solution? - CORRECT
ANSWER - 1:10 bleach solution
What is Aseptic technique? - CORRECT ANSWER - Practices and procedures performed
under carefully controlled conditions. Minimizing contamination by pathogens.
When sterile meets sterile.. - CORRECT ANSWER - It remains sterile
When sterile meets clean.. - CORRECT ANSWER - It becomes clean
When sterile or clean meet dirty.. - CORRECT ANSWER - It becomes dirty
PPE - CORRECT ANSWER - Personal Protective Equipment. Full face shield or mask,
eyewear with full side shield, and fluid-resistant gowns and gloves.
3 blood borne pathogens that may be found in a dialysis unit - CORRECT ANSWER -
Hepatitis B, Hepatitis C, and HIV
What is an exposure incident? - CORRECT ANSWER - A bloody/body fluid splash/spray
occurring to the eyes nose or mouth, or non-intact skin.
,What steps should you take if you have been exposed to the fluids? - CORRECT
ANSWER - Wash/rinse immediately. Report to CM. Seek medical treatment.
What is hepatitis? - CORRECT ANSWER - Inflammation of the liver due to various
causes
How can the viral form of hepatitis be spread? - CORRECT ANSWER - Hep A- via
contaminated food and the oral-fecal route
Hep B & C- via exposure to blood/body fluids
Why are patients with Hep B dialyzed in isolation room? - CORRECT ANSWER -
Extremely contagious, lives outside the body for extended periods. (up to 7 days)
Why do we dialyze Hep C patients in the clinical area? - CORRECT ANSWER - Not as
contagious as Hep B. HCV is not known to survive very long outside the body
What blood test indicates infection with Hep B? - CORRECT ANSWER - HbsAg test for
Hep B antigen, indicates actual viral presence.
What blood test indicates the presence of immunity against Hep B? - CORRECT
ANSWER - HbsAb test for antibodies, indicates immunity against Hep B
Which vaccine provides long-term immunity to Hep B? - CORRECT ANSWER - Series
of multiple injections of either Recombivax or Engerix
Positive Tuberculin skin test, or exposure to TB - CORRECT ANSWER - Patients with
active TB are contagious.
How is Tuberculosis spread? - CORRECT ANSWER - Droplet of nuclei produced from
infected individuals when they cough, sneeze, speak, or sing
, How do you prevent TB in a dialysis clinic? - CORRECT ANSWER - Patients who have
active TB cannot dialyze in a hemodialysis clinic. 3 consecutive (-) sputum cultures before
returning to the clinic
What is VRE (Vancomycin-resistant enterococci)? - CORRECT ANSWER - Gram
negative, round-shaped bacteria that commonly live in the intestinal tract. Can cause infection
anywhere in the body, an resistant to several antibiotics.
What is MRSA (Methicillian-resistant Staphlyococcus Aureus) - CORRECT ANSWER -
"Staph". Normally found on the skin or in the nose. Harmless until they enter the body through a
cut or other wound
What precautions should you take when caring for MRSA/VRE? - CORRECT ANSWER -
PPE, hand sanitation before next task, dedicated gown should be worn. CVC dressings should be
disposed of in red BIO. DO NOT need isolation. Hands should be washed for 40-60 seconds.
What is C-Diff? - CORRECT ANSWER - Clostridium difficile, hand washing is required.
Why is hand hygiene important? - CORRECT ANSWER - Single most important infection
control measure to prevent the spread of infection.
What are the anatomical structures of the urinary system in order of urine flow? - CORRECT
ANSWER - 2 kidneys, 2 ureters, 1 bladder, and 1 urethra
What are the functions of a healthy kidney? - CORRECT ANSWER - Removal of waste
products (creatinine, urea, and uric acid). Regulate fluid, acid base, and electrolytes.
What is urea? - CORRECT ANSWER - By-product of protein metabolism
What is creatinine? - CORRECT ANSWER - By-product of muscle metabolism
Questions and CORRECT Answers
What is an infection? - CORRECT ANSWER - An invasion of body tissue by organisms
that are invisible to the eye.
Dialysis surfaces must be disinfected with what solution? - CORRECT ANSWER - 1:100
bleach solution
Large blood spills over 10ml must be disinfected with what solution? - CORRECT
ANSWER - 1:10 bleach solution
What is Aseptic technique? - CORRECT ANSWER - Practices and procedures performed
under carefully controlled conditions. Minimizing contamination by pathogens.
When sterile meets sterile.. - CORRECT ANSWER - It remains sterile
When sterile meets clean.. - CORRECT ANSWER - It becomes clean
When sterile or clean meet dirty.. - CORRECT ANSWER - It becomes dirty
PPE - CORRECT ANSWER - Personal Protective Equipment. Full face shield or mask,
eyewear with full side shield, and fluid-resistant gowns and gloves.
3 blood borne pathogens that may be found in a dialysis unit - CORRECT ANSWER -
Hepatitis B, Hepatitis C, and HIV
What is an exposure incident? - CORRECT ANSWER - A bloody/body fluid splash/spray
occurring to the eyes nose or mouth, or non-intact skin.
,What steps should you take if you have been exposed to the fluids? - CORRECT
ANSWER - Wash/rinse immediately. Report to CM. Seek medical treatment.
What is hepatitis? - CORRECT ANSWER - Inflammation of the liver due to various
causes
How can the viral form of hepatitis be spread? - CORRECT ANSWER - Hep A- via
contaminated food and the oral-fecal route
Hep B & C- via exposure to blood/body fluids
Why are patients with Hep B dialyzed in isolation room? - CORRECT ANSWER -
Extremely contagious, lives outside the body for extended periods. (up to 7 days)
Why do we dialyze Hep C patients in the clinical area? - CORRECT ANSWER - Not as
contagious as Hep B. HCV is not known to survive very long outside the body
What blood test indicates infection with Hep B? - CORRECT ANSWER - HbsAg test for
Hep B antigen, indicates actual viral presence.
What blood test indicates the presence of immunity against Hep B? - CORRECT
ANSWER - HbsAb test for antibodies, indicates immunity against Hep B
Which vaccine provides long-term immunity to Hep B? - CORRECT ANSWER - Series
of multiple injections of either Recombivax or Engerix
Positive Tuberculin skin test, or exposure to TB - CORRECT ANSWER - Patients with
active TB are contagious.
How is Tuberculosis spread? - CORRECT ANSWER - Droplet of nuclei produced from
infected individuals when they cough, sneeze, speak, or sing
, How do you prevent TB in a dialysis clinic? - CORRECT ANSWER - Patients who have
active TB cannot dialyze in a hemodialysis clinic. 3 consecutive (-) sputum cultures before
returning to the clinic
What is VRE (Vancomycin-resistant enterococci)? - CORRECT ANSWER - Gram
negative, round-shaped bacteria that commonly live in the intestinal tract. Can cause infection
anywhere in the body, an resistant to several antibiotics.
What is MRSA (Methicillian-resistant Staphlyococcus Aureus) - CORRECT ANSWER -
"Staph". Normally found on the skin or in the nose. Harmless until they enter the body through a
cut or other wound
What precautions should you take when caring for MRSA/VRE? - CORRECT ANSWER -
PPE, hand sanitation before next task, dedicated gown should be worn. CVC dressings should be
disposed of in red BIO. DO NOT need isolation. Hands should be washed for 40-60 seconds.
What is C-Diff? - CORRECT ANSWER - Clostridium difficile, hand washing is required.
Why is hand hygiene important? - CORRECT ANSWER - Single most important infection
control measure to prevent the spread of infection.
What are the anatomical structures of the urinary system in order of urine flow? - CORRECT
ANSWER - 2 kidneys, 2 ureters, 1 bladder, and 1 urethra
What are the functions of a healthy kidney? - CORRECT ANSWER - Removal of waste
products (creatinine, urea, and uric acid). Regulate fluid, acid base, and electrolytes.
What is urea? - CORRECT ANSWER - By-product of protein metabolism
What is creatinine? - CORRECT ANSWER - By-product of muscle metabolism
