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Exam (elaborations)

CCHT PRACTICE QUESTIONS AND ANSWERS LATEST EDITION

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CCHT PRACTICE QUESTIONS AND ANSWERS LATEST EDITION

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November 19, 2025
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Written in
2025/2026
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CCHT PRACTICE QUESTIONS AND
ANSWERS LATEST EDITION 2025-
2026

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



how much urine does a patient with healthy kidneys usually excrete in 24 hours? - ANS -1000 to
2000mL



when removing soiled gloves, the first glove removed should be. - ANS -grasped in the opposite
gloved hand



which of the following hormones is produced by the kidneys? - ANS -erythropoietin



at which stages of chronic kidney disease should a patient being dialysis? - ANS -5



which of the following is a genetic disorder that can lead to kidney failure? - ANS -polycystic
kidney disease



which of the following complains by a patient may be an indication of uremia? - ANS -itching



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 - ANS -left hand



when setting up hemodialysis equipment, the four thing that need to be checked are [ 1 ]
dialysate, [ 2] extracorporeal circuit, [ 3] dialyzer and, [ 4] - ANS -machine alarm

,generally, the optimal dialysate flow rate for hemodialysis should be - ANS -1.5 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 - ANS -1000 mL



under what circumstances can needle be reused for hemodialysis? - ANS -under 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? - ANS -patients 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 - ANS -1.0 L.



a patient has been advised to avoid foods high in phosphorus. food that the patient should be
advised to limit include. - ANS -dairy 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. - ANS -avoid excessive exercise



which of the following ethnic group is most at risk for development of kidney failure? - ANS -
african american



a patient has buttonhole tracts for access. after the access is cleaned and prepped for
treatment, what is the next step? - ANS -use 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 - ANS -5 to 10 minutes



if a buttonhole access frequently has long clots that are very difficult to remove, the most likely
reason is - ANS -failure 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? - ANS -bicep curl



with buttonhole access sites, what should the technician do to prevent '' hubbing " ? - ANS -
leave 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 - ANS -60 L.



what is the most important factor in preventing exsanguination from dialysis line separation? -
ANS -access 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. - ANS -report to the nurse and renal dietician



if a patient exhibits signs and symptoms of hemolysis during dialysis, the immediate action
should be to - ANS -stops the blood pump and clamp the blood lines



the amount of dialysis that a hemodialysis patient is prescribed is based on the removal of - ANS
-urea
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