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CCHT Practice Actual Exam 2025: 200+ Realistic Test Questions, Clinical Scenarios, and Federal Protocol Review for Hemodialysis Technician Certification

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EXPERIENCE THE REAL CCHT EXAM BEFORE YOU TAKE IT! This isn't just another study guide—it's the closest you can get to the actual Certified Clinical Hemodialysis Technician exam without being in the testing center. The CCHT Practice Actual Exam Guide 2025 features 200+ realistic, word-for-word questions that mirror the format, difficulty, and clinical focus of the national certification test. This Real-Exam Simulation Covers Every Critical Area: True-to-Life Clinical Scenarios: Navigate exact situations you'll face, like managing a venous needle infiltration, responding to an air detector alarm with foam in the lines, and identifying steal syndrome in a new fistula patient. Federal Regulations & Protocols: Master questions on CMS Conditions for Coverage, AAMI water standards (200 CFU/mL, <2 EU/mL), and the federal certification deadline for technicians. Essential Calculations: Practice critical math for heparin dosing, ultrafiltration rates, and fluid removal based on patient weight. Emergency Response & Safety: Learn the exact steps for power outages (hand cranking), blood spills (1:10 bleach ratio), and managing anaphylaxis and hyperkalemia. Machine & Water Treatment Systems: Troubleshoot alarms for conductivity, venous pressure, and blood leaks, and understand the role of every component from the UV light to the water softener. Why This Practice Exam is Your Ultimate Secret Weapon: Build Test-Taking Stamina & Speed: With over 200 questions, you'll build the endurance needed for the full-length exam. Identify Your Weak Spots: The wide range of topics—from nutrition (high potassium in bananas) to access management (rope and ladder technique)—helps you pinpoint exactly where to focus your final study efforts. Aligns with National Certifiers: The content is meticulously crafted to reflect the requirements of the NNCC (National Nephrology Certification Organization) and other leading certifying bodies. Ideal for Capstone Courses: This is the perfect resource for students in final-term clinical practicums or capstone courses, often coded as ALHT 405, where applying all learned knowledge to a high-stakes exam is the final step. Stop wondering what the test will be like. Know with certainty. Invest in this realistic practice exam and walk in on test day with unshakable confidence.

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Uploaded on
November 3, 2025
Number of pages
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Written in
2025/2026
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CCHT PRACTICE ACTUAL EXAM GUIDE 2025 QUESTIONS AND
100% VERIFIED ANSWERS | GRADED A+ | GUARANTEED
PASS!!



A dialysis technician observes a drop of blood on the surface of a patient's
hemodialysis machine. Which of these actions should the dialysis technician take?
- answer-Clean the machine surface immediately

A dialysis technician observes all of the below on the treatment floor, which one
poses an environment risk?
- answer-About one ounce (30 ml) fluid is on the floor

A fistula connects
- answer-An artery to a vein

A localized mass of clotted or partially clotted blood confined within an organ or
tissue, which may be discolored (bruised).
- answer-Hematoma

A marker used to determine the middle molecule clearance of a dialyzer is
- answer-Vitamin B12

A medication used to treat anemia is
- answer-Epogen

A mixed- bed DI tank contains
- answer-Cations and anions

A nephron is made up of
- answer-A glomerulus and a tubule system

A new technician is being oriented to the water treatment system. The equipment
technician explains that the purpose of the ultraviolet (UV) light is to?
- answer-Change the DNA of microbes so they die or cannot multiply

,A patient complains of pain at the venous needle site. The dialysis technician
observes there is swelling distal to the venous needle site and that the venous
pressure is rising. The dialysis technician should suspect
- answer-An infiltration

A patient has an arteriovenous (AV) fistula in his lower left arm. When choosing a
cannulation site, the technician observes where previous needles were placed and
chooses to use alternate sites for arterial and venous needle insertion. This practice
is an example of
- answer-Rope and ladder technique

A patient is busy with a patient when a machine across the room alarms. The
dietician standing nearby mutes the alarm. The technician should have which of
these understandings concerning this action?
- answer-It is not permitted by the current ESRD regulations

A patient is diagnosed with hepatitis C beyond standard precautions. What
additional measures. If any, should be taken for the patient?
- answer-No additional precautions are necessary for the patient

A patient is experiencing large weight gains between hemodialysis treatments. The
technician should remind the patient that the best dietary measure to control weight
gain is to decrease the intake of
- answer-Salt

A patient on hemodialysis goes to the emergency department for persistent
coughing and fever. He is diagnosed with active tuberculosis (TB) which of the
following actions would the technician expect to be taken in regard to the patient's
dialysis treatment?
- answer-The patient must receive dialysis in a hospital in a special isolation room

A patient tells the technician that the dietician reviewed high potassium foods with
her. During the conversation she states she routinely eats the following foods.
Which one is highest in potassium?
- answer-bananas

A patient tells the technician. "The doctor told me I'm anemic what does that
mean"? Which response by the technician would be correct?
- answer-You don't have enough red blood cells to carry oxygen

, A patient who has an arteriovenous fistula receives a bonus dose of heparin at the
beginning of a hemodialysis treatment and a continuous heparin infusion during
the treatment. The patient's heparin administration should be terminated 30-60
minutes before the end of treatment in order to
- answer-Prevent prolonged bleeding

A patient who is receiving an initial hemodialysis treatment on a non- reusable
dialyzer should be observed for signs of
- answer-First- use syndrome

A patient who is to receive their first dialysis treatment is prone to?
- answer-Dialysis Disequilibrium Syndrome

A patient who recently had an Av fistula placed in the left forearm is experiencing
numbness and tingling of the left hand. The patient's left is cold and fingernail beds
are blue. The patient most likely had which of of these symptoms?
- answer-Steal

A patient with a right Av fistula arrives at the dialysis facility complaining of pain,
tingling, and cold fingers in his right hand. The technician would expect the nurse
will notify which of the following physicians for possible corrective action?
- answer-Vascular surgeon

A patient's dry weight is 154.0 (70kg) and the patient's pre treatment weight is
158.4. (72kg). For a four- hour treatment, how many mL/ hour must the patient
lose to reach dry weight?
- answer-500

A patient's laboratory results indicate that the predialysis BUN level was lower
than the post dialysis BUN level. When interpreting these findings the technician
should seek the answer to which of these questions?
- answer-Was the predialysis sample drawn from the venous port?

A protein that carries oxygen from the lung to the body tissue and transports
carbon dioxide from the tissues to the lungs.
- answer-Hemoglobin (HB)

A rapid pulse of 104 beats/minute would indicate that the patient has:
- answer-Tachycardia

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