CCHT Test Exam | Most Recent Exam 2026 Actual
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What is an infection?
An invasion of body tissue by organisms that are invisible to the eye.
Dialysis surfaces must be disinfected with what solution?
1:100 bleach solution
Large blood spills over 10ml must be disinfected with what solution?
1:10 bleach solution
What is Aseptic technique?
Practices and procedures performed under carefully controlled
conditions. Minimizing contamination by pathogens.
When sterile meets sterile..
It remains sterile
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When sterile meets clean..
It becomes clean
When sterile or clean meet dirty..
It becomes dirty
PPE
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
Hepatitis B, Hepatitis C, and HIV
What is an exposure incident?
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?
Wash/rinse immediately. Report to CM. Seek medical treatment.
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What is hepatitis?
Inflammation of the liver due to various causes
How can the viral form of hepatitis be spread?
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?
Extremely contagious, lives outside the body for extended periods. (up to
7 days)
Why do we dialyze Hep C patients in the clinical area?
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?
HbsAg test for Hep B antigen, indicates actual viral presence.
What blood test indicates the presence of immunity against Hep B?
HbsAb test for antibodies, indicates immunity against Hep B
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Which vaccine provides long-term immunity to Hep B?
Series of multiple injections of either Recombivax or Engerix
What are classic s/s of renal failure or uremia?
Elevated serum levels of BUN/creatinine, phosphorus, and potassium,
anemia, fluid overload, lethargy, weakness, edema, high b/p
Why are renal failure patients acidotic?
Kidneys control acid/base balance of the blood by excreting hydrogen
atoms and producing a buffer (bicarbonate)
What causes renal osteodystrophy (bone disease)
Kidneys can no longer convert Vit D to its activated form.
What needs to be considered when administering medications to
patients with renal failure?
Loss of renal function will decrease the elimination of medications and
potentially cause toxicity.
What is the purpose of a phosphate binder?
Binds with phosphorus (from foods) in the gut, and then eliminates the
excess phosphorus through the digestive system.
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