CHT COMPREHENSIVE EXAMINATION TEST
COMPLETE QUESTIONS WITH ACCURATE
SOLUTIONS
●● "Does not follow treatment plan"
Answer: Jeffery Patterson is 46 years old and works 2 jobs to support his
family. He has been on dialysis for 2 years. His dialysis schedule is
TTHS at 1400. He frequently misses his Saturday treatment. How would
you describe how he manages his care?
●● Assist with visualization of the fistula
Answer: A tourniquet is required when accessing a fistula. What is the
rationale?
●● Secure all bloodlines, access connections and needles post
cannulation. Avoid blood tubing from touching the floor to prevent risk
of tubing being stepped on. Always be sure that's the patient's access
limb is exposed and can be seen from afar. (All of the above)
Answer: What are the things a technician can do to prevent blood loss
from exsanguination?
●● Pain and tingling to access limb. Decreased motor skill in the hand.
Cold sensation in the limb. (All of the above)
,Answer: What are possible signs and symptoms a patient may present
with steal syndrome?
●● Decrease risk of recirculation
Answer: When assessing for cannulation sites, it is recommended that
the needles be placed 1.5 inches apart. What is the primary reason for
this?
●● Scrub in a circular motion from inside to outside and allow the
recommended time for skin contact before cannulation
Answer: What is the best way to prepare an access for cannulation?
●● Maintains homeostasis of the blood. Glomerular filtration. Tubular
reabsorption. (All of the above)
Answer: Which of the following is (are) a function(s) of the nephron:
●● Erythropoietin
Answer: Mr. Smith complains of feeling tired and weak. His hemoglobin
is 9.2 g/dL and transferrin saturation of 15%. The hormone that aids in
making red cells is:
●● Mrs. Clark doesn't need to worry about any of these things, she is
still young
, Answer: Mrs. Clark is a 67 year-old who was admitted to the hospital
due to shortness of breath, fatigue, blood pressure elevation and swelling
of both legs. She is diagnosed with congestive heart failure (CHF) and
Stage 5 Chronic Kidney Disease (CKD). Progression of CKD may be
slowed down by the following except:
●● It is the volume of blood filtered by the glomerulus & the level of
GFR defines the 5 stages of CKD (Both a and c)
Answer: What is true about Glomerular Filtration Rate (GFR):
●● Diabetes
Answer: Mr. Bill McPherson is a 70 year old African American who is
starting his first outpatient dialysis treatment. His grandson, who is
visiting with the patient, asked you what could cause kidney failure,
which of the following conditions is the most common cause of kidney
failure in the United States?
●● Type of access. Blood and dialysate flow rates. Dialyzer. (All of the
above)
Answer: Mrs. Kline is a peritoneal dialysis (PD) patient who has been
placed on temporary in-center hemodialysis until a new PD catheter
could be placed. She has a central venous catheter (CVC) for access.
What factors can affect her adequacy of dialysis?
●● Build up of metabolic wastes in the blood
Answer: Uremia is defined as:
COMPLETE QUESTIONS WITH ACCURATE
SOLUTIONS
●● "Does not follow treatment plan"
Answer: Jeffery Patterson is 46 years old and works 2 jobs to support his
family. He has been on dialysis for 2 years. His dialysis schedule is
TTHS at 1400. He frequently misses his Saturday treatment. How would
you describe how he manages his care?
●● Assist with visualization of the fistula
Answer: A tourniquet is required when accessing a fistula. What is the
rationale?
●● Secure all bloodlines, access connections and needles post
cannulation. Avoid blood tubing from touching the floor to prevent risk
of tubing being stepped on. Always be sure that's the patient's access
limb is exposed and can be seen from afar. (All of the above)
Answer: What are the things a technician can do to prevent blood loss
from exsanguination?
●● Pain and tingling to access limb. Decreased motor skill in the hand.
Cold sensation in the limb. (All of the above)
,Answer: What are possible signs and symptoms a patient may present
with steal syndrome?
●● Decrease risk of recirculation
Answer: When assessing for cannulation sites, it is recommended that
the needles be placed 1.5 inches apart. What is the primary reason for
this?
●● Scrub in a circular motion from inside to outside and allow the
recommended time for skin contact before cannulation
Answer: What is the best way to prepare an access for cannulation?
●● Maintains homeostasis of the blood. Glomerular filtration. Tubular
reabsorption. (All of the above)
Answer: Which of the following is (are) a function(s) of the nephron:
●● Erythropoietin
Answer: Mr. Smith complains of feeling tired and weak. His hemoglobin
is 9.2 g/dL and transferrin saturation of 15%. The hormone that aids in
making red cells is:
●● Mrs. Clark doesn't need to worry about any of these things, she is
still young
, Answer: Mrs. Clark is a 67 year-old who was admitted to the hospital
due to shortness of breath, fatigue, blood pressure elevation and swelling
of both legs. She is diagnosed with congestive heart failure (CHF) and
Stage 5 Chronic Kidney Disease (CKD). Progression of CKD may be
slowed down by the following except:
●● It is the volume of blood filtered by the glomerulus & the level of
GFR defines the 5 stages of CKD (Both a and c)
Answer: What is true about Glomerular Filtration Rate (GFR):
●● Diabetes
Answer: Mr. Bill McPherson is a 70 year old African American who is
starting his first outpatient dialysis treatment. His grandson, who is
visiting with the patient, asked you what could cause kidney failure,
which of the following conditions is the most common cause of kidney
failure in the United States?
●● Type of access. Blood and dialysate flow rates. Dialyzer. (All of the
above)
Answer: Mrs. Kline is a peritoneal dialysis (PD) patient who has been
placed on temporary in-center hemodialysis until a new PD catheter
could be placed. She has a central venous catheter (CVC) for access.
What factors can affect her adequacy of dialysis?
●● Build up of metabolic wastes in the blood
Answer: Uremia is defined as:
