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CCHT Practice Exam 2026/2027 | Certified Clinical Hemodialysis Technician Questions & Verified Answers

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Prepare for the CCHT certification exam with practice questions covering hemodialysis patient care, vascular access, dialysis equipment, water treatment, infection control, safety, complications, and technician responsibilities.

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CCHT Practice Exam
AAMI Chemical Analysis of water used for hemodialysis annually
is tested



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


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



A fistula connects An artery to a vein




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



A mixed- bed DI tank contains Cations and anions




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




A patient complains of pain at the venous needle site. An infiltration
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


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



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


A reason why a dialysis technician is to be certified is It's a new Federal regulation




A rise in transmembrane pressure in a low flux dialyzer Clotting of extracorporeal circuit
during hemodialysis is indicative of



A teammate asks you to document the normal saline he Never document something that someone else did
just gave to Mr. Smith. You would:



A true aneurysm can be dangerous because it May rupture and cause the patient to bleed profusely




A patient's laboratory results indicate that the predialysis Was the predialysis sample drawn from the venous port?
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?

, CCHT Practice Exam
A rapid pulse of 104 beats/minute would indicate that the Tachycardia
patient has:



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


AAMI standards for the total microbial count of dialysate 200 CFU/mL
shall not exceed:



Acceptable interdialytic weight gains are 3-5% of EDW




According to AAMI the standard level for endotoxins Less than two (2) EU/mL
levels is



According to the new Conditions for Coverage, all 4/15/2010
dialysis technicians are to be certified by a national
certifying agency or state specific certification by:


Albumin is an important test that tells about the patient's Nutritional




All of the following are phosphate binders except: Vitamin B12




All of the following may be signs and symptoms of an numbness and tingling
infected access except:



Asepsis is defined as The absence of disease producing organisms




Based on Mrs Smith's total amount of fluid to be 1,385 mL/hr
removed, what is the ultrafiltration rate per hour (mL/hr)
for her 4 hour treatment?


Before a hemodialysis treatment, the technician removes Discard the needle
the cap from the fistula needle and accidentally touches
the chair with the tip of the needle. Which of these
actions should the technician take first?


Dialysate that is too hot will cause Hemolysis




Dry weight is defined as the Weight at which the patient has no edema or fluid in the lungs and BP is normal




During a hemodialysis treatment the technician responds Disconnection of the bloodline
to a low venous pressure alarm. The most likely cause
for this alarm is:


Biohazardous waste includes any material exposed to: Blood

, CCHT Practice Exam
Decreasing the patient's prescribed blood flow rate Diffusion
affects the rate of



During a hemodialysis treatment, a patient's venous Stop the pump
needle infiltrates. Which of these actions should the
dialysis technician take first?


Dialysate pH should be: Between 7.0 and 7.4




During hemodialysis, the air detector on Ms. Foster's Clamp the venous line
machine alarms and foam is visible in the venous drop
chamber. The immediate action of the dialysis technician
should be to:


During predialysis data collection, it would be best for the How have you been since your last dialysis treatment?
technician to ask the patient which of these questions?



During the hemodialysis treatment, a patient complains Take the patient's temperature
of feeling chilled. In addition to getting the patient a
blanket, which of these actions should the technician
take?


During the set up of a hemodialysis machine, the alarm Notify the equipment technician
test for conductivity fails. Which of these actions should
the dialysis technician take?


ESRD specific tests such as BUN, Creatinine, and URR Indicators of the adequacy of the renal replacement therapy
are



Excess fluid is forced out of the blood and into the Ultrafiltration
dialysate during dialysis by which principle



Feed conductivity- product conductivity divided by x 100 Percent rejection
is the formula calculation of



Fluid to be removed divided by the treatment time tells The ultrafiltration rate
us



Germicide rebound occurs due to: Inadequate dialyzer priming




Hives, itching, tightness of the chest and respiratory Anaphylaxis (severe allergic reaction)
distress may be signs and symptoms of:



Hyperkalemia can lead to Cardiac arrest




If the extracorporeal circuit clots and it must be Hemoglobin
discarded, it would be most important to monitor the
patient's serum level of:


In reuse, the blood path integrity is tested to Check dialyzer for total cell volume

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