CCHT CERTIFICATION STUDY
EXAMINATION preparation 2026
During a pre-treatment patient evaluation which question would be best for the PCT to ask? - correct
answersHow have you been since your last dialysis treatment?
During the set-up of a machine the alarm test for conductivity fails. Which action would be best for the
PCT to take? - correct answersContact the Biomed Equipment Tech
The dialysis industry strives to improved the quality of patient outcomes. One way this is done is
through the continuous quality improvement (CQI) process. Which of the following is a model of the CQI
process? - correct answersPlan, do, check, and act
The functional unit of the kidney is called the - correct answersNephron
The number one reason for chronic kidney failure in the United States is - correct answersDiabetes
What is the acid-base imbalance commonly seen in patients with chronic renal failure - correct
answersMetabolic acidosis
Which of the following is not a function of the kidney - correct answersStorage of urine
Approximately what percent of the cardiac output is received by the kidneys? - correct answers23%
Which of the following is considered an elevated serum potassium level for a dialysis patient? - correct
answersA. 3.0 mEq/L
B. 3.5 mEq/L
C. 4.0 mEq/L
D. none of the above
Answer: D none of the above
Hormones made by the kidney include all except - correct answersPTH and cholesterol
Hyperkalemia may cause - correct answersC. serious or even deadly changes in the heart rhythm
Which best describes the PTC's role in patient teaching? - correct answersD. Reinforce teaching the
patient may have received from the nurse, physician, dietitian or other teammates
Which type of vascular access has fewest complications? - correct answersC. The A/V fistula
A new hemodialysis patient receiving his first treatment may be at high risk for which of the following
problems: - correct answersC. Dialysis disequilibrium syndrome
Which of the following presents a potential for environmental contamination? - correct answersD.
About one ounce (30 ml) of fluid spilled on the floor next to the patients chair
, A patient arrives for her hemodialysis treatment and states she has been having nausea, vomiting, and
diarrhea for the last two days. Her estimated dry weight is 78.0 kg and her pre treatment weight is 77.0
kg. The best action for the PCT to take is: - correct answersD. Immediately notify the nurse of the need
for a patient assessment
Risks associated with a deionization ( D.I.) water treatment system include all except: - correct
answersD. DI removes all charged particles (-) ions or (+) cations
The best definition of asepsis is: - correct answersD. The absence of pathogens
A PCT is told by her male patient "I have been really depressed and lonely since I started coming here,
but being around you makes me feel a lot better. Do you think we could go out some evening?- I'll buy."
After politely and professionally declining the invitation, what other action(s), if any, should the PCT
take? - correct answersd. Report the incident to the facility social worker
What organization establishes dialysis water quality standards? - correct answersAssociation for the
Advancement of Medical Instrumentation (AAMI)
To make public drinking water safe municipal water suppliers commonly treat water with chemical
additives. These same additives must be removed from the water supply used for hemodialysis.
Common drinking water additives include all except: - correct answersa. Chlorine and ammonia
During a hemodialysis treatment a PCT notices the blood returning through the extracorporeal circuit is
a translucent cherry or cranberry red color. A likely cause of blood this color is: - correct answersb.
Hemolysis
Hemodialysis infection control precautions include all of the following except: - correct answersb.
Always recap needles to prevent injuring others
Gloves must be worn: - correct answersa. For patient or equipment contact
b. when troubleshooting the vascular access
c. Handling blood/ body fluid samples
d. For all of the above
Answer: d. For all of the above
The heparin sodium concentration commonly used in hemodialysis is: - correct answersa. 1ml: 1,000
units
A technician is setting up for a hemodialysis treatment with a re-processed dialyzer. When should the
technician verify the absence of residual sterilant? - correct answersc. Immediately before initiating
treatment
If the extracorporeal circuit clots, it would be most important to monitor the patient's: - correct
answersd. Hemoglobin level
One reason normal saline is used to prime the extracorporeal circuit prior to initiating treatment is to: -
correct answersc. Remove air
EXAMINATION preparation 2026
During a pre-treatment patient evaluation which question would be best for the PCT to ask? - correct
answersHow have you been since your last dialysis treatment?
During the set-up of a machine the alarm test for conductivity fails. Which action would be best for the
PCT to take? - correct answersContact the Biomed Equipment Tech
The dialysis industry strives to improved the quality of patient outcomes. One way this is done is
through the continuous quality improvement (CQI) process. Which of the following is a model of the CQI
process? - correct answersPlan, do, check, and act
The functional unit of the kidney is called the - correct answersNephron
The number one reason for chronic kidney failure in the United States is - correct answersDiabetes
What is the acid-base imbalance commonly seen in patients with chronic renal failure - correct
answersMetabolic acidosis
Which of the following is not a function of the kidney - correct answersStorage of urine
Approximately what percent of the cardiac output is received by the kidneys? - correct answers23%
Which of the following is considered an elevated serum potassium level for a dialysis patient? - correct
answersA. 3.0 mEq/L
B. 3.5 mEq/L
C. 4.0 mEq/L
D. none of the above
Answer: D none of the above
Hormones made by the kidney include all except - correct answersPTH and cholesterol
Hyperkalemia may cause - correct answersC. serious or even deadly changes in the heart rhythm
Which best describes the PTC's role in patient teaching? - correct answersD. Reinforce teaching the
patient may have received from the nurse, physician, dietitian or other teammates
Which type of vascular access has fewest complications? - correct answersC. The A/V fistula
A new hemodialysis patient receiving his first treatment may be at high risk for which of the following
problems: - correct answersC. Dialysis disequilibrium syndrome
Which of the following presents a potential for environmental contamination? - correct answersD.
About one ounce (30 ml) of fluid spilled on the floor next to the patients chair
, A patient arrives for her hemodialysis treatment and states she has been having nausea, vomiting, and
diarrhea for the last two days. Her estimated dry weight is 78.0 kg and her pre treatment weight is 77.0
kg. The best action for the PCT to take is: - correct answersD. Immediately notify the nurse of the need
for a patient assessment
Risks associated with a deionization ( D.I.) water treatment system include all except: - correct
answersD. DI removes all charged particles (-) ions or (+) cations
The best definition of asepsis is: - correct answersD. The absence of pathogens
A PCT is told by her male patient "I have been really depressed and lonely since I started coming here,
but being around you makes me feel a lot better. Do you think we could go out some evening?- I'll buy."
After politely and professionally declining the invitation, what other action(s), if any, should the PCT
take? - correct answersd. Report the incident to the facility social worker
What organization establishes dialysis water quality standards? - correct answersAssociation for the
Advancement of Medical Instrumentation (AAMI)
To make public drinking water safe municipal water suppliers commonly treat water with chemical
additives. These same additives must be removed from the water supply used for hemodialysis.
Common drinking water additives include all except: - correct answersa. Chlorine and ammonia
During a hemodialysis treatment a PCT notices the blood returning through the extracorporeal circuit is
a translucent cherry or cranberry red color. A likely cause of blood this color is: - correct answersb.
Hemolysis
Hemodialysis infection control precautions include all of the following except: - correct answersb.
Always recap needles to prevent injuring others
Gloves must be worn: - correct answersa. For patient or equipment contact
b. when troubleshooting the vascular access
c. Handling blood/ body fluid samples
d. For all of the above
Answer: d. For all of the above
The heparin sodium concentration commonly used in hemodialysis is: - correct answersa. 1ml: 1,000
units
A technician is setting up for a hemodialysis treatment with a re-processed dialyzer. When should the
technician verify the absence of residual sterilant? - correct answersc. Immediately before initiating
treatment
If the extracorporeal circuit clots, it would be most important to monitor the patient's: - correct
answersd. Hemoglobin level
One reason normal saline is used to prime the extracorporeal circuit prior to initiating treatment is to: -
correct answersc. Remove air
