CCHT Exam Prep 010 2026
When it is suspected that a patient has an air embolism the first intervention should be to - correct
answersClamp the patients bloodlines
Which of the following is NOT true when cannulating a new AV fistula? - correct answersUse of the
tourniquet is optional when cannulating a new AV fistula
The patient exhibits signs of hemolysis. What is the appropriate action to take ? - correct answersTurn
the blood pump off clamp the venous line
Which factor is most likely to affect dialysis adequacy? - correct answersDialyzer is primed at 300
ml/min
Concentrate labeling strategies must allow for the posit indetificaton of the contents of the mixing tanks
storage tanks concentrate head thanks valve panels and the - correct answersBicarbonate/ acid jugs
Which group of solutes may be present in a prescribed dialysate solution? - correct answersSodium,
chloride, potassium, and calcium
The softener tank works in conjunction with the brine tank using the process of - correct
answersAbsorption
The purpose of an ultraviolet (UV) irradiated is to - correct answersDestroy bacteria in the water system
KT/V is improved by - correct answersPriming the dialyzer at a blood flow rate of 150
When removing needles from an internal access the needle safety device - correct answersShould be
engaged while removing needle from the patients access
Which of these findings noted on a safety check would indicate that an intervention is needed - correct
answersHemosafe is in place and secure on the arterial line
The carbon tanks remove - correct answersChlorine and chloramines
When instructing patients with chronic kidney disease, who are receiving dialysis, the nurse should
include the fact that - correct answersElevated potassium levels may cause changes in the heart rhythm
The new needle placement following an ARTERIAL needle infiltration should be - correct answersAbove
the infiltration
The ratio of bleach to water in the solution used to disinfect external surfaces and equipment - correct
answers100ms of bleach to 1 liter of water
A fistula is considered the access of choice because fistula - correct answersHave the lowest
complication rate
, If the bicarbonate jugs have been in storage and are needed for emergency use what action must be
taken prior to use - correct answersDisinfect with 1:100 bleach water and rinse with RO water until
negative for bleach
A patient begins to experience shortness of breath, chest pain, and sudden hypertension, the blood is
bright red and translucent. The complication MOST LIKELY occurring is - correct answersAir embolus
Dialysis has been initiated on a patient using a right internal jugular catheter as the blood pump is
turned up to 200 foam begins to accumulate in the lines the patient begins to wheeze and becomes
short of breath the care giver first action would be - correct answersClamp the venous line
Which of the following would minimize bacterial growth in the water treatment system? - correct
answersTurning off the ultraviolet (UV) light
An important factor in achieving adequacy during machine set up is - correct answersPriming the
dialyzer venous end up
What reading on the reverse osmosis (RO) machine indicates the level of water quality - correct
answersTotal dissolved solids
A 40 year old patient, who has severe hypertension, is to start on Hemodialysis. The patient does not
have diabetes or cardiac problems. What type of access is preferable? - correct answersAn
arteriovenous fistula
In addition to correctly labeling the concentrate containers to avoid error it is also mandatory to label
the concentrate delivery at the - correct answersSolution delivery system (sds) wall ports
The patient is supine, breathing normally with eye closed, all machine parameters are normal and
extracorporeal circuit is intact. Based on these observations at this time, what would be the most
appropriate observation documented? - correct answersPatient resting quietly, respirations 18, no
changes in VS, connection secure, no unusual findings
The patients blood leak detectors alarms. After verifying the blood pump has stopped, what should the
patient care technician do next? - correct answersInspect the dialysate effluent for pink or red tinged
color
If bicarbonate concentrate jugs are used the frequency for disinfecting jugs is - correct answersweekly
The patient care technician observes a patient at the 30 minute safety check. What signs or symptoms
will prompt the patient care tech to wake the patient for further evaluation? - correct answersThe
patient does not respond to a verbal question and vital signs are trending down
What notification process would alert the staff of poor water quality during the dialysis treatment -
correct answersRemote total dissolved solids tds alarms in the treatment room
Regarding the use of clamps on a venipuncture site, it is important for the nurse to have which of these
understandings? - correct answersUse only one clamp at a time to prevent excessive pressure
When it is suspected that a patient has an air embolism the first intervention should be to - correct
answersClamp the patients bloodlines
Which of the following is NOT true when cannulating a new AV fistula? - correct answersUse of the
tourniquet is optional when cannulating a new AV fistula
The patient exhibits signs of hemolysis. What is the appropriate action to take ? - correct answersTurn
the blood pump off clamp the venous line
Which factor is most likely to affect dialysis adequacy? - correct answersDialyzer is primed at 300
ml/min
Concentrate labeling strategies must allow for the posit indetificaton of the contents of the mixing tanks
storage tanks concentrate head thanks valve panels and the - correct answersBicarbonate/ acid jugs
Which group of solutes may be present in a prescribed dialysate solution? - correct answersSodium,
chloride, potassium, and calcium
The softener tank works in conjunction with the brine tank using the process of - correct
answersAbsorption
The purpose of an ultraviolet (UV) irradiated is to - correct answersDestroy bacteria in the water system
KT/V is improved by - correct answersPriming the dialyzer at a blood flow rate of 150
When removing needles from an internal access the needle safety device - correct answersShould be
engaged while removing needle from the patients access
Which of these findings noted on a safety check would indicate that an intervention is needed - correct
answersHemosafe is in place and secure on the arterial line
The carbon tanks remove - correct answersChlorine and chloramines
When instructing patients with chronic kidney disease, who are receiving dialysis, the nurse should
include the fact that - correct answersElevated potassium levels may cause changes in the heart rhythm
The new needle placement following an ARTERIAL needle infiltration should be - correct answersAbove
the infiltration
The ratio of bleach to water in the solution used to disinfect external surfaces and equipment - correct
answers100ms of bleach to 1 liter of water
A fistula is considered the access of choice because fistula - correct answersHave the lowest
complication rate
, If the bicarbonate jugs have been in storage and are needed for emergency use what action must be
taken prior to use - correct answersDisinfect with 1:100 bleach water and rinse with RO water until
negative for bleach
A patient begins to experience shortness of breath, chest pain, and sudden hypertension, the blood is
bright red and translucent. The complication MOST LIKELY occurring is - correct answersAir embolus
Dialysis has been initiated on a patient using a right internal jugular catheter as the blood pump is
turned up to 200 foam begins to accumulate in the lines the patient begins to wheeze and becomes
short of breath the care giver first action would be - correct answersClamp the venous line
Which of the following would minimize bacterial growth in the water treatment system? - correct
answersTurning off the ultraviolet (UV) light
An important factor in achieving adequacy during machine set up is - correct answersPriming the
dialyzer venous end up
What reading on the reverse osmosis (RO) machine indicates the level of water quality - correct
answersTotal dissolved solids
A 40 year old patient, who has severe hypertension, is to start on Hemodialysis. The patient does not
have diabetes or cardiac problems. What type of access is preferable? - correct answersAn
arteriovenous fistula
In addition to correctly labeling the concentrate containers to avoid error it is also mandatory to label
the concentrate delivery at the - correct answersSolution delivery system (sds) wall ports
The patient is supine, breathing normally with eye closed, all machine parameters are normal and
extracorporeal circuit is intact. Based on these observations at this time, what would be the most
appropriate observation documented? - correct answersPatient resting quietly, respirations 18, no
changes in VS, connection secure, no unusual findings
The patients blood leak detectors alarms. After verifying the blood pump has stopped, what should the
patient care technician do next? - correct answersInspect the dialysate effluent for pink or red tinged
color
If bicarbonate concentrate jugs are used the frequency for disinfecting jugs is - correct answersweekly
The patient care technician observes a patient at the 30 minute safety check. What signs or symptoms
will prompt the patient care tech to wake the patient for further evaluation? - correct answersThe
patient does not respond to a verbal question and vital signs are trending down
What notification process would alert the staff of poor water quality during the dialysis treatment -
correct answersRemote total dissolved solids tds alarms in the treatment room
Regarding the use of clamps on a venipuncture site, it is important for the nurse to have which of these
understandings? - correct answersUse only one clamp at a time to prevent excessive pressure
