NNCC CCHT Certification Exam Questions with Correct and Verified Answers Latest Update 2023/2024 Graded A+

NNCC CCHT Certification Exam Questions with Correct and Verified Answers Latest Update 2023/2024 Graded A+. A patient complains of pain at venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The tech should suspect: An infiltration 19. A patient who is to receive their first dialysis treatment is prone to: dialysis disequilibrium syndrome 20. a patient tells the technician that the dietitian reviewed high-potassium foods with her. during the conversation she states she routinely eats the following food. which one is highest in potassium?: bananas 21. slow pulse of 54 beats/minute would indicate the patient has:: bradycardia 22. A reason why a dialysis technician is to be certified is:: It's a CMS requirement 23. A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of: clotting in the extracorporeal circuit 24. A teammate asks you to document the normal saline he just gave to Mr. Smith. You would: never document something that someone else did 25. A true aneurysm can be dangerous because it: may rupture and cause the patient to bleed profusely 26. A patient's laboratory results indicate that the predialysis 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.: Was the post dialysis sample drawn correctly 27. a rapid pulse of 104 beats/minute would indicate that the patient has:: - tachycardia 28. A patient's target weight is 154.0 lb (70 kg) and the patient's pre treatment weight is 158.4 lb (72 kg). For a four-hour treatment, how many mL/hour must the patient lose to reach dry weight?: 500 29. AAMI standard for conventional dialysate requires the total microbial count be less than: 100 CFU/mL 30. The AAMI standard for endotoxin levels in conventional dialysate is: less than two (2) EU/mL 31. Albumin is an important test that tells about the patients' status.: nutritional 32. All of the following are phosphate binders EXCEPT : 3 / 12 Renagel Phos-Lo Tums Vitamin B12: Vitamin B12 33. All of the following may be. signs and symptoms of an infected access EXCEPT : fever and swelling of the access numbness and tingling redness and warmth tenderness and drainage: Numbness and tingling 34. Before a hemodialysis treatment, the technician removes 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?: discard the needle 35. Dialysate that is too hot will cause: hemolysis 36. Target weight is defined as the: weight at which the patient has no edema or fluid in the lungs and BP is normal. 37. During a hemodialysis treatment the technician responds to a low venous pressure alarm. The most likely cause for this alarm is:: Disconnection of the bloodline 38. During a hemodialysis treatment, a patient says to the technician, 'Three hours of time have passed according to the clock on the wall, but the machineshows that only 2.5 hours have passed. What could be the problem?' The technician should understand that the: machine was in bypass for 30 minutes 39. Biohazardous waste includes any material exposed to:: blood 40. Decreasing the patient's prescribed blood flow rate affects the rate of: - diffusion 41. During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first?: stop the blood pump 42. During hemodialysis a patient goes into cardiac arrest. The first action for the dialysis technician is: Call for assistance 43. Dialysate pH should be: Between 6.9 and 7.6 NNCC CCHT Certification Exam Questions with Correct Answers 4 / 12 44. During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drip chamber. The immediate action of the dialysis technician should be to:: Clamp the venous line 45. during predialysis data collection, it would be best for the technician to ask the patient which of these questions?: How have you been since your last dialysis treatment? 46. During the hemodialysis treatment, a patient complains of feeling chilled. In addition to getting the patient a blanket, which of these actions should the technician take?: take the patient's temperature 47. during the set-up of a hemodialysis machine, the alarm test for conductivity fails. which of these actions should the dialysis technician take?: Notify the equipment technician 48. ESRD specific tests such as BUN, Creatinine, and URR are: indicators of the adequacy of the renal replacement therapy 49. excess fluid is forced out of the blood and into the dialysate during dialysis by which principle?: ultrafiltration 50. Feed conductivity minus product conductivity divided by feed conductivity X 100 is the formula for calculating: percent resistivity 51. Fifteen minutes before the end of a hemodialysis treatment, a patient complains of dizziness and nausea. These symptoms are most likely due to:: hypotension 52. Fluid to be removed divided by the treatment time tells us: the ultrafiltration rate 53. Germicide rebound occurs due to: Inadequate dialyzer priming 54. A semipermeable membrane is a porous barrier that:: Allows for only certain sized particles to cross 55. Mrs. Smith's target weight is 62 kg. Her pretreatment weight when she came in for treatment on Monday was 67 kg. The priming saline amount is 240 mL, the rinseback amount is 200 mL, fluid from medications is 100 mL, and she is not allowed any fluids during treatment. What is the total amount of fluid weight to be removed during her treatment?: 5,540 mL 56. Based on Mrs. Smith's total amount of fluid to be removed, what is the ultrafiltration rate per hour (mL/hr) for her 4-hour treatment?: 1,385 ml/hr 57. Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of: anaphylaxis (severe allergic reaction) NNCC CCHT Certification Exam Questions with Correct Answers 5 / 12 58. Hyperkalemia can lead to: cardiac arrest 59. if a patient develops an infection post transplant, the largest contributing factor would most likely be:: immunosuppressive medication 60. If the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum level of: hemoglobin 61. During dialyzer reprocessing, the blood compartment is tested to: Check dialyzer for total cell volume 62. Infection control protocols for hemodialysis equipment should include which of these actions by the caregiver?: using gloves when touching the machine 63. Lidocaine is administered: intradermally 64. Low albumin levels in the dialysis patient have been linked with: Higher hospitalization and death rates 65. A medication that dialyzes off easily is: Digoxin 66. Mr. jones demonstrates how to wash his access. this is a an example of which adult learning principle: psychomotor 67. Mr. jones suffers from constipation. he goes to the drug store to buy a laxative. Mr. jones should avoid which medication?: milk of magnesia 68. Mr. Roberts verbalizes how to hand crank his blood pump in the event of an emergency. this is an example of which adult principle?: cognitive 69. Mrs. pruitt's temperature is elevated post-hemodialysis treatment. which of these actions should the dialysis technician take?: Notify the nurse 70. Mrs. smith arrives for dialysis treatment complaining of shortness of breath. her pre-dialysis weight is 4.7 kilograms above the last post-treatment weight. the dialysis technician reweighed and verified the weight. which of the actions should the dialysis technician take next?: notify the nurse of the need for an assessment 71. Ms. Foster complains of shortness of breath. While calling for the nurse the dialysis technician notices there is air in the extracorporeal circuit she/he should place Ms. Foster in: trendelenburg position on left side 72. One reason that normal saline is used to prime and perform recirculation for the extracorporeal circuit prior to treatment is to remove: Air 73. Normal body pH: 7.35-7.45 74. One disadvantage of a fistula is an increase in: Time to mature NNCC CCHT Certification Exam Questions with Correct Answers 6 / 12 75. One cause of aneurysms and pseudoaneurysms is:: Poor rotation of sites 76. the air detector alarms during treatment. if the machine is working properly, the dialysis technician should expect which of these events to have occurred: blood pump has stopped 77. pain at the venous needle site, along with respiratory difficulty and chest pain could be an indicator of: sterilant infusion 78. Patient exposure to chloramines during the hemodialysis treatment may cause: hemolysis 79. One sign and symptom of fluid overload is: hypertension 80. Solutions that have a higher osmolarity than body fluids are called?: hypertonic 81. Sam's TW is 70 kilograms (kg). He arrives for treatment today at a weight of 70 kg. He complains of shortness of breath and you notice his ankles are swollen. You notify the charge nurse. What do you think will be the plan for Sam's treatment today?: The nurse will get an order to increase the TW 82. Symptoms of hyperkalemia may include: numbness and tingling 83. The accuracy of the lab results depends on adherence to proper lab draw technique. You must ensure that labs are drawn?: at the right time, right site, and right order