CCHT CERTIFICATION STUDY
EXAMINATION Q & A 2025
DuringAaApretreatmentApatientAevaluationAwhichAquestionAwouldAbeAbestAforAtheAPCTAtoAa
sk?A-AcorrectAanswers-HowAhaveAyouAbeenAsinceAyourAlastAdialysisAtreatment?
DuringAtheAset-
upAofAaAmachineAtheAalarmAtestAforAconductivityAfails.AWhichAactionAwouldAbeAbestAforAtheA
PCTAtoAtake?A-AcorrectAanswers-ContactAtheABiomedAEquipmentATech
TheAdialysisAindustryAstrivesAtoAimprovedAtheAqualityAofApatientAoutcomes.AOneAwayAthisAis
AdoneAisAthroughAtheAcontinuousAqualityAimprovementA(CQI)Aprocess.AWhichAofAtheAfollowi
ngAisAaAmodelAofAtheACQIAprocess?A-AcorrectAanswers-Plan,Ado,Acheck,AandAact
TheAfunctionalAunitAofAtheAkidneyAisAcalledAtheA-AcorrectAanswers-Nephron
TheAnumberAoneAreasonAforAchronicAkidneyAfailureAinAtheAUnitedAStatesAisA-
AcorrectAanswers-Diabetes
WhatAisAtheAacid-baseAimbalanceAcommonlyAseenAinApatientsAwithAchronicArenalAfailureA-
AcorrectAanswers-MetabolicAacidosis
WhichAofAtheAfollowingAisAnotAaAfunctionAofAtheAkidneyA-AcorrectAanswers-StorageAofAurine
ApproximatelyAwhatApercentAofAtheAcardiacAoutputAisAreceivedAbyAtheAkidneys?A-
AcorrectAanswers-23%
WhichAofAtheAfollowingAisAconsideredAanAelevatedAserumApotassiumAlevelAforAaAdialysisApa
tient?A-AcorrectAanswers-A.A3.0AmEq/L
B.A3.5AmEq/L
C.A4.0AmEq/L
D.AnoneAofAtheAabove
Answer:ADAnoneAofAtheAabove
HormonesAmadeAbyAtheAkidneyAincludeAallAexceptA-AcorrectAanswers-PTHAandAcholesterol
HyperkalemiaAmayAcauseA-AcorrectAanswers-
C.AseriousAorAevenAdeadlyAchangesAinAtheAheartArhythm
WhichAbestAdescribesAtheAPTC'sAroleAinApatientAteaching?A-AcorrectAanswers-
D.AReinforceAteachingAtheApatientAmayAhaveAreceivedAfromAtheAnurse,Aphysician,AdietitianA
orAotherAteammates
WhichAtypeAofAvascularAaccessAhasAfewestAcomplications?A-AcorrectAanswers-
C.ATheAA/VAfistula
AAnewAhemodialysisApatientAreceivingAhisAfirstAtreatmentAmayAbeAatAhighAriskAforAwhichAofAt
heAfollowingAproblems:A-AcorrectAanswers-C.ADialysisAdisequilibriumAsyndrome
WhichAofAtheAfollowingApresentsAaApotentialAforAenvironmentalAcontamination?A-
AcorrectAanswers-
D.AAboutAoneAounceA(30Aml)AofAfluidAspilledAonAtheAfloorAnextAtoAtheApatientsAchair
AApatientAarrivesAforAherAhemodialysisAtreatmentAandAstatesAsheAhasAbeenAhavingAnausea
,Avomiting,AandAdiarrheaAforAtheAlastAtwoAdays.AHerAestimatedAdryAweightAisA78.0AkgAandAh
erApreAtreatmentAweightAisA77.0Akg.ATheAbestAactionAforAtheAPCTAtoAtakeAis:A-
AcorrectAanswers-D.AImmediatelyAnotifyAtheAnurseAofAtheAneedAforAaApatientAassessment
, RisksAassociatedAwithAaAdeionizationA(AD.I.)AwaterAtreatmentAsystemAincludeAallAexcept:A-
AcorrectAanswers-D.ADIAremovesAallAchargedAparticlesA(-)AionsAorA(+)Acations
TheAbestAdefinitionAofAasepsisAis:A-AcorrectAanswers-D.ATheAabsenceAofApathogens
AAPCTAisAtoldAbyAherAmaleApatientA"IAhaveAbeenAreallyAdepressedAandAlonelyAsinceAIAstarte
dAcomingAhere,AbutAbeingAaroundAyouAmakesAmeAfeelAaAlotAbetter.ADoAyouAthinkAweAcouldA
goAoutAsomeAevening?-
AI'llAbuy."AAfterApolitelyAandAprofessionallyAdecliningAtheAinvitation,AwhatAotherAaction(s),AifA
any,AshouldAtheAPCTAtake?A-AcorrectAanswers-
d.AReportAtheAincidentAtoAtheAfacilityAsocialAworker
WhatAorganizationAestablishesAdialysisAwaterAqualityAstandards?A-AcorrectAanswers-
AssociationAforAtheAAdvancementAofAMedicalAInstrumentationA(AAMI)
ToAmakeApublicAdrinkingAwaterAsafeAmunicipalAwaterAsuppliersAcommonlyAtreatAwaterAwith
AchemicalAadditives.ATheseAsameAadditivesAmustAbeAremovedAfromAtheAwaterAsupplyAuse
dAforAhemodialysis.ACommonAdrinkingAwaterAadditivesAincludeAallAexcept:A-
AcorrectAanswers-a.AChlorineAandAammonia
DuringAaAhemodialysisAtreatmentAaAPCTAnoticesAtheAbloodAreturningAthroughAtheAextracor
porealAcircuitAisAaAtranslucentAcherryAorAcranberryAredAcolor.AAAlikelyAcauseAofAbloodAthisAc
olorAis:A-AcorrectAanswers-b.AHemolysis
HemodialysisAinfectionAcontrolAprecautionsAincludeAallAofAtheAfollowingAexcept:A-
AcorrectAanswers-b.AAlwaysArecapAneedlesAtoApreventAinjuringAothers
GlovesAmustAbeAworn:A-AcorrectAanswers-a.AForApatientAorAequipmentAcontact
b.AwhenAtroubleshootingAtheAvascularAaccess
c.AHandlingAblood/AbodyAfluidAsamples
d.AForAallAofAtheAabove
Answer:Ad.AForAallAofAtheAabove
TheAheparinAsodiumAconcentrationAcommonlyAusedAinAhemodialysisAis:A-
AcorrectAanswers-a.A1ml:A1,000Aunits
AAtechnicianAisAsettingAupAforAaAhemodialysisAtreatmentAwithAaAre-
processedAdialyzer.AWhenAshouldAtheAtechnicianAverifyAtheAabsenceAofAresidualAsterilant?
A-AcorrectAanswers-c.AImmediatelyAbeforeAinitiatingAtreatment
IfAtheAextracorporealAcircuitAclots,AitAwouldAbeAmostAimportantAtoAmonitorAtheApatient's:A-
AcorrectAanswers-d.AHemoglobinAlevel
OneAreasonAnormalAsalineAisAusedAtoAprimeAtheAextracorporealAcircuitApriorAtoAinitiatingAtre
atmentAisAto:A-AcorrectAanswers-c.ARemoveAair
WhatAisAtheAnameAofAtheAinstrumentAusedAtoAmeasureAbloodApressure?A-AcorrectAanswers-
c.ASphygmomanometer
WhichAofAtheAfollowingAwouldAimproveAtheAadequacyAofAtheAdialysisAtreatment?A-
AcorrectAanswers-b.AIncreaseAtheAtreatmentAtime
DuringAaAhemodialysisAtreatmentAaApatientAgoesAintoAcardiacAarrest.AWhatAshouldAtheAPC
TAdoAfirst?A-AcorrectAanswers-b.ACallAforAhelp
PriorAtoAcannulationAtheAtechnicianAnoticesAtheApatient'sAA/VAfistulaAisAredAandAwarmAtoAth
eAtouch.ATheseAsymptomsAareAmostAlikelyAdueAto:A-AcorrectAanswers-c.AInfection
LabAresultsAindicateAtheApatient'sApre-
treatmentABUNAvalueAwasAlowerAthanAtheApostAtreatmentABUNAvalue.AAApotentialAcauseAc
ouldAbe:A-AcorrectAanswers-d.ATheApre-
dialysisAsampleAwasAtakenAfromAtheAvenousAlineAafterAtheAtreatmentAstarted
EXAMINATION Q & A 2025
DuringAaApretreatmentApatientAevaluationAwhichAquestionAwouldAbeAbestAforAtheAPCTAtoAa
sk?A-AcorrectAanswers-HowAhaveAyouAbeenAsinceAyourAlastAdialysisAtreatment?
DuringAtheAset-
upAofAaAmachineAtheAalarmAtestAforAconductivityAfails.AWhichAactionAwouldAbeAbestAforAtheA
PCTAtoAtake?A-AcorrectAanswers-ContactAtheABiomedAEquipmentATech
TheAdialysisAindustryAstrivesAtoAimprovedAtheAqualityAofApatientAoutcomes.AOneAwayAthisAis
AdoneAisAthroughAtheAcontinuousAqualityAimprovementA(CQI)Aprocess.AWhichAofAtheAfollowi
ngAisAaAmodelAofAtheACQIAprocess?A-AcorrectAanswers-Plan,Ado,Acheck,AandAact
TheAfunctionalAunitAofAtheAkidneyAisAcalledAtheA-AcorrectAanswers-Nephron
TheAnumberAoneAreasonAforAchronicAkidneyAfailureAinAtheAUnitedAStatesAisA-
AcorrectAanswers-Diabetes
WhatAisAtheAacid-baseAimbalanceAcommonlyAseenAinApatientsAwithAchronicArenalAfailureA-
AcorrectAanswers-MetabolicAacidosis
WhichAofAtheAfollowingAisAnotAaAfunctionAofAtheAkidneyA-AcorrectAanswers-StorageAofAurine
ApproximatelyAwhatApercentAofAtheAcardiacAoutputAisAreceivedAbyAtheAkidneys?A-
AcorrectAanswers-23%
WhichAofAtheAfollowingAisAconsideredAanAelevatedAserumApotassiumAlevelAforAaAdialysisApa
tient?A-AcorrectAanswers-A.A3.0AmEq/L
B.A3.5AmEq/L
C.A4.0AmEq/L
D.AnoneAofAtheAabove
Answer:ADAnoneAofAtheAabove
HormonesAmadeAbyAtheAkidneyAincludeAallAexceptA-AcorrectAanswers-PTHAandAcholesterol
HyperkalemiaAmayAcauseA-AcorrectAanswers-
C.AseriousAorAevenAdeadlyAchangesAinAtheAheartArhythm
WhichAbestAdescribesAtheAPTC'sAroleAinApatientAteaching?A-AcorrectAanswers-
D.AReinforceAteachingAtheApatientAmayAhaveAreceivedAfromAtheAnurse,Aphysician,AdietitianA
orAotherAteammates
WhichAtypeAofAvascularAaccessAhasAfewestAcomplications?A-AcorrectAanswers-
C.ATheAA/VAfistula
AAnewAhemodialysisApatientAreceivingAhisAfirstAtreatmentAmayAbeAatAhighAriskAforAwhichAofAt
heAfollowingAproblems:A-AcorrectAanswers-C.ADialysisAdisequilibriumAsyndrome
WhichAofAtheAfollowingApresentsAaApotentialAforAenvironmentalAcontamination?A-
AcorrectAanswers-
D.AAboutAoneAounceA(30Aml)AofAfluidAspilledAonAtheAfloorAnextAtoAtheApatientsAchair
AApatientAarrivesAforAherAhemodialysisAtreatmentAandAstatesAsheAhasAbeenAhavingAnausea
,Avomiting,AandAdiarrheaAforAtheAlastAtwoAdays.AHerAestimatedAdryAweightAisA78.0AkgAandAh
erApreAtreatmentAweightAisA77.0Akg.ATheAbestAactionAforAtheAPCTAtoAtakeAis:A-
AcorrectAanswers-D.AImmediatelyAnotifyAtheAnurseAofAtheAneedAforAaApatientAassessment
, RisksAassociatedAwithAaAdeionizationA(AD.I.)AwaterAtreatmentAsystemAincludeAallAexcept:A-
AcorrectAanswers-D.ADIAremovesAallAchargedAparticlesA(-)AionsAorA(+)Acations
TheAbestAdefinitionAofAasepsisAis:A-AcorrectAanswers-D.ATheAabsenceAofApathogens
AAPCTAisAtoldAbyAherAmaleApatientA"IAhaveAbeenAreallyAdepressedAandAlonelyAsinceAIAstarte
dAcomingAhere,AbutAbeingAaroundAyouAmakesAmeAfeelAaAlotAbetter.ADoAyouAthinkAweAcouldA
goAoutAsomeAevening?-
AI'llAbuy."AAfterApolitelyAandAprofessionallyAdecliningAtheAinvitation,AwhatAotherAaction(s),AifA
any,AshouldAtheAPCTAtake?A-AcorrectAanswers-
d.AReportAtheAincidentAtoAtheAfacilityAsocialAworker
WhatAorganizationAestablishesAdialysisAwaterAqualityAstandards?A-AcorrectAanswers-
AssociationAforAtheAAdvancementAofAMedicalAInstrumentationA(AAMI)
ToAmakeApublicAdrinkingAwaterAsafeAmunicipalAwaterAsuppliersAcommonlyAtreatAwaterAwith
AchemicalAadditives.ATheseAsameAadditivesAmustAbeAremovedAfromAtheAwaterAsupplyAuse
dAforAhemodialysis.ACommonAdrinkingAwaterAadditivesAincludeAallAexcept:A-
AcorrectAanswers-a.AChlorineAandAammonia
DuringAaAhemodialysisAtreatmentAaAPCTAnoticesAtheAbloodAreturningAthroughAtheAextracor
porealAcircuitAisAaAtranslucentAcherryAorAcranberryAredAcolor.AAAlikelyAcauseAofAbloodAthisAc
olorAis:A-AcorrectAanswers-b.AHemolysis
HemodialysisAinfectionAcontrolAprecautionsAincludeAallAofAtheAfollowingAexcept:A-
AcorrectAanswers-b.AAlwaysArecapAneedlesAtoApreventAinjuringAothers
GlovesAmustAbeAworn:A-AcorrectAanswers-a.AForApatientAorAequipmentAcontact
b.AwhenAtroubleshootingAtheAvascularAaccess
c.AHandlingAblood/AbodyAfluidAsamples
d.AForAallAofAtheAabove
Answer:Ad.AForAallAofAtheAabove
TheAheparinAsodiumAconcentrationAcommonlyAusedAinAhemodialysisAis:A-
AcorrectAanswers-a.A1ml:A1,000Aunits
AAtechnicianAisAsettingAupAforAaAhemodialysisAtreatmentAwithAaAre-
processedAdialyzer.AWhenAshouldAtheAtechnicianAverifyAtheAabsenceAofAresidualAsterilant?
A-AcorrectAanswers-c.AImmediatelyAbeforeAinitiatingAtreatment
IfAtheAextracorporealAcircuitAclots,AitAwouldAbeAmostAimportantAtoAmonitorAtheApatient's:A-
AcorrectAanswers-d.AHemoglobinAlevel
OneAreasonAnormalAsalineAisAusedAtoAprimeAtheAextracorporealAcircuitApriorAtoAinitiatingAtre
atmentAisAto:A-AcorrectAanswers-c.ARemoveAair
WhatAisAtheAnameAofAtheAinstrumentAusedAtoAmeasureAbloodApressure?A-AcorrectAanswers-
c.ASphygmomanometer
WhichAofAtheAfollowingAwouldAimproveAtheAadequacyAofAtheAdialysisAtreatment?A-
AcorrectAanswers-b.AIncreaseAtheAtreatmentAtime
DuringAaAhemodialysisAtreatmentAaApatientAgoesAintoAcardiacAarrest.AWhatAshouldAtheAPC
TAdoAfirst?A-AcorrectAanswers-b.ACallAforAhelp
PriorAtoAcannulationAtheAtechnicianAnoticesAtheApatient'sAA/VAfistulaAisAredAandAwarmAtoAth
eAtouch.ATheseAsymptomsAareAmostAlikelyAdueAto:A-AcorrectAanswers-c.AInfection
LabAresultsAindicateAtheApatient'sApre-
treatmentABUNAvalueAwasAlowerAthanAtheApostAtreatmentABUNAvalue.AAApotentialAcauseAc
ouldAbe:A-AcorrectAanswers-d.ATheApre-
dialysisAsampleAwasAtakenAfromAtheAvenousAlineAafterAtheAtreatmentAstarted