CCHT Practice Exam Questions With 100% Correct Answers

CCHT Practice Exam Questions With 100% Correct AnswersAAMI Chemical Analysis of water used for hemodialysis is tested - annually A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis machine. Which of these actions should the dialysis technician take? - Clean the machine surface immediately A dialysis technician observes all of the below on the treatment floor, which one poses an environment risk? - About one ounce (30 ml) fluid is on the floor A fistula connects - An artery to a vein A marker used to determine the middle molecule clearance of a dialyzer is - Vitamin B12 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. 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 - An infiltration A patient who is to receive their first dialysis treatment is prone to? - Dialysis Disequilibrium Syndrome A patient tells the technician that the dietician reviewed high potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium? - bananas 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 during hemodialysis is indicative of - Clotting of extracorporeal circuit A teammate asks you to document the normal saline he just gave to Mr. Smith. You would: - Never document something that someone else did A true aneurysm can be dangerous because it - May rupture and cause the patient to bleed profusely Page 2 of 15 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 predialysis sample drawn from the venous port? A rapid pulse of 104 beats/minute would indicate that the patient has: - Tachycardia A patient's dry weight is 154.0 (70kg) and the patient's pre treatment weight is 158.4. (72kg). For a four- hour treatment, how many mL/ hour must the patient lose to reach dry weight? - 500 AAMI standards for the total microbial count of dialysate shall not exceed: - 200 CFU/mL Acceptable interdialytic weight gains are - 3-5% of EDW According to AAMI the standard level for endotoxins levels is - Less than two (2) EU/mL According to the new Conditions for Coverage, all dialysis technicians are to be certified by a national certifying agency or state specific certification by: - 4/15/2010 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 infected access except: - numbness and tingling Asepsis is defined as - The absence of disease producing organisms 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 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 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 to a low venous pressure alarm. The most likely cause for this alarm is: - Disconnection of the bloodline Biohazardous waste includes any material exposed to: - Blood Page 3 of 15 Decreasing the patient's prescribed blood flow rate affects the rate of - Diffusion During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first? - Stop the pump Dialysate pH should be: - Between 7.0 and 7.4 During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drop chamber. The immediate action of the dialysis technician should be to: - Clamp the venous line 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? 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 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 ESRD specific tests such as BUN, Creatinine, and URR are - Indicators of the adequacy of the renal replacement therapy Excess fluid is forced out of the blood and into the dialysate during dialysis by which principle - Ultrafiltration Feed conductivity- product conductivity divided by x 100 is the formula calculation of - Percent rejection Fluid to be removed divided by the treatment time tells us - The ultrafiltration rate Germicide rebound occurs due to: - Inadequate dialyzer priming Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of: - Anaphylaxis (severe allergic reaction) Hyperkalemia can lead to - Cardiac arrest If the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum level of: - Hemoglobin In reuse, the blood path integrity is tested to - Check dialyzer for total cell volume Lidocaine is administered - Subcutaneous Page 4 of 15 Low albumin levels in the dialysis patient have been linked with: - Higher hospitalization and death rates Medications that dialyze easily are all except - Digoxin Mr. Jones demonstrates how to wash his aces. This is an example of which adult learning principle? - Psychomotor Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr Jones should avoid which medication? - Milk of Magnesia Mr. Roberts verbalized how to hand crank his blood pump in the event of an emergency. This is an example of which adult p