CCHT EXAM Questions with complete solutions

CCHT EXAM Questions with complete solutionsWhile technical staff are preforming duties in the dialysis unit which team member must always be present A. Registered nurse B. Medical director for unit C. Lab technician - correct answer A. Registered nurse Two techs are heatedly discussing pt care situation. Which team member is responsible for disciplinary action A. Registered practical nurse B. Human resource manager C. Dialysis nurse manager - correct answer C. Dialysis nurse manager Which credentialing agency for dialysis includes items such as water treatment and dialysate preparation and complication of dialysis as part of their practice domains A. Board of nephrology examiners nursing in technology B. Nephrology nursing certification commission C. National nephrology certification organization - correct answer C. NNCO Prior to starting dialysis what must the technician and or nurse verify A. That patient has provided informed written consent for dialysis B. That the patient has not eaten any food or beverages for the last six hours C. That the patient has a driver to pick him up after dialysis - correct answer A. Consent Which external agencies provide additional guidelines and standards in the areas of infectious disease testing immunizations dialysis treatment safety and infection control? A. Centers for disease control and prevention B. Centers for Medicare and Medicaid service Page 2 of 25 C. Association for the advancement of medical instrumentation D. Council of nephrology - correct answer A B and C Prior to passing the Social Security amendments treatment for chronic kidney disease was available only to few who met certain criteria. The amendments extended Medicare coverage for almost all patients who signed the amendment and then what year A. Jimmy Carter in 1979 B. Richard Nixon 1972 C. John f Kennedy 1961 - correct answer B. Richard Nixon 1972 Which organization recently approved by CMS to be an independent organization allowed to conduct surveys for Medicare certification fostering faster approval for dialysis clinics A. National kidney foundation B. Medicare bundle dialysis prospective payment system C. National dialysis accreditation commission - correct answer C. NDAC What is the composition of saline A. 10% salt added to water B. Albumin C. 0.9g of sodium chloride and 100ml of water - correct answer C. 0.9g of sodium and 100ml of h2o When caring for a patient if the dialysate solution contains two little sodium the water may shift into the patient's blood cells which signs or symptoms would you see A. Hypotension B. Cramping C. Thirst D. Headache - correct answer A and B Which buffer is the major plasma buffer therefor important during dialysis A. Bicarbonate Page 3 of 25 B. Amino acid C. Protein - correct answer A. Bicarbonate While reviewing the body weight for a dialysis patient the tech knows that ——— of the total amount of water is contained in the intracellular fluid compartment A. 20% B. 30% C. 40% - correct answer C. 40% How much water is lost through evaporation form lungs every day A. 250-499 ml of water B. 700-1,000 ml of water C. ml of water - correct answer B. A patient asks to explain what the normal kidney does in addition to making urine what's the response A. Regulate fluid volume in body B. Regulate pH in blood C. produce erythropoietin that controls red blood cell production D. I receptor sites for several hormones - correct answer All of the above A patient with a renal failure asks if his candies will regenerate how does the technician answer A. With a diet low in sodium and exercise there's a good chance you'll get some function back B. If nephrons are damaged they do no regenerate C. If the heart can pump in a blood to the kidney there is a possibility that some of the nephrons can regenerate - correct answer B. If nephrons are damaged they won't regenerate This patient's kidneys have permanently lost most of their ability to remove waste and maintain fluid in chemical balance what's the patient's likely estimated glomerular filtration rate A. Less than 15 ml/min/ B. 60-89 ml/min/1.73 Page 4 of 25 C. 30-44 ml/min - correct answer A. Less than 15 The patient asks the dialysis technician if there's anything she can do to slow the progression of her kidney disease. Which risk factor could the technician mention during the conversation A. Control your blood glucose levels if you're a diabetic B. Maintain healthy weight C. Control cholesterol levels D. Stop use of alcohol - correct answer A B and C Which recommendation would've nephrologist likely make for a patient who has read stages three or four chronic kidney disease A. We'll tele health visits discussing daily urine output B. Dietary restriction on sodium phosphorus and protein C. Monitoring for mineral bone disease D. Education on cardiovascular disease - correct answer B,C and D Which patient would be considered at higher risk for developing chronic kidney disease A. Hispanic female who is unaware that she is hypertensive B. White female with family history of diabetes who watches her exercise and diet C. Asian male who schedules regular visits with healthcare provider D. African-American female whose parents both died following stroke - correct answer A and D Patient with chronic kidney disease asks what her goal hemoglobin level should be what level as recommended by the national kidney foundation kidney disease guidelines A. 9% B. 7% C. 11% - correct answer B.7% Patient with chronic kidney disease arrives at the center after his nephrology visit he relays to the staff that the doctor said he was hardening of the kidneys what is the cause of this condition Page 5 of 25 A. Prolonged severe hypertension B. Daily ingestion of sugar sweetened drinks C. High fat diet D. Too much calcium in the diet along with hypertension - correct answer A. What is one cause of postrenal failure A. Renal trauma B. Prostrate disease C. Fluid volume shifts D. Kidney infections - correct answer B. Prostate disease The family member of a dialysis technician has noted blood in his urine the tech also noted the weight loss and rubbing of the flank to ease the cramping pain which disease comes to mind A. Nephrotic syndrome B. Bladder infection C. Kidney stones D. Renal carcinoma - correct answer D. Renal carcinoma Which integumentary changes are commonly seen in patients with chronic kidney disease A. Brittle nails B. Excessive sweating C. Bruising D. Increase number of moles - correct answer A and C