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CHT Study Guide 2025/2026 | 200+ Dialysis Certification Questions on Fluid Management, Water Treatment, Infection Control, Kt/V, Access Sites & Emergency Response

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This expertly curated CHT Study Guide for 2025/2026 includes 200+ exam-style questions with correct answers, designed specifically for candidates preparing for the Certified Hemodialysis Technician (CHT) exam under the Bonent certification pathway. The questions reflect the updated industry standards and patient care protocols, making it a highly relevant tool for mastering clinical, technical, and safety aspects of dialysis. The guide covers all major testable domains: Renal physiology: nephron function, endocrine regulation, waste removal, and electrolyte balance Dialysis operations: ultrafiltration, osmosis, diffusion, Kt/V, conductivity, adequacy of dialysis, and dialyzer performance Water treatment standards: RO systems, DI tanks, ultrafilters, AAMI and CMS regulations Infection control & emergency response: hemolysis, air embolism, pyrogenic reactions, hypotension, disinfection protocols Access site care: AV fistula/graft management, thrill/bruit assessment, aneurysms, steal syndrome, infiltration Patient communication and safety: HIPAA compliance, mental health, patient education, handling hazardous spills, MSDS Clinical judgment and ethical practice: appropriate referrals, boundary-setting with patients, recognizing depression or confusion in high-risk patients Medication management: phosphate binders, Epogen, insulin timing, and saline flush procedures This resource is ideal for: Hemodialysis Technicians (PCTs) preparing for Bonent CHT certification Nephrology nurses, new hires in dialysis units, and clinical trainers Healthcare students enrolled in renal care, patient care technology, or dialysis education programs Supervisors conducting in-service assessments or preparing staff for certification The study guide not only reinforces exam readiness, but also empowers professionals with the clinical reasoning and procedural knowledge essential for safe and effective dialysis care. Keywords: CHT Bonent exam, dialysis technician test, renal physiology review, dialysis infection control, Kt/V calculation, water treatment standards, ultrafiltration, nephron function, access site complications, dialysis emergency response, hemodialysis machine alarms, electrolyte management, phosphate binders, RO system, AAMI standards

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Number of pages
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2025/2026
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CHT Study Guide Bonent 2025/2026
Exam Questions and Answers | A+
Score Assured



You are the PCT taking care of Mr. Smith. He tells you that he has no ride

today to go home after treatment. You - 🧠 ANSWER ✔✔Refer him to the

Social Worker

While taking the pulse you find that the patient has arrhythmia. You know

that one of the causes of arrhythmia is - 🧠 ANSWER ✔✔Elevated

potassium level

The patient is complaining that he is cold. He requests to be totally

covered. You explain to the patient that the access has to remain

undercover because: - 🧠 ANSWER ✔✔The fistula needle could be

dislodged and you will be able to intervene right away.

,Mr. Wonder is new to dialysis, his schedule is M-W-F at 6 am. He used to

run every morning and he is upset that he has to give his running to

accommodate the dialysis schedule. You - 🧠 ANSWER ✔✔Tell the patient

that you will make every effort possible to adjust his schedule so he can

continue to run every morning.


The functional unit of a kidney is - 🧠 ANSWER ✔✔Nephron


A healthy kidney excretes - 🧠 ANSWER ✔✔Phosphorus


Renagel is a medication that is a - 🧠 ANSWER ✔✔Phosphate binder


Which one is the highest in Potassium - 🧠 ANSWER ✔✔2 cups of raisins


What are some of the foods that are high in phosphorus - 🧠 ANSWER

✔✔Milk and Cheese


Water softener removes: - 🧠 ANSWER ✔✔Magnesium and Calcium


Chlorine and Chloramines are removed by: - 🧠 ANSWER ✔✔Carbon Tanks


Endotoxins are removed by: - 🧠 ANSWER ✔✔Ultrafilter


Anastomosis is the surgical connection between the: - 🧠 ANSWER

✔✔Artery and vein

, A A M I Standards for cultured water is: - 🧠 ANSWER ✔✔200 cfu


A A M I Standards for dialysis is: - 🧠 ANSWER ✔✔50 cfu


Hemodialysis is accomplished by which principles? - 🧠 ANSWER ✔✔Ultra

filtration, diffusion, counter-current dialysis flow

While assessing an access before cannulation you note an aneurysm. You

should: - 🧠 ANSWER ✔✔Avoid cannulating the area and notify the nurse or

physician.

Your patient complains of mild to moderate pain in access limb. The limb is

note to be colder distally and paler than the other limb. The patient states

that the pain increases in intensity while he is on dialysis. The patient could

be experiencing: - 🧠 ANSWER ✔✔Steal syndrome


Patient has a bilateral amputation. How do you determine that the patient is

fluid overloaded? - 🧠 ANSWER ✔✔Listen to the lungs


If it is not documented: - 🧠 ANSWER ✔✔It is not done


What is a high risk of safety and a hazard: - 🧠 ANSWER ✔✔A small

amount of water on the floor




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STATEMENT. ALL RIGHTS RESERVED 3

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