CCHT CERTIFICATION STUDY EXAM
QUESTIONS AND CORRECT
ANSWERS.
During a pre-treatment patient evaluation which question would be best for the PCT to ask? -
ANS -How have you been since your last dialysis treatment?
During the set-up of a machine the alarm test for conductivity fails. Which action would be best
for the PCT to take? - ANS -Contact the Biomed Equipment Tech
The dialysis industry strives to improved the quality of patient outcomes. One way this is done is
through the continuous quality improvement (CQI) process. Which of the following is a model of
the CQI process? - ANS -Plan, do, check, and act
The functional unit of the kidney is called the - ANS -Nephron
The number one reason for chronic kidney failure in the United States is - ANS -Diabetes
What is the acid-base imbalance commonly seen in patients with chronic renal failure - ANS -
Metabolic acidosis
Which of the following is not a function of the kidney - ANS -Storage of urine
Approximately what percent of the cardiac output is received by the kidneys? - ANS -23%
,Which of the following is considered an elevated serum potassium level for a dialysis patient? -
ANS -A. 3.0 mEq/L
B. 3.5 mEq/L
C. 4.0 mEq/L
D. none of the above
Answer: D none of the above
Hormones made by the kidney include all except - ANS -PTH and cholesterol
Hyperkalemia may cause - ANS -C. serious or even deadly changes in the heart rhythm
Which best describes the PTC's role in patient teaching? - ANS -D. Reinforce teaching the patient
may have received from the nurse, physician, dietitian or other teammates
Which type of vascular access has fewest complications? - ANS -C. The A/V fistula
A new hemodialysis patient receiving his first treatment may be at high risk for which of the
following problems: - ANS -C. Dialysis disequilibrium syndrome
Which of the following presents a potential for environmental contamination? - ANS -D. About
one ounce (30 ml) of fluid spilled on the floor next to the patients chair
A patient arrives for her hemodialysis treatment and states she has been having nausea,
vomiting, and diarrhea for the last two days. Her estimated dry weight is 78.0 kg and her pre
treatment weight is 77.0 kg. The best action for the PCT to take is: - ANS -D. Immediately notify
the nurse of the need for a patient assessment
, Risks associated with a deionization ( D.I.) water treatment system include all except: - ANS -D.
DI removes all charged particles (-) ions or (+) cations
The best definition of asepsis is: - ANS -D. The absence of pathogens
A PCT is told by her male patient "I have been really depressed and lonely since I started coming
here, but being around you makes me feel a lot better. Do you think we could go out some
evening?- I'll buy." After politely and professionally declining the invitation, what other
action(s), if any, should the PCT take? - ANS -d. Report the incident to the facility social worker
What organization establishes dialysis water quality standards? - ANS -Association for the
Advancement of Medical Instrumentation (AAMI)
To make public drinking water safe municipal water suppliers commonly treat water with
chemical additives. These same additives must be removed from the water supply used for
hemodialysis. Common drinking water additives include all except: - ANS -a. Chlorine and
ammonia
During a hemodialysis treatment a PCT notices the blood returning through the extracorporeal
circuit is a translucent cherry or cranberry red color. A likely cause of blood this color is: - ANS -
b. Hemolysis
Hemodialysis infection control precautions include all of the following except: - ANS -b. Always
recap needles to prevent injuring others
Gloves must be worn: - ANS -a. For patient or equipment contact
b. when troubleshooting the vascular access
c. Handling blood/ body fluid samples
d. For all of the above
QUESTIONS AND CORRECT
ANSWERS.
During a pre-treatment patient evaluation which question would be best for the PCT to ask? -
ANS -How have you been since your last dialysis treatment?
During the set-up of a machine the alarm test for conductivity fails. Which action would be best
for the PCT to take? - ANS -Contact the Biomed Equipment Tech
The dialysis industry strives to improved the quality of patient outcomes. One way this is done is
through the continuous quality improvement (CQI) process. Which of the following is a model of
the CQI process? - ANS -Plan, do, check, and act
The functional unit of the kidney is called the - ANS -Nephron
The number one reason for chronic kidney failure in the United States is - ANS -Diabetes
What is the acid-base imbalance commonly seen in patients with chronic renal failure - ANS -
Metabolic acidosis
Which of the following is not a function of the kidney - ANS -Storage of urine
Approximately what percent of the cardiac output is received by the kidneys? - ANS -23%
,Which of the following is considered an elevated serum potassium level for a dialysis patient? -
ANS -A. 3.0 mEq/L
B. 3.5 mEq/L
C. 4.0 mEq/L
D. none of the above
Answer: D none of the above
Hormones made by the kidney include all except - ANS -PTH and cholesterol
Hyperkalemia may cause - ANS -C. serious or even deadly changes in the heart rhythm
Which best describes the PTC's role in patient teaching? - ANS -D. Reinforce teaching the patient
may have received from the nurse, physician, dietitian or other teammates
Which type of vascular access has fewest complications? - ANS -C. The A/V fistula
A new hemodialysis patient receiving his first treatment may be at high risk for which of the
following problems: - ANS -C. Dialysis disequilibrium syndrome
Which of the following presents a potential for environmental contamination? - ANS -D. About
one ounce (30 ml) of fluid spilled on the floor next to the patients chair
A patient arrives for her hemodialysis treatment and states she has been having nausea,
vomiting, and diarrhea for the last two days. Her estimated dry weight is 78.0 kg and her pre
treatment weight is 77.0 kg. The best action for the PCT to take is: - ANS -D. Immediately notify
the nurse of the need for a patient assessment
, Risks associated with a deionization ( D.I.) water treatment system include all except: - ANS -D.
DI removes all charged particles (-) ions or (+) cations
The best definition of asepsis is: - ANS -D. The absence of pathogens
A PCT is told by her male patient "I have been really depressed and lonely since I started coming
here, but being around you makes me feel a lot better. Do you think we could go out some
evening?- I'll buy." After politely and professionally declining the invitation, what other
action(s), if any, should the PCT take? - ANS -d. Report the incident to the facility social worker
What organization establishes dialysis water quality standards? - ANS -Association for the
Advancement of Medical Instrumentation (AAMI)
To make public drinking water safe municipal water suppliers commonly treat water with
chemical additives. These same additives must be removed from the water supply used for
hemodialysis. Common drinking water additives include all except: - ANS -a. Chlorine and
ammonia
During a hemodialysis treatment a PCT notices the blood returning through the extracorporeal
circuit is a translucent cherry or cranberry red color. A likely cause of blood this color is: - ANS -
b. Hemolysis
Hemodialysis infection control precautions include all of the following except: - ANS -b. Always
recap needles to prevent injuring others
Gloves must be worn: - ANS -a. For patient or equipment contact
b. when troubleshooting the vascular access
c. Handling blood/ body fluid samples
d. For all of the above
