PCT 2025 UPDATED CERTIFICATION EXAM REVIEW TEST QUESTIONS WITH ACCURATE
SOLUTIONS
AAMI Chemical Analysis of water used for hemodialysis is tested
annually.
A 58-year old patient who is blind comes to treatment accompanied by his wife. Which of
these approaches should the dialysis technician use when interacting with the patient?
Avoid using phrases that refer to sight, such as "It looks like..."
Describe the activities in the immediate environment
Give instructions to his wife instead of him
Touch the patient before speaking to him
Describe the activities in the immediate environment
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 at the end of treatment
Clean the machine surface immediately
Notify the equipment technician
Notify the nurse
Clean the machine surface immediately
A dialysis technician observes all of the below on the treatment floor, which one poses an
environmental risk?
,About one ounce (30ml) fluid is on the floor
A patient's family member is present during initiation of treatment
Charts are lying on bedside tables
The wheels of the hemodialysis machine are locked
About one ounce (30ml) fluid is on the floor
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death.
Potassium
Acceptable interdialytic weight gains are
3 - 5% of TW.
The AAMI standard for endotoxin levels in conventional dialysate is
less than 0.50 EU/mL
Albumin is an important test that tells about the patients' __________ status.
nutritional
All of the following are phosphate binders EXCEPT :
Renagel
Phos-Lo
Tums
,Vitamin B12
Vitamin B12
All of the following may be signs and symptoms of an infected access EXCEPT :
fever and swelling of the access
numbness and tingling
redness and warmth
tenderness and drainage
numbness and tingling
Asepsis is defined as
the absence of disease producing organisms.
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?
Continue to cannulate with the needle
Discard the needle
Place the needle in alcohol for five minutes
Put on new PPE
Discard the needle
Dialysate that is too hot will cause
, hemolysis.
Target 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:
Clot in the venous drip chamber
Disconnection of the blood line
Kinking of the blood line
Venous needle infiltration
Disconnection of the blood line
During a hemodialysis treatment, a patient says to the technician, 'Three hours of time
have passed according to the clock on the wall, but the machine shows that only 2.5 hours
have passed. What could be the problem?' The technician should understand that the
machine was in bypass for 30 minutes.
Biohazardous waste includes any material exposed to:
blood
Decreasing the patient's prescribed blood flow rate affects the rate of
SOLUTIONS
AAMI Chemical Analysis of water used for hemodialysis is tested
annually.
A 58-year old patient who is blind comes to treatment accompanied by his wife. Which of
these approaches should the dialysis technician use when interacting with the patient?
Avoid using phrases that refer to sight, such as "It looks like..."
Describe the activities in the immediate environment
Give instructions to his wife instead of him
Touch the patient before speaking to him
Describe the activities in the immediate environment
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 at the end of treatment
Clean the machine surface immediately
Notify the equipment technician
Notify the nurse
Clean the machine surface immediately
A dialysis technician observes all of the below on the treatment floor, which one poses an
environmental risk?
,About one ounce (30ml) fluid is on the floor
A patient's family member is present during initiation of treatment
Charts are lying on bedside tables
The wheels of the hemodialysis machine are locked
About one ounce (30ml) fluid is on the floor
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death.
Potassium
Acceptable interdialytic weight gains are
3 - 5% of TW.
The AAMI standard for endotoxin levels in conventional dialysate is
less than 0.50 EU/mL
Albumin is an important test that tells about the patients' __________ status.
nutritional
All of the following are phosphate binders EXCEPT :
Renagel
Phos-Lo
Tums
,Vitamin B12
Vitamin B12
All of the following may be signs and symptoms of an infected access EXCEPT :
fever and swelling of the access
numbness and tingling
redness and warmth
tenderness and drainage
numbness and tingling
Asepsis is defined as
the absence of disease producing organisms.
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?
Continue to cannulate with the needle
Discard the needle
Place the needle in alcohol for five minutes
Put on new PPE
Discard the needle
Dialysate that is too hot will cause
, hemolysis.
Target 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:
Clot in the venous drip chamber
Disconnection of the blood line
Kinking of the blood line
Venous needle infiltration
Disconnection of the blood line
During a hemodialysis treatment, a patient says to the technician, 'Three hours of time
have passed according to the clock on the wall, but the machine shows that only 2.5 hours
have passed. What could be the problem?' The technician should understand that the
machine was in bypass for 30 minutes.
Biohazardous waste includes any material exposed to:
blood
Decreasing the patient's prescribed blood flow rate affects the rate of
