CHT BONENT ACTUAL 2026 EXAM QUESTIONS AND
ANSWERS GRADED A+
✔✔A patients venous needle falls out. The first thing the technician would do is
A. Notify the charge nurse
B. Clamp the venous line, reinsert needle and restart treatment.
C. Turn off blood pump, Clamp venous line, and put pressure on the puncture site.
D. Assess the patients blood loss and notify the physician - ✔✔C
✔✔All of the are potential problems associated with the use of bicarbonate dialysate
EXCEPT?
A. Increased risk of bacterial growth
B. Dangerous electrolyte concentrations due to concentrate mix up
C. Precipitation of calcium and magnesium in the delivery system
D. Carbon dioxide levels in the bicarbonate dialysate becoming dangerously high -
✔✔D
✔✔A patient who has gone on high-efficiency dialysis now dialyzes for 3 hours per
session instead of 4. Which of the following findings would indicate that the current
prescription is inadequate?
A. an increased sense of well-being, a kt/v value less < or equal to 1.1 a midweek bun
value < or equal to 75 blood pressure= 128/84 mm Hg, and a PCR value of 1.0. '
B. a decrease in the midweek BUN value from 85 to 70 decreased incidence of cramps,
and a decreased estimated dry weight .
C. a lean weight gain of 2.0 kg absense of edema, blood pressure 238/70mm Hg and a
calculated PCR value of 0.75.
D. A kt/v value = 0.8 routine Qb = 400 cc/mm absense of edema and increased
hematocrit value. - ✔✔D.
✔✔The role of the renal dietician is best described as?
A. preparing list of food patients need to avoid.
B. preparing a strict diet and making sure the patients follow it.
C. Counseling patients on the optimum diet for their needs assisting them in following
good dietary habits.
D. Supplying a list of area grocery stores, where patients should food shop. - ✔✔C
✔✔The half life of heparin is 40-90 minutes. The elimination of heparin in dialysis
patients is similar to that of the nonuremic populations. Which of the following is true
regarding the effect of heparin in a dialysis patient?
, A. hemodialysis patients may exhibit increased bleeding tendencies for up to 24 hours
post dialysis.
B. The rebound effect, of heparin metabolism increases the incidence of bleeding in this
population.
C. platelet aggregation in the dialysis population is markedly increased placing patients
at risk for bleeding.
D. Diabetic dialysis patients exhibit a heparin half life up to three times longer than non-
diabetic dialysis patients. - ✔✔B
✔✔Constipation is a common problem for dialysis patients . The primary reason for this
is?
A. Decreased motility of the GI tract
B. decreased motility caused by anemia
C. The inability of the kidney to filter water
D. Medications such as phosphate binders or ferrous sulfate. - ✔✔D
✔✔All of the following are relevant factors in ensuring the accuracy of the activated
clotting line ACT EXCEPT for?
A. Temperature of the ACT tube
B. Patients hematocrit value
C. volume of blood in the ACT tube.
D. prompt admixing of blood and clotting reagent - ✔✔B
✔✔For which of the following purposes is mannitol used?
A. to support blood pressure by expanding volume.]
B. to decrease clotting
C. to relieve symptoms of restlessness in the elderly
D. to relieve muscle cramps - ✔✔A
✔✔To minimize risk of injury to improper dialysate, one step which must be taken by
each facility using bicarbonate dialysis is to?
A. rely on pH monitors on delivery systems to assure proper concentrate/hookups
B. use large jugs, then conserve dialysate by pouring half empty jugs together.
C. Use key coded and/or color coded systems for concentrate containers and
concentrate uptake lines
D. Mix powdered bicarbonate the night before treaments to avoid early morning
confusion. - ✔✔C
✔✔The technician is setting up a dialyzer. The test for a residual sterilant is positive
after 500 cc normal saline has been infused by recirculation. The technician should find
this as ?
ANSWERS GRADED A+
✔✔A patients venous needle falls out. The first thing the technician would do is
A. Notify the charge nurse
B. Clamp the venous line, reinsert needle and restart treatment.
C. Turn off blood pump, Clamp venous line, and put pressure on the puncture site.
D. Assess the patients blood loss and notify the physician - ✔✔C
✔✔All of the are potential problems associated with the use of bicarbonate dialysate
EXCEPT?
A. Increased risk of bacterial growth
B. Dangerous electrolyte concentrations due to concentrate mix up
C. Precipitation of calcium and magnesium in the delivery system
D. Carbon dioxide levels in the bicarbonate dialysate becoming dangerously high -
✔✔D
✔✔A patient who has gone on high-efficiency dialysis now dialyzes for 3 hours per
session instead of 4. Which of the following findings would indicate that the current
prescription is inadequate?
A. an increased sense of well-being, a kt/v value less < or equal to 1.1 a midweek bun
value < or equal to 75 blood pressure= 128/84 mm Hg, and a PCR value of 1.0. '
B. a decrease in the midweek BUN value from 85 to 70 decreased incidence of cramps,
and a decreased estimated dry weight .
C. a lean weight gain of 2.0 kg absense of edema, blood pressure 238/70mm Hg and a
calculated PCR value of 0.75.
D. A kt/v value = 0.8 routine Qb = 400 cc/mm absense of edema and increased
hematocrit value. - ✔✔D.
✔✔The role of the renal dietician is best described as?
A. preparing list of food patients need to avoid.
B. preparing a strict diet and making sure the patients follow it.
C. Counseling patients on the optimum diet for their needs assisting them in following
good dietary habits.
D. Supplying a list of area grocery stores, where patients should food shop. - ✔✔C
✔✔The half life of heparin is 40-90 minutes. The elimination of heparin in dialysis
patients is similar to that of the nonuremic populations. Which of the following is true
regarding the effect of heparin in a dialysis patient?
, A. hemodialysis patients may exhibit increased bleeding tendencies for up to 24 hours
post dialysis.
B. The rebound effect, of heparin metabolism increases the incidence of bleeding in this
population.
C. platelet aggregation in the dialysis population is markedly increased placing patients
at risk for bleeding.
D. Diabetic dialysis patients exhibit a heparin half life up to three times longer than non-
diabetic dialysis patients. - ✔✔B
✔✔Constipation is a common problem for dialysis patients . The primary reason for this
is?
A. Decreased motility of the GI tract
B. decreased motility caused by anemia
C. The inability of the kidney to filter water
D. Medications such as phosphate binders or ferrous sulfate. - ✔✔D
✔✔All of the following are relevant factors in ensuring the accuracy of the activated
clotting line ACT EXCEPT for?
A. Temperature of the ACT tube
B. Patients hematocrit value
C. volume of blood in the ACT tube.
D. prompt admixing of blood and clotting reagent - ✔✔B
✔✔For which of the following purposes is mannitol used?
A. to support blood pressure by expanding volume.]
B. to decrease clotting
C. to relieve symptoms of restlessness in the elderly
D. to relieve muscle cramps - ✔✔A
✔✔To minimize risk of injury to improper dialysate, one step which must be taken by
each facility using bicarbonate dialysis is to?
A. rely on pH monitors on delivery systems to assure proper concentrate/hookups
B. use large jugs, then conserve dialysate by pouring half empty jugs together.
C. Use key coded and/or color coded systems for concentrate containers and
concentrate uptake lines
D. Mix powdered bicarbonate the night before treaments to avoid early morning
confusion. - ✔✔C
✔✔The technician is setting up a dialyzer. The test for a residual sterilant is positive
after 500 cc normal saline has been infused by recirculation. The technician should find
this as ?
