CHT BONENT PRACTICE TIPS EXAM QUESTIONS AND
ANSWERS GRADED A+
✔✔In hemodiakysis the most commonly used volume expander is 0.9% NaCl. If this
solution has the same effective osmolarity as body fluids it's called?
A. Isotonic
B. hypertonic
C. Hypotonic
D. Monotonic - ✔✔A
✔✔Which of the following is NOT a possible sequela hepatitis B?
A. Chronic active or chronic persistent hepatitis
B. Cirrhosis
C. Pancreatitis
D. Liver cancer - ✔✔C
✔✔In the event a MAJOR fire is discovered in an area occupied by patients the first
action should be to?
A. Remove the patients
B. Shut off all utilities
C. Extinguish the fire
D. Pull the fire alarm - ✔✔A
✔✔Which of the following had the greatest impact in the efficiency and safety of a
hemodialysis treatment?
A. Adequate professional supervision and ancillary personnel.
B. Adequate personnel ratios, good supervision, and up to date equipment.
C. educsted and motivated staff and properly maintained equipment.
D. Automated modular systems with factory set limitations which can decrease operator
error. - ✔✔C
✔✔Homeostasis can best be defined as?
A the steady state of internal environment
B. A holistic approach in medicine
C. A balance between nature and man
D. The state of physical and psychological well being - ✔✔A
✔✔Decreased glomerular filtration rate of the kidney may be due all of the following
EXCEPT?
,A. Shock
B. Dehydration
C. Fluid overload
D. Cardiac decomposition - ✔✔C
✔✔Hemolysis of red blood cells will occur if which of the following types of dialyzing
fluids is delivered to the dialyzer?
A. Hypertonic
B. Hypothermic
C hyperthermic
D. Hypoglycemic - ✔✔C
✔✔The dose of heparin required to achieve anticoagulation varies widely among
patients. In general however the goal of anticoagulation in dialysis is to maintain the
degree of anticoagulation at?
A. Normal baseline clotting studies
B. 1.5-2 times baseline clotting studies
C. Five times baseline clotting studies
D. Ten times baseline clotting studies - ✔✔B
✔✔The normal kidneys compensate for fluid loss by retaining which of the following?
A sodium and water
B. Urea and creatinine
C. Chloride and bicarbonate
D. Creatinine and potassium - ✔✔A
✔✔The primary reason for anemia in chronic renal failure is?
A. Platelet dysfunction
B. Increased bleeding tendencies
C. Loss of blood during hemodialysis
D. Decreased erythropoietin production - ✔✔D
✔✔Performance of creatine clearance test requires?
A. Spot urine and serum creatinine measurement
B. Urine measurement of protein, uric acid and urea.
C a timed urine collection and serum creatinine measurement - ✔✔C
✔✔Which of the following is a cause of hemolysis during dialysis?
A.minimal hospitalizations
, B. Improper dialysate preparation
C. Extremely high levels of iron in the water
D. Excessively low dialysate temperature - ✔✔B
✔✔Hypertension may be the complication of renal failure. It mat be influenced by all of
the following EXCEPT?
A. Nephrectomy
B. Fluid overload
C. Sodium retention
D. Use of bicarbonate dialysate - ✔✔D
✔✔Correct needle placement is important in the initation of dialysis to minimize the risk
of all of the following EXCEPT?
A. Steal syndrome
B. Recirculation
C. Inadequate blood flow
D. Hematoma formation - ✔✔A
✔✔Cyclers used for pertinoneal dialysis are automatic exchange devises which?
A. do plasma exchange procedures
B. Mix water and electrolytes for hemodialysis
C. Offer patients exercise while in hemodialysis
D. Regulate instill action and drainage of the dialysis solution - ✔✔D
✔✔The best way to define the term anastomosis is?
A. Surgical connection
B. Ballooning or bulging of a weak spot in a blood vessel
C. Opening of a narrowed blood vessel using a catheter and balloon
D. Same site cannulation - ✔✔A
✔✔In the expression kt/v the "k" dtsnd for?
A. Kidney
B. Kinetic modeling
C. Serum potassium
D. Urea clearance of the dialyzer - ✔✔D
✔✔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.
ANSWERS GRADED A+
✔✔In hemodiakysis the most commonly used volume expander is 0.9% NaCl. If this
solution has the same effective osmolarity as body fluids it's called?
A. Isotonic
B. hypertonic
C. Hypotonic
D. Monotonic - ✔✔A
✔✔Which of the following is NOT a possible sequela hepatitis B?
A. Chronic active or chronic persistent hepatitis
B. Cirrhosis
C. Pancreatitis
D. Liver cancer - ✔✔C
✔✔In the event a MAJOR fire is discovered in an area occupied by patients the first
action should be to?
A. Remove the patients
B. Shut off all utilities
C. Extinguish the fire
D. Pull the fire alarm - ✔✔A
✔✔Which of the following had the greatest impact in the efficiency and safety of a
hemodialysis treatment?
A. Adequate professional supervision and ancillary personnel.
B. Adequate personnel ratios, good supervision, and up to date equipment.
C. educsted and motivated staff and properly maintained equipment.
D. Automated modular systems with factory set limitations which can decrease operator
error. - ✔✔C
✔✔Homeostasis can best be defined as?
A the steady state of internal environment
B. A holistic approach in medicine
C. A balance between nature and man
D. The state of physical and psychological well being - ✔✔A
✔✔Decreased glomerular filtration rate of the kidney may be due all of the following
EXCEPT?
,A. Shock
B. Dehydration
C. Fluid overload
D. Cardiac decomposition - ✔✔C
✔✔Hemolysis of red blood cells will occur if which of the following types of dialyzing
fluids is delivered to the dialyzer?
A. Hypertonic
B. Hypothermic
C hyperthermic
D. Hypoglycemic - ✔✔C
✔✔The dose of heparin required to achieve anticoagulation varies widely among
patients. In general however the goal of anticoagulation in dialysis is to maintain the
degree of anticoagulation at?
A. Normal baseline clotting studies
B. 1.5-2 times baseline clotting studies
C. Five times baseline clotting studies
D. Ten times baseline clotting studies - ✔✔B
✔✔The normal kidneys compensate for fluid loss by retaining which of the following?
A sodium and water
B. Urea and creatinine
C. Chloride and bicarbonate
D. Creatinine and potassium - ✔✔A
✔✔The primary reason for anemia in chronic renal failure is?
A. Platelet dysfunction
B. Increased bleeding tendencies
C. Loss of blood during hemodialysis
D. Decreased erythropoietin production - ✔✔D
✔✔Performance of creatine clearance test requires?
A. Spot urine and serum creatinine measurement
B. Urine measurement of protein, uric acid and urea.
C a timed urine collection and serum creatinine measurement - ✔✔C
✔✔Which of the following is a cause of hemolysis during dialysis?
A.minimal hospitalizations
, B. Improper dialysate preparation
C. Extremely high levels of iron in the water
D. Excessively low dialysate temperature - ✔✔B
✔✔Hypertension may be the complication of renal failure. It mat be influenced by all of
the following EXCEPT?
A. Nephrectomy
B. Fluid overload
C. Sodium retention
D. Use of bicarbonate dialysate - ✔✔D
✔✔Correct needle placement is important in the initation of dialysis to minimize the risk
of all of the following EXCEPT?
A. Steal syndrome
B. Recirculation
C. Inadequate blood flow
D. Hematoma formation - ✔✔A
✔✔Cyclers used for pertinoneal dialysis are automatic exchange devises which?
A. do plasma exchange procedures
B. Mix water and electrolytes for hemodialysis
C. Offer patients exercise while in hemodialysis
D. Regulate instill action and drainage of the dialysis solution - ✔✔D
✔✔The best way to define the term anastomosis is?
A. Surgical connection
B. Ballooning or bulging of a weak spot in a blood vessel
C. Opening of a narrowed blood vessel using a catheter and balloon
D. Same site cannulation - ✔✔A
✔✔In the expression kt/v the "k" dtsnd for?
A. Kidney
B. Kinetic modeling
C. Serum potassium
D. Urea clearance of the dialyzer - ✔✔D
✔✔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.
