2026
What are some of the responsibilities & requirements of the medical director of a dialysis facility?
1. Writing policies & procedures that show compliance with the standards of the local medical
community.
2. Accessing fistulas or grafts prior to the beginning of the dialysis session.
3. Being physically present in the dialysis unit whenever a patient is receiving a dialysis treatment.
4. Being knowledgeable of & and responsible for the integrity of the water treatment system in the
facility. - correct answers4. Being knowledgeable of & responsible for the integrity of the water
treatment system in the facility.
Prior to the beginning of the dialysis, what must the physician order include?
1. Specific dialyzer
2. Blood flow rate
3.Duration of dialysis
4. Three units of packed red blood cells - correct answers1,2 & 3
To be eligible to sit for the Certified Clinical Hemodialysis Technician - Advanced (CCHT- A) exam, the
technician must have which of the following?
1. Hold another national certification such as CCHT
2. Have been employed as a hemodialysis tech for 3 yrs of continuous employment
3.Have worked at least 5000 hours as a CCHT
4. Have been eligible for & paid to take the exam within the past 12 months. - correct answers1 & 3
What abilities are required of a dialysis tech?
1.Some understanding of human anatomy & physiology & the pathophysiology of chronic kidney disease
(CKD)
2.The knowledge to administer intravenous medication if an emergency arises
3.Full understanding of the principles of dialysis and treatment complications
4.Math skills - correct answers1,3 & 4
Which of the following credentialing certification programs offer the dialysis tech the most cognitive
content related to water treatment principles?
1. Certified clinical nephrology tech
2. Certified hemodialysis tech
3. Certified clinical hemodialysis tech
4. Certified biomedical nephrology technologist - correct answers4. Certified biomedical nephrology
technologist
Which of the following statements about informed consent for treatment is accurate?
1. A written consent for dialysis includes consent for placement of an access catheter.
2. A renal patient who has been admitted to the hospital with sepsis has given implied consent upon
signing the initial admission paperwork.
, 3. Two consents are needed for dialysis; one for the dialysis itself & one for access procedures or
modifications.
4. In an emergency, such as aspirin overdose, it is not necessary to have consent prior to beginning
hemodialysis. - correct answers3. Two consents are needed for dialysis; one for the dialysis itself & one
for access procedures or modifications.
If a patient chooses to terminate dialysis, what should the renal staff do?
1. Call the legal team for the hospital/clinic and speak with an attorney
2. Keep the patient on the clinical unit until he or she can talk with the physician and determine if a
court order is needed
3.Realize that is well within a patient's rights to choose to terminate dialysis
4.Notify the physician and verify that all members of the health care team agree with the decision -
correct answers3. Realize that is well within a patient's rights to choose to terminate dialysis
Who was the first person to use the term dialysis?
1.John Abel
2.Thomas Graham
3.Leonard Rowntree
4.Bernard Turner - correct answers2.Thomas Graham
What was the primary anticoagulant used in the first artificial kidney?
1.Salicylic acid
2.Hirudin
3. Low-molecular weight heparin
4.Warfarin - correct answers2.Hirudin
Dr. William Kolff created the first dialyzer suitable for human use (rotating drum dialyzer) in 1943. What
material was used to construct the hollow tubes on this device?
1.Rubber
2.Teflon
3.Cellophane
4.Glass - correct answers3.Cellophane
The first arteriovenous (AV) shunt for chronic renal patients was placed:
1. Via surgical cutdown
2. Externally, using teflon tubes
3.Internally in the carotid vessels
4. Intravascularly, using 4 inch catheters - correct answers2.Externally, using teflon tubes
Which U.S. President signed the bill that allowed Medicare coverage to pay for treatment for all patients
with chronic kidney disease?
1.Roosevelt
2.Nixon
3.Ford
4.Carter - correct answers2.Nixon
In 1989, FDA approval of this medication diminished the need for blood transfusions in the chronic renal
disease patients: