CCHT practice exam Questions And Answers

annually - ANS AAMI Chemical Analysis of water used for hemodialysis is tested Clean the machine surface immediately - ANS 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? About one ounce (30 ml) fluid is on the floor - ANS A dialysis technician observes all of the below on the treatment floor, which one poses an environment risk? An artery to a vein - ANS A fistula connects Vitamin B12 - ANS A marker used to determine the middle molecule clearance of a dialyzer is Cations and anions - ANS A mixed- bed DI tank contains A glomerulus and a tubule system - ANS A nephron is made up of An infiltration - ANS A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect Dialysis Disequilibrium Syndrome - ANS A patient who is to receive their first dialysis treatment is prone to? bananas - ANS A patient tells the technician that the dietician reviewed high potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium? It's a new Federal regulation - ANS A reason why a dialysis technician is to be certified is Clotting of extracorporeal circuit - ANS A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of Never document something that someone else did - ANS A teammate asks you to document the normal saline he just gave to Mr. Smith. You would: May rupture and cause the patient to bleed profusely - ANS A true aneurysm can be dangerous because it Was the predialysis sample drawn from the venous port? - ANS A patient's laboratory results indicate that the predialysis BUN level was lower than the post dialysis BUN level. When interpreting these findings the technician should seek the answer to which of these questions? Tachycardia - ANS A rapid pulse of 104 beats/minute would indicate that the patient has: 500 - ANS A patient's dry weight is 154.0 (70kg) and the patient's pre treatment weight is 158.4. (72kg). For a four- hour treatment, how many mL/ hour must the patient lose to reach dry weight? 200 CFU/mL - ANS AAMI standards for the total microbial count of dialysate shall not exceed: 3-5% of EDW - ANS Acceptable interdialytic weight gains are Less than two (2) EU/mL - ANS According to AAMI the standard level for endotoxins levels is 4/15/2010 - ANS According to the new Conditions for Coverage, all dialysis technicians are to be certified by a national certifying agency or state specific certification by: Nutritional - ANS Albumin is an important test that tells about the patient's Vitamin B12 - ANS All of the following are phosphate binders except: numbness and tingling - ANS All of the following may be signs and symptoms of an infected access except: The absence of disease producing organisms - ANS Asepsis is defined as 1,385 mL/hr - ANS Based on Mrs Smith's total amount of fluid to be removed, what is the ultrafiltration rate per hour (mL/hr) for her 4 hour treatment? Discard the needle - ANS 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? Hemolysis - ANS Dialysate that is too hot will cause Weight at which the patient has no edema or fluid in the lungs and BP is normal - ANS Dry weight is defined as the Disconnection of the bloodline - ANS During a hemodialysis treatment the technician responds to a low venous pressure alarm. The most likely cause for this alarm is: Blood - ANS Biohazardous waste includes any material exposed to: Diffusion - ANS Decreasing the patient's prescribed blood flow rate affects the rate of Stop the pump - ANS During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first? Between 7.0 and 7.4 - ANS Dialysate pH should be: Clamp the venous line - ANS During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drop chamber. The immediate action of the dialysis technician should be to: How have you been since your last dialysis treatment? - ANS During predialysis data collection, it would be best for the technician to ask the patient which of these questions? Take the patient's temperature - ANS During the hemodialysis treatment, a patient complains of feeling chilled. In addition to getting the patient a blanket, which of these actions should the technician take? Notify the equipment technician - ANS During the set up of a hemodialysis machine, the alarm test for conductivity fails. Which of these actions should the dialysis technician take? Indicators of the adequacy of the renal replacement therapy - ANS ESRD specific tests such as BUN, Creatinine, and URR are Ultrafiltration - ANS Excess fluid is forced out of the blood and into the dialysate during dialysis by which principle Percent rejection - ANS Feed conductivity- product conductivity divided by x 100 is the formula calculation of The ultrafiltration rate - ANS Fluid to be removed divided by the treatment time tells us Inadequate dialyzer priming - ANS Germicide rebound occurs due to: Anaphylaxis (severe allergic reaction) - ANS Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of: Cardiac arrest - ANS Hyperkalemia can lead to Hemoglobin - ANS If the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum level of: Check dialyzer for total cell volume - ANS In reuse, the blood path integrity is tested to Subcutaneous - ANS Lidocaine is administered Higher hospitalization and death rates - ANS Low albumin levels in the dialysis patient have been linked with: Digoxin - ANS Medications that dialyze easily are all except Psychomotor - ANS Mr. Jones demonstrates how to wash his aces. This is an example of which adult learning principle? Milk of Magnesia - ANS Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr Jones should avoid which medication? Cognitive - ANS Mr. Roberts verbalized how to hand crank his blood pump in the event of an emergency. This is an example of which adult principle? Notify the nurse of the need for an assessment - ANS Mrs. Smith arrives for dialysis treatment complaining of shortness of breath. Her pre dialysis weight is 4.7 kilograms above the last post treatment weight. The dialysis technician reweighed and verified the weight. Which of the actions should the dialysis technician take next?