NNCC CCHT Certification Exam Complete Questions with Correct Answers Updated 2025/2026||Already Graded!!! 100% Guaranteed Pass

NNCC CCHT Certification Exam Complete Questions with Correct Answers Updated 2025/2026||Already Graded!!! 100% Guaranteed Pass 1. The normal range of resting respirations in an adult is - ANSWER 12-20 breaths per minute 2. the dextrose used in the dialysate for peritoneal dialysis can cause - ANSWER hyperglycemia 3. The leading cause of chronic kidney disease for adults in the United States - ANSWER diabetes 4. The organization that has as a goal to 'improve the care and outcomes of all individuals with kidney disease' is called - ANSWER KDOQI 5. the dialysis technician's role in patient education is to - ANSWER reinforce educational information provided 6. The most important intervention to prevent the spread of infection - ANSWER Perform hand hygiene 7. The movement of fluid from the tissues toward a higher concentration of sodium in the blood is and example of - ANSWER Osmosis 8. The functional unit of the kidney, or the structure in the kidneys that does the work is the... - ANSWER Nephron 9. The bruit in a AV fistula or graft is detected by - ANSWER Listening with a stethoscope 10. The national standard, based on the KDOQI guidelines for the urea reduction rate (URR) is a ratio greater than - ANSWER 65% 11. KDOQI - ANSWER Kidney Disease Outcomes Quality Initiative 12. The most important member of the patient care team is the - ANSWER patient 13. The medication used to improve calcium absorption is - ANSWER Zemplar 14. How do you know if a patient can safely disconnect themselves in an emergency - ANSWER Let the patient show you after a treatment 15. 'Dwell time' in peritoneal dialysis is defined as: - ANSWER The amount of time the peritoneal fluid remains in the abdomen 16. Dialysate conductivity measures - ANSWER the total electrical charge of a solution 17. name two compartments of the dialyzer - ANSWER blood and dialysate 18. Which statement is true about kidney transplantation - ANSWER The is a shortage of available kidney donors 19. The usual fluid allowance for a person with kidney failure is - ANSWER 1.0 to 1.5 liters daily 20. The scale says a patient weights 70kg this is the same as weighing how many pounds - ANSWER 154 21. The organization that sets the standards for dialysis water quality is called - ANSWER AAMI 22. total cell volume (TCV) is a indirect measure of the - ANSWER performance of the dialyzer 23. Total chlorine levels in the water are tested - ANSWER before each patient shift or every four hour 24. The purpose of using counter currant flow is to - ANSWER Increase the rate of waste removal 25. water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by which principle - ANSWER osmosis 26. water softener - ANSWER Operates on the principle of ion exchange 27. What are the typical signs of fluid overload - ANSWER edema and shortness of breath 28. The usual heparin sodium concentration for anticoagulation during hemodialysis is - ANSWER 1,000 u/mL 29. To determine the patency of an arteriovenous vascular access, the dialysis technician should initially fell for the presence of - ANSWER A thrill 30. Ultrafiltration is influenced by - ANSWER Transmembrane pressure 31. Waste products are removed during dialysis by which principle - ANSWER Ultrafiltration 32. The water softener removes - ANSWER calcium and magnesium 33. The reprocessed dialyzer is carefully rinsed prior to patient use to remove - ANSWER Residual germicide 34. The part of the cell wall of bacteria that, when released m, can cause fever in hemodialysis patients is - ANSWER Endotoxin 35. the venous needle in an AV fistula - ANSWER Should be placed antegrade 36. The total pressure that exists across the dialyzer membrane is called - ANSWER Transmembrane pressure 37. The substance that may be added to the municipal drinking water to make it clearer - ANSWER Alum 38. What is the most accurate measure of dialysis adequacy - ANSWER Kt/V 39. Which component in dialysis is used to correct metabolic acidosis - ANSWER Bicarbonate 40. What is most likely to cause high venous pressure alarm - ANSWER Kinking of the venous blood line 41. What lab tests are used to monitor anemia in the ESKD patients - ANSWER Hemoglobin/ hematocrit 42. which learning domain is knowledge based - ANSWER cognitive 43. What is the desired outcome when the patient performs fistula exercises - ANSWER Enlargement of the vein 44. What is a classic sign of hemolysis - ANSWER Cranberry juice colored blood in the venous line 45. Which food is highest in phosphorus - ANSWER Ice cream 46. when fluid replacement is necessary during the hemodialysis treatment, which of the following solution is used? - ANSWER 0.9% normal saline 47. What is not a symptom of uremia - ANSWER elevated hematocrit 48. What is a cause of hypotension during and after dialysis treatment - ANSWER Removing too much fluid 49. What is not a possible cause of an increased temperature pre dialysis - ANSWER The patient has fluid overload 50. What is considered to be safe water for dialysis - ANSWER Dialysis quality water 51. What is the largest needle gauge - ANSWER 18 gauge 52. What actions would increase diffusion during dialysis - ANSWER Using a bath that will provide a greater concentration gradient 53. Fluid - ANSWER Diffuses from the patients blood during dialysis 54. hand hygiene - ANSWER the most important technique used in preventing and controlling transmission of infection 55. What learning domain is behavioral - ANSWER Affective 56. when cannulating, the tips of the needles should be at least - ANSWER 1.5" or the width of 2 fingers apart 57. What symptoms would indicate a need to increase the target weight - ANSWER Hypotension and cramping 58. Your patient is to receive 2000 units of heparin. The vile you are using is 1000u/ml heparin. How many mls will you draw up for this patient - ANSWER 2.0 59. What type vascular access has the fewest complications - ANSWER arteriovenous fistula 60. What is used to prevent air in bloodlines - ANSWER Tighten all connections 61. What organization establishes the standards and recommendations for dialyzer reprocessing - ANSWER AAMI 62. What would cause a high venous pressure alarm - ANSWER Venous needle is against the wall of the vessel 63. What might indicate a need to decrease the heparin dose? - ANSWER The patient just had surgery yesterday 64. What might indicate the need to increase heparin? - ANSWER clotting in the extracorporeal circuit 65. What technician activities contributes to data collection used to measure quality outcomes - ANSWER Ensuring accurate documentation 66. A decrease in transmembrane pressure in a high flux dialyzer during hemodialysis is indicative of - ANSWER Clotting of the extra corporeal circuit 67. You have documented incorrectly on a patient's chart. How do you correct this? - ANSWER Draw one line through it, date, time, sign, with the words "error" 68. What practice helps build a patients immunity to hepatitis B - ANSWER Vaccination 69. A patient asks the technician " what does uremia mean?" The technicians response should be based on the understanding that uremia is - ANSWER An increase of wastes in the blood 70. A central venous catheter may be used as a vascular access when a - ANSWER Patient has inadequate blood vessels in the limbs 71. Before a dialysis treatment, the patient tells the technician "yesterday, I felt terrible and vomited up some blood. I feel much better today" the technician can expect the patients treatment will be modified by - ANSWER Decreasing the heparin does 72. The technician is unsure which one of a patients AV grafts anastomoses is arterial and which is venous. In order to differentiate between the two the technician should - ANSWER Compress the graft in the middle and palpate each side 73. At the end of a patient's treatment, which of these findings, if observed by the technician, should be reported to the nurse ? - ANSWER A pulse rate of 55 beats per minute 74. A patient asks the dialysis technician "why am I getting vitamin D therapy?" What should the tech tell the patient - ANSWER Vitamin d is needed for healthy bones 75. Why are dialysis patients more likely to become infected with germs like MSRA - ANSWER They have weak immune systems 76. Legally, if a treatment was performed but not charted in the patient's record, it was - ANSWER not done 77. The most common cause of a low conductivity alarm during hemodialysis is - ANSWER An exhausted concentrate supply