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NEW TECHNICIAN CERTIFICATION ACTUAL
EXAM 2026/2027 COMPLETE ACCURATE
EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS AND RATIONALES.
(100% CORRECT VERIFIED SOLUTIONS)
1. A patient presents with a blood pressure of 80/50 mmHg,
heart rate 110 bpm, and complaints of dizziness 30 minutes
into hemodialysis. What is the priority action?
• A) Increase the ultrafiltration rate
• B) Administer a saline bolus and reduce UF rate
• C) Stop dialysis and call the provider
• D) Raise the patient's legs
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Correct Answer: B
Rationale: Intradialytic hypotension is common. Priority is
volume expansion (saline 100–200 mL) and reducing UF rate.
Stopping dialysis is premature unless severe symptoms persist.
Raising legs helps but is not first-line.
2. During a routine pre-dialysis assessment, a patient's
temperature is 100.8°F (38.2°C). What should the technician
do next?
• A) Start dialysis as ordered
• B) Notify the nurse immediately
• C) Apply a cooling blanket
• D) Check the temperature again in 15 minutes
Correct Answer: B
Rationale: Fever may indicate infection (access-related or
bloodstream). The nurse must evaluate before proceeding with
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dialysis. Starting dialysis could spread infection or worsen
sepsis.
3. A patient with a right internal jugular tunneled catheter
complains of chills and back pain 1 hour into dialysis.
Which complication is most likely?
• A) Hemolysis
• B) Air embolism
• C) Pyrogenic reaction
• D) Catheter migration
Correct Answer: C
Rationale: Chills, fever, back pain, and hypotension during
dialysis suggest endotoxin or pyrogen reaction. Stop
treatment, notify nurse, do not return blood. Hemolysis presents
with dark blood; air embolism causes respiratory distress.
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4. Which finding indicates proper arteriovenous (AV) fistula
maturation?
• A) Absence of a thrill
• B) Bruit audible only with a stethoscope
• C) Continuous low-pitched bruit and strong thrill
• D) Pulsatile mass without thrill
Correct Answer: C
Rationale: Mature AV fistula has a continuous low-pitched
bruit (systolic-diastolic) and palpable thrill. Absent thrill
suggests stenosis. Bruit alone without thrill is insufficient.
5. A patient's dry weight is 70 kg. Predialysis weight is
72.5 kg. What is the total fluid removal goal?
• A) 1.5 L
• B) 2.0 L
• C) 2.5 L
NEW TECHNICIAN CERTIFICATION ACTUAL
EXAM 2026/2027 COMPLETE ACCURATE
EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS AND RATIONALES.
(100% CORRECT VERIFIED SOLUTIONS)
1. A patient presents with a blood pressure of 80/50 mmHg,
heart rate 110 bpm, and complaints of dizziness 30 minutes
into hemodialysis. What is the priority action?
• A) Increase the ultrafiltration rate
• B) Administer a saline bolus and reduce UF rate
• C) Stop dialysis and call the provider
• D) Raise the patient's legs
,Page 2 of 202
Correct Answer: B
Rationale: Intradialytic hypotension is common. Priority is
volume expansion (saline 100–200 mL) and reducing UF rate.
Stopping dialysis is premature unless severe symptoms persist.
Raising legs helps but is not first-line.
2. During a routine pre-dialysis assessment, a patient's
temperature is 100.8°F (38.2°C). What should the technician
do next?
• A) Start dialysis as ordered
• B) Notify the nurse immediately
• C) Apply a cooling blanket
• D) Check the temperature again in 15 minutes
Correct Answer: B
Rationale: Fever may indicate infection (access-related or
bloodstream). The nurse must evaluate before proceeding with
,Page 3 of 202
dialysis. Starting dialysis could spread infection or worsen
sepsis.
3. A patient with a right internal jugular tunneled catheter
complains of chills and back pain 1 hour into dialysis.
Which complication is most likely?
• A) Hemolysis
• B) Air embolism
• C) Pyrogenic reaction
• D) Catheter migration
Correct Answer: C
Rationale: Chills, fever, back pain, and hypotension during
dialysis suggest endotoxin or pyrogen reaction. Stop
treatment, notify nurse, do not return blood. Hemolysis presents
with dark blood; air embolism causes respiratory distress.
, Page 4 of 202
4. Which finding indicates proper arteriovenous (AV) fistula
maturation?
• A) Absence of a thrill
• B) Bruit audible only with a stethoscope
• C) Continuous low-pitched bruit and strong thrill
• D) Pulsatile mass without thrill
Correct Answer: C
Rationale: Mature AV fistula has a continuous low-pitched
bruit (systolic-diastolic) and palpable thrill. Absent thrill
suggests stenosis. Bruit alone without thrill is insufficient.
5. A patient's dry weight is 70 kg. Predialysis weight is
72.5 kg. What is the total fluid removal goal?
• A) 1.5 L
• B) 2.0 L
• C) 2.5 L
