M A X E TR E C • T H C C
CCHT Certification
CCHT Certified Clinical Hemodialysis Technician
N AT I O N A L N E P H R O LO G Y C E R T I F I C AT I O N O R G A N I Z AT I O N
NNCO CERT
CCHT Certification Examination
CO M P R E H E N S I V E P R A C T I C E T E ST — T E A M R O L E S , A N ATO M Y, P H YS I O LO G Y & R E G U L ATO R Y
STA N D A R D S
CERTIFICATION CCHT — NNCO ORGANIZATION National Nephrology Certification
Organization
PROGRAM Hemodialysis Technician Certification ACADEMIC YEAR
EXAM TITLE CCHT Certification Examination TOTAL QUESTIONS 15+ Comprehensive Questions
DOMAIN Team Roles, Anatomy/Physiology, FORMAT Multiple Choice — Select the Single Best
Regulatory, Dialysis Principles Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Questions cover dialysis team roles, kidney anatomy/physiology, fluid compartments, regulatory agencies, and dialysis
principles.
▸ Verified answers with detailed rationales are provided for comprehensive CCHT certification preparation.
▸ Pay close attention to electrolyte balance, fluid distribution, and the roles of regulatory oversight agencies.
CCHT CERTIFICATION — PROFESSIONAL ROLES, ANATOMY & DIALYSIS Questions 1 –
FUNDAMENTALS 15+
1. While technical staff are performing duties in the dialysis unit, which team member must always be present during
in-center dialysis?
A. Medical Director.
B. A Registered Nurse.
C. Laboratory Technician.
D. Social Worker.
CORRECT ANSWER B — A Registered Nurse
RATIONALE Medicare Conditions for Participation require that a registered nurse be present in the facility at all times
when patients are being dialyzed. The RN is responsible for patient assessment, medication administration,
supervision of dialysis technicians, and emergency response. The Medical Director must be available but not
necessarily physically present during all treatments.
, 2. Two dialysis technicians are heatedly discussing a patient care situation. Which hemodialysis team member is
responsible for disciplinary action as the first chain of command?
A. Human Resources Manager.
B. Dialysis Nurse Manager.
C. Medical Director.
D. Charge Nurse.
CORRECT ANSWER B — Dialysis Nurse Manager
RATIONALE The Dialysis Nurse Manager is the direct supervisor responsible for all clinical staff in the unit, including
technicians. As the first chain of command, the Nurse Manager addresses staff conflicts, initiates disciplinary
action when needed, and ensures professional conduct. The Medical Director oversees the medical aspects of
care, while Human Resources may become involved later in the disciplinary process.
3. You are planning to apply for a position as a dialysis technician. What knowledge and skills are required as
essential components for this position?
A. Only basic math skills and computer literacy.
B. Some understanding of human anatomy and physiology, treatment complications, and care of the vascular access.
C. Only certification in CPR.
D. Previous experience as a nurse.
CORRECT ANSWER B — Some understanding of human anatomy and physiology, treatment complications, and care of
the vascular access
RATIONALE Dialysis technicians must possess foundational knowledge in human anatomy and physiology (especially
renal, cardiovascular, and fluid/electrolyte systems), recognize and respond to treatment complications
(hypotension, cramping, hemolysis, disequilibrium), and demonstrate competence in vascular access care
(fistula, graft, and catheter management). These are the core competencies tested on the CCHT certification
examination.
4. Which credentialing agency for dialysis technicians includes items such as water treatment, dialysate preparation,
dialyzer reprocessing, and complications of dialysis as part of their cognitive or practice domains?
A. Board of Nephrology Examiners Nursing and Technology (BONENT).
B. Nephrology Nursing Certification Commission (NNCC).
C. National Nephrology Certification Organization (NNCO).
D. American Nephrology Nurses Association (ANNA).
CORRECT ANSWER C — National Nephrology Certification Organization (NNCO)
RATIONALE The NNCO is the primary credentialing body for dialysis technicians, offering the CCHT (Certified Clinical
Hemodialysis Technician) credential. The exam covers water treatment and dialysate preparation, dialyzer
reprocessing, complications of dialysis, infection control, vascular access, patient care, and professional
responsibilities. BONENT and NNCC certify nephrology nurses, not technicians. ANNA is a professional
nursing association.
CCHT Certification
CCHT Certified Clinical Hemodialysis Technician
N AT I O N A L N E P H R O LO G Y C E R T I F I C AT I O N O R G A N I Z AT I O N
NNCO CERT
CCHT Certification Examination
CO M P R E H E N S I V E P R A C T I C E T E ST — T E A M R O L E S , A N ATO M Y, P H YS I O LO G Y & R E G U L ATO R Y
STA N D A R D S
CERTIFICATION CCHT — NNCO ORGANIZATION National Nephrology Certification
Organization
PROGRAM Hemodialysis Technician Certification ACADEMIC YEAR
EXAM TITLE CCHT Certification Examination TOTAL QUESTIONS 15+ Comprehensive Questions
DOMAIN Team Roles, Anatomy/Physiology, FORMAT Multiple Choice — Select the Single Best
Regulatory, Dialysis Principles Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Questions cover dialysis team roles, kidney anatomy/physiology, fluid compartments, regulatory agencies, and dialysis
principles.
▸ Verified answers with detailed rationales are provided for comprehensive CCHT certification preparation.
▸ Pay close attention to electrolyte balance, fluid distribution, and the roles of regulatory oversight agencies.
CCHT CERTIFICATION — PROFESSIONAL ROLES, ANATOMY & DIALYSIS Questions 1 –
FUNDAMENTALS 15+
1. While technical staff are performing duties in the dialysis unit, which team member must always be present during
in-center dialysis?
A. Medical Director.
B. A Registered Nurse.
C. Laboratory Technician.
D. Social Worker.
CORRECT ANSWER B — A Registered Nurse
RATIONALE Medicare Conditions for Participation require that a registered nurse be present in the facility at all times
when patients are being dialyzed. The RN is responsible for patient assessment, medication administration,
supervision of dialysis technicians, and emergency response. The Medical Director must be available but not
necessarily physically present during all treatments.
, 2. Two dialysis technicians are heatedly discussing a patient care situation. Which hemodialysis team member is
responsible for disciplinary action as the first chain of command?
A. Human Resources Manager.
B. Dialysis Nurse Manager.
C. Medical Director.
D. Charge Nurse.
CORRECT ANSWER B — Dialysis Nurse Manager
RATIONALE The Dialysis Nurse Manager is the direct supervisor responsible for all clinical staff in the unit, including
technicians. As the first chain of command, the Nurse Manager addresses staff conflicts, initiates disciplinary
action when needed, and ensures professional conduct. The Medical Director oversees the medical aspects of
care, while Human Resources may become involved later in the disciplinary process.
3. You are planning to apply for a position as a dialysis technician. What knowledge and skills are required as
essential components for this position?
A. Only basic math skills and computer literacy.
B. Some understanding of human anatomy and physiology, treatment complications, and care of the vascular access.
C. Only certification in CPR.
D. Previous experience as a nurse.
CORRECT ANSWER B — Some understanding of human anatomy and physiology, treatment complications, and care of
the vascular access
RATIONALE Dialysis technicians must possess foundational knowledge in human anatomy and physiology (especially
renal, cardiovascular, and fluid/electrolyte systems), recognize and respond to treatment complications
(hypotension, cramping, hemolysis, disequilibrium), and demonstrate competence in vascular access care
(fistula, graft, and catheter management). These are the core competencies tested on the CCHT certification
examination.
4. Which credentialing agency for dialysis technicians includes items such as water treatment, dialysate preparation,
dialyzer reprocessing, and complications of dialysis as part of their cognitive or practice domains?
A. Board of Nephrology Examiners Nursing and Technology (BONENT).
B. Nephrology Nursing Certification Commission (NNCC).
C. National Nephrology Certification Organization (NNCO).
D. American Nephrology Nurses Association (ANNA).
CORRECT ANSWER C — National Nephrology Certification Organization (NNCO)
RATIONALE The NNCO is the primary credentialing body for dialysis technicians, offering the CCHT (Certified Clinical
Hemodialysis Technician) credential. The exam covers water treatment and dialysate preparation, dialyzer
reprocessing, complications of dialysis, infection control, vascular access, patient care, and professional
responsibilities. BONENT and NNCC certify nephrology nurses, not technicians. ANNA is a professional
nursing association.
