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Fresenius ~ CCHT Certification Preparation Test questions and answers| Graded A

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The functional unit of the kidney that does the work Correct Answer: Nephron A nephron is made up of Correct Answer: A glomerulus and a tubule The endrocrine functions of the kidney include Correct Answer: making erythropoietin and the active for of Vitamin D The leading cause of End-Stage Renal Disease (ESRD) for adults in the U.S. Correct Answer: Diabetes Patients with kidney failure often complain of itching, which is likely to be caused by Correct Answer: HyperPhosphatemia Why do kideny patients often have bone disease Correct Answer: Kidneys stop producing calcitriol Symptoms that a patient may need more dialysis time include Correct Answer: Anorexia, fatigue, swelling A semipermeable membrane is a porous barrier that Correct Answer: allows for only certain sized particles to cross Diffusion is movement of particles Correct Answer: from an area of higher concentration to an area of lower concentration Negative Pressure is pressure created when Correct Answer: fluid is pulled through a restriction During Dialysis, ultrafiltration occurs when Correct Answer: Water is removed from the blood because there is a pressure gradient between blood and dialysate at which point in the extracorporeal circuit is the blood usually under negative pressure Correct Answer: The arterial line section before the blood pump Which of the following will increase the amount of the solutes that will diffuse across the semipermeable membrane Correct Answer: High concentration gradients The components of the dialysate treatment that affect clearance include Correct Answer: Dialysate flow, time of treatment, dialyzer size, blood flow rate Two things that affect the dialyzer's ability to remove wastes from the body include Correct Answer: Surface area and molecular weight cutoff Dialysate is the fluid that hel

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Fresenius ~ CCHT Certification Preparation Test questions
and answers| Graded A
The functional unit of the kidney that does the work Correct Answer: Nephron

A nephron is made up of Correct Answer: A glomerulus and a tubule

The endrocrine functions of the kidney include Correct Answer: making erythropoietin and the
active for of Vitamin D

The leading cause of End-Stage Renal Disease (ESRD) for adults in the U.S. Correct Answer:
Diabetes

Patients with kidney failure often complain of itching, which is likely to be caused by Correct
Answer: HyperPhosphatemia

Why do kideny patients often have bone disease Correct Answer: Kidneys stop producing
calcitriol

Symptoms that a patient may need more dialysis time include Correct Answer: Anorexia,
fatigue, swelling

A semipermeable membrane is a porous barrier that Correct Answer: allows for only certain
sized particles to cross

Diffusion is movement of particles Correct Answer: from an area of higher concentration to an
area of lower concentration

Negative Pressure is pressure created when Correct Answer: fluid is pulled through a restriction

During Dialysis, ultrafiltration occurs when Correct Answer: Water is removed from the blood
because there is a pressure gradient between blood and dialysate

at which point in the extracorporeal circuit is the blood usually under negative pressure Correct
Answer: The arterial line section before the blood pump

Which of the following will increase the amount of the solutes that will diffuse across the
semipermeable membrane Correct Answer: High concentration gradients

The components of the dialysate treatment that affect clearance include Correct Answer:
Dialysate flow, time of treatment, dialyzer size, blood flow rate

Two things that affect the dialyzer's ability to remove wastes from the body include Correct
Answer: Surface area and molecular weight cutoff

, Dialysate is the fluid that helps remove waste products from the body. It contains a number of
substances. What might be prescribed for a dialysate solution Correct Answer: Bicarbonate,
Sodium, Potassium

What is the most important safety monitor during a dialysis treatment Correct Answer: The
dialysis technician

Dialysate conductivity measures Correct Answer: the total electrical charge of a solution

Dialysate that has too much sodium may cause patient injury. Too much sodium or
hypernatremia can cause Correct Answer: Headaches, high blood pressure, and shriveling of the
red blood cells

Dialysate that has too much calcium can cause Correct Answer: Vomiting, confusion, irritability

Dialysate that has too little sodium can cause Correct Answer: low blood pressure, cramping,
and bursting of Red Blood Cells

Things that can affect dailysis adequacy include Correct Answer: time on treatment, Blood and
dialysate flow rates, dialyzer clotting

normal body temperature taken orally Correct Answer: 98.6 degrees F

the instrument used for measuring blood pressure is called Correct Answer:
Sphygmomanometer

a rapid pulse of 104 beats/min would indicate that the patient has Correct Answer: tachycardia

Seizures during dialysis maybe caused by Correct Answer: Electrolyte imbalance, Hypotension,
Dialysate composition errors

the normal range for a resting pulse rate in an adult is Correct Answer: 60 to 100 beats/min

what will cause an increase in venous pressure during Dialysis Correct Answer: venous needle
infiltraiton

you suspect clotting in the dialyzer. The FIRST action you should take is to Correct Answer:
Rinse the dialyzer with normal saline

If there is a decrease in the patient's URR or Kt/V, which of the following factors should be
looked at? Correct Answer: Increased access recirculation, Diminished dialyzer performance
due to reprocessing, inadequate anticoagulation of the blood, blood pump speed

What is the first symptom that a pt is developing Dialysis disequilibrium Correct Answer:
headache

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