CCHT Study Guide QUESTIONS AND ANSWERS| GRADED A
You are the PCT taking care of Mr. Smith. He tells you that he has no ride today to go home
after treatment. You Correct Answer: Refer him to the Social Worker
While taking the pulse you find that the patient has arrhythmia. You know that one of the causes
of arrhythmia is Correct Answer: Elevated potassium level
The patient is complaining that he is cold. He requests to be totally covered. You explain to the
patient that the access has to remain undercover because: Correct Answer: The fistula needle
could be dislodged and you will be able to intervene right away.
Mr. Wonder is new to dialysis, his schedule is M-W-F at 6 am. He used to run every morning
and he is upset that he has to give his running to accommodate the dialysis schedule. You
Correct Answer: Tell the patient that you will make every effort possible to adjust his schedule
so he can continue to run every morning.
The functional unit of a kidney is Correct Answer: Nephron
A healthy kidney excretes Correct Answer: Phosphorus
Renagel is a medication that is a Correct Answer: Phosphate binder
Which one is the highest in Potassium Correct Answer: 2 cups of raisins
What are some of the foods that are high in phosphorus Correct Answer: Milk and Cheese
Water softener removes: Correct Answer: Magnesium and Calcium
Chlorine and Chloramines are removed by: Correct Answer: Carbon Tanks
Endotoxins are removed by: Correct Answer: Ultrafilter
Anastomosis is the surgical connection between the: Correct Answer: Artery and vein
A A M I Standards for cultured water is: Correct Answer: 200 cfu
A A M I Standards for dialysis is: Correct Answer: 50 cfu
Hemodialysis is accomplished by which principles? Correct Answer: Ultra filtration, diffusion,
counter-current dialysis flow
While assessing an access before cannulation you note an aneurysm. You should: Correct
Answer: Avoid cannulating the area and notify the nurse or physician.
, Your patient complains of mild to moderate pain in access limb. The limb is note to be colder
distally and paler than the other limb. The patient states that the pain increases in intensity while
he is on dialysis. The patient could be experiencing: Correct Answer: Steal syndrome
Patient has a bilateral amputation. How do you determine that the patient is fluid overloaded?
Correct Answer: Listen to the lungs
If it is not documented: Correct Answer: It is not done
What is a high risk of safety and a hazard: Correct Answer: A small amount of water on the
floor
Your patient came in for dialysis accompanied by his daughter. He is hard of hearing. You have
to assess his complaints. You: Correct Answer: Speak clearly in front of him.
Your patient comes to dialysis accompanied by his wife. She tells you that since he started
dialysis, he is not the same, and has been very depressed. You: Correct Answer: Refer him to
the administrator and social worker
Dialysis pH average is: Correct Answer: 6.8-7.4
The reuse tech spilled germicide on the floor. The first place you would look to see how to deal
with the chemical spill is: Correct Answer: M S D S Book
Your patient is complaining of feeling dizzy while on dialysis. You suspect that he has an
episode of hypotension. The first thing you would do is place the patient: Correct Answer:
Shoulders and head lower that the legs
Machine blood leak is alarming. The hemastix text came out negative. What do you do next?
Correct Answer: Continue dialysis and monitor system
Dialysis patients are diagnosed with anemia. Epogen is given to the patients to: Correct Answer:
Increase red blood cell production
Kt/V is a measurement used to determine: Correct Answer: Adequacy of dialysis
The use of saline to prove the lines and dialyzer is necessary because: Correct Answer: Sterilant
has to be removed from the dialyzer
Air in the lines during the treatment are usually due to: Correct Answer: Loose connections on
the dialysis lines
Which organization sets the standards and recommendations for water reprocessing? Correct
Answer: A A M I
Which organization sets the standards for water in the dialysis setting? Correct Answer: C M S
You are the PCT taking care of Mr. Smith. He tells you that he has no ride today to go home
after treatment. You Correct Answer: Refer him to the Social Worker
While taking the pulse you find that the patient has arrhythmia. You know that one of the causes
of arrhythmia is Correct Answer: Elevated potassium level
The patient is complaining that he is cold. He requests to be totally covered. You explain to the
patient that the access has to remain undercover because: Correct Answer: The fistula needle
could be dislodged and you will be able to intervene right away.
Mr. Wonder is new to dialysis, his schedule is M-W-F at 6 am. He used to run every morning
and he is upset that he has to give his running to accommodate the dialysis schedule. You
Correct Answer: Tell the patient that you will make every effort possible to adjust his schedule
so he can continue to run every morning.
The functional unit of a kidney is Correct Answer: Nephron
A healthy kidney excretes Correct Answer: Phosphorus
Renagel is a medication that is a Correct Answer: Phosphate binder
Which one is the highest in Potassium Correct Answer: 2 cups of raisins
What are some of the foods that are high in phosphorus Correct Answer: Milk and Cheese
Water softener removes: Correct Answer: Magnesium and Calcium
Chlorine and Chloramines are removed by: Correct Answer: Carbon Tanks
Endotoxins are removed by: Correct Answer: Ultrafilter
Anastomosis is the surgical connection between the: Correct Answer: Artery and vein
A A M I Standards for cultured water is: Correct Answer: 200 cfu
A A M I Standards for dialysis is: Correct Answer: 50 cfu
Hemodialysis is accomplished by which principles? Correct Answer: Ultra filtration, diffusion,
counter-current dialysis flow
While assessing an access before cannulation you note an aneurysm. You should: Correct
Answer: Avoid cannulating the area and notify the nurse or physician.
, Your patient complains of mild to moderate pain in access limb. The limb is note to be colder
distally and paler than the other limb. The patient states that the pain increases in intensity while
he is on dialysis. The patient could be experiencing: Correct Answer: Steal syndrome
Patient has a bilateral amputation. How do you determine that the patient is fluid overloaded?
Correct Answer: Listen to the lungs
If it is not documented: Correct Answer: It is not done
What is a high risk of safety and a hazard: Correct Answer: A small amount of water on the
floor
Your patient came in for dialysis accompanied by his daughter. He is hard of hearing. You have
to assess his complaints. You: Correct Answer: Speak clearly in front of him.
Your patient comes to dialysis accompanied by his wife. She tells you that since he started
dialysis, he is not the same, and has been very depressed. You: Correct Answer: Refer him to
the administrator and social worker
Dialysis pH average is: Correct Answer: 6.8-7.4
The reuse tech spilled germicide on the floor. The first place you would look to see how to deal
with the chemical spill is: Correct Answer: M S D S Book
Your patient is complaining of feeling dizzy while on dialysis. You suspect that he has an
episode of hypotension. The first thing you would do is place the patient: Correct Answer:
Shoulders and head lower that the legs
Machine blood leak is alarming. The hemastix text came out negative. What do you do next?
Correct Answer: Continue dialysis and monitor system
Dialysis patients are diagnosed with anemia. Epogen is given to the patients to: Correct Answer:
Increase red blood cell production
Kt/V is a measurement used to determine: Correct Answer: Adequacy of dialysis
The use of saline to prove the lines and dialyzer is necessary because: Correct Answer: Sterilant
has to be removed from the dialyzer
Air in the lines during the treatment are usually due to: Correct Answer: Loose connections on
the dialysis lines
Which organization sets the standards and recommendations for water reprocessing? Correct
Answer: A A M I
Which organization sets the standards for water in the dialysis setting? Correct Answer: C M S
