CCHT Study Questions and Answers
Rated A+
What are the two main types of dialysis? ✔✔hemodialysis and peritoneal dialysis
How are dialysis clinics paid by Medicare for dialysis treatment? ✔✔Prospective payment
system bundles
What does "Pay for Performance" mean? ✔✔Clinics that don't meet certain quality standards
will have their payments cut
What federal body are dialysis clinics required to work with? ✔✔Centers for Medicare and
Medicaid services
What are "clinical practice guidelines"? ✔✔Efforts to improve patient outcomes by finding best
practices
What are the steps of the CQI process? ✔✔Identify improvement needs, analyze the process,
identify root causes and then implement the "plan, do, check, act cycle"
,What is the PDCA cycle? ✔✔Plan, Do, Check, Act
What is an example of a boundary you should keep between you and your patients? ✔✔You
should not invite patients to your home.
How do you become a CCHT? ✔✔Take a test given by an approved program after 6 months of
dialysis work
What is a nephron made up of? ✔✔glomerulus and tubule
What is the most common cause of renal failure in the U.S.? ✔✔Diabetes
What is a problem of kidney failure caused by a build up of wastes in the blood? ✔✔Uremia
What causes secondary hyperparathyroidism in people with kidney failure? ✔✔The kidneys no
longer make active Vitamin D
,What word means too much potassium? ✔✔Hyperkalemia
What is the patients dry weight? ✔✔The weight after a treatment when all or most excess water
is gone
Your patient Mrs. M asks to stop her treatment 20 minutes early. What do you say? ✔✔"You
need every minute of treatment you can get, to avoid complications."
What should you do if a patient asks you a question you don't know the answer to? ✔✔Refer the
patient to a member of the care team that can answer the question
The dialysis team member with special training in helping people cope with changes related to
kidney disease is the: ✔✔Social worker
What is a solution made up of? ✔✔A solvent and a solute
A semipermeable membrane is a filter that: ✔✔Allows only certain sized particles to pass
through
, What happens in diffusion? ✔✔Solutes move through a membrane from an area of higher
concentration to a lower one
What would lead to faster diffusion? ✔✔Small particles, warm solution, large pores
What best describes osmosis? ✔✔Water moves through a membrane from a low solute
concentration to a higher one
What role does ultrafiltration play in dialysis? ✔✔removes water from the patients blood
What is the intravascular fluid compartment? ✔✔Blood inside the blood vessels
During dialysis, levels of waste in the blood should: ✔✔decrease
What type of pressure when blood is pulled from the needle? ✔✔Negative
What is a gradient? ✔✔A difference
Rated A+
What are the two main types of dialysis? ✔✔hemodialysis and peritoneal dialysis
How are dialysis clinics paid by Medicare for dialysis treatment? ✔✔Prospective payment
system bundles
What does "Pay for Performance" mean? ✔✔Clinics that don't meet certain quality standards
will have their payments cut
What federal body are dialysis clinics required to work with? ✔✔Centers for Medicare and
Medicaid services
What are "clinical practice guidelines"? ✔✔Efforts to improve patient outcomes by finding best
practices
What are the steps of the CQI process? ✔✔Identify improvement needs, analyze the process,
identify root causes and then implement the "plan, do, check, act cycle"
,What is the PDCA cycle? ✔✔Plan, Do, Check, Act
What is an example of a boundary you should keep between you and your patients? ✔✔You
should not invite patients to your home.
How do you become a CCHT? ✔✔Take a test given by an approved program after 6 months of
dialysis work
What is a nephron made up of? ✔✔glomerulus and tubule
What is the most common cause of renal failure in the U.S.? ✔✔Diabetes
What is a problem of kidney failure caused by a build up of wastes in the blood? ✔✔Uremia
What causes secondary hyperparathyroidism in people with kidney failure? ✔✔The kidneys no
longer make active Vitamin D
,What word means too much potassium? ✔✔Hyperkalemia
What is the patients dry weight? ✔✔The weight after a treatment when all or most excess water
is gone
Your patient Mrs. M asks to stop her treatment 20 minutes early. What do you say? ✔✔"You
need every minute of treatment you can get, to avoid complications."
What should you do if a patient asks you a question you don't know the answer to? ✔✔Refer the
patient to a member of the care team that can answer the question
The dialysis team member with special training in helping people cope with changes related to
kidney disease is the: ✔✔Social worker
What is a solution made up of? ✔✔A solvent and a solute
A semipermeable membrane is a filter that: ✔✔Allows only certain sized particles to pass
through
, What happens in diffusion? ✔✔Solutes move through a membrane from an area of higher
concentration to a lower one
What would lead to faster diffusion? ✔✔Small particles, warm solution, large pores
What best describes osmosis? ✔✔Water moves through a membrane from a low solute
concentration to a higher one
What role does ultrafiltration play in dialysis? ✔✔removes water from the patients blood
What is the intravascular fluid compartment? ✔✔Blood inside the blood vessels
During dialysis, levels of waste in the blood should: ✔✔decrease
What type of pressure when blood is pulled from the needle? ✔✔Negative
What is a gradient? ✔✔A difference
