CCHT exam Q's
AAMI Chemical Analysis of water used for hemodialysis is tested:
annually
monthly
semi-annually
quarterly - answer annually
A 58-year old patient who is blind comes to treatment accompanied by his wife. Which
of these approaches should the dialysis technician use when interacting with the
patient?
Avoid using phrases that refer to sight, such as "It looks like..."
Describe the activities in the immediate environment
Give instructions to his wife instead of him
Touch the patient before speaking to him - answer Describe the activities in the
immediate environment
A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis
machine. Which of these actions should the dialysis technician take?
Clean the machine surface at the end of treatment
Clean the machine surface immediately
Notify the equipment technician
Notify the nurse - answer Clean the machine surface immediately
A dialysis technician observes all of the below on the treatment floor, which one poses
an environmental risk?
About one ounce (30ml) fluid is on the floor
,A patient's family member is present during initiation of treatment
Charts are lying on bedside tables
The wheels of the hemodialysis machine are locked - answer About one ounce
(30ml) fluid is on the floor
A female dialysis technician has been caring for a male patient for several months. The
patient tells the dialysis technician that he is lonely and depressed. He asks the dialysis
technician to go out to dinner with him. In addition to politely declining the patient's
invitation, which of these actions, if any, should the dialysis technician take?
No further action is needed
Recommend an over-the-counter mood stimulant, such as St. John's Wort
Refer the patient to the social worker
Share the patient's need for socialization with other patients - answer Refer the
patient to the social worker
A marker used to determine the middle molecule clearance of a dialyzer is:
creatinine.
nitrogen.
urea.
vitamin B12. - answer vitamin B12.
A fistula connects:
a vein to a vein.
an artery and a vein to synthetic material.
an artery to an artery.
an artery to a vein. - answer an artery to a vein.
A nephron is made up of:
A glomerulus and a tubule system
The bladder and the ureters
, The cortex and a capsule
The loop of Henle and the capillary ball - answer A glomerulus and a tubule system
A patient complains of pain at the venous needle site. The dialysis technician observes
there is swelling distal to the venous needle site and that the venous pressure is rising.
The dialysis technician should suspect:
a pseudoaneurysm.
an Infiltration.
recirculation.
stenosis. - answer an Infiltration.
A patient who is to receive their first dialysis treatment is prone to?
Crenation
Dialysis disequilibrium syndrome
First use syndrome
Steal syndrome - answer Dialysis disequilibrium syndrome
A patient tells the technician that the dietitian reviewed high-potassium foods with her.
During the conversation she states she routinely eats the following foods. Which one is
highest in potassium?
Bananas
Ice Cream
Pasta
Rice - answer Bananas
A slow pulse of 54 beats/minute would indicate the patient has:
A normal rate
An arrhythmia
Bradycardia
Tachycardia - answer Bradycardia
A teammate asks you to document the normal saline he just gave to Mr. Smith. You
would:
ask what time he gave it and document it with his signature
ask what time he gave it and document it with his signature, as a late entry
AAMI Chemical Analysis of water used for hemodialysis is tested:
annually
monthly
semi-annually
quarterly - answer annually
A 58-year old patient who is blind comes to treatment accompanied by his wife. Which
of these approaches should the dialysis technician use when interacting with the
patient?
Avoid using phrases that refer to sight, such as "It looks like..."
Describe the activities in the immediate environment
Give instructions to his wife instead of him
Touch the patient before speaking to him - answer Describe the activities in the
immediate environment
A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis
machine. Which of these actions should the dialysis technician take?
Clean the machine surface at the end of treatment
Clean the machine surface immediately
Notify the equipment technician
Notify the nurse - answer Clean the machine surface immediately
A dialysis technician observes all of the below on the treatment floor, which one poses
an environmental risk?
About one ounce (30ml) fluid is on the floor
,A patient's family member is present during initiation of treatment
Charts are lying on bedside tables
The wheels of the hemodialysis machine are locked - answer About one ounce
(30ml) fluid is on the floor
A female dialysis technician has been caring for a male patient for several months. The
patient tells the dialysis technician that he is lonely and depressed. He asks the dialysis
technician to go out to dinner with him. In addition to politely declining the patient's
invitation, which of these actions, if any, should the dialysis technician take?
No further action is needed
Recommend an over-the-counter mood stimulant, such as St. John's Wort
Refer the patient to the social worker
Share the patient's need for socialization with other patients - answer Refer the
patient to the social worker
A marker used to determine the middle molecule clearance of a dialyzer is:
creatinine.
nitrogen.
urea.
vitamin B12. - answer vitamin B12.
A fistula connects:
a vein to a vein.
an artery and a vein to synthetic material.
an artery to an artery.
an artery to a vein. - answer an artery to a vein.
A nephron is made up of:
A glomerulus and a tubule system
The bladder and the ureters
, The cortex and a capsule
The loop of Henle and the capillary ball - answer A glomerulus and a tubule system
A patient complains of pain at the venous needle site. The dialysis technician observes
there is swelling distal to the venous needle site and that the venous pressure is rising.
The dialysis technician should suspect:
a pseudoaneurysm.
an Infiltration.
recirculation.
stenosis. - answer an Infiltration.
A patient who is to receive their first dialysis treatment is prone to?
Crenation
Dialysis disequilibrium syndrome
First use syndrome
Steal syndrome - answer Dialysis disequilibrium syndrome
A patient tells the technician that the dietitian reviewed high-potassium foods with her.
During the conversation she states she routinely eats the following foods. Which one is
highest in potassium?
Bananas
Ice Cream
Pasta
Rice - answer Bananas
A slow pulse of 54 beats/minute would indicate the patient has:
A normal rate
An arrhythmia
Bradycardia
Tachycardia - answer Bradycardia
A teammate asks you to document the normal saline he just gave to Mr. Smith. You
would:
ask what time he gave it and document it with his signature
ask what time he gave it and document it with his signature, as a late entry