CCHT Exam B
Which of the following practices helps to build a patient's immunity to hepatitis B? -
answer Vaccination
A patient asks the technician, "What does uremia mean?" The technician response
should be based on the understanding that uremia is - answer an increase of
wasters in the blood
A central venous catheter may be used as a vascular access when a - answer
patient has inadequate blood vessels in the limbs
Before a dialysis treatment, the patient tells the technician, "Yesterday, I felt terrible and
vomited up some blood. I feel much better today." The technician can expect the
patient's treatment will be modified by - answer decreasing the heparin dose
The technician is unsure which one of a patient's arteriovenous (AV) graft's
anastomoses is arterial and which one is venous. In order to differentiate between the
two, the technician should - answer compress the graft in the middle and palpate
each side
At the end of a patient's treatment, which of these findings, if observed by the
technician, should be reported to the nurse? - answer A pulse rate of 55bpm (normal
HR 60-100bpm)
A patient asks the dialysis technician, "Why am I getting vitamin D therapy?" What is the
accurate response? - answer Vitamin D is needed for healthy bones
Why are dialysis patients more likely to become infected with germs like MRSA? -
answer They usually have weak immune systems
The technician prepares and cannulates an arteriovenous (AV) fistula. AV fistula is an
example of what? - answer a peripheral access placed in the arm
A patient says to the tech "The doctor says that I have mineral bone disorder, what does
that mean?" what should be the tech's response? - answer It is pretty complicated.
I'll ask the nurse to explain it to you
A tech notices a patient has a notebook where he/she records all lab results, weights,
and, meds. What should the tech conclude? - answer The patient is feels
empowered and is self managing
,During the last hour of a patient's dialysis treatment, their blood pressure measures
82/40. After changing the fluid removal rate, what should the tech do? - answer
Place patient in Trendelenburg position
Legally, if a treatment was performed but not charted in the patient's record, it was -
answer not done
The most common cause of low conductivity alarm during hemodialysis - answer a
exhausted concentrate supply
A patient who has diabetes mellitus should be observed for signs of low blood sugar,
which include - answer anxiety, confusion, hunger, sleepiness, or dizziness
How is low blood sugar treated - answer by giving carbohydrates
Linda Chase target weight 70kg. she weights at 72kg before treatment. How much fluid
should be removed? - answer 2kg
True or False
At Linda Chase target post dialysis weight of 70kg , she is most likely normotensive -
answer True
what is the water supply to the water system called - answer feed water
What is feed water? - answer is the water that comes from outside of the dialysis
center and must pass through water treatment system before it is used for mixing
concentrates and making dialysate
what is the primary goal of QAPI in a dialysis facility is to - answer achieve better
patient outcomes
After Linda Chase treatment her standing bp was 90/58. She complains if feeling
dizziness but insists she can walk to the scale. What is the first thing to do? - answer
instruct her to sit down
How do you know if an access is clotted - answer a bruit was absent
What is the most common reason for high venous pressure alarm - answer clotted
blood in access
In dialysis the term "reuse" refers to cleaning and disinfecting of what? - answer
dialyzers
A patient tests positive for hepatitis B What should the tech do to prevent the spread of
hepatitis B? - answer Dialyze the patient using a dedicated machine in an assigned
area
, A patient tells tech that they have a preschedule routine every morning and now will
have to stop. What should the tech do? - answer Exploring changing treatment time
so patient can continue regular schedule
what part of the water system removes endotoxins - answer ultrafilter
Why would a patient need ultrafiltration profiling? - answer minimize hypotension
What occurs when the dialysis machines alarms and goes into bypass - answer
dialysate stops following through the dialyzer
Care provides must wash hands with soap and water when - answer their hands are
visibly soiled
How does a tech properly lift a box? - answer bend with knees and hold box close to
the body
AAMI Chemical analysis of water used for hemodialysis is tested - answer annually
A 58 year old patient who is blind comes in for treatment with his wife. How should the
tech interact with the patient? - answer Describe activities in the immediate
environment
Tech sees blood on the surface of a patient's dialysis machine. What should you do? -
answer Clean the machine immediately
A dialysis tech observes all of the below options on the treatment floor, which is an
environmental risk?
A) about one ounce of fluid on the floor
B) A patient's family is present during initiation of treatment
C) Charts are lying on bedside tables
D) The wheels of the dialysis machine are locked - answer A) about one ounce
(30ml) fluid is on the floor
A patient asks a tech to dinner because he is lonely and depressed. After tech politely
declines offer what should tech do? - answer Refer patient to social worker
A fistula connects - answer an artery and a vein
A marker used to determine the middle molecule clearance of a dialyzer is - answer
vitamin B12
A mixed-bed DI tank contains - answer cations and anions
Nephron is made up of - answer A glomerulus and a tubule system
Which of the following practices helps to build a patient's immunity to hepatitis B? -
answer Vaccination
A patient asks the technician, "What does uremia mean?" The technician response
should be based on the understanding that uremia is - answer an increase of
wasters in the blood
A central venous catheter may be used as a vascular access when a - answer
patient has inadequate blood vessels in the limbs
Before a dialysis treatment, the patient tells the technician, "Yesterday, I felt terrible and
vomited up some blood. I feel much better today." The technician can expect the
patient's treatment will be modified by - answer decreasing the heparin dose
The technician is unsure which one of a patient's arteriovenous (AV) graft's
anastomoses is arterial and which one is venous. In order to differentiate between the
two, the technician should - answer compress the graft in the middle and palpate
each side
At the end of a patient's treatment, which of these findings, if observed by the
technician, should be reported to the nurse? - answer A pulse rate of 55bpm (normal
HR 60-100bpm)
A patient asks the dialysis technician, "Why am I getting vitamin D therapy?" What is the
accurate response? - answer Vitamin D is needed for healthy bones
Why are dialysis patients more likely to become infected with germs like MRSA? -
answer They usually have weak immune systems
The technician prepares and cannulates an arteriovenous (AV) fistula. AV fistula is an
example of what? - answer a peripheral access placed in the arm
A patient says to the tech "The doctor says that I have mineral bone disorder, what does
that mean?" what should be the tech's response? - answer It is pretty complicated.
I'll ask the nurse to explain it to you
A tech notices a patient has a notebook where he/she records all lab results, weights,
and, meds. What should the tech conclude? - answer The patient is feels
empowered and is self managing
,During the last hour of a patient's dialysis treatment, their blood pressure measures
82/40. After changing the fluid removal rate, what should the tech do? - answer
Place patient in Trendelenburg position
Legally, if a treatment was performed but not charted in the patient's record, it was -
answer not done
The most common cause of low conductivity alarm during hemodialysis - answer a
exhausted concentrate supply
A patient who has diabetes mellitus should be observed for signs of low blood sugar,
which include - answer anxiety, confusion, hunger, sleepiness, or dizziness
How is low blood sugar treated - answer by giving carbohydrates
Linda Chase target weight 70kg. she weights at 72kg before treatment. How much fluid
should be removed? - answer 2kg
True or False
At Linda Chase target post dialysis weight of 70kg , she is most likely normotensive -
answer True
what is the water supply to the water system called - answer feed water
What is feed water? - answer is the water that comes from outside of the dialysis
center and must pass through water treatment system before it is used for mixing
concentrates and making dialysate
what is the primary goal of QAPI in a dialysis facility is to - answer achieve better
patient outcomes
After Linda Chase treatment her standing bp was 90/58. She complains if feeling
dizziness but insists she can walk to the scale. What is the first thing to do? - answer
instruct her to sit down
How do you know if an access is clotted - answer a bruit was absent
What is the most common reason for high venous pressure alarm - answer clotted
blood in access
In dialysis the term "reuse" refers to cleaning and disinfecting of what? - answer
dialyzers
A patient tests positive for hepatitis B What should the tech do to prevent the spread of
hepatitis B? - answer Dialyze the patient using a dedicated machine in an assigned
area
, A patient tells tech that they have a preschedule routine every morning and now will
have to stop. What should the tech do? - answer Exploring changing treatment time
so patient can continue regular schedule
what part of the water system removes endotoxins - answer ultrafilter
Why would a patient need ultrafiltration profiling? - answer minimize hypotension
What occurs when the dialysis machines alarms and goes into bypass - answer
dialysate stops following through the dialyzer
Care provides must wash hands with soap and water when - answer their hands are
visibly soiled
How does a tech properly lift a box? - answer bend with knees and hold box close to
the body
AAMI Chemical analysis of water used for hemodialysis is tested - answer annually
A 58 year old patient who is blind comes in for treatment with his wife. How should the
tech interact with the patient? - answer Describe activities in the immediate
environment
Tech sees blood on the surface of a patient's dialysis machine. What should you do? -
answer Clean the machine immediately
A dialysis tech observes all of the below options on the treatment floor, which is an
environmental risk?
A) about one ounce of fluid on the floor
B) A patient's family is present during initiation of treatment
C) Charts are lying on bedside tables
D) The wheels of the dialysis machine are locked - answer A) about one ounce
(30ml) fluid is on the floor
A patient asks a tech to dinner because he is lonely and depressed. After tech politely
declines offer what should tech do? - answer Refer patient to social worker
A fistula connects - answer an artery and a vein
A marker used to determine the middle molecule clearance of a dialyzer is - answer
vitamin B12
A mixed-bed DI tank contains - answer cations and anions
Nephron is made up of - answer A glomerulus and a tubule system
