CCHT EXAM 2023
A+
While technical staff are preforming duties in the dialysis unit which team member must
always be present
A. Registered nurse
B. Medical director for unit
C. Lab technician - ANS-A. Registered nurse
Two techs are heatedly discussing pt care situation. Which team member is responsible
for disciplinary action
A. Registered practical nurse
B. Human resource manager
C. Dialysis nurse manager - ANS-C. Dialysis nurse manager
Which credentialing agency for dialysis includes items such as water treatment and
dialysate preparation and complication of dialysis as part of their practice domains
A. Board of nephrology examiners nursing in technology
B. Nephrology nursing certification commission
C. National nephrology certification organization - ANS-C. NNCO
Prior to starting dialysis what must the technician and or nurse verify
A. That patient has provided informed written consent for dialysis
B. That the patient has not eaten any food or beverages for the last six hours
C. That the patient has a driver to pick him up after dialysis - ANS-A. Consent
Which external agencies provide additional guidelines and standards in the areas of
infectious disease testing immunizations dialysis treatment safety and infection control?
A. Centers for disease control and prevention
B. Centers for Medicare and Medicaid service
C. Association for the advancement of medical instrumentation
D. Council of nephrology - ANS-A B and C
Prior to passing the Social Security amendments treatment for chronic kidney disease
was available only to few who met certain criteria. The amendments extended Medicare
coverage for almost all patients who signed the amendment and then what year
A. Jimmy Carter in 1979
B. Richard Nixon 1972
C. John f Kennedy 1961 - ANS-B. Richard Nixon 1972
Which organization recently approved by CMS to be an independent organization
allowed to conduct surveys for Medicare certification fostering faster approval for
dialysis clinics
A. National kidney foundation
B. Medicare bundle dialysis prospective payment system
,C. National dialysis accreditation commission - ANS-C. NDAC
What is the composition of saline
A. 10% salt added to water
B. Albumin
C. 0.9g of sodium chloride and 100ml of water - ANS-C. 0.9g of sodium and 100ml of
h2o
When caring for a patient if the dialysate solution contains two little sodium the water
may shift into the patient's blood cells which signs or symptoms would you see
A. Hypotension
B. Cramping
C. Thirst
D. Headache - ANS-A and B
Which buffer is the major plasma buffer therefor important during dialysis
A. Bicarbonate
B. Amino acid
C. Protein - ANS-A. Bicarbonate
While reviewing the body weight for a dialysis patient the tech knows that ——— of the
total amount of water is contained in the intracellular fluid compartment
A. 20%
B. 30%
C. 40% - ANS-C. 40%
How much water is lost through evaporation form lungs every day
A. 250-499 ml of water
B. 700-1,000 ml of water
C. 1500-2000 ml of water - ANS-B.
A patient asks to explain what the normal kidney does in addition to making urine what's
the response
A. Regulate fluid volume in body
B. Regulate pH in blood
C. produce erythropoietin that controls red blood cell production
D. I receptor sites for several hormones - ANS-All of the above
A patient with a renal failure asks if his candies will regenerate how does the technician
answer
A. With a diet low in sodium and exercise there's a good chance you'll get some
function back
B. If nephrons are damaged they do no regenerate
C. If the heart can pump in a blood to the kidney there is a possibility that some of the
nephrons can regenerate - ANS-B. If nephrons are damaged they won't regenerate
, This patient's kidneys have permanently lost most of their ability to remove waste and
maintain fluid in chemical balance what's the patient's likely estimated glomerular
filtration rate
A. Less than 15 ml/min/
B. 60-89 ml/min/1.73
C. 30-44 ml/min - ANS-A. Less than 15
The patient asks the dialysis technician if there's anything she can do to slow the
progression of her kidney disease. Which risk factor could the technician mention during
the conversation
A. Control your blood glucose levels if you're a diabetic
B. Maintain healthy weight
C. Control cholesterol levels
D. Stop use of alcohol - ANS-A B and C
Which recommendation would've nephrologist likely make for a patient who has read
stages three or four chronic kidney disease
A. We'll tele health visits discussing daily urine output
B. Dietary restriction on sodium phosphorus and protein
C. Monitoring for mineral bone disease
D. Education on cardiovascular disease - ANS-B,C and D
Which patient would be considered at higher risk for developing chronic kidney disease
A. Hispanic female who is unaware that she is hypertensive
B. White female with family history of diabetes who watches her exercise and diet
C. Asian male who schedules regular visits with healthcare provider
D. African-American female whose parents both died following stroke - ANS-A and D
Patient with chronic kidney disease asks what her goal hemoglobin level should be what
level as recommended by the national kidney foundation kidney disease guidelines
A. 9%
B. 7%
C. 11% - ANS-B.7%
Patient with chronic kidney disease arrives at the center after his nephrology visit he
relays to the staff that the doctor said he was hardening of the kidneys what is the
cause of this condition
A. Prolonged severe hypertension
B. Daily ingestion of sugar sweetened drinks
C. High fat diet
D. Too much calcium in the diet along with hypertension - ANS-A.
What is one cause of postrenal failure
A. Renal trauma
B. Prostrate disease
C. Fluid volume shifts
A+
While technical staff are preforming duties in the dialysis unit which team member must
always be present
A. Registered nurse
B. Medical director for unit
C. Lab technician - ANS-A. Registered nurse
Two techs are heatedly discussing pt care situation. Which team member is responsible
for disciplinary action
A. Registered practical nurse
B. Human resource manager
C. Dialysis nurse manager - ANS-C. Dialysis nurse manager
Which credentialing agency for dialysis includes items such as water treatment and
dialysate preparation and complication of dialysis as part of their practice domains
A. Board of nephrology examiners nursing in technology
B. Nephrology nursing certification commission
C. National nephrology certification organization - ANS-C. NNCO
Prior to starting dialysis what must the technician and or nurse verify
A. That patient has provided informed written consent for dialysis
B. That the patient has not eaten any food or beverages for the last six hours
C. That the patient has a driver to pick him up after dialysis - ANS-A. Consent
Which external agencies provide additional guidelines and standards in the areas of
infectious disease testing immunizations dialysis treatment safety and infection control?
A. Centers for disease control and prevention
B. Centers for Medicare and Medicaid service
C. Association for the advancement of medical instrumentation
D. Council of nephrology - ANS-A B and C
Prior to passing the Social Security amendments treatment for chronic kidney disease
was available only to few who met certain criteria. The amendments extended Medicare
coverage for almost all patients who signed the amendment and then what year
A. Jimmy Carter in 1979
B. Richard Nixon 1972
C. John f Kennedy 1961 - ANS-B. Richard Nixon 1972
Which organization recently approved by CMS to be an independent organization
allowed to conduct surveys for Medicare certification fostering faster approval for
dialysis clinics
A. National kidney foundation
B. Medicare bundle dialysis prospective payment system
,C. National dialysis accreditation commission - ANS-C. NDAC
What is the composition of saline
A. 10% salt added to water
B. Albumin
C. 0.9g of sodium chloride and 100ml of water - ANS-C. 0.9g of sodium and 100ml of
h2o
When caring for a patient if the dialysate solution contains two little sodium the water
may shift into the patient's blood cells which signs or symptoms would you see
A. Hypotension
B. Cramping
C. Thirst
D. Headache - ANS-A and B
Which buffer is the major plasma buffer therefor important during dialysis
A. Bicarbonate
B. Amino acid
C. Protein - ANS-A. Bicarbonate
While reviewing the body weight for a dialysis patient the tech knows that ——— of the
total amount of water is contained in the intracellular fluid compartment
A. 20%
B. 30%
C. 40% - ANS-C. 40%
How much water is lost through evaporation form lungs every day
A. 250-499 ml of water
B. 700-1,000 ml of water
C. 1500-2000 ml of water - ANS-B.
A patient asks to explain what the normal kidney does in addition to making urine what's
the response
A. Regulate fluid volume in body
B. Regulate pH in blood
C. produce erythropoietin that controls red blood cell production
D. I receptor sites for several hormones - ANS-All of the above
A patient with a renal failure asks if his candies will regenerate how does the technician
answer
A. With a diet low in sodium and exercise there's a good chance you'll get some
function back
B. If nephrons are damaged they do no regenerate
C. If the heart can pump in a blood to the kidney there is a possibility that some of the
nephrons can regenerate - ANS-B. If nephrons are damaged they won't regenerate
, This patient's kidneys have permanently lost most of their ability to remove waste and
maintain fluid in chemical balance what's the patient's likely estimated glomerular
filtration rate
A. Less than 15 ml/min/
B. 60-89 ml/min/1.73
C. 30-44 ml/min - ANS-A. Less than 15
The patient asks the dialysis technician if there's anything she can do to slow the
progression of her kidney disease. Which risk factor could the technician mention during
the conversation
A. Control your blood glucose levels if you're a diabetic
B. Maintain healthy weight
C. Control cholesterol levels
D. Stop use of alcohol - ANS-A B and C
Which recommendation would've nephrologist likely make for a patient who has read
stages three or four chronic kidney disease
A. We'll tele health visits discussing daily urine output
B. Dietary restriction on sodium phosphorus and protein
C. Monitoring for mineral bone disease
D. Education on cardiovascular disease - ANS-B,C and D
Which patient would be considered at higher risk for developing chronic kidney disease
A. Hispanic female who is unaware that she is hypertensive
B. White female with family history of diabetes who watches her exercise and diet
C. Asian male who schedules regular visits with healthcare provider
D. African-American female whose parents both died following stroke - ANS-A and D
Patient with chronic kidney disease asks what her goal hemoglobin level should be what
level as recommended by the national kidney foundation kidney disease guidelines
A. 9%
B. 7%
C. 11% - ANS-B.7%
Patient with chronic kidney disease arrives at the center after his nephrology visit he
relays to the staff that the doctor said he was hardening of the kidneys what is the
cause of this condition
A. Prolonged severe hypertension
B. Daily ingestion of sugar sweetened drinks
C. High fat diet
D. Too much calcium in the diet along with hypertension - ANS-A.
What is one cause of postrenal failure
A. Renal trauma
B. Prostrate disease
C. Fluid volume shifts
