Certified Clinical Hemodialysis Technician
(CCHT) Exam
A substance that is cleared by the body with healthy kidneys is -
ANSWER>>Creatine
The patient tells the tech the doctor said I'm anemic what does that mean? -
ANSWER>>You dont have enough Red blood cells to carry oxygen
What access has the most infection rate - ANSWER>>AV Fistula
During a patient's dialysis treatment, the dialysis machine's blood leak detector
alarm sounds. The technician should take which of these actions first? -
ANSWER>>Confirm the blood leak.
The technician observes that a patient's dialysate lines were incorrectly placed on
the dialyzer. The technician corrects the line placement. The principle underlying
the technician's action is that clearance is maximized by -
ANSWER>>countercurrent flow.
is an individual item.
6 While performing the end-of-day water hardness check, the technician notes
that the hardness exceeds the allowable limit. In addition to notifying the
equipment technician, the technician should check which component of the
water system? - ANSWER>>Salt level in brine tank
Venous pressure is a result of resistance created by the - ANSWER>>Blood
returning to the patient
patient who is receiving an initial hemodialysis treatment on a non-reusable
dialyzer should be observed for signs of - ANSWER>>"first use" syndrome
Holding needle puncture sites instead of using spring-loaded fistula clamps is
recommended to avoid access - ANSWER>>thrombosis
,11 A patient who has an arteriovenous (AV) fistula receives a bolus dose of
heparin at the beginning of a hemodialysis treatment and a continuous heparin
infusion during the treatment. The patient's heparin administration should be
terminated 30-60 minutes before the end of the treatment in order to -
ANSWER>>Prevent excessive bleeding
During a dialysis treatment, a patient suddenly develops fever and chills. The
initial action that should be taken is to determine - ANSWER>>Whether other
patients are having similar symptoms
patient who recently had an arteriovenous (AV fistula placed in the left forearm is
experiencing numbness and tingling of the left hand.
The patient's left hand is cold and the fingernail beds are blue. The patient most
likely has which of these syndromes? - ANSWER>>to steal
One purpose of priming the bloodlines and extracorporeal circuit pre-dialysis is to
- ANSWER>>Remove disinfectant
A new technician is being oriented to the water treatment system. The equipment
technician explains that the purpose of the ultraviolet (UV) light is to -
ANSWER>>Change the DNA of microbes so they die or cannot multiply
Which of the following actions can the dialysis technician take to help minimize
anemia? - ANSWER>>Adequately rinseback as much of the patient's blood as
possible at each treatment
For pain management, Mr. Rivera is taking narcotic pain pills as prescribed by his
doctor. The dialysis technician knows that taking this medication puts Mr. Rivera
at increased risk for - ANSWER>>Falls
What is a DISADVANTAGE of an arteriovenous fistula as a hemodialysis access
compared to other types of access? - ANSWER>>Time required to mature
Mr. Rivera's pre-dialysis weight is 157.6 lb (71.5 kg) and the prescribed target
weight is 150.3 lb (68.3 kg). The treatment time is four hours. Excluding prime and
rinseback, Mr. Rivera's hourly ultrafiltration rate should be how many mL per
hour? - ANSWER>>800
,The greatest reduction in microorganisms in the dialysis machine is accomplished
by - ANSWER>>Disinfecting
A patient is experiencing large weight gains between hemodialysis treatments.
The technician should remind the patient that the best dietary measure to control
weight gain is to decrease the intake of - ANSWER>>Salt
The dialysis personnel's first response in the event of a fire is to -
ANSWER>>rescue patients in immediate danger
Changing the composition of the dialysis solution can influence the patient's -
ANSWER>>Blood electrolyte levels
Chloramine levels in treated water that are in excess of the standards of the
Association for the Advancement of Medical Instrumentation (AAMI) could result
in - ANSWER>>life threatening condition
A patient requests information about home hemodialysis. However, his wife stops
the technician in the waiting room and says, "Please do not encourage home
training for my husband." Which of these actions should the technician take
initially? - ANSWER>>Report the wife's concern to the nurse
A patient with a right arteriovenous (AV) fistula arrives at the dialysis facility
complaining of pain, tingling, and cold fingers in his right hand.
The technician would expect the nurse will notify which of the following
physicians for possible corrective action? - ANSWER>>vascular surgeon
Mrs. Miller's calculated Kt/Vurea is o.g. One of the factors that affects her
Kt/Vurea is her - ANSWER>>Treatment time
In order to minimize access recirculation, the technician should place Mrs. Miller's
fistula needles - ANSWER>>As far apart as possible
Heparin is given during Mrs. Miller's dialysis treatment to lower the risk for -
ANSWER>>clot formation
, Mrs. Miller asks the technician, "Why can't I completely cover up with a blanket
during my hemodialysis treatment? I'm cold." Which of these responses by the
technician would be best? - ANSWER>>We need to have early detection of needle
dislodgement
During a treatment, Mrs. Miller's venous needle infiltrates. Which of these actions
should the technician take first? - ANSWER>>Make sure blood pump is stopped
A female patient complains of loneliness and financial difficulty after her
husband's death last month. The technician should report this information to the
- ANSWER>>social worker
The hepatitis B virus is able to survive on environmental surfaces for as long as -
ANSWER>>7 days
A patient on hemodialysis goes to the emergency department for persistent
coughing and fever. He is diagnosed with active tuberculosis (TB). Which of the
following actions would the technician expect to be taken in regard to the
patient's dialysis treatment? - ANSWER>>The patient must receive dialysis in a
hospital in a special isolation room
Which of the following actions by a technician would be a HIPAA violation? -
ANSWER>>Sharing a recently transplanted patients good news
patient has an arteriovenous (AV) fistula in his lower left arm. When choosing a
cannulation site, the technician observes where previous needles were placed
and chooses to use alternate sites for arterial and venous needle insertion. This
practice is an example of - ANSWER>>Rope ladder technique
When doing a routine patient check, the technician notices a puddle of clear
liquid underneath a dialysis machine. After wiping it up. which of these actions, if
any, should the technician take? - ANSWER>>Notify the equipment technician
A hemodialysis extracorporal circuit is routinely primed with saline in which of
these concentrations? - ANSWER>>0.9
(CCHT) Exam
A substance that is cleared by the body with healthy kidneys is -
ANSWER>>Creatine
The patient tells the tech the doctor said I'm anemic what does that mean? -
ANSWER>>You dont have enough Red blood cells to carry oxygen
What access has the most infection rate - ANSWER>>AV Fistula
During a patient's dialysis treatment, the dialysis machine's blood leak detector
alarm sounds. The technician should take which of these actions first? -
ANSWER>>Confirm the blood leak.
The technician observes that a patient's dialysate lines were incorrectly placed on
the dialyzer. The technician corrects the line placement. The principle underlying
the technician's action is that clearance is maximized by -
ANSWER>>countercurrent flow.
is an individual item.
6 While performing the end-of-day water hardness check, the technician notes
that the hardness exceeds the allowable limit. In addition to notifying the
equipment technician, the technician should check which component of the
water system? - ANSWER>>Salt level in brine tank
Venous pressure is a result of resistance created by the - ANSWER>>Blood
returning to the patient
patient who is receiving an initial hemodialysis treatment on a non-reusable
dialyzer should be observed for signs of - ANSWER>>"first use" syndrome
Holding needle puncture sites instead of using spring-loaded fistula clamps is
recommended to avoid access - ANSWER>>thrombosis
,11 A patient who has an arteriovenous (AV) fistula receives a bolus dose of
heparin at the beginning of a hemodialysis treatment and a continuous heparin
infusion during the treatment. The patient's heparin administration should be
terminated 30-60 minutes before the end of the treatment in order to -
ANSWER>>Prevent excessive bleeding
During a dialysis treatment, a patient suddenly develops fever and chills. The
initial action that should be taken is to determine - ANSWER>>Whether other
patients are having similar symptoms
patient who recently had an arteriovenous (AV fistula placed in the left forearm is
experiencing numbness and tingling of the left hand.
The patient's left hand is cold and the fingernail beds are blue. The patient most
likely has which of these syndromes? - ANSWER>>to steal
One purpose of priming the bloodlines and extracorporeal circuit pre-dialysis is to
- ANSWER>>Remove disinfectant
A new technician is being oriented to the water treatment system. The equipment
technician explains that the purpose of the ultraviolet (UV) light is to -
ANSWER>>Change the DNA of microbes so they die or cannot multiply
Which of the following actions can the dialysis technician take to help minimize
anemia? - ANSWER>>Adequately rinseback as much of the patient's blood as
possible at each treatment
For pain management, Mr. Rivera is taking narcotic pain pills as prescribed by his
doctor. The dialysis technician knows that taking this medication puts Mr. Rivera
at increased risk for - ANSWER>>Falls
What is a DISADVANTAGE of an arteriovenous fistula as a hemodialysis access
compared to other types of access? - ANSWER>>Time required to mature
Mr. Rivera's pre-dialysis weight is 157.6 lb (71.5 kg) and the prescribed target
weight is 150.3 lb (68.3 kg). The treatment time is four hours. Excluding prime and
rinseback, Mr. Rivera's hourly ultrafiltration rate should be how many mL per
hour? - ANSWER>>800
,The greatest reduction in microorganisms in the dialysis machine is accomplished
by - ANSWER>>Disinfecting
A patient is experiencing large weight gains between hemodialysis treatments.
The technician should remind the patient that the best dietary measure to control
weight gain is to decrease the intake of - ANSWER>>Salt
The dialysis personnel's first response in the event of a fire is to -
ANSWER>>rescue patients in immediate danger
Changing the composition of the dialysis solution can influence the patient's -
ANSWER>>Blood electrolyte levels
Chloramine levels in treated water that are in excess of the standards of the
Association for the Advancement of Medical Instrumentation (AAMI) could result
in - ANSWER>>life threatening condition
A patient requests information about home hemodialysis. However, his wife stops
the technician in the waiting room and says, "Please do not encourage home
training for my husband." Which of these actions should the technician take
initially? - ANSWER>>Report the wife's concern to the nurse
A patient with a right arteriovenous (AV) fistula arrives at the dialysis facility
complaining of pain, tingling, and cold fingers in his right hand.
The technician would expect the nurse will notify which of the following
physicians for possible corrective action? - ANSWER>>vascular surgeon
Mrs. Miller's calculated Kt/Vurea is o.g. One of the factors that affects her
Kt/Vurea is her - ANSWER>>Treatment time
In order to minimize access recirculation, the technician should place Mrs. Miller's
fistula needles - ANSWER>>As far apart as possible
Heparin is given during Mrs. Miller's dialysis treatment to lower the risk for -
ANSWER>>clot formation
, Mrs. Miller asks the technician, "Why can't I completely cover up with a blanket
during my hemodialysis treatment? I'm cold." Which of these responses by the
technician would be best? - ANSWER>>We need to have early detection of needle
dislodgement
During a treatment, Mrs. Miller's venous needle infiltrates. Which of these actions
should the technician take first? - ANSWER>>Make sure blood pump is stopped
A female patient complains of loneliness and financial difficulty after her
husband's death last month. The technician should report this information to the
- ANSWER>>social worker
The hepatitis B virus is able to survive on environmental surfaces for as long as -
ANSWER>>7 days
A patient on hemodialysis goes to the emergency department for persistent
coughing and fever. He is diagnosed with active tuberculosis (TB). Which of the
following actions would the technician expect to be taken in regard to the
patient's dialysis treatment? - ANSWER>>The patient must receive dialysis in a
hospital in a special isolation room
Which of the following actions by a technician would be a HIPAA violation? -
ANSWER>>Sharing a recently transplanted patients good news
patient has an arteriovenous (AV) fistula in his lower left arm. When choosing a
cannulation site, the technician observes where previous needles were placed
and chooses to use alternate sites for arterial and venous needle insertion. This
practice is an example of - ANSWER>>Rope ladder technique
When doing a routine patient check, the technician notices a puddle of clear
liquid underneath a dialysis machine. After wiping it up. which of these actions, if
any, should the technician take? - ANSWER>>Notify the equipment technician
A hemodialysis extracorporal circuit is routinely primed with saline in which of
these concentrations? - ANSWER>>0.9
