CCHT EXAM 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY GRADED A+,
EXAMS OF NURSING
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 - ANSWER-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 - ANSWER-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 - ANSWER-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%
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B. 7%
C. 11% - ANSWER-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 - ANSWER-A.
What is one cause of postrenal failure
A. Renal trauma
B. Prostrate disease
C. Fluid volume shifts
D. Kidney infections - ANSWER-B. Prostate disease
The family member of a dialysis technician has noted blood in his urine the tech also noted the
weight loss and rubbing of the flank to ease the cramping pain which disease comes to mind
A. Nephrotic syndrome
B. Bladder infection
C. Kidney stones
D. Renal carcinoma - ANSWER-D. Renal carcinoma
Which integumentary changes are commonly seen in patients with chronic kidney disease
A. Brittle nails
B. Excessive sweating
C. Bruising
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D. Increase number of moles - ANSWER-A and C
Monday also patients infection account for about one and 10 fatalities which condition
increases a patient's susceptibility to infection
A. Diabetes
B. Malnutrition
C. Bone abnormalities
D. Frequent invasive procedures - ANSWER-A B and D
Management of renal bone disease requires that ministration of which type of medication with
every meal and snack
A. Potassium and substitutes
B. Antacids
C. Phosphate binders - ANSWER-C. Phosphate binders
Patients with chronic kidney disease are at risk for developing peripheral neuropathy. How may
neuropathy present in the patient
A. Intolerance to touch
B. Burning feet
C. Restless legs - ANSWER-B and C
What are some disadvantages of using hollow-fibers dialyzers
A. They're not compliant
B. They require meticulous care to remove air or gas from the fiber bundle
C. Blood distribution may be uneven at inflow header space
D. Higher heparin doses may be needed to prevent clotting in hollow fibers - ANSWER-B C and D
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If a patient is experiencing adverse reactions from the residual toxic products of ethylene oxide
sterilization of the hollow fibers what other ways can you sterilize it.
A. Gamma radiation
B. Pure alcohol flushing
C. Electron beam - ANSWER-A and C
Which manifestation would lead to the tech to suspect the patient is experiencing intradialytic
complement
A. Anemia
B. Intradialytic hypoxemia
C. Chest pain
D. Back pain - ANSWER-B C and D
If the bicarbonate concentrate is over mixed what lab values will result
A. Increase pH
B. Decrease in serum calcium level
C. Increase in magnesium level
D. Decrease in RBC level - ANSWER-A and B
Which method/test is most commonly used to check the dialysate composition
A. Bicarbonate concentration test
B. Total conductivity
C. Microbial count - ANSWER-B. Microbial count
How is the temp of the dialysate controlled
A. By using one or more sensors and a micro controller circuit on the heater
B. By checking accuracy regularly with a certified glass thermometer