CCHT Exam Questions and Answers
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What is an infection? Ans: An invasion of body tissue by
organisms that are invisible to the eye.
Dialysis surfaces must be disinfected with what solution? Ans:
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1:100 bleach solution
Large blood spills over 10ml must be disinfected with what
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solution? Ans: 1:10 bleach solution
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What is Aseptic technique? Ans: Practices and procedures
performed under carefully controlled conditions. Minimizing
contamination by pathogens.
When sterile meets sterile.. Ans: It remains sterile
When sterile meets clean.. Ans: It becomes clean
When sterile or clean meet dirty.. Ans: It becomes dirty
PPE Ans: Personal Protective Equipment. Full face shield or
mask, eyewear with full side shield, and fluid-resistant gowns
and gloves.
3 blood borne pathogens that may be found in a dialysis unit
Ans: Hepatitis B, Hepatitis C, and HIV
What is an exposure incident? Ans: A bloody/body fluid
splash/spray occurring to the eyes nose or mouth, or non-
intact skin.
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What steps should you take if you have been exposed to the
fluids? Ans: Wash/rinse immediately. Report to CM. Seek
medical treatment.
What is hepatitis? Ans: Inflammation of the liver due to
various causes
How can the viral form of hepatitis be spread? Ans: Hep A- via
contaminated food and the oral-fecal route
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Hep B & C- via exposure to blood/body fluids
Why are patients with Hep B dialyzed in isolation room? Ans:
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Extremely contagious, lives outside the body for extended
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periods. (up to 7 days)
Why do we dialyze Hep C patients in the clinical area? Ans: Not
as contagious as Hep B. HCV is not known to survive very long
outside the body
What blood test indicates infection with Hep B? Ans: HbsAg
test for Hep B antigen, indicates actual viral presence.
What blood test indicates the presence of immunity against
Hep B? Ans: HbsAb test for antibodies, indicates immunity
against Hep B
Which vaccine provides long-term immunity to Hep B? Ans:
Series of multiple injections of either Recombivax or Engerix
Positive Tuberculin skin test, or exposure to TB Ans: Patients
with active TB are contagious.
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How is Tuberculosis spread? Ans: Droplet of nuclei produced
from infected individuals when they cough, sneeze, speak, or
sing
How do you prevent TB in a dialysis clinic? Ans: Patients who
have active TB cannot dialyze in a hemodialysis clinic. 3
consecutive (-) sputum cultures before returning to the clinic
What is VRE (Vancomycin-resistant enterococci)? Ans: Gram
negative, round-shaped bacteria that commonly live in the
intestinal tract. Can cause infection anywhere in the body, an
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resistant to several antibiotics.
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What is MRSA (Methicillian-resistant Staphlyococcus Aureus)
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Ans: "Staph". Normally found on the skin or in the nose.
Harmless until they enter the body through a cut or other
wound
What precautions should you take when caring for MRSA/VRE?
Ans: PPE, hand sanitation before next task, dedicated gown
should be worn. CVC dressings should be disposed of in red
BIO. DO NOT need isolation. Hands should be washed for 40-
60 seconds.
What is C-Diff? Ans: Clostridium difficile, hand washing is
required.
Why is hand hygiene important? Ans: Single most important
infection control measure to prevent the spread of infection.
What are the anatomical structures of the urinary system in
order of urine flow? Ans: 2 kidneys, 2 ureters, 1 bladder, and 1
urethra