CCHT Exam Practice #2| 122 QUESTIONS| WITH COMPLETE SOLUTIONS
An AV/V fistula is preferred access for hemodialysis because:
a. There is a lower incidence of complications
b. Surgeons are more experience and prefer creating AV fistulas
c. There is a lower incidence of thrombosis
d. Both A and C Correct Answer: d. Both A and C
The pressure difference between the blood side and the dialysate side of the dialyzer is called
a. Ultrafiltration Factor
b. Dialysate Flow Rate
c. Transmembrane Pressure
d. Urea Reduction Ration Correct Answer: c. Transmembrane Pressure
What is the best way to prepare an access for cannulation
a. Scrub with a gauze or pad soaked with a germicidal agent in a circular motion from the outside
inward
b. Scrub in a circular motion from the inside to the outside and allow the recommended time for
skin contact before cannulation
c. rub vigorously up and down the area to be cannulated then insert the needle
d. No further preparation is required if the patient has just washed their access Correct Answer:
b. Scrub in a circular motion from the inside to the outside and allow the recommended time for
skin contact before cannulation
Which of the following statements is not true about the Nephron?
a. the nephron is the functional unit of the kidney
b. nephrons process about 7500 mL of filtrates per hour
c. a nephron is composed of renal tubules and collecting ducts
d. nephrons are located in the bladder Correct Answer: d. nephrons are located in the bladder
Mr. Pitt is always joking. He usually requests to be called "Bob". He presents today very quiet
and when you called him "bob" he did not respond. How would you further investigate this
change in behavior?
a. go get the nurse without further investigation
b. put him on and worry about it later
c. ask a few open ended questions that would indicate whether there is a personal issue
d. nothing he simply may not to talk today Correct Answer: c. ask a few open ended questions
that would indicate whether there is a personal issue
Which of the following statements is not true about renal tubules?
,a. approximatel 66% of water from the filtrate is reabsorbed in proximal convoluted tubule
b. loop of Henle reabsorbs sodium chloride which promotes water conservation in times of
dehydration
c. distal convoluted tubule maintains balance in the liver
d. both a and c Correct Answer: d. both a and c
Stage 5 CKD is defined by a GFR of
a. >90 mL
b. <15 mL
c. 30-59 mL
d. 15-29 mL Correct Answer: b. <15 mL
Hypernatremia is defined as a plasma sodium concentration of a above 146mEQ/L. It is
manifested by:
a. intense thirst, flushed skin, dry mucus membrane
b. headaches, seizures, muscle cramps
c. fever
d. agitation, low body temperature Correct Answer: a. intense thirst, flushed skin, dry mucus
membrane
Which of the following are symptoms of uremia:
a. fatigue, weakness, mental confusion
b. flu like symptoms
c. metallic taste in the mouth
d. all of the above Correct Answer: d. all of the above
Factors to be considered in managing nutrition of ESRD patients are:
a. comorbid conditions
b. laboratory date
c. medications
d. all of the above Correct Answer: d. all of the above
Mr. Peterson experience an episode of hypotension. He is symptomatic. He only has 10 minutes
left of his run and the nurse indicates to take him off. The UF goal was 1.4kg and the machine
indicates that 1.3kg was removed his weight 0.8 below his dry weight. What is the possible
cause(s) for the variance?
a. the pre weight was inaccurate
b. the math calculated for fluid removal was wrong
c. the patient was not wearing the same clothing while weighing both ties
d. all of the above Correct Answer: d. all of the above
, Elevated Parathyroid Hormone (PTH) can cause which of the following conditions:
a. uremia
b. pericarditis
c. nephritis
d. renal osteodystrophy Correct Answer: d. renal osteodystrophy
def: Depletion of bone minerals
Hypokalemia is manifested by
a. muscle weakness and paralysis
b. cardiac arrhythmia
c. tingling of lips and fingers
d. both a and b Correct Answer: d. both a and b
Which of the follow statements is/are true about transplants?
a. transplant patients have fewer dietary limits than in center hemodialysis patients
b. kidney transplant is a cure for kidney disease
c. anti-rejection drugs may cause high blood pressure, increase of infection and weight gain
d. both a and c Correct Answer: d. both a and c
Which of the following complications can happen when removing too much fluid during
dialysis?
a. low blood pressure, cramps nausea, and vomiting
b. pruritis, dry and scaly itch
c. bleeding, hematoma, anemia
d. chest pain and shortness of breath Correct Answer: a. low blood pressure, cramps nausea, and
vomiting
As a member of the health care team, a dialysis technician can help improve anemia outcomes
by:
a. rinsing patient's blood back until the bloodlines are clear
b. reporting to the nurse if a patient complains of bloody stools
c. monitoring access sites for bloodlines separations of exsanguination
d. all of the above Correct Answer: d. all of the above
Your patient is complaining of pain and numbness on the access limb more so during dialysis
treatment. The patient may be experiencing
a. infiltration
b. steal syndrome
c. infection
An AV/V fistula is preferred access for hemodialysis because:
a. There is a lower incidence of complications
b. Surgeons are more experience and prefer creating AV fistulas
c. There is a lower incidence of thrombosis
d. Both A and C Correct Answer: d. Both A and C
The pressure difference between the blood side and the dialysate side of the dialyzer is called
a. Ultrafiltration Factor
b. Dialysate Flow Rate
c. Transmembrane Pressure
d. Urea Reduction Ration Correct Answer: c. Transmembrane Pressure
What is the best way to prepare an access for cannulation
a. Scrub with a gauze or pad soaked with a germicidal agent in a circular motion from the outside
inward
b. Scrub in a circular motion from the inside to the outside and allow the recommended time for
skin contact before cannulation
c. rub vigorously up and down the area to be cannulated then insert the needle
d. No further preparation is required if the patient has just washed their access Correct Answer:
b. Scrub in a circular motion from the inside to the outside and allow the recommended time for
skin contact before cannulation
Which of the following statements is not true about the Nephron?
a. the nephron is the functional unit of the kidney
b. nephrons process about 7500 mL of filtrates per hour
c. a nephron is composed of renal tubules and collecting ducts
d. nephrons are located in the bladder Correct Answer: d. nephrons are located in the bladder
Mr. Pitt is always joking. He usually requests to be called "Bob". He presents today very quiet
and when you called him "bob" he did not respond. How would you further investigate this
change in behavior?
a. go get the nurse without further investigation
b. put him on and worry about it later
c. ask a few open ended questions that would indicate whether there is a personal issue
d. nothing he simply may not to talk today Correct Answer: c. ask a few open ended questions
that would indicate whether there is a personal issue
Which of the following statements is not true about renal tubules?
,a. approximatel 66% of water from the filtrate is reabsorbed in proximal convoluted tubule
b. loop of Henle reabsorbs sodium chloride which promotes water conservation in times of
dehydration
c. distal convoluted tubule maintains balance in the liver
d. both a and c Correct Answer: d. both a and c
Stage 5 CKD is defined by a GFR of
a. >90 mL
b. <15 mL
c. 30-59 mL
d. 15-29 mL Correct Answer: b. <15 mL
Hypernatremia is defined as a plasma sodium concentration of a above 146mEQ/L. It is
manifested by:
a. intense thirst, flushed skin, dry mucus membrane
b. headaches, seizures, muscle cramps
c. fever
d. agitation, low body temperature Correct Answer: a. intense thirst, flushed skin, dry mucus
membrane
Which of the following are symptoms of uremia:
a. fatigue, weakness, mental confusion
b. flu like symptoms
c. metallic taste in the mouth
d. all of the above Correct Answer: d. all of the above
Factors to be considered in managing nutrition of ESRD patients are:
a. comorbid conditions
b. laboratory date
c. medications
d. all of the above Correct Answer: d. all of the above
Mr. Peterson experience an episode of hypotension. He is symptomatic. He only has 10 minutes
left of his run and the nurse indicates to take him off. The UF goal was 1.4kg and the machine
indicates that 1.3kg was removed his weight 0.8 below his dry weight. What is the possible
cause(s) for the variance?
a. the pre weight was inaccurate
b. the math calculated for fluid removal was wrong
c. the patient was not wearing the same clothing while weighing both ties
d. all of the above Correct Answer: d. all of the above
, Elevated Parathyroid Hormone (PTH) can cause which of the following conditions:
a. uremia
b. pericarditis
c. nephritis
d. renal osteodystrophy Correct Answer: d. renal osteodystrophy
def: Depletion of bone minerals
Hypokalemia is manifested by
a. muscle weakness and paralysis
b. cardiac arrhythmia
c. tingling of lips and fingers
d. both a and b Correct Answer: d. both a and b
Which of the follow statements is/are true about transplants?
a. transplant patients have fewer dietary limits than in center hemodialysis patients
b. kidney transplant is a cure for kidney disease
c. anti-rejection drugs may cause high blood pressure, increase of infection and weight gain
d. both a and c Correct Answer: d. both a and c
Which of the following complications can happen when removing too much fluid during
dialysis?
a. low blood pressure, cramps nausea, and vomiting
b. pruritis, dry and scaly itch
c. bleeding, hematoma, anemia
d. chest pain and shortness of breath Correct Answer: a. low blood pressure, cramps nausea, and
vomiting
As a member of the health care team, a dialysis technician can help improve anemia outcomes
by:
a. rinsing patient's blood back until the bloodlines are clear
b. reporting to the nurse if a patient complains of bloody stools
c. monitoring access sites for bloodlines separations of exsanguination
d. all of the above Correct Answer: d. all of the above
Your patient is complaining of pain and numbness on the access limb more so during dialysis
treatment. The patient may be experiencing
a. infiltration
b. steal syndrome
c. infection
