ANDERSON CONTINUING EDUCATION- CCHT

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ANDERSON CONTINUING EDUCATION- CCHT

RECERTIFICATION TEST 2025

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Which organization was recently approved by CMS to be an independent organization allowed to conduct surveys for Medicare certification fostering faster approval of dialysis clinics?

• Kidney Disease Improving Global Outcomes ( KDIGO )
• National Kidney Foundation ( NKF )
• Medicare Bundled Dialysis Prospective Payment System ( MBDPPS )
• National Dialysis Accreditation Commission ( NDAC )

Answer:

• National Dialysis Accreditation Commission ( NDAC )

Question 2: When blood is transfused into at-risk patients during heparin-free dialysis, what complication should the technician/nurse be monitoring for?

• Anaphylaxis reaction, especially respiratory compromise.
• Increased viscosity of the blood in the dialyzer.
• Fluid volume overload.
• Citrate overdose.

Answer:

• Increased viscosity of the blood in the dialyzer.

Question 3: A dialysis technician reports to the RN that the blood in the extracorporeal circuit is transparent, with a "cherry soda pop" color. What complication should the technician and nurse suspect the patient is experiencing?

• Hemolysis
• Over hydration
• Thrombosos
• Septicemia

Answer:

• Hemolysis

Question 4: After the initial skin prep for cannulation, the dialysis technician is interrupted by a co-worker asking a question. When she proceeds to cannulation, she notices the skin prep has dried. What action should the technician take at this point?

• Re-prep the access to ensure the patient has not accidentally touched the site
• Perform a new assessment by palpating the site and then cannulate.
• Proceed with cannulation since it is unlikely that anything has touched the skin
• Put on a new pair of gloves and proceed with cannulation

Answer:

• Re-prep the access to ensure the patient has not accidentally touched the site.

Question 5: How much water is lost through evaporation from the lungs and insensible perspiration every day ?

• 250-499 mL of water.
• 700-1,000 mL of water.
• 1,500-2,000 mL of water.
• 2,100-2,400 mL of water.

Answer:

• 700-1,000 mL of water

Question 6: Which problems may occur when using a deionizer?

• It can be hard initially to obtain the maximum flow rate needed.
• The service life of deionizer may be short, and it is essential that a submicron filter or an

ultrafilter be placed downstream.

• Resin beds tend to exhaust soddenly, and the tanks may need to be exchanged.
• If the resin tanks are used to exhaustion, previously removed ions may be released resulting

in acidic or alkaline water.

Answer:

1, 2, 3 & 4

Question 7: What are some disadvantages of using hollow - fiber dialyzers ?

• They are not compliant
• They require meticulous care to remove air or gas from the fiber bundle
• Blood distribution may be uneven at the inflow header space
• Higher heparin doses may be needed to prevent clotting in hollow fibers

Answer:

2, 3, & 4 Question 8: A patient tells the dialysis technician that he is gaining weight. This patient should be referred to which member of the interdisciplinary team?

• Registered nurse
• Social worker
• Registered dietitian
• Physician

Answer:

• Registered dietitian

Question 9: The patient asks a dialysis technician if there is anything she can do to slow or delay the progression of her kidney disease . Which modifiable risk factors could the technician mention during the conversation ?

• " Control your blood glucose levels if you are a diabetic .
• " Maintain a healthy weight . "
• " Control cholesterol levels . "
• " Stop use of alcohol . "

Answer:

• , 2 , and 3

Question 10: When washing hands with soap and water, what is the minimum number of seconds the hands should be rubbed together?

• 15 seconds
• 25 seconds
• 10 seconds
• 30 seconds

Answer:

• 15 seconds

Question 11: What is the process utilized when two carbon tanks are used to remove chlorine and chloramine from tank water?

• Diffusion
• Adsorption
• Absorption
• Osmosis

Answer:

• Adsorption