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CCHT EXAM PART A
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -91 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: A pt presents to the nephrologist office with c/o chest pain, fever, and chills.Dr hears a pericardial friction rub during auscultation. Echocardiogram confirms a pericardial tamponade. What procedure is likely next?
Answer:
A pericardiocentesis where a needle is inserted into the pericardial space to remove fluid.
Question 2: How does flow rate affect the removal of toxins?
Answer:
The greater the flow rate, the greater the removal of solutes.Question 3: When a dialysis pt is infected with CRC, what type of precautions should be used?
Answer:
Contact iso Question 4: The vasa recta capillaries surrounds the loop of Henle nephrons and play a major role in...
Answer:
Concentration of urine as it moves through the tubules
Question 5: After heparin is given, what adverse event is more common?
Answer:
Bleeding
Question 6: Which test is used to detect and quantify bacterial endotoxins?
Answer:
Limulus amebocyte lysate
Question 7: How much saline is needed to prime dialyzer?
Answer:
500-1000mL
Question 8: Prior to beginning dialysis, what must the physician order include?
Answer:
Specific dialyzer, BFR, Duration
Question 9: When would a reused dialyzer be rejected?
Answer:
Renalin exposure was 4 hours total
Question 10: How is a pt who is Hep B + safely dialyzed?
Answer:
Using an isolation room with dedicated machine, and using dedicated supplies
Question 11: What is the order in which the dialyzer is primed?
Answer:
1) prime normal saline into the dialyzer from bottom 2) run the bloodlines to the dialyzer, dialyzer upside down 3) run saline through arterial bloodline, through dialyzer then to the venous bloodline 4) tap dialyzer to get all air out Question 12: If a patient decides to terminate dialysis, what should the staff do?
Answer:
Realize it is well within the pts right to choose termination.
Question 13: Bicarbonate is...
Answer:
very susceptible to bacterial contamination Question 14: Dr Kolff created the first bio-compatible (rotating drum) dilyzer. What material was used to construct the hollow tubes?
Answer:
cellophane
Question 15: What abilities are required of a dialysis tech?
Answer:
Some understanding of anat/phy and pathophys of CKD, full understanding of the principles of dialysis and tx complications, math skills
Question 16: An electrolyte is a substance that dissolves in water to form
Answer:
Ionized particles
Question 17: What are two of the s/s of anemia in CKD pts?
Answer:
Dyspnea and fatigue
Question 18: How is UV light used in treating water?
Answer:
To destroy microorganisms
Question 19: A patient with a diagnosis of nephrosclerosis may exhibit...
Answer:
Blood in urine, proteinuria, uncontrolled hypertension
Question 20: Where are the two places air can enter the lines?
Answer:
At loose connections, and empty fluid containers
Question 21: Who was the first person to use the term 'dialysis'?
Answer:
Thomas Graham
Question 22: What precautions should pts with stage 4 or 5 follow?
Answer:
Wear a medical bracelet that discourages use of vessels that may be needed for dialysis
Question 23: In the formation of urine, what action is occurring in step 2?
Answer:
Water and other dissolved substances move from the tubules into the blood in the peritubular capillaries.Question 24: Pts sensitive to ethylene oxide sterilization techniques may benefit from having their dialyzer cleaned by ____ which contains no chem or radioactive materials
Answer:
Electronic beam or e-beam
Question 25: What happens when the bicarb is overmixed?
Answer:
Decrease in serum calcium levels.
Question 26: What are two advantages of a graft vs a fistula?
Answer:
Quicker healing time, easier to cannulate
Question 27: What is the most common impurity in tap water?
Answer:
Calcium carbonate
Question 28: How long is the half life of heparin?
Answer:
90 minutes
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