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CCHT EXAM REVIEW
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -98 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: A nephron is made up of:
Answer:
A glomerulus and a tubule Question 2: Why is artrivenous fistula preferable as the vascular access of choice whenever possible?
Answer:
They have the lowest rate of primary failure of all known accesses Question 3: According to AAMI standards, the total microbial count of water used to prepare
dialysate shall not exceed:
Answer:
200 CFU/mL Question 4: A semipermeable membrane is a porous barrier that:
Answer:
Allow for only certain sized particles to cross
Question 5: d. Cranberry juice cocktail
Answer:
On a Monday morning, a female patient arrives at the hemodialysis unit 8.8 lb (4 kg) above her target weight. Near the end of her treatment, the patient complains of severe muscle cramping in her lower extremities. Which of these actions should the technician take?
- Discontinue the dialysis treatment
- Elevate the patient's legs
- Administer a bolus of normal saline per protocol
- Increase the patient's ultrafiltration rate
Question 6: During dialysis, patients should be monitored for the following complications (list
all that apply):
- Separation of bloodlines or rupture of an access
- The presence of air or foam in the lines
- Bleeding around needle or catheter exit sites
- Sudden change in blood flow, or venous pressure, or line collapse
Answer:
All letters
- Separation of bloodlines or rupture of an access
- The presence of air or foam in the lines
- Bleeding around needle or catheter exit sites
- Sudden change in blood flow, or venous pressure, or line collapse
Question 7: "First use syndrome" is a hypersensitivity reaction to a dialyzer. It characterized by:
Answer:
-Back pain -Anxiety -Tachycardia -Wheezing -Circulatory collapse
Question 8: The transmembrane pressure has been gradually changing during the last 1-1/2 hours of dialysis, you suspect...
Answer:
Clotting in the dialyzer
Question 9: Buzzing, swooshing sound in a fistula or graft
Answer:
Stenosis:
Question 10: UF rate should be 1360 mL/hour
- kg weight difference from dry weight = 5 ml
- 440 ml (240 ml and 200 ml saline)
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5440 ml 5440 ml / 4 hours = 1360 ml/hour
Answer:
A male patient who has diabetes and receives hemodialysis treatments sometimes drinks juice when his blood sugar is low. Which of the following types of juice would be the best for this patients, since it is lowest in potassium?
- Prune juice
- Grapefruit juice
- Vegetable juice cocktail (V-8)
- Cranberry juice cocktail
Question 11: The National Association of Nephrology Technicians
Answer:
Addressing a patient as "sweetie"
Question 12: 1.0 L
(1 kg = 1 L)
Answer:
Which of the following is the most common cause of hypotension developing during hemodialysis?
- Eating/drinking during treatment
- Removing excessive volume of fluid
- Anemia
- Dialyzer reaction
Question 13: Blood flow (QB) of 16 gauge needle
Answer:
Blood flow (QB) of 15 gauge needle
Question 14: 15 seconds
Answer:
With an AV fistula, cannulation should usually be done at an angle of
Question 15: Blood flow (QB) of 17 gauge needle
Answer:
250-300 mL/min.Question 16: Dialysate that has too much calcium can cause:
Answer:
Vomiting, confusion, irritability
Question 17: Ballooning of a weak spot in a blood vessel wall
Answer:
Thrill:
Question 18: The leading cause of End-Stage Renal Disease for adult in the United States is:
Answer:
Diabetes
Question 19: Nixon
Answer:
In 1989, FDA approval of this medication diminished the need for blood transfusions in chronic renal