CCHT EXAM STUDY EXAM QUESTIONS

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CCHT EXAM STUDY EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: A patient asks the technician, "what does uremia mean?" The technician's

response should be based on the understanding that uremia is:

Answer:

an increase of waste in the blood Question 2: During a dialysis treatment, which of the following would indicate a break in the integrity of the extracorporeal circuit?

Answer:

the appearance of air or foam in any bloodline Question 3: Ivan Jackson, 63 years old, has been receiving in-center hemodialysis for three years. Mr. Jackson's pre-dialysis blood pressure is 143/92 mm Hg.Mr. Jackson says to the technician, "the doctor says that I have mineral bone disorder. What does that mean?" The technician is not sure about the answer. Which of the responses by the technician would be appropriate?

Answer:

its pretty complicated, I'll ask the nurse to explain it to you

Question 4: If a venous needle is infiltrated, what would you do?

Answer:

insert a second needle above the venous infiltration

Question 5: Your patient's orders are for a 17 gauge needle. You know that:

Answer:

they will only be able to attain a 250 mL/min - 300m l/min QB

Question 6: Which of the following statements is true of AAMI

(the Association for the Advancement of Medical Instrumentation) ?

Answer:

AAMI recommends voluntary standards for dialysis water treatment Question 7: A dialyzer with an ultrafiltration coefficient of 12, (Kuf of 12) and a TMP of 120 will remove how many mL of fluid per hour?

Answer:

1440

Question 8: Ballooning of a weak spot in a blood vessel wall.

Answer:

aneurysm Question 9: The buttonhole technique results in fewer infections, missed needle insertions, hematomas and infiltrations. Steps for creating

the buttonhole include:

Answer:

remove the scab, cannulate the same site at the same angle, by the same caregiver with sharp needles for 3-4 weeks to create a tunnel

Question 10: Which of the following statements about catheters is true?

Answer:

internal jugular vein is the preferred insertion site for both temporary and long term catheters Question 11: According to the AAMI standards, bacteriologic testing for water and dialysate

should take place:

Answer:

monthly

Question 12: Negative pressure is pressure created when:

Answer:

fluid is pulled through a restriction Question 13: At the end of a patient's treatment, which of these findings, if observed by the technician, should be reported to the nurse?

Answer:

a pulse rate of 55 beats per minute Question 14: Describe 4 types of anastomosis for an internal arteriovenous fistual.

Answer:

artery-side to vein-side anastomosis artery-end to vein-end anastomosis artery-end to vein-side anastomosis artery-side to vein-end anastomosis Question 15: What is the most important safety monitor during a dialysis treatment?

Answer:

the dialysis technician Question 16: Addressing the patient at "sweetie":

Answer:

is inappropriate because it can make the patient feel dependent on you Question 17: Stenosis is a major cause of access failure which, unless corrected, can lead to thrombosis and other complications. Which of the following are signs of stenosis?

Answer:

changes in thrill and bruit Question 18: At which point in the extracorporeal circuit is the blood usually under negative pressure?

Answer:

the arterial section before the blood pump

Question 19: During dialysis, patients should be monitored for which of the following complications?

Answer:

all of the above Question 20: Which of the following is the first symptom that a patient developing dialysis disequilibrium syndrome of most likely to exhibit?

Answer:

headache Question 21: Ivan Jackson, 63 years old, has been receiving in-center hemodialysis for three years. Mr. Jackson's pre-dialysis blood pressure is 143/92 mm Hg.The technician notices that Mr. Jackson has a notebook in which he records results of his blood tests, weights, and medications. The technician should have which of these understandings about Mr. Jackson's recordkeepings?

Answer:

patients who are involved with self-managing their care feel empowered Question 22: Before a dialysis treatment, the patient tells the technician "yesterday, I felt terrible and vomited up some blood. I feel much better today" the technician can expect the patients

treatment will be modified by:

Answer:

decreasing the heparin dose Question 23: Ivan Jackson, 63 years old, has been receiving in-center hemodialysis for three years. Mr. Jackson's pre-dialysis blood pressure is 143/92 mm Hg.The technician prepares and cannulates Mr. Jackson's arteriovenous (AV) fistula. An AV fistula

is an example of:

Answer:

a peripheral access Question 24: The technician is asked to move a heavy box of supplies to the treatment unit. The box is on the floor of the supply room. When handling the box, the technician should:

Answer:

hold the box close to the body