CCHT-PRACTICE EXAM QUESTIONS

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CCHT-PRACTICE EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -72 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: How long must the RO system run prior to using first total chlorine testing of the day?

Answer:

15 minutes after startup

Question 2: Which part of the water system removes endotoxins?

Answer:

Ultrafilter Question 3: How long prior to initiating the hemodialysis treatment should the initial loading dose of heparin be administered to the pt?

Answer:

At least 3-5 minutes prior to treatment Question 4: In what position should a patient with a suspected air embolus be placed?

Answer:

Left Trendelenburg position Question 5: You're monitoring your secondary carbon tank every 30 minutes and the last test result is 0.2ppm. What is your next action?

Answer:

Stop dialysis treatments and notify FA, biomed & medical director

Question 6: How long may a vascular access clamp stay in place before checking if bleeding had stopped?

Answer:

5-10 minutes

Question 7: Over the counter meds

Answer:

Do not require a physician order by should be approved by the nephrologist

Question 8: Which statement is true regarding flipping needles?

Answer:

When flipping needles the sharp edge of the entire bevel can cause damage or scarring to the interior of the Av access Question 9: Signs of low blood sugar:

Answer:

Anxiety and confusion Question 10: What are possible consequences of excessively negative pre-pump arterial pressures?

Answer:

Needle infiltration and the development of aneurysms/pseudoaneurysms

Question 11: Slam slam slam sound (water-hammer pulse)

Answer:

This may be a stenosis and should be reported to nurse Question 12: What is the primary reason the patient should be in a comfortable supine position when your preform pre-dialysis care?

Answer:

The supine position increases pressure within central veins and diminishes the risk of an air embolism Question 13: What is an acceptable range for the meter reading of the final dialysate conductivity?

Answer:

Always within 0.4ms of the machines reading

Question 14: Attempting to remove a large amount of fluid weight gain from the patient:

Answer:

Can lead to hypovolemia during the treatment which is associated with and increased mortality rate Question 15: Can priming a dialyzer with a pump speed higher then recommended influence adequacy?

Answer:

Yes, a pump speed too high can trap air bubbles in the fibers affecting clearance Question 16: The patients face, vascular access site, and blood line connections should be

visible to staff members. This is:

Answer:

A mandate by CMS and State Health Départements

Question 17: Left Trendelenbrug position

Answer:

Traps air in the legs and the right atrium of the heart Question 18: During data collection Mrs.Sweetland mentions her bowl movements have been looking quite dark the last two days and asks is this could be caused by something she ate.

You:

Answer:

I'm from the nurse to assess Mrs.Sweetland prior to treatment Question 19: MRSA bacteria can survive in surfaces especially:

Answer:

Vinyl and plastic

Question 20: Vitamin D therapy

Answer:

Needed for healthy bones Question 21: When lab receives a lab test tube with double labeling:

Answer:

The double label specimen will be rejected for pt safety

Question 22: Proper functioning of independent meters to check dialysate conductivity and ph

must be verified:

Answer:

Prior to daily use Question 23: What is the correct procedure for drawing a BUN lab at the completion of treatment?

Answer:

Turn off, decrease UFR to 50ml/hr, decrease DFR to 300 ml/min or place in bypass, reduce BFR to 100 ml/min, wait 15 seconds and draw from the arterial line Question 24: The foot rest of a patients chair is torn and the inner foam is exposed. Can you still use it?

Answer:

No, the torn surface no longer allows for effective cleaning Question 25: Mrs. Jackson complains of shortness of breath. Her Pre-dialysis weight is 4.7kg over the last post treatment weight. Which of the following actions should the PCT take first?

Answer:

Inform the nurse to assess the patient prior to the treatment initiation Question 26: After weekly disinfection of the bicarb system, equipment can be used for patients treatments once results from residual bleach testing have reached a level of?

Answer:

Less than or equal to 0.5ppm

Question 27: How long does it take a cannulation shit to heal?

Answer:

• weeks

Question 28: What needle size should be used for a new fistula with a BFR prescription

(250-350)

Answer:

16 gauge