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FREE AND STUDY GAMES ABOUT CCHT REVIEW EXAM
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -49 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: Bruit means:
Answer:
Buzzing, swooshing sound heard in a fistula or graft Question 2: What is the most important safety monitor during a dialysys treatment?
Answer:
The dialysys technician Question 3: Your patient orders for for a 17 guage needle. You know that:
Answer:
He will only be able to attain a 250-300 mL/min QB.Question 4: What is the first symptom that a pt developing dialysis disequilibrium syndrome is most likely to exhibit?
Answer:
Headache
Question 5: A dialyzer with a UF coefficient of 12 and a TMP of 120 will remove how many mL of fluid per hour?
Answer:
1440 (Kuf * TMP) Question 6: If there is a decrease in the pt's URR or Kt/V, which of the following factors should be looked at?
Answer:
Increased access recirculation, diminished dialyzer performance due to reprocessing, inadequate anticoagulation of the blood, blood pump speed.Question 7: The functional unit of the kidney, or the structure in the kidney that does the work,
is the:
Answer:
Nephron Question 8: Dialysate that has too much sodium may cause patient injury. Too much sodium or
hypernatremia can cause:
Answer:
Headaches, high blood pressure, and shriveling of red blood cells. (crenation)
Question 9: Why do kidney patients often have bone disease?
Answer:
Kidneys stop producing calcitrol.Question 10: DIalysate that has too little sodium can cause:
Answer:
Low blood pressure, cramping, and hemolysis.
Question 11: What are some components that make up a dialysate solution?
Answer:
Bicarbonate, Sodium, Potassium
Question 12: Patients with kidney failure often complain of itching, which is likely to be caused
by:
Answer:
Hyperphosphatemia Question 13: Seizures during dialysis may be caused by:
Answer:
Electrolyte imbalance, hypotension, dialysate composition errors.Question 14: According to the AAMI standards, the total microbial count of water used to
prepare dialysate shall not exceed:
Answer:
200 CFU/ml Question 15: The only professional organization in the country just for dialysis technicians is:
Answer:
The national association of nephrology technicians.Question 16: First use symdrome is a hypersensitivity reaction to a dialyzer. It is characterized
by:
Answer:
Back pain, anxiety, tachycardia, wheezing, circulatory collapse.Question 17: During dialysis treatment, what would indicate a break in the integrity of the extracorporeal circuit?
Answer:
The appearance of air or foam in any bloodline.Question 18: The leading cause of End Stage Renal Disease for adults in the US is:
Answer:
Diabetes Question 19: Things that can affect dialysis adequacy include:
Answer:
Time on tx, blood and dialysate flow rates, dialyzer clotting.
Question 20: The components of the dialysate treatment that affect clearance include:
Answer:
Dialysate flow, time of treatment, dialyzer size, blood flow rate.Question 21: At which point in the extracorporeal circut is the blood usually under negative pressure?
Answer:
The arterial line section before the blood pump.` Question 22: The endocrine functions of the kidney include:
Answer:
Making erythropoietin and the active form of vitamin D.Question 23: Poor blood flow during dialysis in patients with catheters is often due to?
Answer:
A blood clot, poor placement of the catheter within the blood vessel, a fibrin sheath that has formed around the catheter.Question 24: Dialyzers are processed before use to rinse out manufacturing residues and to:
Answer:
Establish the original fiber bundle volume of the dialyzer and check for leaks.Question 25: Dialysate conductifity measures:
Answer:
The total electrical charge of a solution Question 26: Which of the following situations will cause an increase in venous pressure during dialysis?
Answer:
Venous needle infiltration.
Question 27: What are two criteria for rejecting a reprocessed dialyzer?
Answer:
Less than 80% of original fiber bundle volume, aesthetic appearance.