FRESENIUS CCHT EXAM REVIEW 2022

PDF Download

FRESENIUS CCHT EXAM REVIEW 2022

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -64 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Dialysate that has too much calcium can cause

Answer:

vomiting, confusion, and irritability Question 2: Which of the following will increase the amount of solutes that will diffuse across the semipermeable membrane?

Answer:

high concentration gradients Question 3: Dialysate is the fluid that helps remove waste products from the body. It contains a number of substances. What substances might be prescribed for a dialysate solution?

Answer:

bicarbonate, sodium, potassium

Question 4: factors that affect peritoneal membrane permeability include

Answer:

peritonitis infection Question 5: A semipermeable membrane is a porous barrier that:

Answer:

allows for only certain sized particles to cross

Question 6: What is the most important safety monitor during a dialysis treatment?

Answer:

the dialysis technician

Question 7: . Dialysate that has too little sodium can cause

Answer:

low blood pressure, cramping, and bursting of red blood cells Question 8: According to AAMI standards, bacteriologic testing for water and dialysate should

take place:

Answer:

monthly Question 9: which of the following makes the arteriovenous fistula preferable as the vascular access of choice whenever possible?

Answer:

fistulae have the lowest rates of primary failure of all known accesses Question 10: . The components of the dialysate treatment that affect clearance include

Answer:

dialysate flow, time of treatment, dialyzer size, blood flow rate Question 11: Which of the following is the first symptom that a patient developing dialysis disequilibrium syndrome is most likely to exhibit?

Answer:

headache

Question 12: Seizures during dialysis may be caused by

Answer:

electrolyte imbalance, hypotension, and dialysate composition errors Question 13: your patient orders are for a 17 gauge needle. you know that:

Answer:

he will only be able to attain a 250 mL/min -300 mL/min QB

Question 14: If there is a decrease in the patient'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 15: 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 the thrill and bruit

Question 16: Negative pressure is pressure created when

Answer:

fluid is pulled through a restriction

Question 17: addressing a patient as "sweetie",

Answer:

is inappropriate because it can make the patient feel dependent on you

Question 18: Normal body temperature taken orally is

Answer:

98.6°F

Question 19: the patient's access site has bleed for thirty minutes after needle removal for the last three treatments with no change in the heparin prescription. there has also been a steady increase in venous pressure during treatment; what might you suspect?

Answer:

venous stenosis

Question 20: infiltration

Answer:

needle tip that punctures a vessel and goes out the other side, allowing blood to seep into the surrounding tissue

Question 21: the only professional organization in the country just for dialysis technicians is

Answer:

The National Association of Nephrology Technicians

Question 22: The normal range for a resting pulse rate in an adult is

Answer:

60 to 100 beats/minute Question 23: Two things that affect the dialyzer's ability to remove wastes from the body include

Answer:

surface area and molecular weight cutoff Question 24: The endocrine functions of the kidney include:

Answer:

making erythropoietin and the active form of Vitamin D Question 25: The functional unit of the kidney, or the structure in the kidney that does the work,

is the:

Answer:

nephron Question 26: 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 27: Which of the following situations will cause an increase in venous pressure during dialysis?

Answer:

venous needle infiltration Question 28: Dialyzer performance can be affected by reuse. Which of the following sets of potential problems may be related to reuse?

Answer:

reduced dialyzer performance, plugged hollow fibers, changed fiber bundle volume