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FRESENIUS CCHT RECERTIFICATION EXAM QUESTIONS
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -64 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: A nephron is made up of:
- A glomerulus and a tubule
- The neurons and a capsule
- The loop of Henle and the capillary ball
- The bladder and the ureter
Answer:
- A glomerulus and a tubule
- Higher equilibrium
- Lower equilibrium
- High concentration gradients
- Lower concentration gradients
Question 2: Which of the following will increase the amount of solutes that will diffuse across the semipearmeable membrane?
Answer:
- High concentration gradients
Question 3: the buttonhole technique results in fewer infections, missed needle insertions,
hematomas and infiltrations. Steps for creating the buttonhole include:
- prepare the site with an approved antimicrobial, cannulate with a dull 16 guage needle
- remove the scab, cannulate the same site at the same angle, by the same caregiver with
- rotating the needle sites with each cannulation to prevent one-site-itis
- alternating a dull needle to a sharp needle every other week
sharp needles for 3-4 weeks to create a tunnel.
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 4: According to AAMI standards, bacteriologic testing for water and dialysate should
take place:
- daily
- weekly
- monthly
- yearly
Answer:
- monthly
- a sudden change in blood flow or venous pressure
- "black blood syndrome"
- the appearance of air or foam in any bloodline
- a gradual increase in venous pressure and blood flow
Question 5: 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 6: The functional unit of the kidney, or the structure in the kidney that does the work,
is the:
- Medulla
- Nephron
B.cortex C.calayx
Answer:
- Nephron
Question 7: If a venous needle is infiltrated, what would you do?
- insert a second needle below the first venous needle
- insert a second needle above the venous infiltration
- insert a second needle beside the arterial needle
- wait until the swelling improves and use the infiltrated site
Answer:
- insert a second needle above the venous infiltration
- electrolyte imbalance
- hypotension
- sudden decrease in dialyzer clearance
- dialysate composition errors
Question 8: seizures during dialysis may be caused by all of the following EXCEPT:
Answer:
- sudden decrease in dialyzer clearance
- By filtration through a biocompatible membrane.
- From an area of higher concentration
- Into a vacuum created when fluids are forced through a membrane
Question 9: Diffusion is movement of particles:
- Into a space created by solutions moving in counter-current flow
Answer:
- From an area of higher concentration
- rales on the bases of both lungs
- changes in the thrill and bruit
- skin discoloration over the sit of stenosis
- increase on skin temperature at site of stenosis
Question 10: stenosis is a major cause o 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 11: factors that affect peritoneal membrane permeability include
- peritonitis infection
- amount of residual renal function
- the ability of the liver to convert lactate to bicarbonate
- nutritional status of the patient
Answer:
- peritonitis infection
- hypotension
- chest pain
- headache
- increased appetite
Question 12: which of the following is the first symptom that a patient developing dialysis disequilibrium syndrome is most likely to exhibit?