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CCHT PRACTICE TEST LATEST UPDATE GRADED A+, Exams of Medicine

1.Which of the following best describes the reason for wearing gloves when handling machine prior to blood? a) patient comfort b) asepsis c) universal precautions d) HIV โœ”โœ”c) universal precautions 2 You test for sterilant levels in a hemodialysis machine prior to patient use. The test is positive for sterilant. This means the machine: a) is sterile & bacteria free b) needs further rinsing c) needs more sterilant d) is in conductivity โœ”โœ”b) needs further rinsing 3.Choose the correct

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CCHT PRACTICE TEST LATEST UPDATE
GRADED A+
1.Which of the following
best describes the reason for wearing gloves when handling machine prior to blood?
a) patient comfort
b) asepsis
c) universal precautions
d) HIV โœ”โœ”c) universal precautions
2 You test for sterilant levels in a
hemodialysis machine prior to patient use. The test
is positive for sterilant. This means the machine:
a) is sterile & bacteria free
b) needs further rinsing
c) needs more sterilant
d) is in conductivity โœ”โœ”b) needs further rinsing
3.Choose the correct
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CCHT PRACTICE TEST LATEST UPDATE

GRADED A+

1.Which of the following best describes the reason for wearing gloves when handling machine prior to blood? a) patient comfort b) asepsis c) universal precautions

d) HIV โœ”โœ”c) universal precautions

2 You test for sterilant levels in a hemodialysis machine prior to patient use. The test is positive for sterilant. This means the machine: a) is sterile & bacteria free b) needs further rinsing c) needs more sterilant

d) is in conductivity โœ”โœ”b) needs further rinsing

3.Choose the correct

statement regarding serum abnormalities in renal failure: a) creatinine, BUN, & phosphorus are elevated b) creatinine BUN creatinine, BUN, & phosphorus are depressed c) calcium & bicarbonate are elevated d) calcium & bicarbonate are

depressed โœ”โœ”a) creatinine, BUN, &

phosphorus are elevated

4.Hemodialysis requires a means to channel the patient's blood to the hemodialyzer & then back to the body. It's called:

d) volume changes e) serum potassium levels โœ”โœ”c) blood leakage immediately

7.Which of the following foods are high in potassium? a) milk, ice cream, yogurt b) legumes, cheese, pizza c) chips, colas, canned meat

d) bananas, tomatoes, oranges โœ”โœ”d) bananas, tomatoes, oranges

8.What lab values are monitored for assessing bone disease? a) calcium, phosphorus & PTH b) calcium, phosphorus & albumin c) calcium, phosphorus & potassium

d) calcium, phosphorus & magnesium โœ”โœ”a) calcium, phosphorus &

PTH

9.Which is the most common cause of chronic kidney failure in the US? a) diabetes b) hypertension c) polycystic kidney smaller molecular disease d) glomerulonephritis โœ”โœ”a) diabetes

10.The reason potassium dialyzes and RBC's do not is: a) potassium has a larger molecular weight b) potassium has a smaller molecular weight c) RBC's are not water soluble d) RBC's have a negative charge โœ”โœ”b) potassium has a smaller molecular weight

d) low blood flow rate โœ”โœ”c) low hematocrit

14.The movement of water from an area of low solute concentration to an area of high solute concentration is called: a) diffusion b) osmosis c) ultrafiltration

d) dialysis โœ”โœ”b) osmosis

15.Potting compound, casing, fibers and headers are part of a: a) dialysis machine b) water treatment system c) R. O. system

d) dialyzer โœ”โœ”d) dialyzer

16.Mr. Jones has a dry weight of 72 kg. He weighed 73 kg after last treatment. Today he weighs 75.5 kg. Assume prime and rinse back =500 ml total. What is Mr.Jones' fluid removal goal for today? a) 2.5 liters or 2500 ml b) 3.0 liters or 3000 ml c) 4.0 liters or 4000 ml d) 4.5 liters or 4500 โœ”โœ”c) 4.0 liters or 4000 ml

17.A hematocrit test indicates which of the following? a) concentration of platelets b) concentration of creatinine in the blood c) concentration of red blood cells in the blood

d) concentration of white blood cells in the blood โœ”โœ”c) concentration of red blood cells in the blood

18.What factors should be considered when establishing a patient's dry weight? a) blood pressure

d) none of the above โœ”โœ”c) hemolysis

21.The use of high a sodium dialysate may predispose a patient to: a) fluid overload b) hypertension c) thirst d) all of the above โœ”โœ”d) all of the above

22.The capability of a dialyzer to remove fluid, expressed as ml/mmHg/hr is: a) UF Coefficient b) clearance c) surface area d) priming volume โœ”โœ”a) UF Coefficient

23.A pre-pump arterial pressure reading is measuring: a) the pressure required to pump the blood

through the dialyzer b) resistance to blood flow out of the access c) pressure within the dialyzer

d) none of the above โœ”โœ”b) resistance to blood flow out of the access

through the dialyzer

24.What determines the surface area of a hollow fiber dialyzer? a) number of fibers b) internal diameter of fibers c) length of fibers

d) all of the above โœ”โœ”d) all of the above

25.The purpose of using counter-current flow is to: a) increase the rate of fluid removal b) increase the rate of waste removal c) decrease the amount of dialysate used

d) decrease the surface area of the membrane โœ”โœ”b) increase the rate of waste removal

d) 500 CFU's โœ”โœ”c) 200 CFU's

29.According to AAMI RD52, how often should bacterial cultures be sampled? a) weekly b) monthly c) quarterly d) annually โœ”โœ”b) monthly

30.According to AAMI RD52, what is the action level for bacteria in dialysate? a) 50 CFU's b) 75 CFU's c) 100 CFU's d) 200 CFU's โœ”โœ”a) 50 CFU's

31.Bacterial exposure from water may cause which of the following symptoms? a) hemolysis b) fever/chills

c) bone disease d) hypotension โœ”โœ”b) fever/chills

32.Who developed the first permanent blood access, the "Shunt"? a) Scribner and Quinton b) Kolff c) Brescia and Cimino d) Turner โœ”โœ”a) Scribner and Quinton

33.Venous pressure meters are calibrated in: a) PSI b) mm/Hg c) mL/hour d) mg% โœ”โœ”b) mm/Hg

34.TPM is measured as: a) mL/hr b) mm/Hg

37.The term pH is a measurement of the concentration of: a) all ions in solution b) hydrogen ions c) bicarbonate ions

d) acetate ions โœ”โœ”b) hydrogen ions

38.The technician's role in patient teaching should be to: a) assess the patient"s barriers to learning b) check the patient's readiness to learn new information c) determine the patient's learning needs d) Reinforce teaching that the patient has received from other team members โœ”โœ”c) determine the patient's learning needs

39.What can dialysis staff do to reduce the risk of being infected with a blood borne pathogen?

a) proper hand washing b) universal precautions c) proper sharps disposal

d) all of the above โœ”โœ”d) all of the above

40.Which of the following are ways to handle chemicals safely? a) wash hands before eating or drinking b) wear protective clothing c) don't eat or drink in the work area d) all of the above โœ”โœ”d) all of the above

41.What is the correct angle in which to cannulate a fistula? a) 10-15 degrees b) 25-35 degrees c) 35-45 degrees d) it dosen't matter โœ”โœ”b) 25-35 degrees

c) about one ounce (30 ml) of fluid is on the floor d) a patient's family member is present during treatment โœ”โœ”c) about one ounce (30 ml) of fluid is on the floor

  1. When preparing a bleach solution for cleaning equipment, the technician accidentally spills undiluted bleach on the floor. Which of these resources will provide the technician with information about how to properly handle spill of the chemical? a) Material Safety Data Sheet (MSDS) b) Centers for Disease Control & Prevention (CDC) c) Association for the Advancement of Medical Instrumentation (AAMI) d) State Department of Health (DOH) โœ”โœ”a) Material Safety Data Sheet (MSDS)
  2. A conductivity alarm sounds during a hemodialysis treatment. The technician should expect which of these events to have occurred? a) the blood pump has stopped b) the dialysate flow rate has increased c) the electrical power source was interrupted

d) the dialyzer was bypassed โœ”โœ”d) the dialyzer was bypassed

  1. During routine water testing, the technician notes that the chloramine level after the first carbon tank is 0.2mg/L. Which of these actions should the technician take next? a) bypass the carbon tanks b) descale the reverse osmosis membranes c) obtain a sample after the second d) immediately terminate hemodialysis treatments โœ”โœ”c) obtain a sample after the second
  2. A female technician has been caring for a male patient for several months. The patient tells the technician that he is lonely and depressed. He asks the technician to go out to dinner with him. In addition to politely declining the patient's invitation, which of these actions, if any, should be taken: a) refer the patient to the social worker b) recommend an over-the-counter mood stimulant, such as St. John's wort c) share the patient's need for socialization with other patients d) no further action is needed โœ”โœ”a) refer the patient to the social worker