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CCHT EXAM QUESTIONS LATEST AND UPDATED VERSION DETAILED ANSWERS 100% CORRECT, Exams of Nursing

Cheyney University of PennsylvaniaNursing

CCHT EXAM QUESTIONS LATEST AND UPDATED VERSION DETAILED ANSWERS 100% CORRECT

Typology: Exams

2024/2025

Available from 02/23/2025

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CCHT
EXAM QUESTIO
NS LATEST AND UPDATED VERSION DETAILED
ANSWERS 100% CORRECT
1. While technical staff are preforming duties in the dialysis unit which team member
must always be present
A. Registered nurse
B. Medical director for unit
C. Lab technician: A. Registered nurse
2. Two techs are heatedly discussing pt care situation. Which team member is
responsible for disciplinary action
A. Registered practical nurse
B. Human resource manager
C. Dialysis nurse manager: C. Dialysis nurse manager
3. Which credentialing agency for dialysis includes items such as water treat- ment and
dialysate preparation and complication of dialysis as part of their practice domains
A. Board of nephrology examiners nursing in technology
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Download CCHT EXAM QUESTIONS LATEST AND UPDATED VERSION DETAILED ANSWERS 100% CORRECT and more Exams Nursing in PDF only on Docsity!

CCHT EXAM QUESTIONS LATEST AND UPDATED VERSION DETAILED

ANSWERS 100% CORRECT

  1. While technical staff are preforming duties in the dialysis unit which team member must always be present A. Registered nurse B. Medical director for unit C. Lab technician: A. Registered nurse
  2. Two techs are heatedly discussing pt care situation. Which team member is responsible for disciplinary action A. Registered practical nurse B. Human resource manager C. Dialysis nurse manager: C. Dialysis nurse manager
  3. Which credentialing agency for dialysis includes items such as water treat- ment and dialysate preparation and complication of dialysis as part of their practice domains A. Board of nephrology examiners nursing in technology

B. Nephrology nursing certification commission C. National nephrology certification organization: C. NNCO

  1. Prior to starting dialysis what must the technician and or nurse verify A. That patient has provided informed written consent for dialysis B. That the patient has not eaten any food or beverages for the last six hours C. That the patient has a driver to pick him up after dialysis: A. Consent
  2. Which external agencies provide additional guidelines and standards in the areas of infectious disease testing immunizations dialysis treatment safety and infection control? A. Centers for disease control and prevention B. Centers for Medicare and Medicaid service C. Association for the advancement of medical instrumentation D. Council of nephrology: A B and C
  3. Prior to passing the Social Security amendments treatment for chronic kidney disease was available only to few who met certain criteria. The amend- ments extended Medicare coverage for almost all patients who signed the amendment and then what year

B. Cramping C. Thirst D. Headache: A and B

  1. Which buffer is the major plasma buffer therefor important during dialysis A. Bicarbonate B. Amino acid C. Protein: A. Bicarbonate
  2. While reviewing the body weight for a dialysis patient the tech knows that ——— of the total amount of water is contained in the intracellular fluid compartment A. 20% B. 30% C. 40%: C. 40%
  3. How much water is lost through evaporation form lungs every day A. 250-499 ml of water B. 700-1,000 ml of water C. 1500-2000 ml of water: B.
  1. A patient asks to explain what the normal kidney does in addition to making urine what's the response A. Regulate fluid volume in body B. Regulate pH in blood C. produce erythropoietin that controls red blood cell production D. I receptor sites for several hormones: All of the above
  2. A patient with a renal failure asks if his candies will regenerate how does the technician answer A. With a diet low in sodium and exercise there's a good chance you'll get some function back B. If nephrons are damaged they do no regenerate C. If the heart can pump in a blood to the kidney there is a possibility that some of the nephrons can regenerate: B. If nephrons are damaged they won't regenerate
  3. This patient's kidneys have permanently lost most of their ability to remove waste and maintain fluid in chemical balance what's the patient's likely esti- mated glomerular filtration rate

A. Hispanic female who is unaware that she is hypertensive B. White female with family history of diabetes who watches her exercise and diet C. Asian male who schedules regular visits with healthcare provider D. African-American female whose parents both died following stroke: A and D

  1. Patient with chronic kidney disease asks what her goal hemoglobin level should be what level as recommended by the national kidney foundation kidney disease guidelines A. 9% B. 7% C. 11%: B.7%
  2. Patient with chronic kidney disease arrives at the center after his nephrol- ogy visit he relays to the staff that the doctor said he was hardening of the kidneys what is the cause of this condition A. Prolonged severe hypertension B. Daily ingestion of sugar sweetened drinks C. High fat diet D. Too much calcium in the diet along with hypertension: A.
  3. What is one cause of postrenal failure

A. Renal trauma B. Prostrate disease C. Fluid volume shifts D. Kidney infections: B. Prostate disease

  1. The family member of a dialysis technician has noted blood in his urine the tech also noted the weight loss and rubbing of the flank to ease the cramping pain which disease comes to mind A. Nephrotic syndrome B. Bladder infection C. Kidney stones D. Renal carcinoma: D. Renal carcinoma
  2. Which integumentary changes are commonly seen in patients with chronic kidney disease A. Brittle nails B. Excessive sweating C. Bruising D. Increase number of moles: A and C

A. They're not compliant B. They require meticulous care to remove air or gas from the fiber bundle C. Blood distribution may be uneven at inflow header space D. Higher heparin doses may be needed to prevent clotting in hollow fibers: B C and D

  1. If a patient is experiencing adverse reactions from the residual toxic prod- ucts of ethylene oxide sterilization of the hollow fibers what other ways can you sterilize it. A. Gamma radiation B. Pure alcohol flushing C. Electron beam: A and C
  2. Which manifestation would lead to the tech to suspect the patient is experiencing intradialytic complement A. Anemia B. Intradialytic hypoxemia C. Chest pain D. Back pain: B C and D
  3. If the bicarbonate concentrate is over mixed what lab values will result A. Increase pH

B. Decrease in serum calcium level C. Increase in magnesium level D. Decrease in RBC level: A and B

  1. Which method/test is most commonly used to check the dialysate compo- sition A. Bicarbonate concentration test B. Total conductivity C. Microbial count: B. Microbial count
  2. How is the temp of the dialysate controlled A. By using one or more sensors and a micro controller circuit on the heater B. By checking accuracy regularly with a certified glass thermometer C. By using a separate center with visual and audible alarms for any out of limit state: All of the above
  3. What can cause a "false" blood leak alarm A. Particulate matter and air bubbles in the dialyzer B. Reduction in the light received by a photo cell C. Change in translucency: A. Particular matter
  4. What are the system requirements for high flux dialysis
  1. What modifications to the dialysis procedure can be made to prevent intradialytic complications associated with fluid removal A. Lower the temp of the machine B. Extend treatment times C. Check serum sodium levels every 15 min: A and B
  2. Which water contaminants may cause methemoglobinemia in which red cell hemoglobin cannot transport oxygen A. Fluoride and Tin B. Nitrates and chloramines C. Zinc and aluminum: B. Nitrates and chloramine
  3. What is the process utilized when two carbon tanks are used to remove chlorine and chloramine from tank water A. Adsorption B. Absorption C. Diffusion: A. Adsorption
  4. What type of contaminants are removed from water used in dialysis A. Endotoxins

B. Aqueous salts C. Water softeners: A and B

  1. When preparing for reverse osmosis what type of membranes should the tech be prepared to utilize A. Peritoneum B. Cellulose acetate C. Thin film composites D. Chlorine resistant polysulfone: B C and D
  2. Which problems may occur when using a deionizer A. It can be hard initially to obtain the maximum flow rate needed B. The service life of a deionizer may be short and essential that the filters be placed downstream C. Resin beds tend to exhaust suddenly in the tanks may need to be ex- changed D. If the resin tanks are used to exhaustion previously removed ions may be released: All of the above
  1. Which person on the team is responsible for ensuring the quality of water used for dialysis has met the standards A. Registered nurse B. Nurse manager C. Medical director: C. Medical director
  2. When a dialyzer is prepared to use what actions are required prior to beginning the session A. Prime the dialyzer B. Remove all air in the dialyzer C. Flush the dialyzer with Celine prime to remove all particulate matter D. Remove any disinfectant left behind by rinsing under cold water: B and C
  3. place the steps for a re-processing/re-using a dialyzer in the correct order A. Disinfect with chemical or heat B. Flush dialyzer to remove most of blood C. Test dialyzer D. Cleanse dialyzer with chemicals and reverse ultrafiltration: B then D then C then A
  1. According to standard precautions when should gloves be changed and hands washed A. When gloves are contaminated B. When going from clean body side to contaminated body site on the same person C. After handling infectious waste containers D. After touching patient as in preforming physical assessment: A C and D
  2. How should hand hygiene be performed A. With bar of soap and scrub brush B. With antiseptic soap and water C. With hand sanitizer D. With waterless alcohol base hand rub with 60-90% alcohol content: B and D
  3. What type of garment should be worn during processes likely to generate droplets of bodily fluids A. Patient gown tied in back B. Weighted lead aprons C. Impervious isolation gowns: C. Isolation gowns

After a needle stick or sharps exposure to hep C virus what is the risk of developing infection A. 0.01% B. 0.5% C. 1.8%: C. 1.8%

  1. What are the recommendations for dialysis personnel caring for patients with clostridium difficile colitis A. Wear gloves when treating patient B. Impervious gowns upon entering room C. Wash hands with soap and water: All of the above
  2. Why is anticoagulation therapy used in dialysis A. To foster good venous blood flow in fingers and toes B. To reduce clotting within the extracorporeal circuit C. To optimize dialyzer efficiency: B and C
  3. How is heparin commonly administered A. Initial loading dose of heparin is given before tx begins B. Directly into arterial needle

C. Administered throughout tx by direct injection: A. Initial dose

  1. When blood is transfused into at risk patients during heparin free dialysis what complication should the technician be monitoring for A. Fluid removal overload B. Anaphylaxis reaction C. Increased velocity of the blood in the dialyzer: C. Increased velocity
  2. If a dialysis patient does not have adequate vessels to create an internal fistula what is the remedy A. Veins surgically transferred from other areas of the body B. Wrapping mesh around scarred veins C. Using synthetic grafts: C. Using synthetic grafts
  3. A patient tells the text that she woke up in the morning with her fistula arm underneath her head and that it has been asleep and feeling funny all day knowing this which complication should the tech assess the patient for prior to assessing her site A. Cervical disc pain resulting in nerve damage B. Thrombosis caused by compression of blood flow C. Aneurysm of the official site due to kinking of the artery: B.