CCHT Practice Test 132 Questions with Verified Answers,100% CORRECT

CCHT Practice Test 132 Questions with Verified Answers Albumin is a test about a patients _______ status - CORRECT ANSWER Nutritional ______ contributes to data collection used to measure quality outcomes - CORRE ...

CCHT Practice Test 132 Questions with Verified Answers Albumin is a test about a patients _______ status - CORRECT ANSWER Nutritional ______ contributes to data collection used to measure quality outcomes - CORRECT ANSWER Ensuring accurate documentation What is the most accurate measurement of dialysis adequacy? - CORRECT ANSWER Kt/V Biohazardous waste includes ... - CORRECT ANSWER Any material exposed to blood The organization that has the goal to improve the care and outcomes of all individuals with kidney disease - CORRECT ANSWER KDOQI, Kidney Disease Outcomes Quality Initiative The organization that sets the standards for dialysis water quality - CORRECT ANSWER AAMI, Association for the Advancement of Medical Instrumentation A dialysis tech observes everything on the tx floor, what would be an environmental risk? - CORRECT ANSWER About one ounce (30 ml) of fluid is on the floor What is the most important activity a tech can perform to prevent the spread of infectious disease in the dialysis unit? - CORRECT ANSWER Hand washing Example of a food that is high in potassium - CORRECT ANSWER Bananas, oranges, spinach, broccoli, potatoes, cucumbers.... Example of a food that is high in phosphorous - CORRECT ANSWER Dairy, meat, nuts, seafood, whole grains... What have low albumin levels in pts been linked to? - CORRECT ANSWER Higher hospitalization and death rates What is an acceptable interdialytic weight gain? - CORRECT ANSWER 3kg or 5% of EDW The usual fluid allowance for a person with kidney failure is? - CORRECT ANSWER 1.0 to 1.5 liters per day Symptoms of hyperkalemia include? - CORRECT ANSWER Muscle weakness and numbness Hyperkalemia - CORRECT ANSWER excessive potassium in the blood What is an indication that heparin dose may need to be decreased? - CORRECT ANSWER The pt had surgery yesterday What might be an indication a pt needs an increase in heparin dosage? - CORRECT ANSWER Clotting in the extracoporeal circuit What is the usual heparin sodium concentration for anticoagulation during tx? - CORRECT ANSWER 1,000u/ml How is lidocaine administered? - CORRECT ANSWER Interdermally What is a medication that doesn't dialyze easily? - CORRECT ANSWER Digoxin Mr Jones goes to the store to buy laxatives for constipation, what medication should he avoid? - CORRECT ANSWER Milk of magnesia A pt needs 2000 units of heparin. The vial is 1000u/ml. How many mls do you draw? - CORRECT ANSWER 2ml Examples of phosphate binders - CORRECT ANSWER Renagel, Phos-lo, and Tums What med is used to treat anemia? - CORRECT ANSWER Epogen What med is used to improve calcium absorption? - CORRECT ANSWER Zemplar If you document incorrectly on a pts chart, how do you correct it? - CORRECT ANSWER Draw a line through it, date, time, signature/credentials with the word error A female dialysis technician has been caring for a male patient for several months. The patient tells the tech that he is lonely and depressed. He asked the technician to go out to dinner with him. In addition to politely declining his invitation, which of these actions, if any, should the tech take? - CORRECT ANSWER Refer the patient to the social worker A staff member asks you to document the normal Celine he just gave to Mr. Tom. What would you do? - CORRECT ANSWER Never document something that someone else did Mr. Jones demonstrates how to wash his access. This is an example of which adult learning principle? - CORRECT ANSWER Psychomotor What is the dialysis tech role in patient education? - CORRECT ANSWER Reinforce information provided by other staff Who is the most important member of the patient care team? - CORRECT ANSWER The patient What is the most important monitor in the dialysis setting? - CORRECT ANSWER Staff Which learning domain is behavioral-based? - CORRECT ANSWER Affective Which learning domain is knowledge-based? - CORRECT ANSWER Cognitive Mr. Rob verbalizes how to crank his blood pump in the event of an emergency. This is an example of which adult principle? - CORRECT ANSWER Cognitive A 58-year-old patient who is blind comes to treatment accompanied by his wife. Which of these approaches should the dialysis tech use when interacting with the patient? - CORRECT ANSWER Describe the activities in the immediate environment What is the minimum amount of experience required to take the NNCC certifying exam? - CORRECT ANSWER 6 months What is a reason why a dialysis tech needs to be certified? - CORRECT ANSWER It's federal regulation For what purpose is carbon filtration used in the Dallas's water treatment process? - CORRECT ANSWER Removal of chlorines and chloramines What is the purpose of having a transducer to measure the dialysate flow pressure? - CORRECT ANSWER To ensure that the dialysate pressure in the dialyzer is lower than the pressure in the blood compartment to reduce back filtration What is used to measure dialysis adequacy (Kt/V) - CORRECT ANSWER URR (urea reduction racial), tx duration, BMI (body mass index) What is the main factor contributing to arterial pressure? - CORRECT ANSWER Gauge of arterial access needle What is a reason for hemolysis to occur during dialysis treatment? - CORRECT ANSWER Mal occlusion of the blood pump rollers, partially kinked blood tubing, clotted catheter What is the purpose of the bypass function in a hemodialysis delivery system? - CORRECT ANSWER To protect the patient from dialysate that is not within safety margins What is the purpose of the heat exchanger in a dialysis machine? - CORRECT ANSWER To preheat the incoming water What is the purpose of using an acetic acid 5% in the disinfection process? - CORRECT ANSWER To remove precipitate from the flow path How can problems with an electrical power source be assessed? - CORRECT ANSWER Plugging into a different outlet, checking machine and electrical panel circuit breakers, verifying the power cord is secure in the outlet Which structure prevents red blood cells and proteins from being lost in the urine? - CORRECT ANSWER Glomerulus What causes rejection of a transplanted kidney? - CORRECT ANSWER The bodies own immune system When are machine alarm tests are performed? - CORRECT ANSWER Before each patient shift What is considered to be safe water for dialysis? - CORRECT ANSWER RO water What is the most common treatment modality for ESRD? - CORRECT ANSWER In center hemodialysis What substance is too large to cross the intact dialyzer membrane? - CORRECT ANSWER Protein What substance can cause hemolysis? - CORRECT ANSWER Chloramines What are acceptable limits for total chlorines and water for hemodialysis? - CORRECT ANSWER Less than 0.1mg/L What imbalance could result in sudden death? - CORRECT ANSWER High potassium In order to maximize clearances during dialysis treatment, care should be taken to? - CORRECT ANSWER Provide adequate heparin What foods are the highest in phosphorus? - CORRECT ANSWER Dairy products and meat The purpose of priming the extracorporeal circuit with saline during set up is to? - CORRECT ANSWER Remove sterilant and air from the dialyzer in lines before initiating treatment If following recirculation a re-processed dialyzer remains positive for residual disinfectant? - CORRECT ANSWER The dialyzer needs further rinsing Treatments for leg cramps include? - CORRECT ANSWER Administering normal saline bolus, rinsing back the blood, applying opposing pressure against the patient's leg The air bubble monitor on the machine detect the presence of air in the? - CORRECT ANSWER Venous line You are preparing 2500 unit heparin for bolus. How many cc would you draw when the concentration of heparin being used is 1000 u = 1cc? - CORRECT ANSWER 2.5 cc What are signs of fluid overload? - CORRECT ANSWER Puffy eyes, shortness of breath, increase in blood pressure Your new dialysis patient asks why her blood pressure is checked so often during her treatment. What do you tell her? - CORRECT ANSWER It is one way to make sure you are not removing too much fluid during her treatment Tom went to a big holiday party yesterday and arrives for his treatment 6 KG of fluid to be removed. What should you say to Tom? - CORRECT ANSWER You review the foods and fluids Tom has consumed and help him to see where he could have made better choices Maria wants to have her treatment shortened by 20 minutes today so she can watch your favorite show, you explain what? - CORRECT ANSWER It is very important to get the prescribed time every treatment to avoid complications How far apart should the tips of the arterial and venous needles be? - CORRECT ANSWER 2 inches apart What is a primary method of waste removal during dialysis? - CORRECT ANSWER Diffusion What are symptoms of hypotension? - CORRECT ANSWER Dizziness, lightheadedness, nausea, vomiting, cold and clammy skin Your patient comes to the dialysis clinic for treatment and he states he feels awful and that his chest hurts when he takes a deep breath or lays down. His temperature is 99° and his blood pressure is 110/70. Following his assessment, what action should be taken by the tech? - CORRECT ANSWER Notify the charge nurse What are the carbon filters in the water room used for? - CORRECT ANSWER Remove chlorine and chloramines from the water What would cause a high venous pressure alarm? - CORRECT ANSWER Venous needle against the vessel wall What would cause a conductivity alarm? - CORRECT ANSWER Acid concentrate container is empty What is clearance? - CORRECT ANSWER The volume of blood cleared of given solute per unit time What would you suspect if a patient spikes a temperature one hour into treatment? - CORRECT ANSWER Pyrogen reaction What is the purpose of a countercurrent flow? - CORRECT ANSWER Increase removal of waste products What is a possible cause of an aneurysm and pseudoaneurysm's? - CORRECT ANSWER Poor rotation of sites What is the water softener in the water treatment room used to remove? - CORRECT ANSWER Calcium and magnesium The appearance of cranberry juice colored blood and chest pain or signs and symptoms of? - CORRECT ANSWER Hemolysis The bruit in an AV fistula or a graft is detected by? - CORRECT ANSWER Listening with a stethoscope What is pericarditis? - CORRECT ANSWER Inflammation of the membrane surrounding the heart What happens when the dialysis machine is placed in minimum UFR? - CORRECT ANSWER The amount of fluid removal is decreased What is a controlled fluid removal by manipulation of hydrostatic pressure called? - CORRECT ANSWER Ultrafiltration What function of the kidney is related to calcium and phosphate balance? - CORRECT ANSWER Activation of vitamin D What are the two most common causes of ESRD in the USA? - CORRECT ANSWER Diabetes and hypertension What symptoms would indicate the need to increase a patient's dry weight? - CORRECT ANSWER Cramping and hypotension Your patients dry weight is 56KG. The post weight from the last treatment was 57 KG. Today he arrived at 59 KG. What is his weight gain? - CORRECT ANSWER 2 KG What would cause a low venous pressure alarm? - CORRECT ANSWER A venous blood line disconnection A pre-pump arterial pressure that is more than -250 indicates? - CORRECT ANSWER Poor blood flow from the access What may indicate a need for less anticoagulation? - CORRECT ANSWER Prolonged bleeding post dialysis In what position should a patient be placed for a suspected air embolism? - CORRECT ANSWER Trendelenburg on the left side The placement of the Venus needle in an access must be? - CORRECT ANSWER With the blood flow, antegrade What is the proper technique for the site preparation of an internal access? - CORRECT ANSWER Wiping with Betadine in concentric circles from the inside to the outside What foods are the highest in potassium? - CORRECT ANSWER Bananas, tomatoes, oranges Your patient comes in one KG blow dry weight. After determining that the driveway is correct, and the patient weighed correctly, what is your plan for treatment? - CORRECT ANSWER Notify the nurse and replace fluids PRN What would improve adequacy of dialysis treatment? - CORRECT ANSWER Increase the treatment time What is the purpose of recirculation study determine? - CORRECT ANSWER The percent of venous blood that is back washed into the arterial side Which of the following solutions is used to treat hypotension during dialysis? - CORRECT ANSWER 0.9% saline What is an example of a phosphate binder? - CORRECT ANSWER Renagel What combinations of substances is in dialysate? - CORRECT ANSWER Potassium, calcium, sodium, bicarbonate Why is heparin given during dialysis treatment? - CORRECT ANSWER Prevent clots What is the substance in dialysate that is used to neutralize acid? - CORRECT ANSWER Bicarbonate Which two electrolytes play an important role in bone formation? - CORRECT ANSWER Calcium and phosphorus What is the percentage of red blood cells measured by? - CORRECT ANSWER Hematocrit When can disposable supplies be opened? - CORRECT ANSWER Immediately before use In order to properly wash your hands, lather and wash vigorously for a minimum of how many seconds? - CORRECT ANSWER 20 If a gross blood spill occurs, disinfection of equipment and work services will be done immediately using a bleach concentration diluted to the strength of? - CORRECT ANSWER 1:10 When should your patients take their phosphate binders? - CORRECT ANSWER With their meal Why is lidocaine given to patients on dialysis? - CORRECT ANSWER To anesthetize the skin Open multidose viles of heparin will expire in? - CORRECT ANSWER 30 days How often are chlorine/chloramine checks done in the dialysis facility? - CORRECT ANSWER Before each patient shift For patients with graphs and fistula's heparin pumps are routinely turned off when? - CORRECT ANSWER The last hour of treatment What complication would protamine be used for? - CORRECT ANSWER Heparin overload What component of dialysate might be changed when a patient is placed on digoxin? - CORRECT ANSWER Potassium When should IV tobramycin be given? - CORRECT ANSWER At or near the end of treatment The order is for tobramycin 1.5 MG per KG of body weight. The patient weighs 80 KG. How many MG of tobramycin should be given? - CORRECT ANSWER 100 MG Mr. David is to receive 1 gm of vancomycin today. The facility stocks Vanco 500 MG vials. How many files are needed to administer the correct dosage? - CORRECT ANSWER Two Zemplar or Calcijex is given to patients with? - CORRECT ANSWER Elevated PTH levels Epogen is used to stimulate? - CORRECT ANSWER The bone marrow to make RBC Zemplar or Calcijex in directly affects what? - CORRECT ANSWER Parathyroid hormone Your patient has been diagnosed with iron deficiency anemia. Do you want to make sure he is receiving a combination of what? - CORRECT ANSWER Epogen and Venofer What part of the water treatment system removes endotoxins? - CORRECT ANSWER Ultrafiltration At the end of a patient's treatment, which of these findings, if observed by the tech, should be reported to the nurse? - CORRECT ANSWER Pulse of 120 Why are dialysis patients more likely to become infected with the germs like MRSA? - CORRECT ANSWER They usually have a weak immune system What occurs when the dialysis machine alarms and goes into bypass? - CORRECT ANSWER Dialysate stops flowing through the dialyzer A patient that has diabetes Molite us should be observed for signs of low blood sugar which included? - CORRECT ANSWER Anxiety and confusion Legally, if a treatment was performed but no charting is in the patient's records it was? - CORRECT ANSWER Not done you are using a new fistula and are now using 16 G needles. What is the recommended BFR for this size needle? - CORRECT ANSWER 250-350 ml/min Which of the following drugs treats secondary PTH by increasing the sensitivity of calcium sensing receptors? - CORRECT ANSWER Sensipar What is the goal of ultrafiltration profiling during treatment? - CORRECT ANSWER Decreased intradialytic hypotension What is true regarding fluid management? - CORRECT ANSWER US profiling requires a physician order