CCHT Certification Study: Examination Questions with Correct Answers, Exams of Nephrology

A series of examination questions related to ccht (certified clinical hemodialysis technician) certification. Each question is followed by the correct answer, making it a useful resource for individuals preparing for the certification exam. The questions cover various aspects of hemodialysis, including patient evaluation, machine setup, quality improvement, kidney function, and infection control. This material is designed to reinforce learning and assess comprehension of key concepts in hemodialysis technology, offering practical insights into the daily tasks and responsibilities of a hemodialysis technician. It serves as a valuable tool for self-assessment and exam preparation, ensuring a solid understanding of essential principles and procedures.

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2025/2026

Available from 10/31/2025

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CCHT /
/CERTIFICATION /
/STUDY /
/EXAMINATION /
/QUESTIONS /
/WITH //CORRECT //ANSWERS //
During //a //pre-
treatment /
/patient /
/evaluation /
/which /
/question /
/would /
/be /
/best /
/for /
/the /
/PCT /
/to /
/ask? //- /
/CORRECT /
/ANSWERS(S)✔✔How /
/have //you //been //since //your //last //dialysis //treatment?
During //the //set-
up /
/of //
a //machine //the //alarm //test //for //conductivity //fails. //Which //action //would
//be /
/best /
/for /
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CCHT /

/CERTIFICATION /

/STUDY /

/EXAMINATION /

/QUESTIONS /

/WITH //CORRECT //ANSWERS //

During //a //pre-

treatment /

/patient /

/evaluation /

/which /

/question /

/would /

/be /

/best /

/for /

/the /

/PCT /

/to /

/ask? //- /

/CORRECT /

/ANSWERS(S)✔✔How /

/have //you //been //since //your //last //dialysis //treatment?

During //the //set-

up /

/of //

a //machine //the //alarm //test //for //conductivity //fails. //Which //action //would

//be /

/best /

/for /

/the /

/PCT /

/to /

/take? //- /

/CORRECT //ANSWERS(S)✔✔Contact //the //Biomed //Equipment //Tech

The /

/dialysis /

/industry /

/strives /

/to /

/improved /

/the /

/quality /

/of /

/patient /

/outcomes. /

/One /

/way /

/this /

/is /

/done /

/is /

/through /

/the /

/continuous /

/quality /

/improvement /

/(CQI) /

/process. /

/Which /

/of /

/the /

/following /

/is //

a /

/model /

/of //the //CQI //process? //- //CORRECT //ANSWERS(S)✔✔Plan, //do, //check, //and

//act

/percent /

/of /

/the /

/cardiac /

/output //is //received //by //the //kidneys? //- //CORRECT //ANSWERS(S)✔✔23%

Which /

/of /

/the /

/following /

/is /

/considered /

/an /

/elevated /

/serum /

/potassium /

/level /

/for //a //dialysis //patient? //- //CORRECT //ANSWERS(S)✔✔A. //3.0 //mEq/L

B. //3.5 //mEq/L

C. //4.0 //mEq/L

D. //none //of //the //above

Answer: //D //none //of //the //above

Hormones /

/made /

/by /

/the /

/kidney /

/include //all //except //- //CORRECT //ANSWERS(S)✔✔PTH //and //cholesterol

Hyperkalemia /

/may /

/cause //- /

/CORRECT /

/ANSWERS(S)✔✔C. /

/serious //or //even //deadly //changes //in //the //heart //rhythm

Which /

/best /

/describes /

/the /

/PTC's /

/role /

/in /

/patient /

/teaching? //- /

/CORRECT /

/ANSWERS(S)✔✔D. /

/Reinforce /

/teaching /

/the /

/patient /

/may /

/have /

/received //from //the //nurse, //physician, //dietitian //or //other //teammates

Which /

/type /

/of /

/vascular /

/access //has //fewest //complications? //- //CORRECT //ANSWERS(S)✔✔C. //The

//A/V //fistula

A /

/new /

/hemodialysis /

/patient /

/receiving /

/his /

/first /

/treatment /

/states //she //has //been //having //nausea, //vomiting, //and //diarrhea //for //the

//last /

/two /

/days. /

/Her /

/estimated /

/dry /

/weight /

/is /

/kg /

/and /

/her /

/pre /

/treatment /

/weight /

/is /

/kg. /

/The /

/best /

/action /

/for /

/the /

/PCT /

/to /

/take /

/is: //- /

/CORRECT /

/ANSWERS(S)✔✔D. /

/Immediately //notify //the //nurse //of //the //need //for //a //patient //assessment

Risks /

/associated /

/with //

a /

/deionization //

/D.I.) /

/water /

/treatment /

/system /

/include /

/all /

/except: //- /

/CORRECT /

/ANSWERS(S)✔✔D. /

/DI //removes //all //charged //particles //(-) //ions //or //(+) //cations

The /

/best /

/definition /

/of /

/asepsis //is: //- //CORRECT //ANSWERS(S)✔✔D. //The //absence //of //pathogens

A /

/PCT /

/is /

/told /

/by /

/her /

/male /

/patient //"I /

/have /

/been /

/really /

/depressed /

/and /

/lonely /

/since //

I /

/started /

/coming /

/here, /

/but /

/being /

/around /

/These /

/same /

/additives /

/must /

/be /

/removed /

/from /

/the /

/water /

/supply /

/used /

/for /

/hemodialysis. /

/Common /

/drinking /

/water /

/additives /

/include /

/all //except: //- //CORRECT //ANSWERS(S)✔✔a. //Chlorine //and //ammonia

During //a //hemodialysis //treatment //a //PCT //notices //the //blood //returning

//through /

/the /

/extracorporeal /

/circuit //is //a //translucent //cherry //or //cranberry //red //color. //A //likely //cause

//of //blood //this //color //is: //- //CORRECT //ANSWERS(S)✔✔b. //Hemolysis

Hemodialysis /

/infection /

/control /

/precautions /

/include /

/all /

/of //the //following //except: //- //CORRECT //ANSWERS(S)✔✔b. //Always //recap

//needles //to //prevent //injuring //others

Gloves /

/must /

/be /

/worn: //- /

/CORRECT //ANSWERS(S)✔✔a. //For //patient //or //equipment //contact

b. //when //troubleshooting //the //vascular //access

c. //Handling //blood/ //body //fluid //samples

d. //For //all //of //the //above

Answer: //d. //For //all //of //the //above

The /

/heparin /

/sodium /

/concentration /

/commonly /

/used /

/in //hemodialysis //is: //- //CORRECT //ANSWERS(S)✔✔a. //1ml: //1,000 //units

A //technician //is //setting //up //for //a //hemodialysis //treatment //with //a //re-

processed /

/dialyzer. /

/When /

/should /

/the /

/technician /

/verify /

/the /

/absence /

/of /

/residual /

/sterilant? //- /

/CORRECT /

/ANSWERS(S)✔✔c. //Immediately //before //initiating //treatment

/improve /

/the /

/adequacy /

/of /

/the /

/dialysis /

/treatment? //- /

/CORRECT //ANSWERS(S)✔✔b. //Increase //the //treatment //time

During //

a /

/hemodialysis /

/treatment //

a /

/patient /

/goes /

/into /

/cardiac /

/arrest. /

/What /

/should //the //PCT //do //first? //- //CORRECT //ANSWERS(S)✔✔b. //Call //for //help

Prior /

/to /

/cannulation /

/the /

/technician /

/notices /

/the /

/patient's /

/A/V /

/fistula /

/is /

/red /

/and /

/warm /

/to /

/the /

/touch. /

/These /

/symptoms /

/are //most //likely //due //to: //- //CORRECT //ANSWERS(S)✔✔c. //Infection

Lab //results //indicate //the //patient's //pre-

treatment /

/BUN /

/value /

/was /

/lower /

/than /

/the /

/post /

/treatment /

/BUN /

/value. //

A //potential //cause //could //be: //- //CORRECT //ANSWERS(S)✔✔d. //The //pre-

dialysis /

/sample /

/was //taken //from //the //venous //line //after //the //treatment //started

Half /

/way /

/through //

a /

/treatment /

/the /

/technician /

/notices //

a /

/significant //increase //in //transmembrane //pressure. //This //is //most //likely

//due //to: //- //CORRECT //ANSWERS(S)✔✔c. //Clotting //of //the //dialyzer

A /

/technician /

/notices //

/in /

/potassium /

/include //all //except: //- //CORRECT //ANSWERS(S)✔✔d. //Apples/ //cranberry

Which /

/of /

/the /

/following /

/potassium /

/facts /

/is /

/false? //- /

/CORRECT /

/ANSWERS(S)✔✔d. /

/The /

/desired /

/post //treatment //potassium //range //for //a //hemodialysis //patient //is //6.0-

6.5 //mEq/L

Which /

/of /

/the /

/following /

/are /

/dialyzed /

/out /

/during //

a /

/hemodialysis /

/treatment? //- /

/CORRECT //ANSWERS(S)✔✔c. //Water //soluble //vitamins //(B1, //B2, //B3, //B6,

//B12, //folic //acid, //and //C)

Which /

/of /

/the //following //is //the //most //accurate //measure //of //dialysis //adequacy? //-

//CORRECT //ANSWERS(S)✔✔KT/V //(urea)

According //to //K/DOQI //guidelines //and //recommendations //hemodialysis

//patients /

/should //have //a //KT/V //of //at //least: //- //CORRECT //ANSWERS(S)✔✔c. //1.

The /

/normal /

/blood //serum //pH //range //is //- //CORRECT //ANSWERS(S)✔✔a. //7.35-7.

The /

/best /

/definition /

/of /

/diffusion /

/is /

/the /

/movement /

/of: //- /

/CORRECT /

/ANSWERS(S)✔✔b. //Solutes //from //an //area //of //high //concentration //to //an

//area //of //low //concentration

Pericarditis /

/is //

a /

/complication /

/seen /

/in /

/renal /

/failure /

/patients. /

/It /

/may /

/be /

/related /

/to: //- //CORRECT //ANSWERS(S)✔✔a. //Inadequate //dialysis //prescription

Biohazards /

/waste /

/includes /

/any /

/material /

/exposed //to //- //CORRECT //ANSWERS(S)✔✔a. //Blood //and //body //fluid

b. //Sharps //and //infectious //waster

c. //Pathology //specimens //and //infectious //microbiological //materials

d. //All //of //the //above

Answer. //d

/minutes /

/before /

/the /

/end /

/of /

/the /

/treatment //

a /

/patient /

/complains /

/of /

/being /

/light /

/headed, /

/dizzy, /

/and /

/of /

/nausea. /

/This /

/is //most //likely //caused //by: //- //CORRECT //ANSWERS(S)✔✔d. //Hypotension

A /

/y/o /

/blind /

/patient /

/comes /

/to /

/treatment /

/escorted /

/by /

/his /

/wife. /

/Which /

/approach /

/should /

/the /

/technician /

/use /

/when /

/interacting? //- /

/CORRECT /

/ANSWERS(S)✔✔c. /

/Describe //the //activities //in //the //immediate //environment

The /

/hemodialysis /

/machine /

/monitors /

/many /

/parameters. /

/Which /

/of /

/these /

/parameters /

/must /

/be /

/verified /

/by //

a /

/second /

/independent //means? //- //CORRECT //ANSWERS(S)✔✔b. //Conductivity