CCHT EXAM| ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A, Exams of Nursing

Download CCHT EXAM| ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A and more Exams Nursing in PDF only on Docsity! CCHT EXAM| ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A | LATEST UPDATE Consider a patient with renal failure such as Mr. Smith, which of the following symptoms, would not typically suggest the presence of pulmonary edema and his condition. A) shortness of breath B) coughing up blood tinged froth C) jaundice D) rapid weight gain due to fluid retention - Ans - C) jaundice What is the term used to describe the angled portion of a needles tip? A) cannula B) hub C) bevel D) shaft - Ans - B) bevel And addition to millimeters which other metric unit is typically used to measure volumes? A) kilogram B) liter C) meter D) Celsius - Ans - B) liter In the process of volumetric ultrafiltration, how many chambers are typically utilized ? A) four B) one C) three D) two - Ans - D) two . What is the primary objective of treatment for a patient undergoing dialysis such as John? A) to cure the underlying kidney disease B) rehabilitation C) to preform a kidney transplant immediately D)to eliminate all medications from the patients regimen - Ans - B) rehabilitation . Which of the following areas is not encompass in the certified clinical hemodialysis technician examination? A) patient care B) machine technology C) water treatment D) implemention - Ans - D) implemation . In the context of module 4 that elaborates on hemodialysis equipment, which element would not be deemed as a crucial component of the hemodialysis therapy? A) dialyzer B) bloodlines C) avoidance D) hemodialysis machine - Ans - C) avoidance Out of the eight fundamental training modules, which one would encompass the education about water treatment procedures in a dialysis center? A) module 3 B) module 6 C) module 1 D) module 8 - Ans - D) module 8 . Which of the following assertions about the role of human kidneys in maintaining bone health is not accurate? A) they help in the reabsorption of calcium and phosphate B) they assist in the production of Calcitrol, an active form of vitamin D C) they contribute to the production of parathyroid hormone D) they help in the regulation of blood pH by excreting hydrogen ions - Ans - C) The contribute to the production of the parathyroid hormone . Which tests are typically requested when assessing the kidney function of a patient named Anthony? A) Glomerular filtration rate B) Urinalysis C) Liver Function test D) Both A and B - Ans - D) Both A and B 342. What does the abbreviation TDS represent in the context of clinical hemodialysis? A) Total Dialysis Solution B) Total Dissolved Solids C) Therapeutic Drug Screening D) Transdermal Delivery System 363. What would be the accompanying symptom along with sweating that could indicate hypoglycemia? - Ans - Intense hunger 1. What potential medical issues should the technician or LPN be aware of that might affect a chronic kidney patient like Mr. Smith? - Ans - Peripheral vascular disease and Atherosclerosis 2. For a patient with kidney issues, like our patient, Anthony, which, among the listed organizations is not recognized as a patient organization? - Ans - National Regional Administrators Association NRAA 3. Among the provided options, which one accurately describes the process of diffusion? - Ans - Diffusion is the process where two solutions interact via a semi permeable membrane 4. Which other polymer, along with polyethersulfone, is recognized as a material suitable for constructing synthetic dialysis membranes? - Ans - Polycarbonate 5. What is the primary reason for conducting the CAHPS (consumer assessment of health, care, providers, and systems) program service among patients undergoing hemodialysis? - Ans - To measure the patient satisfaction with there care 6. What would be the appropriate way to describe the trans member pressure, TMP in the context of hemodialysis? - Ans - The average pressure discrepancy over the membrane 7. In the context of hemodialysis, which access site is most likely to lead to an infection, such as in the case of a patient named John? - Ans - Central venous catheter 8. When planning educational sessions for a patient undergoing hemodialysis, various patient factors are taken into account however, which of the following factors is typically not considered? - Ans - Financial status of the patient 9. What medical procedure is regarded as a gold standard for diagnosing a cute interstitial nephritis? - Ans - Renal biopsy 10. What action should not be taken by a technician or LPN while cannulating a patient? - Ans - Rotating the needle 180° post insertion into the access site 11. Which of the following factors would not increase a patient's likelihood of developing chronic kidney disease? - Ans - Genetic predisposition 12. In the context of hemodialysis the heparin pump, and which other component is regarded as elements of the extracorporeal circuits - Ans - Blood flow monitors 13. What is the primary risk associated with a kidney transplant procedure - Ans - Rejection 14. What would happen if a clinical hemodialysis technician, such as nurse, Jane reduces the pressure and flow in the reverse osmosis pump - Ans - The flow of product water will be reduced 15. Considering all the possible strategies to regulate the electrolyte levels in a dialysis patient which one among them wouldn't be beneficial - Ans - The patient should drink as much fluids as possible 16. What would be incorporated into the fundamental curriculum modules for the education of dialysis technician/nurses along with learning objectives? - Ans - Glossary 17. What could be seen as a benefit of utilizing the overnight in Center hemodialysis program? - Ans - Reduced dietary limitations 18. And what proportion of additional protein does a dialysis patient compared to a healthy individual need in their diet? - Ans - 50% 19. What type of medication is typically used to manage conditions like edema and hypertension, which can either be a cause or a result of renal insufficiency? - Ans - Diuretics 20. What type of system involves a two-step procedure where the dialysis fluid is first prepared and then stored in a reservoir before being circulated? - Ans - Batch delivery system 21. What would be the most accurate definition of an atom? - Ans - The smallest particle of an element that retains the properties of the element 22. Out of the options provided which one is not recognized as a component of the kidney tubule? - Ans - The convoluted tubule in the center 23. Suppose a mentor in the context of teaching, a clinical hemodialysis technician wants to connect the trainees previous knowledge to the current situation. What communication method would this be considered as - Ans - Compare 24. At what time should a patient undergoing hemodialysis like Mr. Smith have their weight measured - Ans - Prior to dialysis and after dialysis 25. What is the most frequently used access point for creating a fistula in a new patient such as Anthony? - Ans - The cephalic vein and the radial artery 26. In the case of pericarditis three common symptoms are usually present. However, one of the following is not part of this classic triad, which one is it? - Ans - Hyperglycemia 27. Out of the following options, which one is not considered a part of the precautions taken during dialysis - Ans - Registering and invoicing for the dialysis procedures 28. Which element would it be considered necessary for recordkeeping if a dialysis center implements a dialysis reprocessing protocol - Ans - Reprocessing expense 29. Which organization offers monetary assistance to individuals like Henry struggling with kidney ailments - Ans - American kidney fund 30. Suppose a patient let's call him. James is suffering from chronic kidney disease and is experiencing bleeding complications among the following options, which one is not typically a responsibility of the technician/LPN in managing James and bleeding issue. - Ans - If bleeding occurs increase the heparin dosage 31. Which substance is typically eliminated by the carbon tanks in the salt concentrate - Ans - Chlorine 32. Among the following options, which one would not be regarded as a primary laboratory examination for assessing the effectiveness of a hemodialysis treatment - Ans - Hemoglobin 33. Once the dialysis needles have been inserted by the technician, what is the most frequently employed technique to ensure that the needle stay in place? - Ans - Butterfly technique 34. Among the listed actions, which one would not be deemed suitable for a technician to perform while, concluding, a patient's hemodialysis treatment? - Ans - Check the patient's lung sounds 62. What is the primary function of the kidneys tubules along with the reabsorption? - Ans - Secretion 63. Among the options provided, which one is recognized as the serologic marker for the systemic condition, known as Wegener's granulomatosis. - Ans - ANCA 64. Considering that the chronic and Daisys can impact various organ systems, which stages of drug distribution could potentially be affected. - Ans - Metabolism and absorption 328. What might be the responsibilities of a clinical hemodialysis technician, or LPN specifically in relation to recognizing symptoms of urea in a patient like Mr. Smith? A) inquiring the patient about in the indications of urea symptoms B) C) D) - Ans - 329. what is a duration for which the hepatitis B virus can survive on a surface in the environment? A) 24 hours B) 7 days C) 2 weeks D) 1 month - Ans - B) 7 days 330. As a dialysis technician is getting ready to commence a patients treatment. They observe that the patient is struggling with speech, sweating, excessively and shaking. What health issue can Daniel potentially be experiencing? A) acute bronchitis B) hypoglycemia C) hyperthyroidism D) osteoporosis - Ans - B) hypoglycemia 331. Which organ in the human body is primarily responsible for regulating the electrolytes in the blood? A) liver B) heart C) kidneys D) lungs - Ans - C) kidneys Water used for dialysate must be treated because dialysis patients? - Ans - Are exposed to large volumes of water during dialysis. the substance which may be added to municipal drinking water supplies to make the water clearer? - Ans - Alum The water softener performs the following activity? - Ans - removes calcium and magnesium from water What is a limitation of reverse osmosis (RO) system? - Ans - thin film composite membranes break down when exposed to chlorine and chloramines What is the most common way that water treatment systems are disinfected? - Ans - chemical contamination of water by bacteria / endotoxins may cause ? - Ans - pyrogenic how often should the RO operating parameters be checked? - Ans - daily what is acceptable level of post softener hardness? - Ans - 0.8 grain per gallon AAMI standards for testing bacteriologic for water and dialysate should take place when? - Ans - monthly the total allowed by AAMI for microbial count of dialysate is? - Ans - 200 CFU/ml the total allowed by AAMI for endotoxin count of dialysate is? - Ans - 2EU/ml how often should the carbon tanks be checked for chlorine and chloramines? - Ans - each shift large amounts of aluminum in water used for dialysate could cause? - Ans - bone disease dialyzers are reprocessed mainly because? - Ans - reprocessing reduces the cost of dialysis treatments what organization sets the standards and recommendations for dialyzer reprocessing? - Ans - AAMI what test must be performed on new dialyzers? - Ans - TCV (total cell volume) what are the steps for dialyzer reprocessing after a dialysis treatment? - Ans - pre- cleaning , performance test , dialyzer rejection , disinfection the germicide used for dialyzer reprocessing? - Ans - peracetic acid the definition of "contact time"? - Ans - amount of time the germicide remains in the dialyzer according to AAMI standards who must check the dialyzer to verify quality control information - Ans - two people , one of whom should be patient if the dialyzer has improperly prepared germicide it can cause - Ans - bacteria or endotoxin contamination best definition of what a dialyzer reprocessing manual is for - Ans - summary of all reuse specifications, policies, procedures, training materials, manuals , methods, samples of forms and labels the two criteria for rejecting a reprocessed dialyzer are - Ans - less than 80% of original fiber bundle volume , aesthetic appearance dialyzer reprocessing is covered by - Ans - AAMI a solution is a mixture of - Ans - a solvent and a solute a semipermeable membrane is a filter that - Ans - allows only certain sized particles to cross diffusion is movement of particles - Ans - from an area of higher concentration to an area of lower concentration negative pressure is pressure created when - Ans - fluid is pulled through a restriction during dialysis ultrafiltration occurs when - Ans - water is removed from blood because there is a pressure gradient across a membrane blood inside the blood vessels describes - Ans - intravascular fluid compartment during dialysis levels of waste in the blood should - Ans - decrease the surface area of the membrane affects the rate of - Ans - diffusion the endocrine functions of the kidney include - Ans - making erythropoietin and the active form of vitamin D Mrs. M a 72 year old ask to have treatment shorten , you explain - Ans - its important to get prescribe treatment for every dialysis treatment to avoid medical complications convection is a way to remove - Ans - solutes name two compartments of the dialyzer - Ans - blood and dialysate bicarbonate, sodium, potassium could be prescribed for a - Ans - dialysate solution what is the purpose of a proportioning system - Ans - make dialysate by mixing fresh concentrate with fixed amounts of treated water the waste product of protein metabolism and is the most abundant organic waste products in the body is called - Ans - urea it is a waste product produced from muscle metabolism - Ans - creatinine (TCV) means - Ans - total cell volume TCV measures what - Ans - the ability of the dialyzer to transport solutes and ultra filter at its next use The most commonly used germicide is - Ans - peracetic acid The most common impurity in tap water is - Ans - Calcium carbonate Two types of water sources are - Ans - ground and surface What did the EPA in 1974 pass? - Ans - Safe Drinking Water Act Most patients are exposed to how much dialysate per week - Ans - 270 to 576 liters A back flow prevention device is - Ans - needed for all water from a center's water treatment systems it stops the water from a water treatment system from flowing back into the feed water The temperature blending valve should always be at - Ans - 77*F The ideal PH of the feed water should be - Ans - 5.0 to 8.5 What is used to filter out particles in feed water - Ans - sediment filters A water softener takes out some of what - Ans - calcium and magnesium What do carbon tanks contain - Ans - charcoal The water treatment system have two carbon tanks nicknamed - Ans - the worker , polisher RO membranes can reject - Ans - 95% to 99% charged ionic particles What are the two types of DI tanks - Ans - dual bed, mixed bed A (UV) ultraviolet irradiator is used for - Ans - destroying microorganisms When should the water softener be checked for water hardness - Ans - at the start and end of day The water hardness should not exceed - Ans - 1 (gpg) grain per gallon or 17.24 (ppm) parts per million (EBCT) is calculated using - Ans - EBCT=V/Q V=volume of carbon in cubic feet Q=the water flow rate in gallons per minute V=(Q x EBCT) /7.48 is used to determine - Ans - the volume of carbon needed for the carbon tanks How long does the water need to touch the carbon in each tank - Ans - 10 minutes total 5 minutes for each tank maximum level for aluminum in (HD) hemodialysis water should be - Ans - .001 (mg/l) max level for arsenic ,lead , silver in HD water should be - Ans - each .005 The limit for chlorine in HD water is - Ans - .5 ppm the limit for chloramines in HD water - Ans - .1 ppm AAMI sets the limit for sodium and potassium in HD water - Ans - sodium=70mg/l potassium=8mg/l AAMI sets the limit for calcium and magnesium in HD water - Ans - calcium=2mg/l magnesium=4mg/l AAMI sets the limit for fluoride, nitrate, and sulfate in HD water - Ans - fluoride=.2mg/l nitrate=2mg/l sulfate=100mg/l AAMI sets the limit for copper and zinc in HD water - Ans - .10mg/l Dialysate is a blend of ? - Ans - treated water and chemicals A dialysis treatment removes ? and helps keeps ? - Ans - removes wastes and excess fluid and helps keeps electrolytes and ph at levels that sustain life Mass transfer coefficient (KoA) is the ? - Ans - ability of a solute to pass through the pores of a dialyzer What are the three ways to remove solutes that affect a dialyzer's clearance? - Ans - diffusion, convection, absorption Dialysate is a fluid that helps remove uremic waste such as ? and ? and excess ? (,such as ? and ? ,) from the patients blood. - Ans - urea, creatinine, electrolytes,( sodium , potassium) What is known as" the buffer" in the dialysate ? - Ans - bicarbonate concentrate Normal sodium concentration in the blood is ? - Ans - 135 to 145 mEq/L ? is a major electrolyte of the body's blood plasma and interstitial fluid. - Ans - sodium the hemodialysis delivery system has two subsystems ? - Ans - dialysate delivery system and extracorporeal blood circuit What does the bypass do ? - Ans - stops the flow of the "Bad" dialysate to the dialyzer and it goes to the drain and not to the patient in the dialysate delivery system the temperature range for the dialysate is ? - Ans - 37 to 38 degrees C When a blood leak occurs where should you test the test strip (Hemastix) ? - Ans - where the dialysate leaves the dialyzer on the hemastix test strip if it turns pink and you see blood in the dialysate what should you do? - Ans - major blood leak stop treatment and do not return patients blood inform and document on the hemastix test strip if it turns pink and the dialysate is clear you should ? - Ans - minor blood leak stop treatment and do not return patients blood inform and document on the hemastix test strip if it is clear and the dialysate is clear you should - Ans - false alarm check machine and extracorporeal lines, inform and document Dialysis replace three main kidney tasks? - Ans - (1) removing waste from the blood (2) removing excess fluid from the blood (3) keeping electrolytes in balance The two main types of dialysis is ? - Ans - hemodialysis , peritoneal the dialyzer contains ? which allows wastes and excess water out , but keeps blood cells in. - Ans - semipermeable membrane this controls the balance of calcium and phosphorus that is key to bone metabolism - Ans - calcitriol in center hemodialysis replaces only about ? of normal kidney functions - Ans - 15% most often the fluid limit for a patient is patients urine output plus ? per day - Ans - 1 liter (4 cups) this compartment is fluid inside the cells - Ans - intracellular