CERTIFIED-HEMODIALYSIS-TECHNICIAN-CHT Online Practice Questions and Answers

The use of bicarbonate has changed the dialysis delivery to include

A. decreased need for monitoring blood pressure during dialysis.

B. increased need for sterilization of solution containers.

C. poorer clearances at low blood pump speeds.

D. decreased dialysis time for patients.

The anemia associated with renal failure is an ongoing complication for many patients with end stage renal disease (ESRD). Which of the following statements identifies a technician's MOST appropriate action for minimizing the anemia during dialysis?

A. Request a dietary consult

B. Give vitamin supplements during dialysis

C. Minimize blood loss through careful technique

D. Perform hemoglobin and hematocrit studies with each treatment

Ten patients who have been dialyzing from 1 to 1 1/2 hours suddenly begin to experience fever, itching puffy eyelids, nausea, and red blotchiness. The patients MOST likely are exhibiting signs of

A. hemolysis.

B. a drug reaction.

C. hypercalcemia.

D. a pyrogenic reaction.

Systematic rotation of stock is necessary in order to

A. provide easier access to supplies.

B. provide the most efficient use of the storage area.

C. prevent the use of expired stock.

D. maintain adequate supply levels.

If too much weight is gained between dialysis treatments, it is reasonable to assume that the patient's diet includes an excess of both fluids and

A. sodium

B. protein

C. calcium

D. potassium

Which of the following precautions is NOT necessary when cleaning up a formaldehyde spill?

A. Wearing gloves

B. Providing adequate ventilation

C. Using disposable cloths

D. Prohibiting cigarette smoking

When collecting water for microbiologic testing, which of the following techniques must be used?

A. Sterile technique, immediately upon arrival to the unit

B. Clean-catch technique. 30 minutes after turning on H20 treatment

C. Sterile technique, after heat disinfection

D. Clean-catch technique, immediately after patient treatment

Which steps should the nurse take if a patient experiences cardiopulmonary arrest while on dialysis?

A. Call for assistance, begin compressions, assist with intubation and artificial ventilation when the AmbuTM bag is available, discontinue dialysis, and administer drugs according to unit protocol

B. Establish unresponsiveness, assess for absence of carotid pulsation, call for assistance, begin cardiopulmonary resuscitation (CPR), discontinue dialysis, assist with intubation and artificial ventilation, and administer drugs according to the physician's orders or unit protocol

C. Begin CPR, call for assistance, assist with intubation and artificial ventilation, administer drugs according to unit protocol, and discontinue dialysis

D. Assess for absence of carotid pulsation, discontinue dialysis, call for assistance, administer drugs according to the physician's orders, and assist with intubation and artificial ventilation

The BEST way to dispose of used blood tubing, dialyzers, and other blood-containing components is to

A. place them in an impervious trash bag marked "Biohazardous" and follow institutional policy for disposal of hazardous waste.

B. double-bag them, mark the bag "Contaminated," and remove it from the unit as soon as possible.

C. bag them and place them in a trash can for daily disposal.

D. place them in a trash can and dispose of them daily.

When assessing the adequacy of dialysis, which of the following factors MUST be considered?

I). Blood flow rate II). Dialysate flow rate III). Body size IV). Clotting in the dialyzer

A. I and II only

B. I and IV only

C. II, III, and IV only

D. I, II, III, and IV