CCHT Recertification Anderson Continuing Education (CE) Practice Test

These questions are part of the practice quiz. Start practicing

• Which integumentary changes are typically observed in patients with chronic CKD?
• What teaching strategy is effective for patients with limited literacy?
• What is the primary advantage of using coiled catheters for peritoneal dialysis?
• A patient has reached the point where dialysis is necessary and appears to be grieving. Which members of the dialysis team should intervene to provide appropriate interventions?
• Patients with CKD should be aware of which potential cardiovascular risk?
• If the dialysate solution contains too little sodium, which of the following symptoms may occur in a patient undergoing dialysis?
• What are the recommendations for dialysis personnel caring for patients with Clostridium difficile colitis?
• What is a potential consequence of incorrect dialysate composition?
• How should hand hygiene be performed?
• What is a reason that transplanted patients with diabetes may undergo limb amputation more frequently than dialysis patients with diabetes?
• To delay the progression of kidney disease, which nutrient should be reduced in intake?
• What is a common follow-up care requirement for kidney transplant patients?
• Following accidental exposure to blood from an HIV-positive patient, what treatment is recommended?
• What is the major plasma buffer that is important during dialysis?
• Which of the following can help improve bonding between dialysis patients and their healthcare team?
• What may contribute to a dialysis patient's hostility towards dialysis personnel?
• What are the most common ways hepatitis B virus is transmitted in dialysis units?
• What possible causes of cognitive impairment could a technician share with the family of a patient undergoing dialysis?
• What are some disadvantages of using hollow-fiber dialyzers?
• Which term describes the emotional, physical, and psychological stress experienced by caregivers as a result of providing care for patients with CKD?
• Which vaccine should a transplant patient avoid following surgery?
• Who signed the Social Security Amendments that extended Medicare coverage to patients with chronic kidney disease, and in what year?
• Which checks should be performed on the dialysis machine before a patient's first hemodialysis session?
• What does nocturnal intermittent peritoneal dialysis entail for the patient?
• What is a key difference between palliative care and hospice care?
• Which patient change should the technician report immediately after a blood transfusion begins?
• What diagnostic indicator suggests a rejection of a transplanted kidney?
• What is the risk of developing HCV infection after a needlestick or sharps exposure to hepatitis C virus?
• For a patient with stage 5 CKD, to what level should phosphorus intake be limited?
• For patients undergoing dialysis, which factor is crucial for assessing and managing fluid intake?
• Why is monitoring hematocrit levels important in dialysis patients?
• What is the recommended post dialysis blood pressure goal for CKD patients according to KDOQI 2003 Guidelines?
• How much water is typically lost through evaporation from the lungs and insensible perspiration each day?
• What indicates that a newly hired dialysis technician is struggling in the clinical setting?
• If the blood in the extracorporeal circuit is transparent with a "cherry soda pop" color, what complication should be suspected?
• What is a likely estimated glomerular filtration rate (eGFR) for a patient whose kidneys have lost most of their waste removal ability?
• According to CMS, what is the maximum ultrafiltration rate during standard hemodialysis treatment?
• During heparin-free dialysis, what complication should the technician/nurse monitor for when blood is transfused into at-risk patients?
• Prior to starting dialysis, what must be verified by the technician or nurse?
• Which biomarker is monitored to assess the nutritional status of patients with Chronic Kidney Disease (CKD)?
• In a patient with gross edema, which symptoms should the dialysis technician monitor for signs of hypotension?
• What target hemoglobin range is recommended by KDOQI for patients receiving erythropoiesis-stimulating agents?
• What is a significant disadvantage of kidney transplantation that should be discussed with patients?
• A dialysis technician suspects a patient with CKD is depressed. Which symptoms of depression should the technician share with the nurse?
• Which dietary change may help manage chronic kidney disease in patients?
• Which condition may signal a need for urgent follow-up after a transplant?
• Who is responsible for disciplinary action in the hemodialysis team as the first chain of command?
• What is one known cause of postrenal failure?
• What is the maximum percentage reduction in facility payment for not meeting quality standards as per CMS?
• In patients with CKD, which mineral is commonly associated with bone disease?
• What does the "rule of 6s" help to assess regarding a newly created arteriovenous fistula?
• What additional function do the kidneys perform besides making urine?
• What serum creatinine level in a 2-year-old child typically indicates kidney failure?
• How frequently should all components of the water treatment system be cleansed with a disinfectant?
• Which manifestations might indicate that a patient is experiencing intradialytic complement activation?
• Which statement about health literacy is true?
• Which patient complaint may indicate the presence of air in the peritoneal cavity?
• What values indicate that the dose of dialysis is within standard treatment protocols?
• What is the most frequent complication of peritoneal dialysis?
• Dialyzers reprocessed with bleach have increased membrane permeability. What concern might this cause for the patient during the dialysis session?
• Which advantage does self-care provide to dialysis patients?
• A patient's arterial pressure has increased from -110 mm Hg to -210 mm Hg. What could be a potential cause for this change in arterial pressure that dialysis personnel should assess for?
• What is meant by low-dose or "tight" heparinization?
• If a patient learns best through reading and looking at visuals, what is their learning style?
• Which team member must always be present during in-center dialysis as the technical staff perform their duties?
• What is a common treatment measure if a patient exhibits hypotension during dialysis?
• The emergency department is sending a patient to the dialysis unit due to a drug overdose. Which patient conditions should the technician be aware of?
• What is the technician's response to a patient asking if his kidney will regenerate?
• When a dialyzer is prepared for patient use, what actions are required prior to beginning the dialysis session?
• During a consultation, a patient's inability to articulate their concerns may indicate what issue?
• According to standard precautions, when should gloves be changed and hands washed?
• Which condition is monitored by determining a patient's vaccination percentage?
• What type of program does the accountability for funds relate to?
• What patient characteristic could complicate kidney transplantation?
• Which of the following is NOT a sign of dehydration during dialysis?
• What standard does a dialysis technician question to ensure flu shot adherence?
• What complication should be assessed immediately after the insertion of a jugular catheter?
• When is it appropriate to isolate a child during hemodialysis?
• What self-care activities are permitted for patients undergoing dialysis?
• A blood pressure reading of 130/80 mmHg or higher indicates hypertension in which groups of people?
• What are the most common methods for reducing microbiological contaminants in the water used during dialysis?
• In terms of electrical charges, what is the term for a positively charged ion?
• How long should most kidney transplant recipients expect to stay in the hospital post-surgery?
• If bicarbonate concentrate is overmixed, what laboratory values can result?
• When a family member expresses anxiety towards dialysis treatment, what is the most appropriate response?
• Approximately what percentage of total body water is contained in the intracellular fluid compartment (ICF)?
• Which organization was approved by CMS to conduct surveys for Medicare certification of dialysis clinics?
• Which condition is monitored when checking vaccination rates in dialysis patients?
• Which actions by the dialysis staff will help prevent or minimize disequilibrium?
• What is a common factor impacting dialysis efficacy during treatment?
• What essential knowledge is required for a position as a dialysis technician?
• Which vitamin deficiency is common in patients with CKD?
• What is the effect of ultrafiltration in the dialysis process?
• What is the recommended action if a patient frequently skips appointments?
• A couple of years after hepatitis B vaccination, a dialysis patient loses detectable antibodies. What is the recommended treatment for this patient?
• What is the recommended care for a new peritoneal catheter exit site?
• What are common barriers to effective patient education?
• What can cause a "false" blood leak alarm during dialysis?
• How should the needles be positioned during dialysis treatment?
• When a patient is receiving hemofiltration, what issues may occur that the dialysis technician should monitor?
• What factors can be continually monitored in a dialysis patient with a Crit-Line monitor?
• What is the recommended hemoglobin A1c target level for diabetic patients with CKD according to NKF KDOQI guidelines?
• If a patient is receiving acute dialysis, what adjustment will help lower hypertension?
• Older adult patients whose comorbidities are no more severe than those seen in younger patients do as well on hemodialysis as younger patients. True or False?
• What is the proper first response to an air embolism during dialysis?
• If a dialysis patient takes a calcimimetic, which laboratory value indicates that the drug is effective?
• For dialysis to effectively remove a poison, what characteristics must the poison have?
• What process is mainly used to remove chlorine and chloramine from tank water?
• Which comorbidities place the older patient at high risk for developing nephrosclerosis?
• Which credentialing agency includes water treatment and dialysate preparation in their practice domains for dialysis technicians?
• What should a technician do when a dialysis patient invites them to lunch?
• Which types of contaminants are filtered out from the water used in dialysis?
• Which conditions make kidney transplantation contraindicated for dialysis patients?
• What is the most common complication during dialysis due to a rapid decrease in circulating blood volume?
• What are the system requirements for high-flux dialysis?
• What is the benefit of administering intradialytic parenteral nutrition during a dialysis session?
• What would a nephrologist likely recommend for a patient in stages 3 or 4 chronic kidney disease (CKD)?
• When washing hands with soap and water, what is the minimum number of seconds the hands should be rubbed together?
• Which health conditions are known to predispose dialysis patients to nephrotoxicity?
• What is an important consideration when restraining a pediatric patient for needle insertion?
• If a dialysis patient weighs 156.2 pounds on arrival and 69 kg upon leaving, what is the weight gain in kilograms?
• How might peripheral neuropathy present in a patient with CKD?
• What is the maximum allowable level of bacteria in "conventional dialysate," according to CMS Conditions for Coverage?
• What complication should a technician assess for if a patient reports their fistula arm feels "funny" and "asleep"?
• Why is monitoring a dialysis patient's weight important?
• What organ system is primarily affected by chronic kidney disease?
• A patient has been diagnosed with acute kidney injury (AKI). Which symptoms might the family notice?
• What is the composition of physiologic saline?
• Why is reversed filtration considered important in dialysis?
• Management of renal bone disease typically requires which type of medication with meals?
• What term would the dialysis technician use to describe rapid and deep breathing in a patient?
• Which child is at high risk for developing latex allergy?
• Technically, anuria is defined as a urine output of how many ml/day?
• Which person on the interdisciplinary team is responsible for ensuring the equity of water used for dialysis has met the standards?
• What issues may arise from using a deionizer?
• A patient tells the dialysis technician that he is gaining weight. To whom should this patient be referred?
• What are some of the most common indications for acute dialysis?
• Which method can help enhance patient understanding during education sessions?
• Which condition is suspected when a dialysis technician notices blood in a family member's urine and reports flank pain?
• Albumin is a biomarker for assessing nutritional status in CKD patients. Which patients are likely to exhibit low serum albumin?
• What action should a technician take if the skin prep has dried before cannulation?
• What is the category of the medication Velphoro, which a dialysis patient might be taking?
• If a 13-year-old child has a blood pressure of 140/90 for three days in a row, what blood pressure category/stage would this child be diagnosed with?
• During a staff meeting, which level of personnel would most likely report on the coaching required in patients pre-dialysis to select a suitable modality?
• Which modifiable risk factors might a dialysis technician mention to a patient to help slow the progression of kidney disease?
• A dialysis patient discusses her favorite herbal remedies with the technician. What should the technician remind her?
• When managing a diabetic patient with CKD, which macronutrient is often limited?
• What conditions increase susceptibility to infection in dialysis patients?
• A patient with "first-use" syndrome is experiencing severe symptoms. What action should be implemented?
• How should a preceptor technician address a new hire's neglect of handwashing?
• What complication of peritoneal dialysis should be reported upon observing cloudy effluent?
• When is it appropriate to use a saline flush during dialysis?
• What are the three key elements of motivational interviewing (MI)?
• What contaminants in water are known to cause methemoglobinemia?
• How can a technician determine blood flow in a looped arteriovenous graft?
• What is the function of the continuous quality improvement program in dialysis?
• What is an essential quality for healthcare providers when interacting with patients?
• Place the steps for reprocessing (reusing) a dialyzer in correct order.
• How does chronic kidney disease (CKD) influence the uptake of medications in patients?
• Which is a key risk of using hemodialysis for patients with comorbid conditions?
• Which method is most commonly used to check the dialysate composition?
• Which medication may be given for blood pressure support before dialysis in patients experiencing hypotension?
• Which common medications are linked to nephrotoxicity?
• After a kidney transplant, which electrolyte abnormalities may require dialysis treatment?
• Which agencies provide additional guidelines for infectious disease testing in dialysis treatment?
• When discussing a total plant-based diet, what important information should the technician share with a 73-year-old dialysis patient?
• What is essential for solute removal in dialysis?
• What type of membranes should technicians expect to use when preparing for reverse osmosis?
• What should a technician do if they do not feel the "thrill" during a fistula site assessment?
• A family member asks, "What are some of the disadvantages of peritoneal dialysis for an older person as compared to a younger person?" How might a technician reply?
• What is the treatment of choice for older adults requiring maintenance dialysis?
• What risk is associated with lifelong immunosuppression post-kidney transplant?
• What characteristic is essential for an appropriate dialyzer in pediatric hemodialysis?
• What is the goal for fluid removal if a patient weighs 70.5 kg and has an estimated dry weight of 68 kg, with additional saline and rinseback factored in?
• How is the temperature of the dialysate controlled?
• What type of programs does the CDC provide for dialysis centers?
• Why is anticoagulation therapy used in hemodialysis patients?
• How is heparin commonly administered in dialysis?
• What describes a key element of patient autonomy in motivational interviewing?
• Why is control of phosphorus intake particularly challenging for patients with CKD?
• Which standard can improve outcomes in the patient hospitalized with AKI?
• What is the primary purpose of monitoring blood pressure during dialysis?
• What symptom could indicate ineffective dialysis treatment?
• What condition is most commonly found in patients with an estimated GFR less than 60 mL/min?
• How can patients infected with MRSA or VRE be safely cared for in the dialysis unit?
• What are some technical complications associated with continuous renal replacement therapy (CRRT)?
• What care is important for a fistula arm between dialysis treatments?
• Which symptoms indicate that a patient may be experiencing a Type A dialyzer reaction?
• If a dialysis patient does not have adequate vessels to create an internal AV fistula, what is the recommended remedy?
• Which of the following is recommended for new kidney transplant patients during the early recovery period?
• According to KDOQI Clinical Practice Guidelines, what is the desired pre-dialysis albumin level for dialysis patients?
• Which statement by a dialysis patient should prompt the technician to report adherence issues to the RN?
• Which factors affect the removal of toxins in dialysis?
• Which modifications to the dialysis process can help prevent complications related to fluid removal?
• Which of the following patients would be considered at higher risk for developing chronic kidney disease (CKD)?
• What should be done if a patient is experiencing hemolysis during dialysis?
• In patients with stage 4 or 5 CKD, which access site should be avoided to minimize venous stenosis and thrombosis risk?
• What monitoring is crucial for CKD patients to prevent complications?
• Which characteristic makes a patient a good candidate for peritoneal dialysis?
• What type of garment should be worn during procedures likely to generate droplets or splashes?
• What is a common cause of "hardening of the kidneys" in patients with CKD?