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

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

A woman needs dialysis immediately. No test has been performed for antibodies to Acquired Immune Deficiency Syndrome (AIDS). Which of the following statements regarding Universal Precautions is INCORRECT?

A. Gloves should be worn during contact with blood, body fluid, tissue, or contaminated surfaces.

B. Masks and protective goggles should be worn if aerosolization can easily occur.

C. When gloves are worn during patient contact, handwashing is not necessary.

D. All patients blood specimens should be considered biohazardous.

Conductivity meters all function on the ability to

A. combine with the iodine electrode of the meter.

B. pass an electrical current through the dialysate.

C. deflect the needle due to increased viscosity of the fluid.

D. change color when titrated against nitric acid.

Hemolysis of RBCs will occur at a dialysate temperature of

A. 37?C.

B. 39?C.

C. 40?C.

D. 42?C.

Which of the following is the MOST likely cause when a patient develops a fever after hemodialysis treatment has begun?

A. Hypotension

B. Hyperkalemia

C. Pyrogenic reaction

D. Disequilibrium syndrome

During morning report, the dialysis technician learns that one of the dialysis patients has been hospitalized due to exsanguination. The technician understands the seriousness of this situation because exsanguination is defined as

A. a dangerously high potassium related to a blood transfusion.

B. hemoglobin does not have enough oxygen resulting in anemia.

C. a dangerously low potassium resulting from hemolysis.

D. a blood loss greater than 300 mL.

All of the following are necessary to ensure quality control in the area of electrical safety EXCEPT

A. monitoring of the correct electrical power entering the dialysis facility.

B. monitoring corrosion- free electrical equipment.

C. ensuring of proper grounding of dialysis equipment.

D. periodic inspection of the condition of electrical cords and receptacles.

When trying to remove large amounts of fluid weight during a treatment, the only parameter that can be controlled by the technician is the

A. venous pressure.

B. transmembrane pressure (TMP).

C. predialysis weight.

D. dialyzer ultrafiltration coefficient (KUF).

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 correctly describes the pathophysiology responsible for orthostatic hypotension in chronic renal failure?

A. Arteriosclerosis

B. Fluid volume deficit

C. Impaired venous return

D. Effects of continued use of vasoactive drugs