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BONENT Certified Hemodialysis Technician CHT

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Question # 1

At the initiation of dialysis, the patient complains of pain and burning at the access area. The technician should immediately

Options:

A.  

turn the blood flow down and notify the team leader.

B.  

turn the blood flow down and administer normal saline (NS).

C.  

stop the blood flow and hand crank to return the blood.

D.  

stop the blood flow and do not return the blood.

Discussion 0
Question # 2

In treated water meeting the Association for the Advancement of Medical Instrumentation (AAMI) standards, the maximum allowable CFU of bacterial contamination is

Options:

A.  

100.

B.  

200.

C.  

1000.

D.  

2000.

Discussion 0
Question # 3

A technician is supposed to administer a heparin bolus (loading dose) systemically to allow a response prior to blood/membrane interaction. The BEST way to accomplish this is to inject the heparin into the

Options:

A.  

blood line arterial port as soon as blood reaches the port.

B.  

blood line heparin port three to five minutes prior to initiating treatment.

C.  

dialysis needle/catheter port three to five minutes prior to initiating dialysis.

D.  

dialysis circuit during recirculation, then use the heparinized saline to prime the patient.

Discussion 0
Question # 4

The BEST way to establish hemostasis after dialysis is to apply

Options:

A.  

a pressure dressing for 30 minutes.

B.  

enough pressure to occlude the vessel.

C.  

moderate pressure over the puncture site.

D.  

firm pressure proximal to the puncture site.

Discussion 0
Question # 5

A patient's immune system should normally provide protection from which of the following?

Options:

A.  

Injury

B.  

Uremia

C.  

Infection

D.  

Contamination

Discussion 0
Question # 6

Dialysis water systems use polyvinyl chloride or stainless steel pipes and fittings to prevent leaching of

Options:

A.  

magnesium.

B.  

manganese.

C.  

mercury.

D.  

copper.

Discussion 0
Question # 7

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

Options:

A.  

sodium

B.  

protein

C.  

calcium

D.  

potassium

Discussion 0
Question # 8

All of the following are likely contributing factors to frequent clotting of dialyzers on a machine EXCEPT

Options:

A.  

access recirculation

B.  

high ultrafiltration (UF).

C.  

high dialysate flow rate.

D.  

inadequate heparinization.

Discussion 0
Question # 9

Hyperkalemia is a severe complication for patients on hemodialysis because it can produce

Options:

A.  

intracellular fluid loss.

B.  

extracellular fluid loss.

C.  

lethal cardiac arrhythmias.

D.  

anorexia.

Discussion 0
Question # 10

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

Options:

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.

Discussion 0
Question # 11

Which of the following is LEAST important in the orientation of a new employee?

Options:

A.  

Developing a friendship with the orientee

B.  

Supervising and evaluating the orientee's clinical performance

C.  

Adapting your teaching style to the orientee's learning style

D.  

Reviewing unit policies and procedures with the orientee

Discussion 0
Question # 12

Training of staff involved in the reprocessing of hemodialyzers, per Association for the Advancement of Medical Instrumentation (AAMI) standards should include all of the following EXCEPT

Options:

A.  

microbiology with respect to aseptic technique, the collection of samples, and personal safety.

B.  

the consequences of not performing tasks properly.

C.  

how to speak with patients when getting dialyzer reuse consents signed.

D.  

the risks and hazards associated with multiple use of hemodialyzers.

Discussion 0
Question # 13

When evaluating complications potentially related to dialyzer reuse, which of the following principles must be considered?

Options:

A.  

Water with a level greater than 200 CFU gram-negative bacteria may have a high endotoxin level.

B.  

Endotoxin diffusion from backfiltration might occur with high-flux dialyzers.

C.  

Endotoxins may be killed by disinfectants used in dialyzer reuse.

D.  

Endotoxins are best removed by ultraviolet light.

Discussion 0
Question # 14

Measuring conductivity of finished dialysate with an external meter is

Options:

A.  

important when acetate is used as the buffer.

B.  

mandatory if the bicarbonate solution is not monitored.

C.  

not necessary on a regular basis because the dialysis machine monitors these parameters.

D.  

recommended by the Association for the Advancement of Medical Instrumentation (AAMI) and manufacturers of dialysis machines.

Discussion 0
Question # 15

A patient who is typically talkative is unusually quit today. What should the technician say to the patient?

Options:

A.  

"You seem quiet today. Is something wrong?"

B.  

"I guess you're having a bad day. Do you want me to leave you alone?"

C.  

"The last time you were like this, you had been fighting with your family. Are you fighting with them again?"

D.  

"I can't believe that you are not talking to me. Are you mad at me?"

Discussion 0
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