BONENT Certified Hemodialysis Technician CHT (Certified-Hemodialysis-Technician-CHT) Practice Test

Questions # 1:

The use of bicarbonate has changed the dialysis delivery to include

Options:

decreased need for monitoring blood pressure during dialysis.

increased need for sterilization of solution containers.

poorer clearances at low blood pump speeds.

decreased dialysis time for patients.

Questions # 2:

Hemolysis of RBCs will occur at a dialysate temperature of

Options:

37° C.

39° C.

40° C.

42° C.

Questions # 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:

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

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

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

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

Questions # 4:

A home dialysis patient whose caregiver is on vacation is dialyzing in the unit. During the treatment, the patient becomes hypotensive. The technician wants to reduce the transmembrane pressure (TMP), but the patient refuses. Which of the following replies would be the technician's BEST INITIAL response?

Options:

"If you can't follow the directions, I'll have to take you off the machine."

"What do you do when this happens at home?"

"Since you feel so strongly about it, you can make this decision."

"While you're dialyzing in this unit, you'll have to follow policy."

Questions # 5:

Which of the following are symptoms of dialysis disequilibrium syndrome?

Options:

Cramps and diarrhea

Headache and vomiting

Hypertension and fever

Hypotension and hypovolemia

Questions # 6:

Two and one-half hours into a hemodialysis treatment, a patient experiences a drop in his blood pressure. Winch of the following is the LEAST common cause of hypotension during dialysis?

Options:

Excessive fluid removal

An unstable cardiovascular system

Increased dietary intake of sodium

Taking antihypertensive medication shortly before dialysis

Questions # 7:

Which one of the following is NOT a possible sequela of hepatitis B?

Options:

Chronic active or chronic persistent hepatitis

Cirrhosis

Pancreatitis

Liver cancer

Questions # 8:

The dialysis technician has noticed that a maintenance man working around the unit has an open cut on his hand. The technician should

Options:

report the incident to maintenance.

review precautions regarding infections with the worker.

report the incident to the nurse.

require the worker to request assignment elsewhere.

Questions # 9:

A permanent tunneled catheter is an example of

Options:

homografts.

internal grafts.

internal fistulas.

external blood accesses.

Questions # 10:

The surface of dialysis equipment should be disinfected with a bleach solution of what ratio of bleach to water concentration?

Options:

1:10

1:100

1:200

1:500

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