What are some of the responsibilities and requirements of the medical director of a dialysis facility? Correct Answer: Being knowledgeable of and responsible for the integrity of the water treatment system in the facility.
Prior to beginning dialysis, what must the physician order include? Corr...
CCHT STUDY PREP QUESTIONS AND ANSWERS GRADED A
What are some of the responsibilities and requirements of the medical director of a dialysis
facility? Correct Answer: Being knowledgeable of and responsible for the integrity of the water
treatment system in the facility.
Prior to beginning dialysis, what must the physician order include? Correct Answer: 1. Specific
Dialyzer
2. Blood Flow Rater
3. Duration of the dialysis
To be eligible to sit for the Certified Clinical Hemodialysis Technicians - Advanced (CCHT-A)
exam, the technician must have which of the following? Correct Answer: 1. Hold another
national certification such as CCHT (Certified Clinical Hemodialysis Technician)
2. Worked at least 5000 hours as a clinical hemodialysis technician.
What abilities are required of a dialysis technician? Correct Answer: 1. Some understanding of
human anatomy and physiology and the pathophysiology of chronic kidney disease (CKD).
2. Full understanding of the principles of dialysis and treatment complications.
3. Math Skills
Which of the following credentialing certification programs offer the dialysis technician the most
cognitive content related to water treatment principles? Correct Answer: Certified Biomedical
Nephrology Technologist
Which of the following statements about informed consent for treatment is accurate? Correct
Answer: Two consents are needed for dialysis: one for the dialysis itself and one for the access
procedure or medications.
If a patient chooses to terminate dialysis, what should the renal staff do? Correct Answer:
Realize that it is well within a patient's rights to choose to terminate dialysis.
Who was the first person to use the term dialysis? Correct Answer: Thomas Graham
What was the primary anticoagulant used in the first artificial kidney? Correct Answer: Hirudin
Dr. Willem J. Kolff created the first dialyzer suitable for human use (rotating drum dialyzer) in
1943. What material was used to construct the hollow tubes on the device? Correct Answer:
Cellophane
The first arteriovenous (AV) shunt for chronic renal patients was placed: Correct Answer:
Externally, using Teflon tubes
Which U.S. President signed the bill that allowed Medicare coverage to pay for treatment for all
patients with chronic kidney disease? Correct Answer: Nixon
, In 1989, FDA approval of this medication diminished the need for blood transfusions in chronic
renal disease patients: Correct Answer: Epoetin alfa (Epogen)
An electrolyte is a substance that dissolves in water to form: Correct Answer: Ionized particles
What may result if a dialysate solution contains too much sodium? Correct Answer: 1. Fluid
may leave cells, causing blood cells to shrivel
2. The patient may experience hypertension, profound thirst, and headache
With osmosis, water moves from areas of: Correct Answer: Low concentration of solutes to
areas of high concentration of solutes
Buffers minimize pH changes when an acid or a base is added to a solution. What is the major
plasma buffer in the body? Correct Answer: Bicarbonate
Kidney failure causes retention of hydrogen ions. What is the result? Correct Answer: Metabolic
acidosis
Which of these patient populations has the lowest proportion of body water? Correct Answer:
Adult females
The vasa recta capillaries surround the loop of Henle nephrons and play a major roll in: Correct
Answer: Concentration of urine as it moves through the tubules.
In the formation of urine, what action is occurring in Step 2? Correct Answer: Water and other
dissolved substances move from the tubules into the blood in the peritubular capillaries.
The glomerular filtration rate is the amount of filtrate produced by the kidneys per minute. What
is glomerular filtrations dependent on? Correct Answer: 1. Sufficient blood circulation to the
glomerulus
2. Maintenance of normal filtration pressures.
Blood urea levels are influenced by many factors. Decreased levels may result from: Correct
Answer: Low dietary protein intake
Overhydration
At the conference for Kidney Disease: Improving Global Outcomes (KDIGO) on Chronic
Kidney Disease it was recommended that stage 3 be subdivided into 3a and 3b. What is the
recommended glomerular filtration rate for 3b? Correct Answer: 30-44 mL/min/1.73 m2
The National Kidney Foundation (NKF) recommends that all individuals be assessed for
increased risk for developing chronic kidney disease (CKD). Which of these laboratory values
should be included in this evaluation? Correct Answer: Creatinine level
When is a patient considered to be in Stage 5 CKD? Correct Answer: When the patient requires
maintenance dialysis for survival.
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