Pass the BONENT Certified Hemodialysis Technologist Certified-Hemodialysis-Technician-CHT Questions and answers with CertsForce

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Questions # 1:

A patient is admitted for routine dialysis and complains of diarrhea It is important to report this to the nurse. Which of the following treatment modifications may be needed?

Options:

A.

Initiate sodium-modeling program


B.

Modify dialysate potassium level


C.

Apply ultrafiltration (UF) profile


D.

Alter dialyzer selection


Expert Solution
Questions # 2:

Which of the following are symptoms of dialysis disequilibrium syndrome?

Options:

A.

Cramps and diarrhea


B.

Headache and vomiting


C.

Hypertension and fever


D.

Hypotension and hypovolemia


Expert Solution
Questions # 3:

The total pressure in the blood circuit is a result of all of the following EXCEPT the

Options:

A.

rate of dialysis fluid flow.


B.

diameters of the fistula needles.


C.

resistance to flow in the blood circuit.


D.

blood flow rate controlled by the blood pump.


Expert Solution
Questions # 4:

Isolated ultrafiltration (UF) is BEST described as

Options:

A.

fluid removal without diffusion dialysis.


B.

increased fluid removal in two successive dialyses.


C.

increased fluid removal using two dialyzers in series during one dialysis.


D.

increased fluid removal by alternating high and low transmembrane pressures (TMP).


Expert Solution
Questions # 5:

The patency of a subclavian catheter is usually maintained after dialysis by

Options:

A.

irrigating with normal saline (NS).


B.

filling the catheter with heparin.


C.

infusing the prescribed amount of tissue plasminogen activator (TPA).


D.

avoiding catheter use until the next dialysis.


Expert Solution
Questions # 6:

Kt/V and urea reduction rate (URR) values have been abnormally high when drawn by a certian individual. What might be the cause?

Options:

A.

The predialysis sample was diluted.


B.

The blood sample was improperly obtained.


C.

The patient's dialysis time was cut by 10 minutes.


D.

The patient was told when to expect aw test and modified his diet.


Expert Solution
Questions # 7:

Undissolved particles such as mud and sand are removed in the water treatment system by

Options:

A.

water softener.


B.

carbon tank.


C.

sediment filter.


D.

brine tank.


Expert Solution
Questions # 8:

According to the Association for the Advancement of Medical Instrumentation (AAMI), when performing a culture, water used for the hemodialysis machine should NOT exceed an action level of

Options:

A.

25 CFU/mL.


B.

50 CFU/mL.


C.

100 CFU/mL.


D.

200 CFU/mL.


Expert Solution
Questions # 9:

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.


Expert Solution
Questions # 10:

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?

Options:

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


Expert Solution
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