CCHT-A Practice Questions - NNCC Certified Clinical Hemodialysis Technician - Advanced Exam - CCHT-A Practice Questions - NNCC Certified Clinical Hemodialysis Technician

Question 1

During a pre-dialysis assessment, a patient's standing weight is 2.4 kg above their estimated dry weight. What is the most appropriate first action for the technician?

Set the ultrafiltration goal based on the 2.4 kg interdialytic gain, accounting for rinse-back and intradialytic intake per protocol, verify with the nurse, and document the gain Skip the treatment because excess weight gain indicates non-adherence Administer a diuretic to help with fluid removal before dialysis Increase the dialysate sodium to 145 mEq/L without notifying the nurse

Correct Answer:

Set the ultrafiltration goal based on the 2.4 kg interdialytic gain, accounting for rinse-back and intradialytic intake per protocol, verify with the nurse, and document the gain

Question 2

How frequently should blood pressure and pulse be assessed and documented during a routine in-center hemodialysis treatment?

Only at the beginning and end of treatment At least every 30 minutes during treatment, plus pre and post Hourly is sufficient for stable patients Only when the patient reports symptoms

Correct Answer:

At least every 30 minutes during treatment, plus pre and post

Question 3

Which vascular access has the lowest risk of infection and is considered the gold standard for chronic hemodialysis?

Tunneled central venous catheter Non-tunneled internal jugular catheter Arteriovenous (AV) fistula Arteriovenous (AV) graft

Correct Answer:

Arteriovenous (AV) fistula

Question 4

A patient becomes diaphoretic, nauseated, and reports cramping 90 minutes into treatment. Blood pressure is 82/48 mm Hg, down from a pre-dialysis reading of 138/86 mm Hg. What is the most appropriate first action?

Stop ultrafiltration, place the patient in Trendelenburg, and notify the nurse Increase the blood pump speed to clear toxins faster Discontinue treatment and remove the needles immediately Give the patient oral fluids and continue treatment unchanged

Correct Answer:

Stop ultrafiltration, place the patient in Trendelenburg, and notify the nurse

Question 5

Which statement best describes the rope-ladder cannulation technique for an AV fistula?

Two needle sites are used in rotation along the length of the fistula at every treatment The same exact two sites are used every treatment to develop tunnel tracks The arterial needle is placed in the venous limb to maximize flow Cannulation is performed only by physicians during the first six weeks

Correct Answer:

Two needle sites are used in rotation along the length of the fistula at every treatment

Question 1

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Prepare with the CCHT-A Practice Questions - NNCC Certified Clinical Hemodialysis Technician - Advanced Exam practice quiz. This question bank includes 100 questions covering patient, technician, hemodialysis, dialysis, and dialysate. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CCHT-A Practice Questions - NNCC Certified Clinical Hemodialysis Technician - Advanced Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, technician, hemodialysis, dialysis, and dialysate. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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CCHT-A Practice Questions - NNCC Certified Clinical Hemodialysis Technician - Advanced Exam

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