CCHT Exam Review
Questions and Complete
Solutions Graded A+
The functional unit of the kidney, or the structure in the kidney that does the work, is the: - Answer:
Nephron
A nephron is made up of: - Answer: A glomerulus and a tubule
The endocrine functions of the kidney includes: - Answer: Making erythropoietin and the active form of
vitamin D
The leading cause of End-Stage Renal Disease for adult in the United States is: - Answer: Diabetes
Patients with kidney failure often complain of itching, which is likely to be caused by: - Answer:
Hyperphosphatemia
Why do kidney patients often have bone disease? - Answer: Kidneys stop producing calcitriol
Symptoms that a patient may need more dialysis time include: - Answer: Anorexia, fatigue, swelling
A semipermeable membrane is a porous barrier that: - Answer: Allow for only certain sized particles to
cross
Diffusion is movement of particles: - Answer: From an area of higher concentration
Negative pressure is pressure created when: - Answer: Fluid is pulled through a restriction
, During dialysis, ultrafiltration occurs when: - Answer: Water is removed from blood because there is a
pressure gradient between blood and dialysate
At which point in the extracorporeal circuit is the blood usually under negative pressure? - Answer: The
arterial line section before the blood pump
Which of the following will increase the amount of solutes that will diffuse across the semipermeable
membrane? - Answer: High concentration gradients
The components of the dialysate treatment that affect clearance includes: - Answer: Dialysate flow, time
of treatment, dialyzer size, blood flow rate
Two things that affect the dialyzer's ability to remove wastes from the body include: - Answer: Surface
area and molecular weight cutoff
Dialysate is the fluid that help remove waiste products from the body. It contains a number of
substances. What are the substances that might be prescribed for a dialysate solution? - Answer:
Bicarbonate, Sodium, Potassium
What is the most important safety monitor during a dialysis treatment - Answer: The dialysis technician
Dialysate conductivity measures: - Answer: The total electrical charge of a solution
Dialysate that has too much sodium may cause patient injury. Too much sodium or hypernatremia can
cause: - Answer: Headache, high BP, and shriveling of RBCs (crenation)
Dialysate that has too much calcium can cause: - Answer: Vomiting, confusion, irritability
Dialysate that has too little sodium can cause: - Answer: Low BP, cramping, and bursting of RBCs
(hemolysis)
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