CCHT Exam Practice #2 - 122 Q’s and
A’s
d. Both A and C - -An AV/V fistula is preferred access for hemodialysis
because:
a. There is a lower incidence of complications
b. Surgeons are more experience and prefer creating AV fistulas
c. There is a lower incidence of thrombosis
d. Both A and C
-c. Transmembrane Pressure - -The pressure difference between the blood
side and the dialysate side of the dialyzer is called
a. Ultrafiltration Factor
b. Dialysate Flow Rate
c. Transmembrane Pressure
d. Urea Reduction Ration
-b. Scrub in a circular motion from the inside to the outside and allow the
recommended time for skin contact before cannulation - -What is the best
way to prepare an access for cannulation
a. Scrub with a gauze or pad soaked with a germicidal agent in a circular
motion from the outside inward
b. Scrub in a circular motion from the inside to the outside and allow the
recommended time for skin contact before cannulation
c. rub vigorously up and down the area to be cannulated then insert the
needle
d. No further preparation is required if the patient has just washed their
access
-d. nephrons are located in the bladder - -Which of the following statements
is not true about the Nephron?
a. the nephron is the functional unit of the kidney
b. nephrons process about 7500 mL of filtrates per hour
c. a nephron is composed of renal tubules and collecting ducts
d. nephrons are located in the bladder
-c. ask a few open ended questions that would indicate whether there is a
personal issue - -Mr. Pitt is always joking. He usually requests to be called
"Bob". He presents today very quiet and when you called him "bob" he did
not respond. How would you further investigate this change in behavior?
,a. go get the nurse without further investigation
b. put him on and worry about it later
c. ask a few open ended questions that would indicate whether there is a
personal issue
d. nothing he simply may not to talk today
-d. both a and c - -Which of the following statements is not true about renal
tubules?
a. approximatel 66% of water from the filtrate is reabsorbed in proximal
convoluted tubule
b. loop of Henle reabsorbs sodium chloride which promotes water
conservation in times of dehydration
c. distal convoluted tubule maintains balance in the liver
d. both a and c
-b. <15 mL - -Stage 5 CKD is defined by a GFR of
a. >90 mL
b. <15 mL
c. 30-59 mL
d. 15-29 mL
-a. intense thirst, flushed skin, dry mucus membrane - -Hypernatremia is
defined as a plasma sodium concentration of a above 146mEQ/L. It is
manifested by:
a. intense thirst, flushed skin, dry mucus membrane
b. headaches, seizures, muscle cramps
c. fever
d. agitation, low body temperature
-d. all of the above - -Which of the following are symptoms of uremia:
a. fatigue, weakness, mental confusion
b. flu like symptoms
c. metallic taste in the mouth
d. all of the above
-d. all of the above - -Factors to be considered in managing nutrition of
ESRD patients are:
a. comorbid conditions
b. laboratory date
c. medications
, d. all of the above
-d. all of the above - -Mr. Peterson experience an episode of hypotension.
He is symptomatic. He only has 10 minutes left of his run and the nurse
indicates to take him off. The UF goal was 1.4kg and the machine indicates
that 1.3kg was removed his weight 0.8 below his dry weight. What is the
possible cause(s) for the variance?
a. the pre weight was inaccurate
b. the math calculated for fluid removal was wrong
c. the patient was not wearing the same clothing while weighing both ties
d. all of the above
-d. renal osteodystrophy
def: Depletion of bone minerals - -Elevated Parathyroid Hormone (PTH) can
cause which of the following conditions:
a. uremia
b. pericarditis
c. nephritis
d. renal osteodystrophy
-d. both a and b - -Hypokalemia is manifested by
a. muscle weakness and paralysis
b. cardiac arrhythmia
c. tingling of lips and fingers
d. both a and b
-d. both a and c - -Which of the follow statements is/are true about
transplants?
a. transplant patients have fewer dietary limits than in center hemodialysis
patients
b. kidney transplant is a cure for kidney disease
c. anti-rejection drugs may cause high blood pressure, increase of infection
and weight gain
d. both a and c
-a. low blood pressure, cramps nausea, and vomiting - -Which of the
following complications can happen when removing too much fluid during
dialysis?
a. low blood pressure, cramps nausea, and vomiting
b. pruritis, dry and scaly itch
A’s
d. Both A and C - -An AV/V fistula is preferred access for hemodialysis
because:
a. There is a lower incidence of complications
b. Surgeons are more experience and prefer creating AV fistulas
c. There is a lower incidence of thrombosis
d. Both A and C
-c. Transmembrane Pressure - -The pressure difference between the blood
side and the dialysate side of the dialyzer is called
a. Ultrafiltration Factor
b. Dialysate Flow Rate
c. Transmembrane Pressure
d. Urea Reduction Ration
-b. Scrub in a circular motion from the inside to the outside and allow the
recommended time for skin contact before cannulation - -What is the best
way to prepare an access for cannulation
a. Scrub with a gauze or pad soaked with a germicidal agent in a circular
motion from the outside inward
b. Scrub in a circular motion from the inside to the outside and allow the
recommended time for skin contact before cannulation
c. rub vigorously up and down the area to be cannulated then insert the
needle
d. No further preparation is required if the patient has just washed their
access
-d. nephrons are located in the bladder - -Which of the following statements
is not true about the Nephron?
a. the nephron is the functional unit of the kidney
b. nephrons process about 7500 mL of filtrates per hour
c. a nephron is composed of renal tubules and collecting ducts
d. nephrons are located in the bladder
-c. ask a few open ended questions that would indicate whether there is a
personal issue - -Mr. Pitt is always joking. He usually requests to be called
"Bob". He presents today very quiet and when you called him "bob" he did
not respond. How would you further investigate this change in behavior?
,a. go get the nurse without further investigation
b. put him on and worry about it later
c. ask a few open ended questions that would indicate whether there is a
personal issue
d. nothing he simply may not to talk today
-d. both a and c - -Which of the following statements is not true about renal
tubules?
a. approximatel 66% of water from the filtrate is reabsorbed in proximal
convoluted tubule
b. loop of Henle reabsorbs sodium chloride which promotes water
conservation in times of dehydration
c. distal convoluted tubule maintains balance in the liver
d. both a and c
-b. <15 mL - -Stage 5 CKD is defined by a GFR of
a. >90 mL
b. <15 mL
c. 30-59 mL
d. 15-29 mL
-a. intense thirst, flushed skin, dry mucus membrane - -Hypernatremia is
defined as a plasma sodium concentration of a above 146mEQ/L. It is
manifested by:
a. intense thirst, flushed skin, dry mucus membrane
b. headaches, seizures, muscle cramps
c. fever
d. agitation, low body temperature
-d. all of the above - -Which of the following are symptoms of uremia:
a. fatigue, weakness, mental confusion
b. flu like symptoms
c. metallic taste in the mouth
d. all of the above
-d. all of the above - -Factors to be considered in managing nutrition of
ESRD patients are:
a. comorbid conditions
b. laboratory date
c. medications
, d. all of the above
-d. all of the above - -Mr. Peterson experience an episode of hypotension.
He is symptomatic. He only has 10 minutes left of his run and the nurse
indicates to take him off. The UF goal was 1.4kg and the machine indicates
that 1.3kg was removed his weight 0.8 below his dry weight. What is the
possible cause(s) for the variance?
a. the pre weight was inaccurate
b. the math calculated for fluid removal was wrong
c. the patient was not wearing the same clothing while weighing both ties
d. all of the above
-d. renal osteodystrophy
def: Depletion of bone minerals - -Elevated Parathyroid Hormone (PTH) can
cause which of the following conditions:
a. uremia
b. pericarditis
c. nephritis
d. renal osteodystrophy
-d. both a and b - -Hypokalemia is manifested by
a. muscle weakness and paralysis
b. cardiac arrhythmia
c. tingling of lips and fingers
d. both a and b
-d. both a and c - -Which of the follow statements is/are true about
transplants?
a. transplant patients have fewer dietary limits than in center hemodialysis
patients
b. kidney transplant is a cure for kidney disease
c. anti-rejection drugs may cause high blood pressure, increase of infection
and weight gain
d. both a and c
-a. low blood pressure, cramps nausea, and vomiting - -Which of the
following complications can happen when removing too much fluid during
dialysis?
a. low blood pressure, cramps nausea, and vomiting
b. pruritis, dry and scaly itch
