CCHT EXAM FINAL PAPER 2025 QUESTIONS WITH
SOLUTIONS GUARANTEE A+
✔✔Which recommendation would've nephrologist likely make for a patient who has
read stages three or four chronic kidney disease
A. We'll tele health visits discussing daily urine output
B. Dietary restriction on sodium phosphorus and protein
C. Monitoring for mineral bone disease
D. Education on cardiovascular disease - ✔✔B,C and D
✔✔Which patient would be considered at higher risk for developing chronic kidney
disease
A. Hispanic female who is unaware that she is hypertensive
B. White female with family history of diabetes who watches her exercise and diet
C. Asian male who schedules regular visits with healthcare provider
D. African-American female whose parents both died following stroke - ✔✔A and D
✔✔Patient with chronic kidney disease asks what her goal hemoglobin level should be
what level as recommended by the national kidney foundation kidney disease
guidelines
A. 9%
B. 7%
C. 11% - ✔✔B.7%
✔✔Patient with chronic kidney disease arrives at the center after his nephrology visit he
relays to the staff that the doctor said he was hardening of the kidneys what is the
cause of this condition
A. Prolonged severe hypertension
B. Daily ingestion of sugar sweetened drinks
C. High fat diet
D. Too much calcium in the diet along with hypertension - ✔✔A.
✔✔What is one cause of postrenal failure
A. Renal trauma
B. Prostrate disease
C. Fluid volume shifts
D. Kidney infections - ✔✔B. Prostate disease
✔✔The family member of a dialysis technician has noted blood in his urine the tech also
noted the weight loss and rubbing of the flank to ease the cramping pain which disease
comes to mind
A. Nephrotic syndrome
B. Bladder infection
C. Kidney stones
,D. Renal carcinoma - ✔✔D. Renal carcinoma
✔✔Which integumentary changes are commonly seen in patients with chronic kidney
disease
A. Brittle nails
B. Excessive sweating
C. Bruising
D. Increase number of moles - ✔✔A and C
✔✔Monday also patients infection account for about one and 10 fatalities which
condition increases a patient's susceptibility to infection
A. Diabetes
B. Malnutrition
C. Bone abnormalities
D. Frequent invasive procedures - ✔✔A B and D
✔✔Management of renal bone disease requires that ministration of which type of
medication with every meal and snack
A. Potassium and substitutes
B. Antacids
C. Phosphate binders - ✔✔C. Phosphate binders
✔✔Patients with chronic kidney disease are at risk for developing peripheral
neuropathy. How may neuropathy present in the patient
A. Intolerance to touch
B. Burning feet
C. Restless legs - ✔✔B and C
✔✔What are some disadvantages of using hollow-fibers dialyzers
A. They're not compliant
B. They require meticulous care to remove air or gas from the fiber bundle
C. Blood distribution may be uneven at inflow header space
D. Higher heparin doses may be needed to prevent clotting in hollow fibers - ✔✔B C
and D
✔✔If a patient is experiencing adverse reactions from the residual toxic products of
ethylene oxide sterilization of the hollow fibers what other ways can you sterilize it.
A. Gamma radiation
B. Pure alcohol flushing
C. Electron beam - ✔✔A and C
✔✔Which manifestation would lead to the tech to suspect the patient is experiencing
intradialytic complement
A. Anemia
, B. Intradialytic hypoxemia
C. Chest pain
D. Back pain - ✔✔B C and D
✔✔If the bicarbonate concentrate is over mixed what lab values will result
A. Increase pH
B. Decrease in serum calcium level
C. Increase in magnesium level
D. Decrease in RBC level - ✔✔A and B
✔✔Which method/test is most commonly used to check the dialysate composition
A. Bicarbonate concentration test
B. Total conductivity
C. Microbial count - ✔✔B. Microbial count
✔✔How is the temp of the dialysate controlled
A. By using one or more sensors and a micro controller circuit on the heater
B. By checking accuracy regularly with a certified glass thermometer
C. By using a separate center with visual and audible alarms for any out of limit state -
✔✔All of the above
✔✔What can cause a "false" blood leak alarm
A. Particulate matter and air bubbles in the dialyzer
B. Reduction in the light received by a photo cell
C. Change in translucency - ✔✔A. Particular matter
✔✔What are the system requirements for high flux dialysis
A. Reliable blood flow rate at at least 200
B. Hi dialysate flow rate
C. Precise control of ultrafiltration volume
D. Use of synthetic membrane filters - ✔✔B C and D
✔✔Which factors affect removal of toxins in dialysis
A. The higher the temperature of dialysate the greater the removal of solute
B. The slower the dialysate flow the greater removal of solute's
C. The slower the blood flow rate the greater removal of solute
D. The more permeable the membrane the greater removal of solutes - ✔✔A and D
✔✔To accomplish saw you removal and dialysis what is needed
A. Mass transfer
B. Countercurrent flow
C. A difference in concentration - ✔✔C. Difference
✔✔Why is reversed filtration important
SOLUTIONS GUARANTEE A+
✔✔Which recommendation would've nephrologist likely make for a patient who has
read stages three or four chronic kidney disease
A. We'll tele health visits discussing daily urine output
B. Dietary restriction on sodium phosphorus and protein
C. Monitoring for mineral bone disease
D. Education on cardiovascular disease - ✔✔B,C and D
✔✔Which patient would be considered at higher risk for developing chronic kidney
disease
A. Hispanic female who is unaware that she is hypertensive
B. White female with family history of diabetes who watches her exercise and diet
C. Asian male who schedules regular visits with healthcare provider
D. African-American female whose parents both died following stroke - ✔✔A and D
✔✔Patient with chronic kidney disease asks what her goal hemoglobin level should be
what level as recommended by the national kidney foundation kidney disease
guidelines
A. 9%
B. 7%
C. 11% - ✔✔B.7%
✔✔Patient with chronic kidney disease arrives at the center after his nephrology visit he
relays to the staff that the doctor said he was hardening of the kidneys what is the
cause of this condition
A. Prolonged severe hypertension
B. Daily ingestion of sugar sweetened drinks
C. High fat diet
D. Too much calcium in the diet along with hypertension - ✔✔A.
✔✔What is one cause of postrenal failure
A. Renal trauma
B. Prostrate disease
C. Fluid volume shifts
D. Kidney infections - ✔✔B. Prostate disease
✔✔The family member of a dialysis technician has noted blood in his urine the tech also
noted the weight loss and rubbing of the flank to ease the cramping pain which disease
comes to mind
A. Nephrotic syndrome
B. Bladder infection
C. Kidney stones
,D. Renal carcinoma - ✔✔D. Renal carcinoma
✔✔Which integumentary changes are commonly seen in patients with chronic kidney
disease
A. Brittle nails
B. Excessive sweating
C. Bruising
D. Increase number of moles - ✔✔A and C
✔✔Monday also patients infection account for about one and 10 fatalities which
condition increases a patient's susceptibility to infection
A. Diabetes
B. Malnutrition
C. Bone abnormalities
D. Frequent invasive procedures - ✔✔A B and D
✔✔Management of renal bone disease requires that ministration of which type of
medication with every meal and snack
A. Potassium and substitutes
B. Antacids
C. Phosphate binders - ✔✔C. Phosphate binders
✔✔Patients with chronic kidney disease are at risk for developing peripheral
neuropathy. How may neuropathy present in the patient
A. Intolerance to touch
B. Burning feet
C. Restless legs - ✔✔B and C
✔✔What are some disadvantages of using hollow-fibers dialyzers
A. They're not compliant
B. They require meticulous care to remove air or gas from the fiber bundle
C. Blood distribution may be uneven at inflow header space
D. Higher heparin doses may be needed to prevent clotting in hollow fibers - ✔✔B C
and D
✔✔If a patient is experiencing adverse reactions from the residual toxic products of
ethylene oxide sterilization of the hollow fibers what other ways can you sterilize it.
A. Gamma radiation
B. Pure alcohol flushing
C. Electron beam - ✔✔A and C
✔✔Which manifestation would lead to the tech to suspect the patient is experiencing
intradialytic complement
A. Anemia
, B. Intradialytic hypoxemia
C. Chest pain
D. Back pain - ✔✔B C and D
✔✔If the bicarbonate concentrate is over mixed what lab values will result
A. Increase pH
B. Decrease in serum calcium level
C. Increase in magnesium level
D. Decrease in RBC level - ✔✔A and B
✔✔Which method/test is most commonly used to check the dialysate composition
A. Bicarbonate concentration test
B. Total conductivity
C. Microbial count - ✔✔B. Microbial count
✔✔How is the temp of the dialysate controlled
A. By using one or more sensors and a micro controller circuit on the heater
B. By checking accuracy regularly with a certified glass thermometer
C. By using a separate center with visual and audible alarms for any out of limit state -
✔✔All of the above
✔✔What can cause a "false" blood leak alarm
A. Particulate matter and air bubbles in the dialyzer
B. Reduction in the light received by a photo cell
C. Change in translucency - ✔✔A. Particular matter
✔✔What are the system requirements for high flux dialysis
A. Reliable blood flow rate at at least 200
B. Hi dialysate flow rate
C. Precise control of ultrafiltration volume
D. Use of synthetic membrane filters - ✔✔B C and D
✔✔Which factors affect removal of toxins in dialysis
A. The higher the temperature of dialysate the greater the removal of solute
B. The slower the dialysate flow the greater removal of solute's
C. The slower the blood flow rate the greater removal of solute
D. The more permeable the membrane the greater removal of solutes - ✔✔A and D
✔✔To accomplish saw you removal and dialysis what is needed
A. Mass transfer
B. Countercurrent flow
C. A difference in concentration - ✔✔C. Difference
✔✔Why is reversed filtration important
