BONENT BONENT Certifications CERTIFIED-HEMODIALYSIS-TECHNICIAN-CHT Questions & Answers

• Question 81:

  How far should the sternum of an adult be depressed during cardiopulmonary resuscitation (CPR) compressions?

  A. 1/2-1 inch

  B. 1 1/2-2 inches

  C. 2 1/2-3 inches

  D. 3-3 1/2 inches

  Correct Answer: B

• Question 82:

  Which of the following precautions is NOT necessary when cleaning up a formaldehyde spill?

  A. Wearing gloves

  B. Providing adequate ventilation

  C. Using disposable cloths

  D. Prohibiting cigarette smoking

  Correct Answer: D

• Question 83:

  Which of the following is LEAST important in the orientation of a new employee?

  A. Developing a friendship with the orientee

  B. Supervising and evaluating the orientee's clinical performance

  C. Adapting your teaching style to the orientee's learning style

  D. Reviewing unit policies and procedures with the orientee

  Correct Answer: A

• Question 84:

  Which of the following is the MOST effective means of preventing the spread of hepatitis B to noninfected patients in a dialysis unit?

  A. Minimizing the number of blood transfusions administered to patients

  B. Clearing visible blood off environmental surfaces

  C. Requiring staff members to wear a fresh pair of gloves for each patient contact

  D. Preferentially hiring staff members who are hepatitis B antibody positive

  Correct Answer: C

• Question 85:

  A home dialysis patient whose caregiver is on vacation is dialyzing in the unit. During the treatment, the patient becomes hypotensive. The technician wants to reduce the transmembrane pressure (TMP), but the patient refuses. Which of the following replies would be the technician's BEST INITIAL response?

  A. "If you can't follow the directions, I'll have to take you off the machine."

  B. "What do you do when this happens at home?"

  C. "Since you feel so strongly about it, you can make this decision."

  D. "While you're dialyzing in this unit, you'll have to follow policy."

  Correct Answer: A

• Question 86:

  When collecting water for microbiologic testing, which of the following techniques must be used?

  A. Sterile technique, immediately upon arrival to the unit

  B. Clean-catch technique. 30 minutes after turning on H20 treatment

  C. Sterile technique, after heat disinfection

  D. Clean-catch technique, immediately after patient treatment

  Correct Answer: A

• Question 87:

  Hyperkalemia is a severe complication for patients on hemodialysis because it can produce

  A. intracellular fluid loss.

  B. extracellular fluid loss.

  C. lethal cardiac arrhythmias.

  D. anorexia.

  Correct Answer: C

• Question 88:

  Measuring conductivity of finished dialysate with an external meter is

  A. important when acetate is used as the buffer.

  B. mandatory if the bicarbonate solution is not monitored.

  C. not necessary on a regular basis because the dialysis machine monitors these parameters.

  D. recommended by the Association for the Advancement of Medical Instrumentation (AAMI) and manufacturers of dialysis machines.

  Correct Answer: D

• Question 89:

  Which steps should the nurse take if a patient experiences cardiopulmonary arrest while on dialysis?

  A. Call for assistance, begin compressions, assist with intubation and artificial ventilation when the AmbuTM bag is available, discontinue dialysis, and administer drugs according to unit protocol

  B. Establish unresponsiveness, assess for absence of carotid pulsation, call for assistance, begin cardiopulmonary resuscitation (CPR), discontinue dialysis, assist with intubation and artificial ventilation, and administer drugs according to the physician's orders or unit protocol

  C. Begin CPR, call for assistance, assist with intubation and artificial ventilation, administer drugs according to unit protocol, and discontinue dialysis

  D. Assess for absence of carotid pulsation, discontinue dialysis, call for assistance, administer drugs according to the physician's orders, and assist with intubation and artificial ventilation

  Correct Answer: B

• Question 90:

  It is important for members of the dialrysis staff to be aware that the heart muscle is affected mainly by

  A. abnormal serum potassium levels.

  B. excessive fluid gains.

  C. high creatinine levels.

  D. lengthy hypertensive episodes.

  Correct Answer: A