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Certified-Hemodialysis-Technician-CHT BONENT Certified Hemodialysis Technician CHT Questions and Answers

Questions 4

If too much weight is gained between dialysis treatments, it is reasonable to assume that the patient ' s diet includes an excess of both fluids and

Options:

A.

sodium

B.

protein

C.

calcium

D.

potassium

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Questions 5

The use of bicarbonate has changed the dialysis delivery to include

Options:

A.

decreased need for monitoring blood pressure during dialysis.

B.

increased need for sterilization of solution containers.

C.

poorer clearances at low blood pump speeds.

D.

decreased dialysis time for patients.

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Questions 6

Which of the following is the BEST reason to check a patient ' s temperature before beginning hemodialysis?

Options:

A.

Check for early signs of infection

B.

Complete the predialysis assessment sheet

C.

Prevent complications during the treatment

D.

Make the staff aware of the need for isolation

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Questions 7

Which of the following correctly describes the pathophysiology responsible for orthostatic hypotension in chronic renal failure?

Options:

A.

Arteriosclerosis

B.

Fluid volume deficit

C.

Impaired venous return

D.

Effects of continued use of vasoactive drugs

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Questions 8

The MOST common cause of hypotension during hemodialysis is the removal of sodium and water from the

Options:

A.

intracellular space by osmosis.

B.

intravascular space by diffusion.

C.

intravascular space by ultrafiltration (UF).

D.

intracellular space by UF.

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Questions 9

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

Options:

A.

Wearing gloves

B.

Providing adequate ventilation

C.

Using disposable cloths

D.

Prohibiting cigarette smoking

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Questions 10

A patient presents for treatment and complains of muscle weakness. The technician should suspect which of the following?

Options:

A.

Acidosis

B.

Pericarditis

C.

Hyperkalemia

D.

Dialysis disequilibrium

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Questions 11

The venous pressure on the machine starts to rise; the needle is not infiltrated. Which one of the following could be a possible cause?

Options:

A.

The venous line is clotted.

B.

The blood pump speed is too slow.

C.

The venous needle is pointed in the wrong direction.

D.

There is an obstruction in the venous line at the dialyzer ' s venous port.

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Questions 12

If a staff member is assigned to take care of an HBV antigen positive patient, they

Options:

A.

take care of hepatitis B immunized patients at the same time.

B.

simultaneously care tor HBV antibody negative patients.

C.

take care only of HBV antigen positive patients for the day.

D.

cannot take care of hepatitis antibody positive patients for the day.

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Questions 13

If several patients developed pyrogenic reactions during the past week while on dialysis, the nurse should check the water for

Options:

A.

yeasts.

B.

fungi.

C.

gram-positive bacteria.

D.

gram-negative bacteria.

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Questions 14

The patient ' s laboratory results are positive for Human Immunodeficiency Virus (HIV) antibodies. A correct statement regarding HlV-positive patients on dialysis is that they can be dialyzed

Options:

A.

in a hospital-based or freestanding unit using dialysis precautions.

B.

only in hospital-based dialysis units with isolation stations.

C.

in hospital-based or freestanding units with isolation stations.

D.

only in units with isolation stations using dialysis precautions.

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Questions 15

According to the Association for the Advancement of Medical Instrumentation (AAMI) standard, the endotoxin or Limulus Amebocyte Lysate (LAL) level shall. NOT exceed

Options:

A.

2 EU/mL.

B.

4 EU/mL.

C.

1 EU/mL.

D.

3 EU/mL.

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Questions 16

If the venous pressure suddenly rises to 250 mm Hg while terminating the dialysis procedure, the technician should

Options:

A.

inject 1,000 units of heparin through an alternate access point.

B.

turn off the blood pump to check for tubing kinks.

C.

infuse 500 mL normal saline (NS) into the system.

D.

remove the venous needle immediately.

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Questions 17

A reused dialyzer has been set up for a patient. The patient ' s name is written on the dialyzer, but there is no reprocessing sticker on the dialyzer. What should the technician do?

Options:

A.

Run the patient on the dialyzer.

B.

Return the dialyzer to the reprocessing staff to have a sticker added.

C.

Set up another dialyzer for the patient.

D.

Ask the patient if this is his dialyzer.

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Questions 18

The surface of dialysis equipment should be disinfected with a bleach solution of what ratio of bleach to water concentration?

Options:

A.

1:10

B.

1:100

C.

1:200

D.

1:500

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Questions 19

Ten patients who have been dialyzing from 1 to 1 1/2 hours suddenly begin to experience fever, itching puffy eyelids, nausea, and red blotchiness. The patients MOST likely are exhibiting signs of

Options:

A.

hemolysis.

B.

a drug reaction.

C.

hypercalcemia.

D.

a pyrogenic reaction.

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Questions 20

The BEST way to establish hemostasis after dialysis is to apply

Options:

A.

a pressure dressing for 30 minutes.

B.

enough pressure to occlude the vessel.

C.

moderate pressure over the puncture site.

D.

firm pressure proximal to the puncture site.

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Questions 21

During machine setup, the dialyzer test for residual sterilant is positive. The technician ' s MOST appropriate response is to

Options:

A.

initiate dialysis, because reprocessed dialyzers usually contain sterilant.

B.

discard the entire circuit and replace it with a dry dialyzer.

C.

continue rinsing for five minutes and then retest.

D.

turn up dialysate flow and then retest.

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Questions 22

Hemolysis of RBCs will occur at a dialysate temperature of

Options:

A.

37° C.

B.

39° C.

C.

40° C.

D.

42° C.

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Questions 23

If the dialysis machine has been disinfected with Renalin, it is important to test tor residual Renalin after rinsing to minimize the risk of

Options:

A.

potential for a pyrogen reaction.

B.

alternation of the chemical composition of the dialysis fluid.

C.

patient exposure to Renalin.

D.

alteration of components in the machine.

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Questions 24

When evaluating complications potentially related to dialyzer reuse, which of the following principles must be considered?

Options:

A.

Water with a level greater than 200 CFU gram-negative bacteria may have a high endotoxin level.

B.

Endotoxin diffusion from backfiltration might occur with high-flux dialyzers.

C.

Endotoxins may be killed by disinfectants used in dialyzer reuse.

D.

Endotoxins are best removed by ultraviolet light.

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Questions 25

During morning report, the dialysis technician learns that one of the dialysis patients has been hospitalized due to exsanguination. The technician understands the seriousness of this situation because exsanguination is defined as

Options:

A.

a dangerously high potassium related to a blood transfusion.

B.

hemoglobin does not have enough oxygen resulting in anemia.

C.

a dangerously low potassium resulting from hemolysis.

D.

a blood loss greater than 300 mL.

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Questions 26

When trying to remove large amounts of fluid weight during a treatment, the only parameter that can be controlled by the technician is the

Options:

A.

venous pressure.

B.

transmembrane pressure (TMP).

C.

predialysis weight.

D.

dialyzer ultrafiltration coefficient (K UF ).

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Questions 27

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

Options:

A.

1/2-1 inch

B.

1 1/2-2 inches

C.

2 1/2-3 inches

D.

3-3 1/2 inches

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Questions 28

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

Options:

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

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Questions 29

All of the following are likely contributing factors to frequent clotting of dialyzers on a machine EXCEPT

Options:

A.

access recirculation

B.

high ultrafiltration (UF).

C.

high dialysate flow rate.

D.

inadequate heparinization.

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Questions 30

Dialysis water systems use polyvinyl chloride or stainless steel pipes and fittings to prevent leaching of

Options:

A.

magnesium.

B.

manganese.

C.

mercury.

D.

copper.

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Questions 31

A system of water treatment that removes chloramines is called

Options:

A.

gross filtration.

B.

activated carbon.

C.

softening.

D.

reverse osmosis (RO).

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Exam Name: BONENT Certified Hemodialysis Technician CHT
Last Update: Apr 30, 2026
Questions: 106

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