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BONENT Certified Hemodialysis Technologist - Technician (CHT)
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Which of the following is the appropriate order of steps for cannulation using aseptic technique for needle insertion in hemodialysis?
Clean the access site, palpate the access site, put on gloves, secure the needle, insert the needle
re the needle
lean the access site, put on gloves, palpate the access site, insert the le, secure the needle
ut on gloves, clean the access site, palpate the access site, insert the n re the needle
wer: C
anation: The correct order of steps for cannulation using aseptic techn eedle insertion in hemodialysis is to first clean the access site, then pu es, palpate the access site to locate the appropriate insertion point, ins eedle into the access site, and finally, secure the needle in place.
ch of the following infectious diseases should a hemodialysis technici cularly vigilant about when recognizing complications in dialysis
Palpate the access site, clean the access site, put on gloves, insert the needle, secu
C
need
P eedle,
secu
Ans
Expl ique
for n t on
glov ert
the n
Whi an be
parti treatments?
Malaria
Tuberculosis (TB)
Measles
Chickenpox
kened immune systems and frequent exposure to healthcare settings. gnizing the symptoms and complications of TB in dialysis patients is al for early detection, appropriate management, and preventing the sp fection to other patients or healthcare providers.
ch of the following is the correct order of steps to perform cannulation aseptic technique for needle insertion in hemodialysis?
ipe the access site, put on gloves, palpate the access site, insert the n re the needle.
lean the access site, put on gloves, palpate the access site, insert the le, secure the needle.
ut on gloves, clean the access site, palpate the access site, insert the n re the needle.
alpate the access site, clean the access site, put on gloves, insert the n re the needle.
Explanation: A hemodialysis technician should be particularly vigilant about recognizing complications related to infectious diseases such as tuberculosis (TB) during dialysis treatments. TB is a highly contagious bacterial infection that primarily affects the lungs but can also impact other organs. Patients receiving hemodialysis are at an increased risk of developing TB due to their wea
Reco
cruci read
of in
Whi using
W eedle,
secu
C
need
P eedle,
secu
P eedle,
secu Answer: D
Explanation: The correct order of steps to perform cannulation using aseptic technique for needle insertion in hemodialysis is to first palpate the access site to locate the appropriate insertion point, then clean the access site, put on gloves, insert the needle into the access site, and finally secure the needle in
What is the purpose of ancillary equipment and supplies in the context of hemodialysis?
provide additional comfort and support to the patient during the ment.
disinfect the dialysis machine between treatments.
assist with the removal of fluid and waste products from the patient' d.
wer: D
anation: Ancillary equipment and supplies in hemodialysis are used to with the removal of fluid and waste products from the patient's bloo ncludes components such as dialyzers, bloodlines, and ultrafiltration ms. These equipment and supplies are essential for the proper functio hemodialysis treatment and ensuring the effective removal of toxins
ss fluid from the patient's body.
ch of the following is not a responsibility of the nephrologist in the di
To monitor the patient's blood pressure during the treatment.
To
treat
To
To s
bloo Ans
Expl
assist d.
This i
syste ning
of the and
exce
Whi alysis
center?
Ordering the dialyzer that would be specific for the patient.
Ordering the length of time for the dialysis treatment.
Ordering any anti-coagulation medications that might be needed.
Ordering the supplies for the patient.
ch of the following is an example of personal protective equipment (P hemodialysis technician should wear during dialysis procedures?
tethoscope
lood pressure cuff yringe
own wer: D
anation: A gown is an example of personal protective equipment (PP hemodialysis technician should wear during dialysis procedures. We
wn helps protect the technician from contact with potentially infectiou rials, including blood, bodily fluids, and contaminated surfaces. It act
Explanation: The responsibility of ordering supplies for the patient typically falls under the role of the dialysis center or the dialysis technician/technologist. The nephrologist is responsible for making decisions related to the dialyzer selection, determining the appropriate length of time for the dialysis treatment, and prescribing any necessary anti-coagulation medications based on the patient's condition and needs.
Whi PE)
that a
S
B
S
G
Ans
Expl E)
that a aring
a go s
mate s as a
barrier between the technician's clothing and the patient's fluids, reducing the risk of cross-contamination and transmission of pathogens. Properly wearing and disposing of gowns is essential for maintaining aseptic conditions and preventing the spread of infections in the dialysis unit.
Which of the following is the correct procedure for cannulation using aseptic technique for needle insertion during hemodialysis?
Apply pressure to the access site immediately after needle removal.
Apply a sterile dressing over the access site after needle insertion.
Use a blunt needle for cannulation to reduce the risk of vessel damage.
wer: D
anation: The correct procedure for cannulation using aseptic techniqu le insertion during hemodialysis is to clean the access site with a fectant and insert the needle at a 45-degree angle. This helps ensure a and sterile access site, reducing the risk of infection. Inserting the ne 5-degree angle allows for proper placement within the blood vessel a mizes the risk of vessel damage. After needle insertion, it is important re the site with appropriate dressings and apply pressure to the access ediately after needle removal to prevent bleeding and maintain hemost
ch of the following alarms should the hemodialysis delivery system go ss for?
ll of the above
Clean the access site with a disinfectant and insert the needle at a 45-degree angle.
Ans
Expl e for
need disin
clean edle
at a 4 nd
mini to
secu site
imm asis.
Whi into
bypa
A
Wrong conductivity
Wrong temperature
Wrong pH Answer: A
Explanation: The hemodialysis delivery system should go into bypass for all of
the above alarms. Wrong pH, wrong conductivity, and wrong temperature can indicate potential complications or errors in the dialysis treatment process. Going into bypass mode allows the system to temporarily suspend the treatment until the issue is resolved or investigated further by the hemodialysis technician or medical staff. This helps ensure patient safety and prevents any potential harm or adverse events during the treatment.
ch of the following personal protective equipment (PPE) is necessary when working in a dialysis setting?
own and gloves only loves and mask only own, gloves, and mask loves only
wer: C
anation: When working in a dialysis setting, it is necessary to wear a n, gloves, and mask as personal protective equipment (PPE). These ite PE help to protect against potential exposure to infectious diseases, dborne pathogens, and other contaminants that may be present in the
Whi to
wear
G
G
G
G
Ans Expl
gow ms
of P bloo
dialysis environment.
Which of the following is the most appropriate personal protective equipment (PPE) to wear when handling potentially infectious materials in a dialysis
setting?
Gown and gloves only
Gloves and mask only
Gown, gloves, and mask
Gloves only
wer: C
anation: When handling potentially infectious materials in a dialysis ng, the most appropriate personal protective equipment (PPE) to wear des a gown, gloves, and a mask. This combination of PPE helps to pr nst potential exposure to infectious diseases.
ch of the following is not considered one of the eight core curriculum ules for dialysis technician/LPN training?
ialyzer reprocessing reatment of the water nancial interpretation ll of the above
Ans Expl
setti
inclu otect
agai
Whi mod
D
T
Fi
A
Answer: C
Explanation: The eight core curriculum modules for dialysis technician/LPN training typically include topics such as dialyzer reprocessing, treatment of the water used in dialysis, and other technical aspects of the job. Financial interpretation, however, is not typically included in the core curriculum for dialysis technician/LPN training.
Which of the following is an example of biohazard waste that should be disposed of properly in a dialysis setting?
sed dialyzers
mpty medication vials atient medical records
wer: B
anation: In a dialysis setting, used dialyzers are considered biohazard hould be disposed of properly. Biohazard waste poses a potential risk tion and must be handled and disposed of according to established ocols to ensure the safety of staff and patients.
ch of the following complications in dialysis treatments is associated w tious diseases?
Soiled linen
U
E
P
Ans
Expl waste
and s of
infec prot
Whi ith
infec
Hepatitis
Hyperkalemia
Hypotension
Hypocalcemia
Answer: A
Explanation: Hepatitis is a complication of dialysis treatments that can be associated with infectious diseases. Hepatitis is an inflammation of the liver, often caused by viral infections such as hepatitis B or hepatitis C. Patients receiving dialysis are at an increased risk of hepatitis due to potential exposure to infected blood or contaminated equipment during the treatment process.
is the proper procedure for disinfecting a dialysis station between ments?
pray the surfaces with a disinfectant solution and wipe them dry with cloth
ipe down all surfaces with a disinfectant solution and allow them to a
se a combination of soap and water to clean the surfaces, followed by fectant solution
se a high-pressure steam cleaner to sanitize the surfaces
wer: B
anation: The proper procedure for disinfecting a dialysis station betwe ments involves wiping down all surfaces with a disinfectant solution a wing them to air dry. This helps to ensure that any potential contamina
What treat
S a
clean
W ir
dry
U a
disin
U
Ans
Expl en
treat nd
allo nts
are eliminated, reducing the risk of cross-contamination.