Latest PDF of BONENT-CHT: BONENT Certified Hemodialysis Technologist

BONENT Certified Hemodialysis Technologist - Technician (CHT) Practice Test

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Exam Code: CHT
Exam Name: BONENT Certified Hemodialysis Technologist - Technician (CHT)
Format: 150 multiple-choice questions.
Time Limit: 3 hours.
Delivery Methods:
Paper and Pencil test (PPE): Offered at specific locations and dates (check the PPE schedule on the BONENT website).
Computer-Based Testing (CBT): Available at approved testing centers, with scheduling flexibility after application approval.
Scoring: Uses a scaled scoring system (1–100). A minimum scaled score of 70 is required to pass. Results are provided immediately for CBT; PPE results may take longer.

DOMAIN I: Patient Care (45%)
- Evaluate Patient Pre and Post Treatment
- Evaluate fluid management
- Replacement therapy
- Sequential ultrafiltration
- Ultrafiltration concepts
- Collect and evaluate patient data
- Vital signs
- Weight evaluation
- Access patency
- Edema
- Signs and symptoms of infection
- Hemostasis
- Orthostasis
- Need for supplemental oxygen
- Document assessment
- Report complaints or observations to nurse
- Document observations in medical record
- Discuss ultrafiltration plan with nurse
- Evaluate, Intervene and Manage Treatment
- Pre treatment
- Set treatment parameters per physician order (e.g., bath, blood flow rate, dialysate flow rate)
- Check reuse dialyzer label
- Inspect dialyzer
- Evaluate access (e.g., patency, infection, appearance)
- Prepare vascular access for cannulation
- Prepare CVC and change dressing
- Gain access
- Collect laboratory samples (e.g., cultures, blood, urine)
- Administer heparin for initiation of treatment
- Verify patient identification at initiation of dialysis
- treatment (e.g., set parameters, blood flow rate, dialysate flow)
- Document observations and patient data
- During treatment
- Collect laboratory samples (e.g., cultures, blood, urine)
- Monitor and record treatment data
- Identify and respond to complications
- Notify nurse of any changes in patient condition
- Administer oxygen to patient by cannula or mask
- Respond to dialysis machine alarms
- Document observations and patient data
- Post treatment
- Collect laboratory samples (e.g., cultures, blood, urine)
- Perform procedures to terminate dialysis treatment
- Needle site care per protocol (e.g., removal, pressure, dressing)
- Catheter care per protocol
- Document observations and patient data
- Check dialyzer efficiency (e.g., clots, fibers, leaks)

DOMAIN II: Machine Technology (12%)
- Maintain Dialysis Machine
- Clean and disinfect dialysis equipment
- Record all machine disinfection
- Check readiness of emergency equipment
- Verify the calibration of ancillary medical equipment
- Recognize errors in blood and dialysate flow rates
- Set-up Machine
- Prepare dialysis equipment for treatment (e.g., prime, rinse, fluid delivery system)
- Prepare auxiliary equipment (e.g., oxygen therapy, glucometer, conductivity meter)
- Rotate dialysis equipment in dialysis unit
- Perform residual chemical checks
- Perform required safety checks on dialysis equipment (e.g., conductivity, pH, temperature)
- Test alarms (e.g., air detector, venous/arterial pressure, blood leak detector)
- Prepare and verify bicarbonate and acid solutions
- Document daily equipment logs
- Evaluate Machine Operation
- Understand quality control of dialysis equipment per Association for the Advancement of Medical
- Perform rinse procedures for dialysis delivery systems
- Perform disinfect procedures for dialysis delivery systems
- Understand equipment maintenance records for compliances with regulatory and standard setting
- Adhere to equipment maintenance procedures and schedules

DOMAIN III: Water Treatment (15%)
- Understand Components/Design of Systems
- Recognize actions
- Recognize the process of ultraviolet light exposure
- Maintain Systems
- Understand the process of disinfecting water treatment system
- Understand the maintenance of all treatment components
- Perform water treatment system checks
- Monitor and Evaluate Systems
- Understand quality control of reprocessing equipment per AAMI standards
- Monitor total chlorine or chloramines
- Maintain water treatment systems records for compliance with regulatory and standard setting

DOMAIN IV: Infection Control (18%)
- Maintain a Clean and Safe Patient Environment
- Follow all clean/dirty procedures in order to eliminate cross-contamination
- Recognize complications in dialysis treatments regarding infectious diseases (e.g., AIDS, TB, influenza)
- Ancillary equipment and supplies
- Demonstrate understanding and perform cannulation using aseptic technique for needle insertion and all
- Glove changing
- Wash machines, station area, and chairs after each patient run
- Hand washing
- Use Dialysis Precautions
- Personal protective equipment (PPE) (e.g., gown, gloves, mask)
- Disinfecting dialysis station
- Disposal of biohazard waste and SHARPS
- Implement Isolation Procedures
- Designated equipment
- Understand CMS requirements for designated staff
- Understand status of patient’s hepatitis survey
- Disinfection

DOMAIN V: Education and Professional Development (10%)
- Educate Patient
- Advise patient of discharge instructions (e.g., diet, fluid intake, medication regiment)
- Advise patient and family members based on physician’s orders (e.g., personal hygiene, self- care, treatment modalities)
- Explain dialysis concepts to patients
- Review and reinforce dialysis prescription
- Describe basic features of end stage renal disease (ESRD)
- Complications
- Hemodialysis treatment
- Psychosocial implications
- Dietary restrictions
- Treatment modality
- Describe treatment of acute renal failure
- Engage in Professional Development
- Continuing education of dialysis (e.g., attend meetings, workshops, conferences)
- Multidisciplinary care plans
- Medications in the dialysis clinic (e.g., anticoagulants, antihypertensives, erythropoietic stimulating agents (ESA))
- Proper body mechanics for patient and self
- Professional ethics and boundaries
- Dialysis unit safety procedures (e.g., fire drills, disaster drill, bomb threat)
- Professional literature
- Role of the preceptor
- Government regulations
- Treatment modalities (e.g., peritoneal, transplant, home hemodialysis)
- Understand Quality-Related Issues
- Document incidents (e.g., emergency-related, equipment/devices, patient care)
- Maintain documentation/data
- Process improvement
- Treatment
- Maintain storage of medications (e.g., heparin, normal saline, Xylocaine)
- Maintain storage of equipment and supplies
- Participate in quality assurance process improvement (QAPI) activities
- Participate in the development of dialysis unit objectives
- Demonstrate Communication Skills with Staff Members
- Promote a teamwork approach by offering information, advice, and assistance
- Contribute to constructive working relationships
- Participate in self and/or peer evaluations as directed
- Ensure the confidentiality of patient and employee information
- Assist in orientation of new staff members

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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?
1. 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.
stion: 2
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
2. C
need
3. P eedle,
secu
Ans
Expl ique
for n t on
glov ert
the n
Que
Whi an be
parti treatments?
1. Malaria
2. Tuberculosis (TB)
3. Measles
4. 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.
stion: 3
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
Que
Whi using
1. W eedle,
secu
2. C
need
3. P eedle,
secu
4. 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
Question: 4
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.
stion: 5
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
Que
Whi alysis
center?
1. Ordering the dialyzer that would be specific for the patient.
2. Ordering the length of time for the dialysis treatment.
3. Ordering any anti-coagulation medications that might be needed.
4. Ordering the supplies for the patient.
stion: 6
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.
Que
Whi PE)
that a
1. S
2. B
3. S
4. 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.
Question: 7
Which of the following is the correct procedure for cannulation using aseptic technique for needle insertion during hemodialysis?
1. Apply pressure to the access site immediately after needle removal.
2. Apply a sterile dressing over the access site after needle insertion.
3. 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
stion: 8
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.
Que
Whi into
bypa
1. A
2. Wrong conductivity
3. Wrong temperature
4. 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.
stion: 9
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
Que
Whi to
wear
1. G
2. G
3. G
4. G
Ans Expl
gow ms
of P bloo
dialysis environment.
Question: 10
Which of the following is the most appropriate personal protective equipment (PPE) to wear when handling potentially infectious materials in a dialysis
setting?
1. Gown and gloves only
2. Gloves and mask only
3. Gown, gloves, and mask
4. 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.
stion: 11
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
Que
Whi mod
1. D
2. T
3. Fi
4. A
Answer: C
Explanation: The eight core curriculum modules for dialysis technician/LPN training typically include subjects 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.
Question: 12
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.
stion: 13
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
Que
Whi ith
infec
1. Hepatitis
2. Hyperkalemia
3. Hypotension
4. 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
Question: 14
What treat
1. S a
clean
2. W ir
dry
3. U a
disin
4. U
Ans
Expl en
treat nd
allo nts
are eliminated, reducing the risk of cross-contamination.

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