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Certified-Hemodialysis-Technician-CHT BONENT Certified Hemodialysis Technician CHT Free Practice Exam Questions (2025 Updated)

Prepare effectively for your BONENT Certified-Hemodialysis-Technician-CHT BONENT Certified Hemodialysis Technician CHT certification with our extensive collection of free, high-quality practice questions. Each question is designed to mirror the actual exam format and objectives, complete with comprehensive answers and detailed explanations. Our materials are regularly updated for 2025, ensuring you have the most current resources to build confidence and succeed on your first attempt.

The MOST important reason to promptly wipe up spilled fluid from the machinery or from the floor is to protect the

A.

other dialysis equipment from contamination.

B.

environment from growth of organisms.

C.

staff from accidents due to slipping and from shock hazards.

D.

machinery parts from corroding.

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

A.

1:10

B.

1:100

C.

1:200

D.

1:500

A permanent tunneled catheter is an example of

A.

homografts.

B.

internal grafts.

C.

internal fistulas.

D.

external blood accesses.

The use of bicarbonate has changed the dialysis delivery to include

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.

The dialysis technician has noticed that a maintenance man working around the unit has an open cut on his hand. The technician should

A.

report the incident to maintenance.

B.

review precautions regarding infections with the worker.

C.

report the incident to the nurse.

D.

require the worker to request assignment elsewhere.

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

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

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."

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.

What is the MOST common complication during hemodialysis?

A.

Hypovolemia

B.

Hypertension

C.

Hypoglycemia

D.

Hypotension

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

A.

magnesium.

B.

manganese.

C.

mercury.

D.

copper.

Which of the following may NOT be a common psychological reaction for patients beginning maintenance dialysis?

A.

Guilt

B.

Anxiety

C.

Hostility

D.

Depression

The general term describing a microorganism known to cause disease in man is a

A.

virus.

B.

fungus.

C.

pathogen.

D.

bacterium.

All of the following are potential problems associated with the use of bicarbonate dialysate EXCEPT

A.

increased risk of bacterial growth.

B.

precipitation of calcium and magnesium in the delivery system.

C.

dangerous electrolyte concentrations due to concentrate mix-ups.

D.

CO2 levels in the bicarbonate dialysate becoming dangerously high.

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

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.

When a patient presents with shortness of breath predialysis, which of the following is the FIRST action that should be taken?

A.

Check the patient's blood pressure and weight

B.

Change to a larger kidney

C.

Check for edema

D.

Implement dialysis immediately

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

A.

2 EU/mL.

B.

4 EU/mL.

C.

1 EU/mL.

D.

3 EU/mL.

Hemolysis of RBCs will occur at a dialysate temperature of

A.

37° C.

B.

39° C.

C.

40° C.

D.

42° C.

According to the Association for the Advancement of Medical Instrumentation (AAMI), when performing a culture, water used for the hemodialysis machine should NOT exceed an action level of

A.

25 CFU/mL.

B.

50 CFU/mL.

C.

100 CFU/mL.

D.

200 CFU/mL.

When the air detector alarm sounds, it should simultaneously perform which of the following functions?

A.

Give an auditory alarm, reduce the venous Iine pressure, and stop the blood pump

B.

Bypass the dialyzer, clamp die venous line, and give auditory and visual alarms

C.

Turn the dialysate into the bypass mode, stop the blood pump, and give a visual alarm

D.

Clamp the venous line, give auditory and visual alarms, and stop the blood pump

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

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