Nursing BONENT-CHBT Questions & Answers

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Nursing

BONENT-CHBT

BONENT Certified Hemodialysis Bio-Medical Technician (CHBT)

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Question: 1

Which of the following is an example of a professional responsibility for a hemodialysis bio-medical technician?

Administering medications to dialysis patients as prescribed by the physician.

roviding direct patient care during the dialysis treatment.
articipating in ongoing professional development and continuing educ wer: D
anation: Participating in ongoing professional development and contin ation is an important professional responsibility for a hemodialysis bi cal technician. It helps ensure that the technician remains up to date w atest advancements in dialysis technology, regulations, and best practi h ultimately contributes to the delivery of high-quality care to dialysis nts.

stion: 2

ch of the following is an appropriate step in the reprocessing of a dial re it can be reused for hemodialysis?

isinfecting the dialyzer with hydrogen peroxide.
Assisting with the insertion of central venous catheters for dialysis access.
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Flushing the dialyzer with sterile saline solution.
Rinsing the dialyzer with tap water.
Drying the dialyzer with a clean towel.

Explanation: After hemodialysis treatment, a dialyzer must be properly reprocessed before it can be reused. Flushing the dialyzer with sterile saline solution helps remove any residual blood and ensures that the dialyzer is clean and ready for the next use.

Question: 3

enhance the filtration efficiency of the dialysis machine. remove impurities and contaminants from the water. provide a source of sodium for electrolyte balance. adjust the pH of the dialysate to physiological levels.

anation: The purpose of a bicarbonate concentrate in the preparation o sate for hemodialysis is to adjust the pH of the dialysate to physiologi

s. Bicarbonate is used to buffer the dialysate, ensuring that it is in the opriate pH range to support proper waste removal and electrolyte bala ng the dialysis treatment.

stion: 4

ch of the following factors can contribute to the development of biofil

What is the purpose of a bicarbonate concentrate in the preparation of dialysate for h

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a dialysis water distribution system?

Low water temperature in the distribution system.
Frequent monitoring of water quality parameters.
Regular disinfection of the water distribution system.
Presence of organic matter in the water supply.

Explanation: The presence of organic matter in the water supply can contribute to the development of biofilm in a dialysis water distribution system. Biofilm formation occurs when microorganisms attach to surfaces and form a protective layer. Organic matter provides a nutrient source for microorganisms, supporting their growth and biofilm formation.

stion: 5

ch of the following is the most appropriate action to take if a hemodial hine displays a high arterial pressure alarm during treatment?

djust the blood flow rate to decrease the pressure. crease the dialysate flow rate to alleviate the pressure. nore the alarm and continue the treatment as usual.

heck the integrity of the arterial bloodline and connections. wer: D

anation: A high arterial pressure alarm during hemodialysis treatment ate an issue with the arterial bloodline or connections, such as a kink o kage. Checking the integrity of the arterial bloodline and connections i rtant to identify and rectify any issues that may be causing the high ure, ensuring the safety and effectiveness of the treatment.

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Question: 6

Which of the following is a potential consequence of inadequate maintenance of the water treatment system in a dialysis facility?

Reduced efficiency of the dialysis machines.
Excessive use of dialysate concentrate.
Increased risk of bloodborne infections for patients.
Accelerated degradation of dialyzer membranes.

nts. The water used in dialysis must meet specific quality standards to re patient safety. Failure to maintain the water treatment system prope esult in the presence of contaminants, such as bacteria or endotoxins, ialysis water, which can potentially lead to infections in patients recei ment.

stion: 7

ch of the following is a key parameter to monitor when assessing the ormance of a reverse osmosis (RO) system used in dialysis water ment?

H level of the RO permeate onductivity of the RO feedwater ressure drop across the RO membranes emperature of the RO concentrate

Explanation: Inadequate maintenance of the water treatment system in a dialysis facility can lead to an increased risk of bloodborne infections for patie

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Explanation: Monitoring the pressure drop across the RO membranes is crucial in assessing the performance of a reverse osmosis system. An increase in pressure drop may indicate fouling or scaling of the membranes, which can compromise the quality of the RO permeate and necessitate maintenance or membrane replacement.

Question: 8

Which of the following is the most appropriate action to take if a hemodialysis machine displays an error code indicating a blood leak during treatment?

Check the bloodlines and connections for any visible signs of blood leakage.
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op the treatment immediately and clamp the bloodlines.
roceed with the treatment as usual and document the error code for fut ence.

wer: C

anation: A blood leak during hemodialysis treatment poses a significa o the patient's safety and should be addressed promptly. Stopping the ment and clamping the bloodlines helps prevent further blood loss and ws for immediate evaluation of the situation to ensure patient safety.

stion: 9

ch of the following best describes the purpose of the acid concentrate u ialysis treatment?
Notify the nurse and continue the treatment while closely monitoring the patie
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risk t treat allo

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To neutralize alkaline impurities in the dialysate.
To adjust the pH of the dialysate to physiological levels.
To remove chlorine and other disinfectants from the water.
To provide a source of bicarbonate for buffering the dialysate.

Explanation: The acid concentrate is used in dialysis treatment to adjust the pH of the dialysate to physiological levels. This helps create an optimal environment for effective waste removal and electrolyte balance during the dialysis procedure.

Question: 10

ch of the following actions should be taken if a hemodialysis machine' uctivity alarm is triggered during treatment?

top the treatment immediately and notify the nurse. alibrate the conductivity sensor and continue the treatment.

djust the temperature settings to align with the conductivity reading. heck the dialysate concentrate mixing ratio and adjust if necessary.

anation: A conductivity alarm during hemodialysis treatment indicate ntial issue with the quality of the dialysate. Stopping the treatment ediately and notifying the nurse allows for a comprehensive evaluatio ituation to prevent harm to the patient and ensure that appropriate ctive measures are taken.

stion: 11

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Which of the following is a critical aspect of documentation practices in a dialysis facility?

Recording all interventions and actions taken during the dialysis treatment.
Including personal opinions and subjective observations in the patient's medical record.
Using abbreviations and acronyms to save time and space in the documentation.
Delaying documentation until the end of the shift to ensure accuracy.

ment is a critical aspect of documentation practices in a dialysis facilit elps ensure accurate and comprehensive documentation of the patien which is essential for continuity of care, communication among healt iders, and legal and regulatory compliance.

stion: 12

ch of the following is the primary purpose of conducting quality assur s in a dialysis facility?

dentifying opportunities for cost reduction and resource optimization. valuating the effectiveness of patient education programs.

nsuring compliance with regulatory standards and guidelines. ssessing the proficiency of the nursing staff in administering medicati

Explanation: Recording all interventionsand actions taken during the dialysis treat y.

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Explanation: Quality assurance audits in a dialysis facility are primarily conducted to assess compliance with regulatory standards and guidelines. These audits help identify areas of non-compliance and facilitate corrective actions to ensure the provision of safe and high-quality care to dialysis patients.

Question: 13

Which of the following is a key responsibility of a hemodialysis bio-medical technician in ensuring life-safety and physical plant maintenance?

Monitoring the temperature and humidity levels in the dialysis unit.
Conducting routine fire drills for the dialysis staff.
Overseeing the facility's pest control program.
wer: D

anation: Ensuring life-safety and physical plant maintenance includes ecting and maintaining the facility's emergency lighting system. This res that in the event of a power outage or emergency, the dialysis unit ins adequately lit, allowing for safe patient care and evacuation if ssary.

stion: 14

is the purpose of conducting root cause analysis (RCA) in a dialysis ty?

identify opportunities for cost reduction and resource optimization. investigate the underlying causes of adverse events or incidents. assess the proficiency of staff in adhering to infection control protoc evaluate the effectiveness of patient education programs.
Inspecting and maintaining the facility's emergency lighting system. Ans

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Explanation: Conducting root cause analysis (RCA) in a dialysis facility is done to investigate the underlying causes of adverse events or incidents. RCA helps identify the contributing factors and systemic issues that led to the occurrence of the event, allowing the facility to implement appropriate

corrective actions and prevent similar events in the future.

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