CCHT Role Responsibilities Practice Test 2025 Questions Answers

Last Updated on June 14, 2025

CCHT Role Responsibilities Practice Test 2025 Questions and Answers. Try our free Nephrology Nursing Certification Commission (NNCC) Certified Clinical Hemodialysis Technician (CCHT) Role Responsibilities Practice Tests. In the actual test, this part consists of 15 to 20 multiple-choice questions, which is approximately 10–14% of the total.

Questions in this area concern the roles of various staff members in the dialysis facility, as well as their communication skills. These skills include interactions between technicians and patients that maintain professional boundaries, as well as respect the patients’ privacy, dignity, and confidentiality. The Role Responsibilities area makes up 12% of the test content. Examples of the kinds of technician activities tested in the Role Responsibilities area include:

1. Maintaining patients’ confidentiality.
2. Maintaining appropriate relationships between caregivers and patients.
3. Utilizing effective communication techniques and skills with patients (verbal and nonverbal).
4. Identifying the roles and responsibilities of care team members.
5. Communicating patient’s dialysis treatment outcomes to the appropriate personnel.

CCHT Role Responsibilities Practice Test

1 / 50

1) Which example breaches professional boundaries?

A) Supporting them during cannulation

B) Accepting a friend request from a patient on personal social media

C) Using their preferred name respectfully

D) Explaining treatment steps clearly

2 / 50

2) Who is responsible for teaching a patient how to manage phosphorus binders?

A) Biomedical technician

B) Registered dietitian in collaboration with the RN

C) Custodian

D) Receptionist

3 / 50

3) A technician sees a coworker charting care that was not provided. First action is to

A) confront coworker angrily in front of patients

B) correct the note yourself without saying anything

C) follow facility policy and report to the charge nurse or supervisor

D) ignore the behavior—it’s harmless

4 / 50

4) Confidential patient information can be faxed only if

A) you send during off-hours without notice

B) a cover sheet is used and destination confirmed

C) the fax machine is located in an unsecured hallway

D) patient first name only is listed

5 / 50

5) Professional appearance includes

A) unwashed hands as gloves cover

B) long dangling jewelry

C) strong cologne to mask odors

D) clean uniform and name badge visible

6 / 50

6) During interdisciplinary team (IDT) meetings, the technician’s role is to

A) dictate care plans

B) negotiate staff schedules

C) remain silent and observe only

D) provide pertinent observations about patient tolerance and access status

7 / 50

7) A coworker repeatedly arrives late, impacting care. The technician should

A) cover for them indefinitely

B) ignore; not your responsibility

C) gossip about them to other staff

D) address concern through appropriate channels such as supervisor

8 / 50

8) Sharing patient-identifiable photos on social media is

A) encouraged for marketing

B) acceptable if the face is blurred

C) a breach of confidentiality without written authorization

D) acceptable with verbal permission only

9 / 50

9) Which is an example of nonverbal communication?

A) Smiling and maintaining eye contact

B) Text messaging

C) Providing written pamphlets

D) Speaking loudly

10 / 50

10) Which action fosters patient autonomy?

A) Withholding information to avoid worry

B) Making all decisions for the patient

C) Providing education so patients can participate in their care choices

D) Rushing through explanations

11 / 50

11) Coaching a new technician, you should

A) model correct procedures and give constructive feedback

B) ignore them—they will learn

C) withhold tips to assert seniority

D) ridicule mistakes

12 / 50

12) Which communication technique shows active listening?

A) Folding arms and looking away

B) Checking your phone while they talk

C) Nodding and paraphrasing the patient’s concern

D) Interrupting to finish their sentence

13 / 50

13) While measuring blood pressure, a patient states, “I’m scared about my future.” Appropriate response is to

A) say “Don’t think about it.”

B) acknowledge their feelings and notify the social worker if needed

C) change the subject to TV shows

D) continue silently

14 / 50

14) Telling a joke to ease a patient’s anxiety is acceptable IF

A) joke targets patient’s condition

B) uses crude language

C) violates others’ privacy

D) the content is respectful and patient receptive

15 / 50

15) A patient requests that her boyfriend sit beside the dialysis chair during treatment. The technician should

A) automatically refuse

B) check facility policy and ensure privacy of other patients before allowing

C) let him stay without conditions

D) leave them unmonitored

16 / 50

16) Sharing clinical outcomes with the patient’s primary care physician requires

A) approval from other patients

B) posting on social media

C) patient consent or another HIPAA-permitted disclosure

D) no permission

17 / 50

17) A technician documents “Patient seems drunk.” Preferred charting is

A) “Patient’s speech slurred; smelled of alcohol at 0800.”

B) vague subjective statement

C) “Patient probably intoxicated.”

D) no documentation

18 / 50

18) A technician finds advance directive paperwork in a locker. Proper action is to

A) read it for curiosity

B) hand to supervisor to place in chart

C) throw it away

D) post on notice board

19 / 50

19) A patient asks to see their medical record. Facility policy usually requires

A) immediate destruction of the record

B) providing supervised access or copy within a set timeframe

C) denying all requests

D) charging a large fee to discourage requests

20 / 50

20) Which phrase exemplifies patient-centered language?

A) “Let’s talk about the challenges you faced following your diet this week.”

B) “Why can’t you behave?”

C) “You never listen.”

D) “You noncompliant again?”

21 / 50

21) Texting patient data from a personal phone is

A) prohibited unless using encrypted, approved platform

B) faster than secure email, so preferred

C) convenient and always allowed

D) acceptable with password protection

22 / 50

22) A patient asks you for medical advice about chest pain at home. You should

A) provide detailed instructions immediately

B) tell them to skip dialysis next session

C) encourage them to call 911 or speak to their nurse/physician

D) share personal home remedies

23 / 50

23) A signed, dated witness section on consent form indicates that the technician

A) explained all risks thoroughly

B) interpreted legal language

C) observed the patient voluntarily sign the document

D) wrote the prescription

24 / 50

24) When greeting a new patient, the BEST way to verify identity is to

A) ask their first name only

B) request two identifiers such as full name and date of birth

C) recognize them by face from last week

D) read the name on their chart aloud

25 / 50

25) A technician is dating a patient’s sister. According to most policies this is

A) allowed if kept secret

B) always allowed

C) encouraged to improve rapport

D) must be reported to supervisor to assess boundary issues

26 / 50

26) Unauthorized disclosure of a patient’s HIV status to coworkers is

A) a confidentiality breach and potential discrimination issue

B) permissible under HIPAA

C) encouraged to protect everyone

D) necessary for team gossip

27 / 50

27) Patients’ written records are stored in a locked cabinet to

A) save electricity

B) reduce paper clutter

C) comply with OSHA

D) ensure confidentiality and prevent unauthorized access

28 / 50

28) Discussing a patient’s lab results in the crowded waiting area violates

A) chain-of-command policy

B) HIPAA privacy standards

C) infection-control precautions

D) equipment maintenance rules

29 / 50

29) When giving a report to the nurse, the technician should include

A) objective data like vital signs, access issues, and patient’s complaints

B) gossip from waiting room

C) unrelated jokes

D) personal opinions about patient’s attitude only

30 / 50

30) Who should be notified first if the technician observes a significant change in a patient’s condition?

A) Dialysis receptionist

B) Assigned RN or charge nurse per policy

C) Nephrologist directly via phone bypassing RN

D) Another patient

31 / 50

31) Which team member coordinates overall daily patient care in the unit?

A) Charge nurse/RN

B) Medical director

C) Receptionist

D) Patient care technician

32 / 50

32) When documenting, abbreviations should be

A) written in any language

B) avoided entirely

C) limited to those approved by facility policy

D) created on the spot if shorter

33 / 50

33) If a patient wants to stop dialysis mid-treatment, technician must

A) physically restrain them

B) force completion due to prescription

C) threaten discharge

D) respect autonomy, inform RN, and document refusal

34 / 50

34) The social worker’s role includes

A) repairing RO systems

B) adjusting dialysate sodium

C) helping patients cope with psychosocial issues and access resources

D) prescribing antibiotics

35 / 50

35) Maintaining a calm tone during a heated conversation demonstrates

A) escalation

B) disinterest

C) therapeutic communication and professionalism

D) sarcasm

36 / 50

36) Who is primarily responsible for adjusting a patient’s dialysis prescription?

A) Patient care technician

B) Social worker

C) Nephrologist or other prescribing provider

D) Charge nurse

37 / 50

37) To respect cultural differences, a technician should FIRST

A) refuse to accommodate any rituals

B) ask respectful, open-ended questions about preferences

C) ignore cultural cues

D) assume all patients share the same beliefs

38 / 50

38) A patient care plan change must be signed by

A) the interdisciplinary team members per facility policy

B) visiting family

C) any technician available

D) dialysis vendor

39 / 50

39) Signing another technician’s initials on flow-sheets is considered

A) harmless if care was done

B) falsification of records and unethical

C) necessary during busy shifts

D) helpful teamwork

40 / 50

40) The dietitian’s PRIMARY role in the dialysis team is to

A) prescribe erythropoietin

B) fix machine alarms

C) develop individualized nutrition plans and counsel patients

D) schedule transportation

41 / 50

41) The medical director’s responsibility includes

A) ordering office supplies

B) scheduling payroll

C) daily machine disinfection

D) overseeing clinical care quality and policy compliance

42 / 50

42) Which federal law primarily protects patient confidentiality in dialysis facilities?

A) EPA

B) ADA

C) OSHA

D) HIPAA

43 / 50

43) If a patient jokes with sexual overtones, professional boundary is maintained by

A) firmly redirecting the conversation to treatment matters

B) laughing along and reciprocating

C) ignoring the patient completely

D) sharing personal stories in return

44 / 50

44) A patient offers you movie tickets in thanks. Appropriate response is to

A) sell the tickets for charity

B) politely decline and explain facility policy

C) accept and share with coworkers

D) accept but document the gift

45 / 50

45) If you make an error while charting electronically, you should

A) delete the entry and start over with no trace

B) follow system protocol to make a legal amendment/addendum

C) ignore it; small errors don’t matter

D) alter the time stamp

46 / 50

46) Which statement demonstrates empathy?

A) “We’re busy, please wait.”

B) “I understand this is painful; let’s see how we can make you more comfortable.”

C) “You should be used to needles by now.”

D) “Don’t worry, it’s not that bad.”

47 / 50

47) A signed consent form for treatment should be kept

A) within the patient’s confidential medical record

B) posted on the unit bulletin board

C) mailed to the insurance company

D) in public view at the station

48 / 50

48) When translating for a patient who speaks little English, the technician should

A) guess meanings using gestures

B) act as interpreter regardless of proficiency

C) request a qualified medical interpreter per policy

D) ask another patient to translate

49 / 50

49) A technician overhears two staff joking about a patient’s weight. This is

A) acceptable humor

B) harmless banter

C) a violation of patient dignity and professionalism

D) required stress relief

50 / 50

50) A patient reports new numbness in their feet. The technician should

A) notify the nurse immediately per chain of command

B) tell the patient to ignore it

C) offer over-the-counter medicine from personal stash

D) chart it and continue without telling anyone

Your score is

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