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

A) posting on social media

B) approval from other patients

C) patient consent or another HIPAA-permitted disclosure

D) no permission

2 / 50

2) The medical director’s responsibility includes

A) overseeing clinical care quality and policy compliance

B) scheduling payroll

C) ordering office supplies

D) daily machine disinfection

3 / 50

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

A) necessary during busy shifts

B) helpful teamwork

C) falsification of records and unethical

D) harmless if care was done

4 / 50

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

A) chain-of-command policy

B) equipment maintenance rules

C) infection-control precautions

D) HIPAA privacy standards

5 / 50

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

A) no documentation

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

C) vague subjective statement

D) “Patient probably intoxicated.”

6 / 50

6) Professional appearance includes

A) long dangling jewelry

B) unwashed hands as gloves cover

C) strong cologne to mask odors

D) clean uniform and name badge visible

7 / 50

7) The social worker’s role includes

A) adjusting dialysate sodium

B) helping patients cope with psychosocial issues and access resources

C) prescribing antibiotics

D) repairing RO systems

8 / 50

8) Confidential patient information can be faxed only if

A) patient first name only is listed

B) the fax machine is located in an unsecured hallway

C) you send during off-hours without notice

D) a cover sheet is used and destination confirmed

9 / 50

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

A) respect autonomy, inform RN, and document refusal

B) threaten discharge

C) force completion due to prescription

D) physically restrain them

10 / 50

10) Which is an example of nonverbal communication?

A) Providing written pamphlets

B) Text messaging

C) Smiling and maintaining eye contact

D) Speaking loudly

11 / 50

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

A) recognize them by face from last week

B) ask their first name only

C) read the name on their chart aloud

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

12 / 50

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

A) a confidentiality breach and potential discrimination issue

B) encouraged to protect everyone

C) necessary for team gossip

D) permissible under HIPAA

13 / 50

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

A) act as interpreter regardless of proficiency

B) request a qualified medical interpreter per policy

C) guess meanings using gestures

D) ask another patient to translate

14 / 50

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

A) provide pertinent observations about patient tolerance and access status

B) remain silent and observe only

C) dictate care plans

D) negotiate staff schedules

15 / 50

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

A) confront coworker angrily in front of patients

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

C) ignore the behavior—it’s harmless

D) correct the note yourself without saying anything

16 / 50

16) To respect cultural differences, a technician should FIRST

A) ignore cultural cues

B) refuse to accommodate any rituals

C) ask respectful, open-ended questions about preferences

D) assume all patients share the same beliefs

17 / 50

17) When documenting, abbreviations should be

A) written in any language

B) limited to those approved by facility policy

C) created on the spot if shorter

D) avoided entirely

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 reports new numbness in their feet. The technician should

A) tell the patient to ignore it

B) chart it and continue without telling anyone

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

D) notify the nurse immediately per chain of command

20 / 50

20) Which communication technique shows active listening?

A) Folding arms and looking away

B) Checking your phone while they talk

C) Interrupting to finish their sentence

D) Nodding and paraphrasing the patient’s concern

21 / 50

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

A) Assigned RN or charge nurse per policy

B) Nephrologist directly via phone bypassing RN

C) Dialysis receptionist

D) Another patient

22 / 50

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

A) ignoring the patient completely

B) laughing along and reciprocating

C) sharing personal stories in return

D) firmly redirecting the conversation to treatment matters

23 / 50

23) Sharing patient-identifiable photos on social media is

A) encouraged for marketing

B) acceptable with verbal permission only

C) acceptable if the face is blurred

D) a breach of confidentiality without written authorization

24 / 50

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

A) always allowed

B) must be reported to supervisor to assess boundary issues

C) encouraged to improve rapport

D) allowed if kept secret

25 / 50

25) Maintaining a calm tone during a heated conversation demonstrates

A) disinterest

B) sarcasm

C) escalation

D) therapeutic communication and professionalism

26 / 50

26) Which example breaches professional boundaries?

A) Supporting them during cannulation

B) Explaining treatment steps clearly

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

D) Using their preferred name respectfully

27 / 50

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

A) alter the time stamp

B) delete the entry and start over with no trace

C) ignore it; small errors don’t matter

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

28 / 50

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

A) accept and share with coworkers

B) sell the tickets for charity

C) politely decline and explain facility policy

D) accept but document the gift

29 / 50

29) Coaching a new technician, you should

A) ignore them—they will learn

B) model correct procedures and give constructive feedback

C) withhold tips to assert seniority

D) ridicule mistakes

30 / 50

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

A) required stress relief

B) harmless banter

C) acceptable humor

D) a violation of patient dignity and professionalism

31 / 50

31) 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) leave them unmonitored

D) let him stay without conditions

32 / 50

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

A) provide detailed instructions immediately

B) share personal home remedies

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

D) tell them to skip dialysis next session

33 / 50

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

A) Registered dietitian in collaboration with the RN

B) Receptionist

C) Custodian

D) Biomedical technician

34 / 50

34) Texting patient data from a personal phone is

A) faster than secure email, so preferred

B) acceptable with password protection

C) prohibited unless using encrypted, approved platform

D) convenient and always allowed

35 / 50

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

A) develop individualized nutrition plans and counsel patients

B) prescribe erythropoietin

C) schedule transportation

D) fix machine alarms

36 / 50

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

A) violates others’ privacy

B) uses crude language

C) the content is respectful and patient receptive

D) joke targets patient’s condition

37 / 50

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

A) interpreted legal language

B) explained all risks thoroughly

C) observed the patient voluntarily sign the document

D) wrote the prescription

38 / 50

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

A) comply with OSHA

B) ensure confidentiality and prevent unauthorized access

C) save electricity

D) reduce paper clutter

39 / 50

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

A) Nephrologist or other prescribing provider

B) Charge nurse

C) Social worker

D) Patient care technician

40 / 50

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

A) ignore; not your responsibility

B) address concern through appropriate channels such as supervisor

C) gossip about them to other staff

D) cover for them indefinitely

41 / 50

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

A) Patient care technician

B) Medical director

C) Charge nurse/RN

D) Receptionist

42 / 50

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

A) unrelated jokes

B) personal opinions about patient’s attitude only

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

D) gossip from waiting room

43 / 50

43) Which statement demonstrates empathy?

A) “We’re busy, please wait.”

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

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

D) “Don’t worry, it’s not that bad.”

44 / 50

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

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

B) say “Don’t think about it.”

C) continue silently

D) change the subject to TV shows

45 / 50

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

A) immediate destruction of the record

B) charging a large fee to discourage requests

C) denying all requests

D) providing supervised access or copy within a set timeframe

46 / 50

46) A patient care plan change must be signed by

A) the interdisciplinary team members per facility policy

B) visiting family

C) dialysis vendor

D) any technician available

47 / 50

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

A) EPA

B) HIPAA

C) OSHA

D) ADA

48 / 50

48) A signed consent form for treatment should be kept

A) posted on the unit bulletin board

B) in public view at the station

C) mailed to the insurance company

D) within the patient’s confidential medical record

49 / 50

49) Which action fosters patient autonomy?

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

B) Making all decisions for the patient

C) Rushing through explanations

D) Withholding information to avoid worry

50 / 50

50) Which phrase exemplifies patient-centered language?

A) “You never listen.”

B) “Why can’t you behave?”

C) “You noncompliant again?”

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

Your score is

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