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

A) comply with OSHA

B) reduce paper clutter

C) save electricity

D) ensure confidentiality and prevent unauthorized access

2 / 50

2) 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.”

3 / 50

3) Maintaining a calm tone during a heated conversation demonstrates

A) disinterest

B) sarcasm

C) therapeutic communication and professionalism

D) escalation

4 / 50

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

A) ignoring the patient completely

B) firmly redirecting the conversation to treatment matters

C) laughing along and reciprocating

D) sharing personal stories in return

5 / 50

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

A) chain-of-command policy

B) HIPAA privacy standards

C) equipment maintenance rules

D) infection-control precautions

6 / 50

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

A) continue silently

B) change the subject to TV shows

C) say “Don’t think about it.”

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

7 / 50

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

A) Nephrologist or other prescribing provider

B) Social worker

C) Patient care technician

D) Charge nurse

8 / 50

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

A) request a qualified medical interpreter per policy

B) guess meanings using gestures

C) ask another patient to translate

D) act as interpreter regardless of proficiency

9 / 50

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

A) no permission

B) posting on social media

C) approval from other patients

D) patient consent or another HIPAA-permitted disclosure

10 / 50

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

A) must be reported to supervisor to assess boundary issues

B) always allowed

C) allowed if kept secret

D) encouraged to improve rapport

11 / 50

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

A) cover for them indefinitely

B) address concern through appropriate channels such as supervisor

C) gossip about them to other staff

D) ignore; not your responsibility

12 / 50

12) Which is an example of nonverbal communication?

A) Text messaging

B) Providing written pamphlets

C) Smiling and maintaining eye contact

D) Speaking loudly

13 / 50

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

A) Nephrologist directly via phone bypassing RN

B) Assigned RN or charge nurse per policy

C) Another patient

D) Dialysis receptionist

14 / 50

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

A) Charge nurse/RN

B) Receptionist

C) Patient care technician

D) Medical director

15 / 50

15) 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

16 / 50

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

A) correct the note yourself without saying anything

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

C) confront coworker angrily in front of patients

D) ignore the behavior—it’s harmless

17 / 50

17) Coaching a new technician, you should

A) ignore them—they will learn

B) ridicule mistakes

C) withhold tips to assert seniority

D) model correct procedures and give constructive feedback

18 / 50

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

A) threaten discharge

B) force completion due to prescription

C) respect autonomy, inform RN, and document refusal

D) physically restrain them

19 / 50

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

A) tell the patient to ignore it

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

C) chart it and continue without telling anyone

D) notify the nurse immediately per chain of command

20 / 50

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

A) harmless banter

B) acceptable humor

C) required stress relief

D) a violation of patient dignity and professionalism

21 / 50

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

A) prescribe erythropoietin

B) fix machine alarms

C) schedule transportation

D) develop individualized nutrition plans and counsel patients

22 / 50

22) Texting patient data from a personal phone is

A) faster than secure email, so preferred

B) prohibited unless using encrypted, approved platform

C) acceptable with password protection

D) convenient and always allowed

23 / 50

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

A) permissible under HIPAA

B) a confidentiality breach and potential discrimination issue

C) necessary for team gossip

D) encouraged to protect everyone

24 / 50

24) 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) patient first name only is listed

D) the fax machine is located in an unsecured hallway

25 / 50

25) When documenting, abbreviations should be

A) written in any language

B) avoided entirely

C) created on the spot if shorter

D) limited to those approved by facility policy

26 / 50

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

A) negotiate staff schedules

B) dictate care plans

C) remain silent and observe only

D) provide pertinent observations about patient tolerance and access status

27 / 50

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

A) accept and share with coworkers

B) accept but document the gift

C) politely decline and explain facility policy

D) sell the tickets for charity

28 / 50

28) Which example breaches professional boundaries?

A) Using their preferred name respectfully

B) Explaining treatment steps clearly

C) Supporting them during cannulation

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

29 / 50

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

A) unrelated jokes

B) personal opinions about patient’s attitude only

C) gossip from waiting room

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

30 / 50

30) Which communication technique shows active listening?

A) Nodding and paraphrasing the patient’s concern

B) Folding arms and looking away

C) Interrupting to finish their sentence

D) Checking your phone while they talk

31 / 50

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

A) Biomedical technician

B) Receptionist

C) Custodian

D) Registered dietitian in collaboration with the RN

32 / 50

32) The social worker’s role includes

A) repairing RO systems

B) prescribing antibiotics

C) helping patients cope with psychosocial issues and access resources

D) adjusting dialysate sodium

33 / 50

33) The medical director’s responsibility includes

A) daily machine disinfection

B) ordering office supplies

C) overseeing clinical care quality and policy compliance

D) scheduling payroll

34 / 50

34) A patient care plan change must be signed by

A) any technician available

B) visiting family

C) dialysis vendor

D) the interdisciplinary team members per facility policy

35 / 50

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

A) tell them to skip dialysis next session

B) share personal home remedies

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

D) provide detailed instructions immediately

36 / 50

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

A) uses crude language

B) joke targets patient’s condition

C) violates others’ privacy

D) the content is respectful and patient receptive

37 / 50

37) Which phrase exemplifies patient-centered language?

A) “Why can’t you behave?”

B) “You noncompliant again?”

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

D) “You never listen.”

38 / 50

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

A) post on notice board

B) hand to supervisor to place in chart

C) read it for curiosity

D) throw it away

39 / 50

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

D) read the name on their chart aloud

40 / 50

40) A signed consent form for treatment should be kept

A) mailed to the insurance company

B) posted on the unit bulletin board

C) in public view at the station

D) within the patient’s confidential medical record

41 / 50

41) To respect cultural differences, a technician should FIRST

A) refuse to accommodate any rituals

B) ask respectful, open-ended questions about preferences

C) assume all patients share the same beliefs

D) ignore cultural cues

42 / 50

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

A) let him stay without conditions

B) leave them unmonitored

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

D) automatically refuse

43 / 50

43) Which action fosters patient autonomy?

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

B) Withholding information to avoid worry

C) Making all decisions for the patient

D) Rushing through explanations

44 / 50

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

A) vague subjective statement

B) no documentation

C) “Patient probably intoxicated.”

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

45 / 50

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

A) observed the patient voluntarily sign the document

B) interpreted legal language

C) explained all risks thoroughly

D) wrote the prescription

46 / 50

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

A) EPA

B) OSHA

C) HIPAA

D) ADA

47 / 50

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

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

B) delete the entry and start over with no trace

C) ignore it; small errors don’t matter

D) alter the time stamp

48 / 50

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

A) falsification of records and unethical

B) harmless if care was done

C) helpful teamwork

D) necessary during busy shifts

49 / 50

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

A) denying all requests

B) immediate destruction of the record

C) providing supervised access or copy within a set timeframe

D) charging a large fee to discourage requests

50 / 50

50) Sharing patient-identifiable photos on social media is

A) acceptable with verbal permission only

B) a breach of confidentiality without written authorization

C) acceptable if the face is blurred

D) encouraged for marketing

Your score is

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