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

A) Nephrologist or other prescribing provider

B) Patient care technician

C) Social worker

D) Charge nurse

2 / 50

2) 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

3 / 50

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

A) necessary for team gossip

B) a confidentiality breach and potential discrimination issue

C) encouraged to protect everyone

D) permissible under HIPAA

4 / 50

4) 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

5 / 50

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

A) joke targets patient’s condition

B) the content is respectful and patient receptive

C) uses crude language

D) violates others’ privacy

6 / 50

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

A) providing supervised access or copy within a set timeframe

B) charging a large fee to discourage requests

C) immediate destruction of the record

D) denying all requests

7 / 50

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

A) read the name on their chart aloud

B) ask their first name only

C) recognize them by face from last week

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

8 / 50

8) 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

9 / 50

9) 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

10 / 50

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

A) “Patient probably intoxicated.”

B) no documentation

C) vague subjective statement

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

11 / 50

11) 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

12 / 50

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

A) physically restrain them

B) respect autonomy, inform RN, and document refusal

C) threaten discharge

D) force completion due to prescription

13 / 50

13) The social worker’s role includes

A) helping patients cope with psychosocial issues and access resources

B) prescribing antibiotics

C) adjusting dialysate sodium

D) repairing RO systems

14 / 50

14) To respect cultural differences, a technician should FIRST

A) assume all patients share the same beliefs

B) refuse to accommodate any rituals

C) ignore cultural cues

D) ask respectful, open-ended questions about preferences

15 / 50

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

A) encouraged to improve rapport

B) must be reported to supervisor to assess boundary issues

C) allowed if kept secret

D) always allowed

16 / 50

16) 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

17 / 50

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

A) accept but document the gift

B) sell the tickets for charity

C) politely decline and explain facility policy

D) accept and share with coworkers

18 / 50

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

A) patient consent or another HIPAA-permitted disclosure

B) no permission

C) posting on social media

D) approval from other patients

19 / 50

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

A) HIPAA privacy standards

B) chain-of-command policy

C) infection-control precautions

D) equipment maintenance rules

20 / 50

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

A) Receptionist

B) Biomedical technician

C) Custodian

D) Registered dietitian in collaboration with the RN

21 / 50

21) Professional appearance includes

A) strong cologne to mask odors

B) unwashed hands as gloves cover

C) clean uniform and name badge visible

D) long dangling jewelry

22 / 50

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

A) wrote the prescription

B) explained all risks thoroughly

C) observed the patient voluntarily sign the document

D) interpreted legal language

23 / 50

23) 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) ignore the behavior—it’s harmless

D) confront coworker angrily in front of patients

24 / 50

24) Which statement demonstrates empathy?

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

B) “Don’t worry, it’s not that bad.”

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

D) “We’re busy, please wait.”

25 / 50

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

A) schedule transportation

B) prescribe erythropoietin

C) develop individualized nutrition plans and counsel patients

D) fix machine alarms

26 / 50

26) Coaching a new technician, you should

A) model correct procedures and give constructive feedback

B) ridicule mistakes

C) ignore them—they will learn

D) withhold tips to assert seniority

27 / 50

27) 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

28 / 50

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

A) required stress relief

B) harmless banter

C) a violation of patient dignity and professionalism

D) acceptable humor

29 / 50

29) 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

30 / 50

30) 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

31 / 50

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

A) gossip from waiting room

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

C) personal opinions about patient’s attitude only

D) unrelated jokes

32 / 50

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

A) save electricity

B) ensure confidentiality and prevent unauthorized access

C) reduce paper clutter

D) comply with OSHA

33 / 50

33) 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) change the subject to TV shows

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

D) continue silently

34 / 50

34) A patient care plan change must be signed by

A) any technician available

B) visiting family

C) the interdisciplinary team members per facility policy

D) dialysis vendor

35 / 50

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

A) chart it and continue without telling anyone

B) notify the nurse immediately per chain of command

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

D) tell the patient to ignore it

36 / 50

36) Which phrase exemplifies patient-centered language?

A) “You noncompliant again?”

B) “You never listen.”

C) “Why can’t you behave?”

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

37 / 50

37) 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

38 / 50

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

A) OSHA

B) ADA

C) HIPAA

D) EPA

39 / 50

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

A) Charge nurse/RN

B) Medical director

C) Patient care technician

D) Receptionist

40 / 50

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

A) throw it away

B) read it for curiosity

C) post on notice board

D) hand to supervisor to place in chart

41 / 50

41) 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

42 / 50

42) 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

43 / 50

43) 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

44 / 50

44) 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

45 / 50

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

A) laughing along and reciprocating

B) firmly redirecting the conversation to treatment matters

C) sharing personal stories in return

D) ignoring the patient completely

46 / 50

46) Which example breaches professional boundaries?

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

B) Supporting them during cannulation

C) Explaining treatment steps clearly

D) Using their preferred name respectfully

47 / 50

47) Which is an example of nonverbal communication?

A) Speaking loudly

B) Text messaging

C) Smiling and maintaining eye contact

D) Providing written pamphlets

48 / 50

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

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

B) let him stay without conditions

C) automatically refuse

D) leave them unmonitored

49 / 50

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

A) act as interpreter regardless of proficiency

B) ask another patient to translate

C) guess meanings using gestures

D) request a qualified medical interpreter per policy

50 / 50

50) Maintaining a calm tone during a heated conversation demonstrates

A) escalation

B) disinterest

C) sarcasm

D) therapeutic communication and professionalism

Your score is

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