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

A) encouraged to protect everyone

B) a confidentiality breach and potential discrimination issue

C) permissible under HIPAA

D) necessary for team gossip

2 / 50

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

A) Charge nurse/RN

B) Receptionist

C) Patient care technician

D) Medical director

3 / 50

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

A) ask another patient to translate

B) request a qualified medical interpreter per policy

C) act as interpreter regardless of proficiency

D) guess meanings using gestures

4 / 50

4) Which is an example of nonverbal communication?

A) Smiling and maintaining eye contact

B) Speaking loudly

C) Providing written pamphlets

D) Text messaging

5 / 50

5) Sharing patient-identifiable photos on social media is

A) acceptable with verbal permission only

B) encouraged for marketing

C) a breach of confidentiality without written authorization

D) acceptable if the face is blurred

6 / 50

6) Which action fosters patient autonomy?

A) Withholding information to avoid worry

B) Making all decisions for the patient

C) Rushing through explanations

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

7 / 50

7) 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

8 / 50

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

A) correct the note yourself without saying anything

B) confront coworker angrily in front of patients

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

D) ignore the behavior—it’s harmless

9 / 50

9) A signed consent form for treatment should be kept

A) posted on the unit bulletin board

B) within the patient’s confidential medical record

C) in public view at the station

D) mailed to the insurance company

10 / 50

10) The social worker’s role includes

A) helping patients cope with psychosocial issues and access resources

B) prescribing antibiotics

C) repairing RO systems

D) adjusting dialysate sodium

11 / 50

11) 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.”

12 / 50

12) Coaching a new technician, you should

A) ridicule mistakes

B) ignore them—they will learn

C) withhold tips to assert seniority

D) model correct procedures and give constructive feedback

13 / 50

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

A) explained all risks thoroughly

B) wrote the prescription

C) observed the patient voluntarily sign the document

D) interpreted legal language

14 / 50

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

A) fix machine alarms

B) schedule transportation

C) develop individualized nutrition plans and counsel patients

D) prescribe erythropoietin

15 / 50

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

A) accept and share with coworkers

B) politely decline and explain facility policy

C) sell the tickets for charity

D) accept but document the gift

16 / 50

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

A) provide pertinent observations about patient tolerance and access status

B) dictate care plans

C) negotiate staff schedules

D) remain silent and observe only

17 / 50

17) When documenting, abbreviations should be

A) limited to those approved by facility policy

B) written in any language

C) created on the spot if shorter

D) avoided entirely

18 / 50

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

A) threaten discharge

B) respect autonomy, inform RN, and document refusal

C) force completion due to prescription

D) physically restrain them

19 / 50

19) 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) post on notice board

D) throw it away

20 / 50

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

A) the content is respectful and patient receptive

B) joke targets patient’s condition

C) uses crude language

D) violates others’ privacy

21 / 50

21) A patient care plan change must be signed by

A) dialysis vendor

B) visiting family

C) any technician available

D) the interdisciplinary team members per facility policy

22 / 50

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

A) immediate destruction of the record

B) denying all requests

C) providing supervised access or copy within a set timeframe

D) charging a large fee to discourage requests

23 / 50

23) Which phrase exemplifies patient-centered language?

A) “You never listen.”

B) “You noncompliant again?”

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

D) “Why can’t you behave?”

24 / 50

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

A) read the name on their chart aloud

B) recognize them by face from last week

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

D) ask their first name only

25 / 50

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

A) gossip from waiting room

B) personal opinions about patient’s attitude only

C) unrelated jokes

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

26 / 50

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

A) ADA

B) EPA

C) HIPAA

D) OSHA

27 / 50

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

A) acceptable humor

B) required stress relief

C) a violation of patient dignity and professionalism

D) harmless banter

28 / 50

28) Which example breaches professional boundaries?

A) Using their preferred name respectfully

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

C) Supporting them during cannulation

D) Explaining treatment steps clearly

29 / 50

29) Professional appearance includes

A) clean uniform and name badge visible

B) unwashed hands as gloves cover

C) long dangling jewelry

D) strong cologne to mask odors

30 / 50

30) Which communication technique shows active listening?

A) Nodding and paraphrasing the patient’s concern

B) Folding arms and looking away

C) Checking your phone while they talk

D) Interrupting to finish their sentence

31 / 50

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

A) chain-of-command policy

B) infection-control precautions

C) HIPAA privacy standards

D) equipment maintenance rules

32 / 50

32) To respect cultural differences, a technician should FIRST

A) assume all patients share the same beliefs

B) ignore cultural cues

C) refuse to accommodate any rituals

D) ask respectful, open-ended questions about preferences

33 / 50

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

A) tell them to skip dialysis next session

B) provide detailed instructions immediately

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

D) share personal home remedies

34 / 50

34) 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

35 / 50

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

A) sharing personal stories in return

B) firmly redirecting the conversation to treatment matters

C) laughing along and reciprocating

D) ignoring the patient completely

36 / 50

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

A) Receptionist

B) Registered dietitian in collaboration with the RN

C) Biomedical technician

D) Custodian

37 / 50

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

A) save electricity

B) comply with OSHA

C) ensure confidentiality and prevent unauthorized access

D) reduce paper clutter

38 / 50

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

A) patient consent or another HIPAA-permitted disclosure

B) posting on social media

C) approval from other patients

D) no permission

39 / 50

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

A) harmless if care was done

B) helpful teamwork

C) necessary during busy shifts

D) falsification of records and unethical

40 / 50

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

A) allowed if kept secret

B) encouraged to improve rapport

C) must be reported to supervisor to assess boundary issues

D) always allowed

41 / 50

41) Which statement demonstrates empathy?

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

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

C) “Don’t worry, it’s not that bad.”

D) “We’re busy, please wait.”

42 / 50

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

A) Charge nurse

B) Patient care technician

C) Social worker

D) Nephrologist or other prescribing provider

43 / 50

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

A) automatically refuse

B) let him stay without conditions

C) leave them unmonitored

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

44 / 50

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

A) Dialysis receptionist

B) Another patient

C) Assigned RN or charge nurse per policy

D) Nephrologist directly via phone bypassing RN

45 / 50

45) Texting patient data from a personal phone is

A) prohibited unless using encrypted, approved platform

B) convenient and always allowed

C) acceptable with password protection

D) faster than secure email, so preferred

46 / 50

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

A) cover for them indefinitely

B) ignore; not your responsibility

C) address concern through appropriate channels such as supervisor

D) gossip about them to other staff

47 / 50

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

A) continue silently

B) say “Don’t think about it.”

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

D) change the subject to TV shows

48 / 50

48) The medical director’s responsibility includes

A) overseeing clinical care quality and policy compliance

B) daily machine disinfection

C) scheduling payroll

D) ordering office supplies

49 / 50

49) Maintaining a calm tone during a heated conversation demonstrates

A) escalation

B) disinterest

C) sarcasm

D) therapeutic communication and professionalism

50 / 50

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

A) delete the entry and start over with no trace

B) alter the time stamp

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

D) ignore it; small errors don’t matter

Your score is

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