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 statement demonstrates empathy?

A) “Don’t worry, it’s not that bad.”

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

C) “We’re busy, please wait.”

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

2 / 50

2) When documenting, abbreviations should be

A) limited to those approved by facility policy

B) avoided entirely

C) created on the spot if shorter

D) written in any language

3 / 50

3) Texting patient data from a personal phone is

A) prohibited unless using encrypted, approved platform

B) convenient and always allowed

C) faster than secure email, so preferred

D) acceptable with password protection

4 / 50

4) Confidential patient information can be faxed only if

A) the fax machine is located in an unsecured hallway

B) a cover sheet is used and destination confirmed

C) patient first name only is listed

D) you send during off-hours without notice

5 / 50

5) 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

6 / 50

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

A) posting on social media

B) patient consent or another HIPAA-permitted disclosure

C) approval from other patients

D) no permission

7 / 50

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

A) HIPAA

B) OSHA

C) EPA

D) ADA

8 / 50

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

A) charging a large fee to discourage requests

B) immediate destruction of the record

C) providing supervised access or copy within a set timeframe

D) denying all requests

9 / 50

9) 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

10 / 50

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

A) threaten discharge

B) force completion due to prescription

C) physically restrain them

D) respect autonomy, inform RN, and document refusal

11 / 50

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

A) unrelated jokes

B) gossip from waiting room

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

D) personal opinions about patient’s attitude only

12 / 50

12) 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

13 / 50

13) 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

14 / 50

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

A) permissible under HIPAA

B) necessary for team gossip

C) encouraged to protect everyone

D) a confidentiality breach and potential discrimination issue

15 / 50

15) The medical director’s responsibility includes

A) daily machine disinfection

B) scheduling payroll

C) overseeing clinical care quality and policy compliance

D) ordering office supplies

16 / 50

16) 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) allowed if kept secret

D) encouraged to improve rapport

17 / 50

17) 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) ignoring the patient completely

D) laughing along and reciprocating

18 / 50

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

A) save electricity

B) ensure confidentiality and prevent unauthorized access

C) comply with OSHA

D) reduce paper clutter

19 / 50

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

A) recognize them by face from last week

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

C) read the name on their chart aloud

D) ask their first name only

20 / 50

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

A) chain-of-command policy

B) equipment maintenance rules

C) HIPAA privacy standards

D) infection-control precautions

21 / 50

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

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

B) tell them to skip dialysis next session

C) share personal home remedies

D) provide detailed instructions immediately

22 / 50

22) 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) act as interpreter regardless of proficiency

D) ask another patient to translate

23 / 50

23) 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

24 / 50

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

A) remain silent and observe only

B) dictate care plans

C) provide pertinent observations about patient tolerance and access status

D) negotiate staff schedules

25 / 50

25) 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

26 / 50

26) Coaching a new technician, you should

A) ridicule mistakes

B) withhold tips to assert seniority

C) ignore them—they will learn

D) model correct procedures and give constructive feedback

27 / 50

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

A) Patient care technician

B) Charge nurse

C) Social worker

D) Nephrologist or other prescribing provider

28 / 50

28) 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) accept but document the gift

D) sell the tickets for charity

29 / 50

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

A) observed the patient voluntarily sign the document

B) wrote the prescription

C) explained all risks thoroughly

D) interpreted legal language

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) 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

32 / 50

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

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

B) ignore the behavior—it’s harmless

C) correct the note yourself without saying anything

D) confront coworker angrily in front of patients

33 / 50

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

A) required stress relief

B) acceptable humor

C) harmless banter

D) a violation of patient dignity and professionalism

34 / 50

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

A) Another patient

B) Assigned RN or charge nurse per policy

C) Nephrologist directly via phone bypassing RN

D) Dialysis receptionist

35 / 50

35) Maintaining a calm tone during a heated conversation demonstrates

A) sarcasm

B) therapeutic communication and professionalism

C) disinterest

D) escalation

36 / 50

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

A) leave them unmonitored

B) automatically refuse

C) let him stay without conditions

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

37 / 50

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

A) develop individualized nutrition plans and counsel patients

B) schedule transportation

C) prescribe erythropoietin

D) fix machine alarms

38 / 50

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

A) violates others’ privacy

B) joke targets patient’s condition

C) the content is respectful and patient receptive

D) uses crude language

39 / 50

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

A) chart it and continue without telling anyone

B) tell the patient to ignore it

C) notify the nurse immediately per chain of command

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

40 / 50

40) Sharing patient-identifiable photos on social media is

A) acceptable if the face is blurred

B) a breach of confidentiality without written authorization

C) acceptable with verbal permission only

D) encouraged for marketing

41 / 50

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

A) vague subjective statement

B) “Patient probably intoxicated.”

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

D) no documentation

42 / 50

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

A) Receptionist

B) Registered dietitian in collaboration with the RN

C) Custodian

D) Biomedical technician

43 / 50

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

A) Receptionist

B) Patient care technician

C) Medical director

D) Charge nurse/RN

44 / 50

44) 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

45 / 50

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

A) change the subject to TV shows

B) continue silently

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

D) say “Don’t think about it.”

46 / 50

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

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

B) ignore it; small errors don’t matter

C) alter the time stamp

D) delete the entry and start over with no trace

47 / 50

47) 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?”

48 / 50

48) Which is an example of nonverbal communication?

A) Speaking loudly

B) Text messaging

C) Smiling and maintaining eye contact

D) Providing written pamphlets

49 / 50

49) A patient care plan change must be signed by

A) dialysis vendor

B) any technician available

C) visiting family

D) the interdisciplinary team members per facility policy

50 / 50

50) A signed consent form for treatment should be kept

A) posted on the unit bulletin board

B) mailed to the insurance company

C) in public view at the station

D) within the patient’s confidential medical record

Your score is

See also: