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

C) continue silently

D) say “Don’t think about it.”

2 / 50

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

A) “Patient probably intoxicated.”

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

C) no documentation

D) vague subjective statement

3 / 50

3) 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

4 / 50

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

A) ignore the behavior—it’s harmless

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

C) confront coworker angrily in front of patients

D) correct the note yourself without saying anything

5 / 50

5) When documenting, abbreviations should be

A) avoided entirely

B) written in any language

C) limited to those approved by facility policy

D) created on the spot if shorter

6 / 50

6) 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) share personal home remedies

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

7 / 50

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

A) let him stay without conditions

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

C) leave them unmonitored

D) automatically refuse

8 / 50

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

A) ask their first name only

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

C) read the name on their chart aloud

D) recognize them by face from last week

9 / 50

9) 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

10 / 50

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

A) approval from other patients

B) patient consent or another HIPAA-permitted disclosure

C) no permission

D) posting on social media

11 / 50

11) Which phrase exemplifies patient-centered language?

A) “Why can’t you behave?”

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

C) “You noncompliant again?”

D) “You never listen.”

12 / 50

12) 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

13 / 50

13) 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) “We’re busy, please wait.”

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

14 / 50

14) The medical director’s responsibility includes

A) overseeing clinical care quality and policy compliance

B) ordering office supplies

C) daily machine disinfection

D) scheduling payroll

15 / 50

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

A) violates others’ privacy

B) the content is respectful and patient receptive

C) uses crude language

D) joke targets patient’s condition

16 / 50

16) 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

17 / 50

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

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

B) gossip from waiting room

C) unrelated jokes

D) personal opinions about patient’s attitude only

18 / 50

18) Which example breaches professional boundaries?

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

B) Using their preferred name respectfully

C) Supporting them during cannulation

D) Explaining treatment steps clearly

19 / 50

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

A) dictate care plans

B) negotiate staff schedules

C) remain silent and observe only

D) provide pertinent observations about patient tolerance and access status

20 / 50

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

A) delete the entry and start over with no trace

B) ignore it; small errors don’t matter

C) alter the time stamp

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

21 / 50

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

A) denying all requests

B) charging a large fee to discourage requests

C) immediate destruction of the record

D) providing supervised access or copy within a set timeframe

22 / 50

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

A) throw it away

B) post on notice board

C) hand to supervisor to place in chart

D) read it for curiosity

23 / 50

23) Sharing patient-identifiable photos on social media is

A) a breach of confidentiality without written authorization

B) acceptable with verbal permission only

C) acceptable if the face is blurred

D) encouraged for marketing

24 / 50

24) Confidential patient information can be faxed only if

A) you send during off-hours without notice

B) patient first name only is listed

C) the fax machine is located in an unsecured hallway

D) a cover sheet is used and destination confirmed

25 / 50

25) Professional appearance includes

A) clean uniform and name badge visible

B) long dangling jewelry

C) unwashed hands as gloves cover

D) strong cologne to mask odors

26 / 50

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

A) Patient care technician

B) Charge nurse/RN

C) Medical director

D) Receptionist

27 / 50

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

A) EPA

B) ADA

C) OSHA

D) HIPAA

28 / 50

28) Which is an example of nonverbal communication?

A) Speaking loudly

B) Text messaging

C) Providing written pamphlets

D) Smiling and maintaining eye contact

29 / 50

29) Coaching a new technician, you should

A) model correct procedures and give constructive feedback

B) ignore them—they will learn

C) ridicule mistakes

D) withhold tips to assert seniority

30 / 50

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

A) helpful teamwork

B) harmless if care was done

C) falsification of records and unethical

D) necessary during busy shifts

31 / 50

31) 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

32 / 50

32) Maintaining a calm tone during a heated conversation demonstrates

A) disinterest

B) therapeutic communication and professionalism

C) escalation

D) sarcasm

33 / 50

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

A) Biomedical technician

B) Receptionist

C) Registered dietitian in collaboration with the RN

D) Custodian

34 / 50

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

A) sell the tickets for charity

B) accept but document the gift

C) accept and share with coworkers

D) politely decline and explain facility policy

35 / 50

35) Which communication technique shows active listening?

A) Checking your phone while they talk

B) Folding arms and looking away

C) Nodding and paraphrasing the patient’s concern

D) Interrupting to finish their sentence

36 / 50

36) 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) notify the nurse immediately per chain of command

D) chart it and continue without telling anyone

37 / 50

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

A) schedule transportation

B) fix machine alarms

C) develop individualized nutrition plans and counsel patients

D) prescribe erythropoietin

38 / 50

38) Texting patient data from a personal phone is

A) acceptable with password protection

B) faster than secure email, so preferred

C) prohibited unless using encrypted, approved platform

D) convenient and always allowed

39 / 50

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

A) interpreted legal language

B) explained all risks thoroughly

C) wrote the prescription

D) observed the patient voluntarily sign the document

40 / 50

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

A) act as interpreter regardless of proficiency

B) guess meanings using gestures

C) request a qualified medical interpreter per policy

D) ask another patient to translate

41 / 50

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

A) ignore; not your responsibility

B) gossip about them to other staff

C) cover for them indefinitely

D) address concern through appropriate channels such as supervisor

42 / 50

42) 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

43 / 50

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

A) chain-of-command policy

B) infection-control precautions

C) equipment maintenance rules

D) HIPAA privacy standards

44 / 50

44) 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

45 / 50

45) 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

46 / 50

46) A signed consent form for treatment should be kept

A) mailed to the insurance company

B) in public view at the station

C) posted on the unit bulletin board

D) within the patient’s confidential medical record

47 / 50

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

A) Charge nurse

B) Nephrologist or other prescribing provider

C) Social worker

D) Patient care technician

48 / 50

48) Which action fosters patient autonomy?

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

B) Withholding information to avoid worry

C) Rushing through explanations

D) Making all decisions for the patient

49 / 50

49) 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

50 / 50

50) 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

Your score is

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