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) Coaching a new technician, you should

A) withhold tips to assert seniority

B) ridicule mistakes

C) model correct procedures and give constructive feedback

D) ignore them—they will learn

2 / 50

2) Sharing patient-identifiable photos on social media is

A) acceptable if the face is blurred

B) a breach of confidentiality without written authorization

C) encouraged for marketing

D) acceptable with verbal permission only

3 / 50

3) Texting patient data from a personal phone is

A) acceptable with password protection

B) convenient and always allowed

C) prohibited unless using encrypted, approved platform

D) faster than secure email, so preferred

4 / 50

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

A) EPA

B) ADA

C) OSHA

D) HIPAA

5 / 50

5) When documenting, abbreviations should be

A) created on the spot if shorter

B) written in any language

C) avoided entirely

D) limited to those approved by facility policy

6 / 50

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

A) laughing along and reciprocating

B) ignoring the patient completely

C) firmly redirecting the conversation to treatment matters

D) sharing personal stories in return

7 / 50

7) 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

8 / 50

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

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

B) no documentation

C) vague subjective statement

D) “Patient probably intoxicated.”

9 / 50

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

A) hand to supervisor to place in chart

B) post on notice board

C) read it for curiosity

D) throw it away

10 / 50

10) 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

11 / 50

11) 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

12 / 50

12) 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

13 / 50

13) Which example breaches professional boundaries?

A) Explaining treatment steps clearly

B) Using their preferred name respectfully

C) Supporting them during cannulation

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

14 / 50

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

A) Dialysis receptionist

B) Assigned RN or charge nurse per policy

C) Nephrologist directly via phone bypassing RN

D) Another patient

15 / 50

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

A) always allowed

B) allowed if kept secret

C) encouraged to improve rapport

D) must be reported to supervisor to assess boundary issues

16 / 50

16) 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

17 / 50

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

A) denying all requests

B) immediate destruction of the record

C) charging a large fee to discourage requests

D) providing supervised access or copy within a set timeframe

18 / 50

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

A) unrelated jokes

B) personal opinions about patient’s attitude only

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

D) gossip from waiting room

19 / 50

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

A) helpful teamwork

B) necessary during busy shifts

C) harmless if care was done

D) falsification of records and unethical

20 / 50

20) Which statement demonstrates empathy?

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

B) “We’re busy, please wait.”

C) “Don’t worry, it’s not that bad.”

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

21 / 50

21) Which phrase exemplifies patient-centered language?

A) “You never listen.”

B) “You noncompliant again?”

C) “Why can’t you behave?”

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

22 / 50

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

A) address concern through appropriate channels such as supervisor

B) ignore; not your responsibility

C) gossip about them to other staff

D) cover for them indefinitely

23 / 50

23) 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) recognize them by face from last week

D) read the name on their chart aloud

24 / 50

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

A) ask another patient to translate

B) act as interpreter regardless of proficiency

C) guess meanings using gestures

D) request a qualified medical interpreter per policy

25 / 50

25) A signed consent form for treatment should be kept

A) posted on the unit bulletin board

B) in public view at the station

C) within the patient’s confidential medical record

D) mailed to the insurance company

26 / 50

26) Confidential patient information can be faxed only if

A) you send during off-hours without notice

B) the fax machine is located in an unsecured hallway

C) a cover sheet is used and destination confirmed

D) patient first name only is listed

27 / 50

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

A) ignore it; small errors don’t matter

B) delete the entry and start over with no trace

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

D) alter the time stamp

28 / 50

28) 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

29 / 50

29) A patient care plan change must be signed by

A) dialysis vendor

B) the interdisciplinary team members per facility policy

C) visiting family

D) any technician available

30 / 50

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

A) required stress relief

B) acceptable humor

C) a violation of patient dignity and professionalism

D) harmless banter

31 / 50

31) To respect cultural differences, a technician should FIRST

A) ask respectful, open-ended questions about preferences

B) refuse to accommodate any rituals

C) assume all patients share the same beliefs

D) ignore cultural cues

32 / 50

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

A) fix machine alarms

B) prescribe erythropoietin

C) schedule transportation

D) develop individualized nutrition plans and counsel patients

33 / 50

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

A) a confidentiality breach and potential discrimination issue

B) necessary for team gossip

C) encouraged to protect everyone

D) permissible under HIPAA

34 / 50

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

A) Charge nurse

B) Patient care technician

C) Nephrologist or other prescribing provider

D) Social worker

35 / 50

35) 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

36 / 50

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

A) remain silent and observe only

B) dictate care plans

C) negotiate staff schedules

D) provide pertinent observations about patient tolerance and access status

37 / 50

37) Which communication technique shows active listening?

A) Checking your phone while they talk

B) Nodding and paraphrasing the patient’s concern

C) Folding arms and looking away

D) Interrupting to finish their sentence

38 / 50

38) 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) correct the note yourself without saying anything

D) confront coworker angrily in front of patients

39 / 50

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

A) joke targets patient’s condition

B) violates others’ privacy

C) the content is respectful and patient receptive

D) uses crude language

40 / 50

40) Professional appearance includes

A) unwashed hands as gloves cover

B) strong cologne to mask odors

C) long dangling jewelry

D) clean uniform and name badge visible

41 / 50

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

A) physically restrain them

B) threaten discharge

C) respect autonomy, inform RN, and document refusal

D) force completion due to prescription

42 / 50

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

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

B) change the subject to TV shows

C) continue silently

D) say “Don’t think about it.”

43 / 50

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

A) infection-control precautions

B) equipment maintenance rules

C) chain-of-command policy

D) HIPAA privacy standards

44 / 50

44) The medical director’s responsibility includes

A) overseeing clinical care quality and policy compliance

B) ordering office supplies

C) scheduling payroll

D) daily machine disinfection

45 / 50

45) Maintaining a calm tone during a heated conversation demonstrates

A) sarcasm

B) escalation

C) disinterest

D) therapeutic communication and professionalism

46 / 50

46) Which is an example of nonverbal communication?

A) Speaking loudly

B) Text messaging

C) Providing written pamphlets

D) Smiling and maintaining eye contact

47 / 50

47) 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

48 / 50

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

A) reduce paper clutter

B) ensure confidentiality and prevent unauthorized access

C) save electricity

D) comply with OSHA

49 / 50

49) The social worker’s role includes

A) repairing RO systems

B) helping patients cope with psychosocial issues and access resources

C) adjusting dialysate sodium

D) prescribing antibiotics

50 / 50

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

A) Patient care technician

B) Receptionist

C) Charge nurse/RN

D) Medical director

Your score is

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