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) model correct procedures and give constructive feedback

B) ridicule mistakes

C) ignore them—they will learn

D) withhold tips to assert seniority

2 / 50

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

A) Another patient

B) Dialysis receptionist

C) Nephrologist directly via phone bypassing RN

D) Assigned RN or charge nurse per policy

3 / 50

3) Which phrase exemplifies patient-centered language?

A) “Why can’t you behave?”

B) “You noncompliant again?”

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

D) “You never listen.”

4 / 50

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

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

B) personal opinions about patient’s attitude only

C) gossip from waiting room

D) unrelated jokes

5 / 50

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

A) prescribe erythropoietin

B) fix machine alarms

C) develop individualized nutrition plans and counsel patients

D) schedule transportation

6 / 50

6) The social worker’s role includes

A) prescribing antibiotics

B) helping patients cope with psychosocial issues and access resources

C) repairing RO systems

D) adjusting dialysate sodium

7 / 50

7) 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.”

8 / 50

8) 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

9 / 50

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

A) providing supervised access or copy within a set timeframe

B) immediate destruction of the record

C) denying all requests

D) charging a large fee to discourage requests

10 / 50

10) 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

11 / 50

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

A) remain silent and observe only

B) provide pertinent observations about patient tolerance and access status

C) negotiate staff schedules

D) dictate care plans

12 / 50

12) 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) ignore it; small errors don’t matter

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

13 / 50

13) Which action fosters patient autonomy?

A) Rushing through explanations

B) Withholding information to avoid worry

C) Making all decisions for the patient

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

14 / 50

14) 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) patient first name only is listed

D) a cover sheet is used and destination confirmed

15 / 50

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

A) interpreted legal language

B) observed the patient voluntarily sign the document

C) explained all risks thoroughly

D) wrote the prescription

16 / 50

16) 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

17 / 50

17) 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

18 / 50

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

A) respect autonomy, inform RN, and document refusal

B) physically restrain them

C) force completion due to prescription

D) threaten discharge

19 / 50

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

A) save electricity

B) comply with OSHA

C) reduce paper clutter

D) ensure confidentiality and prevent unauthorized access

20 / 50

20) Texting patient data from a personal phone is

A) faster than secure email, so preferred

B) prohibited unless using encrypted, approved platform

C) convenient and always allowed

D) acceptable with password protection

21 / 50

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

A) accept and share with coworkers

B) accept but document the gift

C) sell the tickets for charity

D) politely decline and explain facility policy

22 / 50

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

A) address concern through appropriate channels such as supervisor

B) gossip about them to other staff

C) ignore; not your responsibility

D) cover for them indefinitely

23 / 50

23) 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) guess meanings using gestures

D) act as interpreter regardless of proficiency

24 / 50

24) A patient care plan change must be signed by

A) dialysis vendor

B) the interdisciplinary team members per facility policy

C) any technician available

D) visiting family

25 / 50

25) 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) say “Don’t think about it.”

C) continue silently

D) change the subject to TV shows

26 / 50

26) 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

27 / 50

27) To respect cultural differences, a technician should FIRST

A) ask respectful, open-ended questions about preferences

B) assume all patients share the same beliefs

C) ignore cultural cues

D) refuse to accommodate any rituals

28 / 50

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

A) notify the nurse immediately per chain of command

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

C) chart it and continue without telling anyone

D) tell the patient to ignore it

29 / 50

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

A) Registered dietitian in collaboration with the RN

B) Biomedical technician

C) Custodian

D) Receptionist

30 / 50

30) 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

31 / 50

31) Which example breaches professional boundaries?

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

B) Supporting them during cannulation

C) Using their preferred name respectfully

D) Explaining treatment steps clearly

32 / 50

32) A signed consent form for treatment should be kept

A) in public view at the station

B) posted on the unit bulletin board

C) mailed to the insurance company

D) within the patient’s confidential medical record

33 / 50

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

A) “Patient probably intoxicated.”

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

C) vague subjective statement

D) no documentation

34 / 50

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

A) patient consent or another HIPAA-permitted disclosure

B) no permission

C) approval from other patients

D) posting on social media

35 / 50

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

A) leave them unmonitored

B) let him stay without conditions

C) automatically refuse

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

36 / 50

36) Which communication technique shows active listening?

A) Folding arms and looking away

B) Checking your phone while they talk

C) Nodding and paraphrasing the patient’s concern

D) Interrupting to finish their sentence

37 / 50

37) 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

38 / 50

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

A) read the name on their chart aloud

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

C) recognize them by face from last week

D) ask their first name only

39 / 50

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

A) necessary during busy shifts

B) falsification of records and unethical

C) helpful teamwork

D) harmless if care was done

40 / 50

40) 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) provide detailed instructions immediately

C) share personal home remedies

D) tell them to skip dialysis next session

41 / 50

41) 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

42 / 50

42) Professional appearance includes

A) strong cologne to mask odors

B) clean uniform and name badge visible

C) long dangling jewelry

D) unwashed hands as gloves cover

43 / 50

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

A) firmly redirecting the conversation to treatment matters

B) ignoring the patient completely

C) laughing along and reciprocating

D) sharing personal stories in return

44 / 50

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

A) ADA

B) EPA

C) HIPAA

D) OSHA

45 / 50

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

A) Patient care technician

B) Receptionist

C) Charge nurse/RN

D) Medical director

46 / 50

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

A) allowed if kept secret

B) must be reported to supervisor to assess boundary issues

C) always allowed

D) encouraged to improve rapport

47 / 50

47) Maintaining a calm tone during a heated conversation demonstrates

A) sarcasm

B) disinterest

C) therapeutic communication and professionalism

D) escalation

48 / 50

48) Which is an example of nonverbal communication?

A) Providing written pamphlets

B) Smiling and maintaining eye contact

C) Speaking loudly

D) Text messaging

49 / 50

49) 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) throw it away

D) read it for curiosity

50 / 50

50) 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) violates others’ privacy

D) uses crude language

Your score is

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