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

A) Custodian

B) Biomedical technician

C) Receptionist

D) Registered dietitian in collaboration with the RN

2 / 50

2) The social worker’s role includes

A) prescribing antibiotics

B) adjusting dialysate sodium

C) helping patients cope with psychosocial issues and access resources

D) repairing RO systems

3 / 50

3) Which phrase exemplifies patient-centered language?

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

B) “You never listen.”

C) “You noncompliant again?”

D) “Why can’t you behave?”

4 / 50

4) When documenting, abbreviations should be

A) created on the spot if shorter

B) avoided entirely

C) limited to those approved by facility policy

D) written in any language

5 / 50

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

A) firmly redirecting the conversation to treatment matters

B) laughing along and reciprocating

C) ignoring the patient completely

D) sharing personal stories in return

6 / 50

6) 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) automatically refuse

C) leave them unmonitored

D) let him stay without conditions

7 / 50

7) The medical director’s responsibility includes

A) daily machine disinfection

B) ordering office supplies

C) scheduling payroll

D) overseeing clinical care quality and policy compliance

8 / 50

8) Which is an example of nonverbal communication?

A) Speaking loudly

B) Providing written pamphlets

C) Text messaging

D) Smiling and maintaining eye contact

9 / 50

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

A) Social worker

B) Nephrologist or other prescribing provider

C) Patient care technician

D) Charge nurse

10 / 50

10) Sharing patient-identifiable photos on social media is

A) encouraged for marketing

B) a breach of confidentiality without written authorization

C) acceptable if the face is blurred

D) acceptable with verbal permission only

11 / 50

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

A) no permission

B) approval from other patients

C) posting on social media

D) patient consent or another HIPAA-permitted disclosure

12 / 50

12) Maintaining a calm tone during a heated conversation demonstrates

A) escalation

B) disinterest

C) therapeutic communication and professionalism

D) sarcasm

13 / 50

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

A) alter the time stamp

B) delete the entry and start over with no trace

C) ignore it; small errors don’t matter

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

14 / 50

14) Coaching a new technician, you should

A) ignore them—they will learn

B) model correct procedures and give constructive feedback

C) withhold tips to assert seniority

D) ridicule mistakes

15 / 50

15) 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

16 / 50

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

A) acceptable humor

B) required stress relief

C) harmless banter

D) a violation of patient dignity and professionalism

17 / 50

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

A) Medical director

B) Receptionist

C) Patient care technician

D) Charge nurse/RN

18 / 50

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

A) dictate care plans

B) provide pertinent observations about patient tolerance and access status

C) remain silent and observe only

D) negotiate staff schedules

19 / 50

19) 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

20 / 50

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

A) helpful teamwork

B) falsification of records and unethical

C) necessary during busy shifts

D) harmless if care was done

21 / 50

21) 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

22 / 50

22) 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) interpreted legal language

D) explained all risks thoroughly

23 / 50

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

A) HIPAA privacy standards

B) chain-of-command policy

C) infection-control precautions

D) equipment maintenance rules

24 / 50

24) Which action fosters patient autonomy?

A) Rushing through explanations

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

C) Making all decisions for the patient

D) Withholding information to avoid worry

25 / 50

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

A) develop individualized nutrition plans and counsel patients

B) fix machine alarms

C) prescribe erythropoietin

D) schedule transportation

26 / 50

26) 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

27 / 50

27) Which communication technique shows active listening?

A) Nodding and paraphrasing the patient’s concern

B) Interrupting to finish their sentence

C) Checking your phone while they talk

D) Folding arms and looking away

28 / 50

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

A) uses crude language

B) joke targets patient’s condition

C) violates others’ privacy

D) the content is respectful and patient receptive

29 / 50

29) 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

30 / 50

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

A) post on notice board

B) throw it away

C) read it for curiosity

D) hand to supervisor to place in chart

31 / 50

31) A patient care plan change must be signed by

A) visiting family

B) dialysis vendor

C) any technician available

D) the interdisciplinary team members per facility policy

32 / 50

32) 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) Dialysis receptionist

D) Nephrologist directly via phone bypassing RN

33 / 50

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

A) denying all requests

B) immediate destruction of the record

C) providing supervised access or copy within a set timeframe

D) charging a large fee to discourage requests

34 / 50

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

A) gossip from waiting room

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

C) unrelated jokes

D) personal opinions about patient’s attitude only

35 / 50

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

A) OSHA

B) ADA

C) EPA

D) HIPAA

36 / 50

36) 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) ask their first name only

D) recognize them by face from last week

37 / 50

37) 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) say “Don’t think about it.”

D) continue silently

38 / 50

38) To respect cultural differences, a technician should FIRST

A) ask respectful, open-ended questions about preferences

B) ignore cultural cues

C) refuse to accommodate any rituals

D) assume all patients share the same beliefs

39 / 50

39) Which statement demonstrates empathy?

A) “We’re busy, please wait.”

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

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.”

40 / 50

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

A) permissible under HIPAA

B) encouraged to protect everyone

C) a confidentiality breach and potential discrimination issue

D) necessary for team gossip

41 / 50

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

A) force completion due to prescription

B) respect autonomy, inform RN, and document refusal

C) physically restrain them

D) threaten discharge

42 / 50

42) Which example breaches professional boundaries?

A) Supporting them during cannulation

B) Explaining treatment steps clearly

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

D) Using their preferred name respectfully

43 / 50

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

A) guess meanings using gestures

B) ask another patient to translate

C) act as interpreter regardless of proficiency

D) request a qualified medical interpreter per policy

44 / 50

44) Professional appearance includes

A) clean uniform and name badge visible

B) unwashed hands as gloves cover

C) strong cologne to mask odors

D) long dangling jewelry

45 / 50

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

A) ensure confidentiality and prevent unauthorized access

B) save electricity

C) comply with OSHA

D) reduce paper clutter

46 / 50

46) A signed consent form for treatment should be kept

A) posted on the unit bulletin board

B) mailed to the insurance company

C) within the patient’s confidential medical record

D) in public view at the station

47 / 50

47) 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) correct the note yourself without saying anything

C) ignore the behavior—it’s harmless

D) confront coworker angrily in front of patients

48 / 50

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

A) politely decline and explain facility policy

B) accept but document the gift

C) sell the tickets for charity

D) accept and share with coworkers

49 / 50

49) Texting patient data from a personal phone is

A) acceptable with password protection

B) convenient and always allowed

C) faster than secure email, so preferred

D) prohibited unless using encrypted, approved platform

50 / 50

50) Confidential patient information can be faxed only if

A) patient first name only is listed

B) the fax machine is located in an unsecured hallway

C) you send during off-hours without notice

D) a cover sheet is used and destination confirmed

Your score is

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