Certified Hemodialysis Technologist/Technician Exam Infection Control and Patient Safety in Dialysis 2

Question 1

Catheter-related bloodstream infection (CRBSI) in hemodialysis patients most commonly presents with:

Accepted Answer

Fever with or without rigors, often without localizing signs at the catheter site

Answer

Exit site redness only

Answer

Hypertension and weight gain

Answer

Elevated potassium levels

Question 2

Which organism is the most common cause of catheter-related bloodstream infections in hemodialysis patients?

Accepted Answer

Staphylococcus aureus

Answer

Pseudomonas aeruginosa

Answer

Escherichia coli

Answer

Candida species

Question 3

The recommended approach to CVC exit site care in hemodialysis includes:

Accepted Answer

Cleaning with chlorhexidine or povidone-iodine and applying a sterile dry dressing at each dialysis visit

Answer

Cleaning only with normal saline, no dressing required

Answer

Only cleaning the exit site monthly

Answer

Using antibiotic ointment on all exit sites routinely

Question 4

When dialyzing a patient with active pulmonary tuberculosis, which additional precaution is required beyond standard precautions?

Accepted Answer

Airborne precautions with N95 respirator and negative-pressure room if available

Answer

Contact precautions only

Answer

Droplet precautions with surgical mask

Answer

No additional precautions beyond standard

Question 5

The hepatitis B vaccination series is recommended for which hemodialysis patients?

Accepted Answer

All susceptible (anti-HBs negative) hemodialysis patients

Answer

Only patients under age 40

Answer

Only patients with a history of IV drug use

Answer

Only staff, not patients

Question 6

Vascular access care bundles in hemodialysis facilities are designed primarily to reduce:

Accepted Answer

Catheter-related bloodstream infections (CRBSI) through standardized aseptic technique

Answer

Dialysis machine downtime

Answer

Dialyzer reuse frequency

Answer

Patient wait times