CHT Patient Assessment and Monitoring in Dialysis

Question 1

What is the acceptable pre-dialysis systolic blood pressure range that typically allows hemodialysis treatment to proceed without intervention?

Accepted Answer

90–180 mmHg

Answer

Less than 90 mmHg

Answer

Greater than 200 mmHg

Answer

Exactly 120 mmHg

Question 2

Which vital sign change most commonly signals the onset of intradialytic hypotension during hemodialysis?

Accepted Answer

Drop in systolic blood pressure of ≥20 mmHg accompanied by symptoms

Answer

Sudden increase in body temperature above 38°C

Answer

Sustained heart rate above 100 bpm for 10 minutes

Answer

Decrease in respiratory rate below 12 breaths per minute

Question 3

What is the primary clinical purpose of establishing a patient's 'dry weight' in hemodialysis?

Accepted Answer

To determine the target post-dialysis weight and guide the amount of fluid removal

Answer

To calculate the appropriate dose of erythropoiesis-stimulating agents

Answer

To assess the patient's nutritional protein intake between treatments

Answer

To set the optimal blood flow rate for the treatment session

Question 4

Which patient symptom during hemodialysis requires the technician to immediately notify the supervising nurse?

Accepted Answer

Sudden onset of chest pain and shortness of breath

Answer

Patient reports feeling mildly thirsty during treatment

Answer

Patient requests an extra blanket because they feel cold

Answer

Patient asks to use the restroom mid-treatment

Question 5

During routine hemodialysis, how frequently should vital signs be monitored at a minimum to meet standard practice requirements?

Accepted Answer

Every 30 minutes throughout the entire treatment

Answer

Once at the beginning of treatment only

Answer

Only when the patient complains of a symptom

Answer

Every 2 hours throughout the treatment session

Question 6

Which vascular access assessment finding before cannulation is most concerning and should prompt notification of the nurse before proceeding?

Accepted Answer

Absence of bruit on auscultation over the access site

Answer

A palpable thrill along the length of the arteriovenous fistula

Answer

Visible, well-distended veins with adequate vessel prominence

Answer

Warm skin temperature of the extremity containing the access

Question 7

A patient's pre-dialysis weight is 75 kg and their established dry weight is 73 kg. What is the patient's interdialytic weight gain?

Accepted Answer

2 kg

Answer

73 kg

Answer

148 kg

Answer

0.5 kg