On this page, you’ll discover a button that grants full access to the Certified Hemodialysis Technologist (CHT) practice test. Just beneath it, there is a chance to delve into a comprehensive practice test designed for extensive revision. These tests are invaluable for showcasing your capabilities, identifying areas that need improvement, and optimizing your study approach.

To further boost your preparation, especially in topics that demand more focus, we have created targeted quizzes. Each quiz is meticulously designed to concentrate on specific elements of the CHT exam, providing a focused and efficient study experience.

Certified Hemodialysis Technologist (CHT) Domain Exams

The Certified Hemodialysis Technologist/Technician (CHT) exam, administered by the Board of Nephrology Examiners Nursing and Technology (BONENT), is structured into five key domains, each with a specific percentage weight and focus area. 

Here’s a breakdown of the exam content:

Domain 1: Patient Care

  • Exam Percentage: 45%
  • Focus: This domain evaluates competencies related to fluid management, patient data collection and assessment, documentation, and treatment management. Skills in evaluating and managing patient treatments are critical here.

Welcome to your CHT Domain 1: Patient Care

Domain 2: Machine Technology

  • Exam Percentage: 12%
  • Focus: Questions in this section test your ability to set up, maintain, and troubleshoot dialysis machines. This includes understanding blood and dialysate flow rates and overall machine operation.

Welcome to your CHT Domain 2: Machine Technology

Domain 3: Water Treatment

  • Exam Percentage: 15%
  • Focus: This part of the exam covers system design, maintenance, and monitoring of water treatment systems, including checks for total chlorine/chloramines levels.

Welcome to your CHT Domain 3: Water Treatment

Domain 4: Infection Control

  • Exam Percentage: 18%
  • Focus: This section focuses on maintaining a clean and safe environment, using precautions specific to dialysis, and implementing isolation procedures.

Welcome to your CHT Domain 4: Infection Control

Domain 5: Education and Professional Development

  • Exam Percentage: 10%
  • Focus: Questions assess the ability to educate patients, engage in professional development, and understand quality-related issues. Communication skills with staff and patients are also tested.

Welcome to your CHT Domain 5: Education and Professional Development

Exam Domain% of examFocus Area
Patient Care45%Fluid management, patient data assessment, documentation, treatment management
Machine Technology12%Setup, maintenance, troubleshooting of dialysis machines
Water Treatment15%System design, maintenance, monitoring of water treatment systems
Infection Control18%Maintaining clean and safe environment, dialysis precautions, isolation procedures
Education and Professional Development10%Patient education, professional development, communication skills

Additional Information

  • The exam consists of 150 multiple-choice questions to be completed within a three-hour limit. To pass, candidates must score a minimum scaled score of 70 on a scale of 1 to 100.
  • The registration process involves submitting an application to BONENT along with the necessary documentation and fees (USD 225 for the paper-and-pencil test and USD 250 for the computer-based test). Preparing for this exam requires a thorough understanding of the above domains and practical experience in a dialysis setting.
  • For those looking to enhance their preparation, various resources such as study guides, flashcards, and practice tests are available, which can provide additional support in mastering the content areas covered in the exam​​.

Certified Hemodialysis Technologist (CHT) Exam Breakdown

The Certified Hemodialysis Technologist/Technician (CHT) exam is administered by the Board of Nephrology Examiners Nursing and Technology (BONENT). It aims to validate the proficiency and knowledge necessary for technical roles in dialysis settings. Here’s a detailed breakdown of the exam and resources to help prepare for it:

Exam Overview

The CHT exam consists of 150 multiple-choice questions, divided into five main domains:

  1. Patient Care (45% of the exam): Focuses on direct patient care and monitoring.
  2. Machine Technology (12%): Involves understanding and handling dialysis machines.
  3. Water Treatment (15%): Assess knowledge on the maintenance and monitoring of water treatment systems.
  4. Infection Control (18%): Tests ability to maintain a clean and safe environment.
  5. Education and Professional Development (10%): Relates to educating patients and engaging in professional development.

The exam has a three-hour time limit and can be taken either as a paper-and-pencil exam (PPE) or via computer-based testing (CBT). The paper version costs USD 225, and the computer version is USD 250​​.


To qualify for the CHT exam, candidates must have:

  • A high school diploma or equivalent.
  • At least six months of experience in nephrology patient care or completion of a BONENT approved program within the last two years​​.

Preparation and Resources

Candidates are encouraged to thoroughly prepare for the exam. Study guides and practice questions are available to help with this. These resources offer detailed study materials and insights into the exam format and content areas​.

Registration and Test Day Info

Candidates must submit an application that includes all necessary documentation to prove eligibility. Once approved, you will receive details on how to schedule your exam. On the day of the test, candidates must arrive early and bring proper identification; no personal items or electronic devices are allowed in the testing center​.

How to Become CHT Certified

To become a Certified Hemodialysis Technologist/Technician (CHT), you’ll need to follow a series of steps that involve education, experience, and examination. 

Here’s a general outline of the process:

  1. Education and Training: Begin by completing an educational program that’s specifically designed for dialysis technicians. Programs typically require a high school diploma or GED to enroll and can vary in length. Some states may have additional specific requirements or programs may include a clinical practicum. Training usually covers important topics such as hemodialysis procedures, machine technology, and patient care.
  2. Gaining Experience: Some certifications, like the CHT offered by the Board of Nephrology Examiners Nursing and Technology (BONENT), require you to have a certain amount of work experience. This can be around 12 months of clinical experience, depending on the certifying body​.
  3. Application and Eligibility: After completing your training, you’ll need to verify your eligibility for certification, which includes submitting proof of education, work experience, and possibly a signed reference letter from a supervisor or instructor in the field of nephrology​.
  4. Registering for the Exam: Choose a certification body such as BONENT, the Nephrology Nursing Certification Commission (NNCC), or the National Nephrology Certification Organization (NNCO), and register for the exam. Be prepared to pay the exam fee, which varies depending on the format (paper and pencil or computer-based)​.
  5. Studying for the Exam: Utilize study guides and practice exams to prepare. The CHT exam generally covers five domains: patient care, machine technology, water treatment, infection control, and education and professional development. It’s essential to familiarize yourself with these topics​.
  6. Taking the Exam: On the exam day, arrive early with proper identification to allow time for the check-in process. The exam usually consists of multiple-choice questions and lasts about three hours​.
  7. Certification and Recertification: Once you pass the exam, you’ll receive your certification. Remember that this certification needs to be renewed periodically through continuing education or reexamination, depending on the specific requirements of the certifying body​​.

It’s also wise to check with your state’s health authority or the specific certifying bodies for any state-specific requirements or changes in the certification process.

Our Experience Teaching CHT Candidates To Pass The Exam

At Career Employer, developing our Certified Hemodialysis Technologist (CHT) practice tests has been an extraordinary journey marked by both significant achievements and challenges. This initiative was propelled by the exam’s broad spectrum of topics and our commitment to addressing the unique needs of our learners.

We have painstakingly designed every aspect of our methodology to ensure that each student is fully equipped to excel in the exam. Our commitment to providing a comprehensive educational experience is reflected in the thorough coverage and meticulous detail of our practice materials, emphasizing our dedication to our students’ success.

Teaching the Certified Hemodialysis Technologist (CHT) certification involves a comprehensive approach to cover both the theoretical knowledge and practical skills required for dialysis technicians. From a lecturer’s perspective, the key to successfully managing this course is to ensure that students understand the critical nature of their future role in patient care. 

Here’s how a lecturer might approach this:

  1. Curriculum Design: A lecturer must design a curriculum that balances theory with practical application. This includes detailed modules on kidney physiology, the principles of hemodialysis, equipment operation, and patient care. It’s also crucial to integrate current guidelines and standards from organizations such as the National Kidney Foundation.
  2. Interactive Teaching Methods: To engage students effectively, the use of interactive teaching methods such as group discussions, case studies, and hands-on demonstrations is essential. These methods help students understand complex concepts and develop problem-solving skills.
  3. Assessment and Feedback: Regular assessments are necessary to gauge understanding and progress. These might include quizzes, practical exams, and simulation-based assessments. Constructive feedback helps students identify areas for improvement.
  4. Continual Learning: Keeping up-to-date with the latest developments in dialysis technology and treatment protocols is crucial. Lecturers often attend seminars, workshops, and conferences to stay informed.
  5. Resource Utilization: Effective teaching involves utilizing a variety of resources. Textbooks, online courses, professional journals, and guidelines from health organizations are essential tools. In addition, partnerships with local hospitals or clinics can provide practical exposure for students.

At Career Employer, our Certified Hemodialysis Technologist (CHT) certification practice tests are the product of relentless work by a team of experts, each possessing extensive knowledge and experience in preparing candidates for the CHT exam. Utilizing their profound expertise, they have successfully guided over a thousand aspiring emergency dialysis technicians towards achieving their CHT certifications, with a particular focus on the specialized needs of medical assistants.

Our team comprises professionals each with over a decade of specialized experience in dialysis technology. This ensures that our practice materials are not only crafted by authorities in the field but are also exceptionally effective in equipping candidates for success on their certification journey. Our unwavering commitment to excellence guarantees that users of our materials are thoroughly prepared and confident in achieving their certification goals.

Effective Study Strategies and Methods

To effectively prepare for the Certified Hemodialysis Technologist (CHT) exam, consider the following strategies based on resources and recommendations from reputable sources:

  1. Structured Review and Study Guides: Begin with the BONENT website, which offers a compilation of textbooks and study materials specifically designed to aid candidates in their exam preparation. This includes a variety of books and publications that cover the exam’s scope extensively​.
  2. Practice Exams: Engage with practice tests to identify your strengths and weaknesses. Websites like CHTStudy.com provide highly accurate practice exams that simulate the conditions of the actual CHT exam, helping to build confidence and time management skills under exam conditions.
  3. In-depth Learning: Utilize the Mometrix guide for the CCHT exam, which offers comprehensive study materials, including practice questions and detailed explanations that cover clinical, technical, environment, and role responsibilities of a dialysis technician. This resource is crucial as it offers insights into the structure and content areas of the exam, helping you to focus on essential topics.
  4. Join Study Groups and Forums: Participate in study groups either online or locally. Engaging with peers can provide support and facilitate knowledge exchange, which is beneficial for clarifying doubts and gaining different perspectives on difficult topics.
  5. Regular Revision and Testing: Schedule regular study sessions and use online tools for continuous testing to keep the learned material fresh. The Nephrology Nursing Certification Commission recommends regular practice with their online practice exams, which are designed to mimic the actual test environment​.
  6. Emotional and Physical Preparation: Manage exam stress by adopting anxiety-reducing strategies such as relaxation techniques, guided imagery, or exercise. Ensure you are well-rested and nourished on the day of the exam to maintain optimal focus and performance​.
  7. Utilize Online Resources and Books: Resources like the “Core Curriculum for the Dialysis Technician” and “Review of Hemodialysis for Nurses and Dialysis Personnel” are invaluable for in-depth study and can be found through various educational platforms and bookstores​.

By following these strategies and utilizing the recommended resources, you will be well-prepared to tackle the CHT exam with confidence.


ItemDetailsCost (USD)
Exam Fee (PPE)Paper-and-Pencil ExamUSD 225
Exam Fee (CBT)Computer-Based TestingUSD 250
Expedited ApplicationFaster processing within 7 daysUSD 100 plus exam fee
Incomplete Application FeeFee for missing documents or informationUSD 70
Withdrawal & Transfer FeeFor changing or cancelling exam registrationUSD 120
Returned Check FeeFee for bounced checksUSD 85
Annual Certification FeeRequired yearly to maintain certificationUSD 60 (increasing to USD 65 after 5/1/24)
Late FeeApplied if annual fee is not paid on timeVaries

The costs associated with obtaining the Certified Hemodialysis Technologist (CHT) certification vary based on several factors, including the type of exam taken, study materials, and any additional fees.

Certification Exam Costs

  • Exam Fees:
    • Paper-and-Pencil Exam (PPE): USD 225
    • Computer-Based Testing (CBT): USD 250
    • For candidates outside the USA, both PPE and CBT cost USD 250, but this will increase slightly after February 1, 2024.
  • Additional Fees
  • Application Processing: If expedited, there’s an additional USD 100 on top of the base exam fee.
  • Incomplete Application Fee: USD 70
  • Exam Withdrawal and Transfer Fee: USD 120
  • Returned Check Fee: USD 85
  • Annual Certification and Other Costs
    • Annual Certification Fee: USD 60, increasing to USD 65 after May 1, 2024. This can also be paid in a lump sum for four years, which will be USD 240 starting May 1, 2024.
    • Late Fees: If annual fees are not paid on time, a late fee applies, escalating over time if the delay continues.

Study and Preparation Costs

  • Study Materials: Online practice tests and study guides can range anywhere from USD 50 for an online practice test to various prices for comprehensive study guides and flashcards.
  • Training Programs: The cost of training programs can vary significantly depending on the institution, typically requiring at least a high school diploma or equivalent to enroll. Some programs may be completed in as little as one semester, but costs will vary based on duration and depth of the program.

Post-Exam Costs

  • Retake Fees: If you need to retake the exam, you will pay the full examination fee again. If failing more than three times, additional nephrology-related education may be required.

These fees are primarily based on information from the Board of Nephrology Examiners Nursing and Technology (BONENT) and additional sources on study materials and exam preparation​.

Reliable Study Materials and Resources

To prepare for the Certified Hemodialysis Technologist (CHT) certification exam, you have a variety of resources available online that can help you study effectively:

  1. Mometrix Test Preparation: offers a comprehensive study guide and flashcards tailored for the CHT exam. These resources include practice questions, video tutorials, and detailed study lessons that cover all the domains of the exam such as patient care, machine technology, water treatment, infection control, and professional development. 
  2. Test Prep Review: provides an overview of the exam and free online practice tests. It’s a great resource for familiarizing yourself with the format and types of questions you can expect. 
  3. Study Guide Zone: offers additional practice questions and a breakdown of the exam sections. This site also emphasizes the importance of a structured study plan to cover all necessary topics.
  4. Dialysis Techs: website offers insights into hybrid and in-person training programs, and additional tips on how to prepare for the certification exam, including the importance of using a variety of study materials and resources. 
  5. DumpsCloud: Offers BONENT Certified Hemodialysis Technologist/Technician exam dumps, which include a variety of study materials and online testing engines. These resources are designed to help you understand exam content deeply and provide practice with a format similar to the actual exam. You can also access free updates and a demo version to get an overview before purchasing. More details can be found on their website.
  6. Quizlet: Provides a range of flashcards that can help you memorize important terms and concepts for the CHT exam. These are particularly useful for on-the-go studying and repetitive learning, which can help reinforce your knowledge. 
  7. Amazon: Offers various study guides and flashcard sets, such as the “Certified Hemodialysis Technologist/Technician Exam Secrets Study Guide.” These resources are crafted by experts and aim to provide comprehensive reviews of the exam’s key concepts, along with practice questions and detailed explanations. 

Using these resources, you can develop a comprehensive study plan, utilizing online courses, study guides, and practice exams to ensure you cover all necessary materials and feel prepared for your certification exam.

Tips for Exam Day

To excel on the Certified Hemodialysis Technologist (CHT) exam, here are several key tips based on various resources:

  1. Understand the Exam Structure: The CHT exam consists of 150 multiple-choice questions, covering areas like patient care, machine technology, water treatment, infection control, and education/professional development. You’ll be given three hours to complete it.
  2. Preparation and Study: Start preparing several months in advance. Utilize study guides and practice tests to familiarize yourself with the format and types of questions you will encounter. Consider using flashcards for reviewing key concepts to enhance retention​.
  3. Focus on High-Weight Areas: Pay special attention to the Clinical and Technical sections, as they make up the largest portion of the exam. Understanding dialysis equipment, patient care protocols, and troubleshooting will be crucial​.
  4. Day of the Exam Tips: Arrive early to the testing center to allow ample time for the check-in process. Remember to bring necessary documentation such as your exam permit and a valid ID. Personal items are generally not allowed in the testing area, so prepare to store them securely​​.
  5. During the Exam: Read each question and all answer choices carefully. Pay attention to keywords and make sure you understand what each question is asking before selecting your answer. Managing your time effectively to ensure you can complete all questions within the allotted time is also key​​.
  6. Post-Exam: If you pass, you’ll receive your results and certificate details shortly after the exam. If you don’t pass, review the areas you struggled with by examining the breakdown of scores provided, and prepare to retake the exam focusing on those weaker areas​​.

By following these guidelines and thoroughly preparing, you’ll increase your chances of success on the CHT exam.

Post-Exam: Next Steps

After completing the Certified Hemodialysis Technologist (CHT) exam, there are several steps you can take to continue your professional development and leverage your new certification effectively:

  1. Verify and Share Your Certification: Once you pass the CHT exam, make sure to obtain your certificate and add this qualification to your professional profiles, such as LinkedIn, and inform your current or potential employers of your new certification to enhance your career prospects.
  2. Engage with Professional Communities: Participate in online forums and communities related to hemodialysis. Forums like the Student Doctor Network provide a space to discuss industry trends, share experiences, and gain insights from peers who are also certified professionals​​.
  3. Continuing Education: Stay updated with the latest in hemodialysis by engaging in continuing education. This is crucial not only to maintain your certification with the latest practices but also to enhance your professional skills. Many professionals share their strategies and study materials in online forums, which can be a rich resource for ongoing learning​.
  4. Prepare for Recertification: Keep in mind the requirements for recertification if applicable, as staying compliant is essential to maintain your status as a certified professional. This often involves accumulating professional development hours or earning credits through continuing education programs.
  5. Networking and Professional Growth: Use platforms like OpenTuition and similar online education resources to connect with other professionals, find mentors, or even offer mentorship to others entering the field. Sharing experiences and resources can provide mutual benefits and professional growth opportunities​.

Each of these steps will not only help you maintain your certification but also advance in your career by staying informed and connected within your professional community.


  1. “CCHT Exam Secrets Study Guide.” Amazon, https://www.amazon.com/CCHT-Exam-Secrets-Study-Guide/dp/1609710037.
  2. “Certified Hemodialysis Technologist Exam.” Mometrix Academy, https://www.mometrix.com/academy/certified-hemodialysis-technologist-exam/.
  3. “Certified Hemodialysis Technologist Exam.” Study Guide Zone, https://www.studyguidezone.com/certified-hemodialysis-technologist-exam.htm.
  4. “Home.” BONENT, http://www.bonent.org/.
  5. “Dialysis Technician Certification.” Medical Technology Schools, https://www.medicaltechnologyschools.com/dialysis-technician/dialysis-technician-certification.
  6. “Dialysis Technician Certification – CHT BONENT.” Dialysis Techs, https://dialysistechs.org/dialysis-technician-certification/cht-bonent/.
  7. “National Kidney Foundation.” National Kidney Foundation, https://www.kidney.org/.
  8. “Reading & Study Guides.” BONENT, https://bonent.org/reading-study-guides/.
  9. “CHT Study.” https://www.chtstudy.com/.
  10. “CCHT Practice Test.” Mometrix Academy, https://www.mometrix.com/academy/ccht-practice-test/.
  11. “CCHT Certification.” NNCC, https://www.nncc-exam.org/certification/ccht.
  12. “Mometrix Test Preparation.” Mometrix, https://www.mometrix.com/.
  13. “Test Prep Review.” Test Prep Review, https://www.testprepreview.com/.
  14. “Study Guide Zone.” Study Guide Zone, https://www.studyguidezone.com/.
  15. “Dialysis Techs.” https://www.dialysistechs.org/.
  16. “DumpsCloud.” https://www.dumpscloud.com/.
  17. “Needing help with testing for my CCHT.” Reddit, https://www.reddit.com/r/dialysis/comments/14b1i77/needing_help_with_testing_for_my_ccht/.
  18. “Quizlet.” Quizlet, https://quizlet.com/.
  19. “CHT.” Test Prep Review, https://www.testprepreview.com/cht.htm.
  20. “CCHT Certification: The Definitive Guide.” Mometrix Blog, https://www.mometrix.com/blog/ccht-certification-the-definitive-guide/.
  21. “YouTube Video.” YouTube, https://www.youtube.com/watch?v=zZ5nze3jXKE.
  22. “Radiology Forum.” Student Doctor Network, https://forums.studentdoctor.net/forums/radiology.42/.
  23. “How I passed the BCPS exam.” Student Doctor Network, https://forums.studentdoctor.net/threads/how-i-passed-the-bcps-exam.1326945/.
  24. “Open Tuition Discussion.” Open Tuition, https://opentuition.com/discussion/.
  25. “YouTube Video.” YouTube, https://www.youtube.com/watch?v=5ftXEfCjYFY.
  26. “CHT Certification Advice.” Reddit, https://www.reddit.com/r/OccupationalTherapy/comments/150gdzv/cht_certification_advice/.

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