Latest PDF of BONENT-CPDN: Certified Peritoneal Dialysis Nurse

Certified Peritoneal Dialysis Nurse Practice Test

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Exam Code: CPDN
Exam Name: BONENT Certified Peritoneal Dialysis Nurse
Questions asked: 150 multiple-choice questions
Passing Marks: 70%
Time Allotted: 3 Hours
Exam Type: Computer-Based Testing (CBT)

DOMAIN I: Nursing Process (60%)
Collect, document and analyze patient information before, during, and after dialysis in order to maintain and/or Excellerate the quality of patient care through continuous evaluation and ongoing revision of interventions.
- Interviewing Techniques
- Physical Assessment
- Normal and abnormal patient signs and symptoms
- Nursing Assessment
- Patient, family, and significant others’ knowledge, skills, and self-care abilities
- Gross and fine motor coordination
- Hand strength
- Vision
- Human Anatomy and Physiology
- Anatomy and physiology of the kidney and urinary system
- Anatomy and physiology of the peritoneum
- Fluid balance
- Acid base balance
- Electrolyte balance
- Erythropoiesis
- Pathophysiology of the Kidney and Urinary System
- Etiologies of End Stage Renal Disease
- Laboratory Testing
- Patient preparation
- Nursing responsibilities
- Interpretation of results
- Diagnostic Testing
- Patient preparation
- Nursing responsibilities
- Interpretation of results
- Pharmacology
- General
- Alterations in drug excretion and metabolism in end stage renal disease
- Drugs used frequently in ESRD patients
- Alterations in drug metabolism and excretion in peritoneal dialysis
- Kinetics of intraperitoneally administered medications
- Antibiotics used in peritonitis
- Methods of administration
- Medical and Surgical Asepsis
- Clinical Manifestations of End Stage Renal Disease
- Dietary Prescriptions for End Stage Renal Disease Patients
- Predialysis
- Peritoneal dialysis
- Hemodialysis
- Transplantation
- General Principles of Dialysis
- Osmosis
- Diffusion
- Ultrafiltration
- Blood flow
- Membrane area
- Dialysis solution
- Kinetics of Peritoneal Dialysis
- Dialysate to plasma equilibration
- Ultrafiltration patterns
- Absorption of calcium, dextrose
- Obligatory losses of protein, water soluble vitamins, hormones
- Factors that influence ultrafiltration
- Factors that influence solute transport
- Drug transport
- Kt/V measurement
- Peritonal Membrane Characteristics
- Measurement of peritoneal membrane characteristics (PET)
- Types of Peritoneal Dialysis
- CAPD
- CCPD
- IPD or NPD
- Peritoneal Dialysis Systems
- (i.e., Cyclers; CAPD systems – bag-spike, bag-spike with assist device; disconnect systems; sterile connections device)
- Dialysis Solutions
- Composition
- Dextrose concentrations
- Volumes
- Containers
- Access
- Types
- acute
- chronic
- Preoperative nursing management
- Insertion techniques
- Postoperative management
- Peritoneal Dialysis Prescription
- Type of dialysis (i.e., IPD, CAPD, CCPD)
- Frequency of dialysis
- Exchange volume
- Number exchanges
- Type(s) solution
- System of equipment to be used
- Time (total exchange, fill time, dwell time, drain time, etc.)
- Additives
- Acute Peritoneal Dialysis (hospitalized, ill patients)
- Indications
- Predialysis patient assessment and education
- Initiating and terminating dialysis
- Monitoring
- Patient education, psychosocial support during treatment
- Procedures
- Chronic automated dialysis (IPD, CCPD)
- predialysis patient assessment
- machine set up
- initiation of dialysis
- technical problem solving, troubleshooting
- diagnosis and management of patient problems/complicaitons
- discontinuing dialysis
- post dialysis assessment
- documentation
- Chronic manual dialysis (CAPD)
- procedure for initiation of dialysis
- exchange procedure
- daily patient assessment, documentation
- diagnosis and management of patient problems/complications
- technical problems
- procedure to discontinue or interrupt dialysis
- Other procedures
- warming dialysis solutions
- adding medications for IP administration
- catheter fluoroscopy
- CT scan for diagnosis of internal leaks
- splicing damaged catheter
- changing catheter adapter
- transfer set change
- Complications
- Infectious: Etiology, signs and symptoms, diagnostic evaluation, nursing, medical and surgical intervention, sequelae of:
- peritonitis
- exit site infection
- subcutaneous tunnel infection
- intraperitoneal abscess
- systemic infection (septicemia)
- recurrent infections
- Noninfectious: Etiology, signs and symptoms, diagnostic evaluation, nursing, medical and surgical intervention, sequelae of:
- catheter related problems
- malfunction (i.e., malposition, obstruction, air lock, other)
- pain
- cuff erosion
- cuff extrusion
- damage to catheter
- surgical complications
- bladder perforation
- bowel perforation
- incisional pain
- external leak
- subcutaneous leak
- hemorrhage
- ileus
- complications resulting from increased intraabdominal pressure
- hernia
- hemorrhage
- dialysate leaks
- problems related to peritoneal dialysis (inherent and due to less than optimal management)
- pain
- abdominal pain
- low pH
- solution infusion
- empty abdomen
- low back pain
- shoulder pain
- pneumoperitoneum
- fibrin production
- blood in dialysate
- pleural leak
- changes in pulmonary function
- changes in cardiovascular function
- inherent glucose load
- changes in glucose metabolism
- fluid overload
- hyperkalemia
- hypokalemia
- hypernatremia
- hyponatremia
- hyperphosphatemia
- hypertension
- hypotension
- hyperglycemia
- protein losses
- other losses
- peritoneal eosinophilia
- significant changes in membrane permeability
- Contraindications to Peritoneal Dialysis
- Hypercatabolism
- Pleural-peritoneal communication
- Inadequate membrane permeability
- Relative contraindications
- Outpatient Nursing Management of the Chronic Peritoneal Dialysis Patient
- Ongoing assessment, nursing diagnosis and intervention
- Anemia
- etiology
- management
- erythropoietin
- administration
- Diabetes mellitus
- pathophysiology
- glucose control
- insulin pharmacokinetics
- blood glucose monitoring
- urine testing
- systemic complications
- intraperitoneal and subcutaneous insulin administration
- Gerontology
- physiologic changes associated with aging
- interventions to facilitate vision
- interventions to facilitate hearing
- Other Treatment Modalities
- Principles of transplantation
- candidate selection criteria
- pre-transplant evaluation
- surgical proedure
- immunosuppressive therapy
- complications
- success/failure rates
- Principles of hemodialysis
- indications
- access
- components of the extracorporeal system
- solute and fluid removal
- treatment parameters
- complications

DOMAIN II: Administration (10%)
- Management
- Establish and implement policies/procedures/standards relating to personnel management of patient care staff in order to deliver
- Patient needs and staffing patterns
- Staff abilities and limitations
- Standards of dialysis care
- Unit policies and procedures relating to personnel management
- Medical-ethical issues involved with patient care
- Staff Training and Development
- Environmental Control
- Biological agents
- potential hazards
- effects of biological agents
- routes of transmission
- Infection control
- CDC recommendations
- OSHA Standards
- Hazards Prevention and Control
- i.e., fire, bomb threats, power failures, etc.
- EPA requirements
- Equipment and Supplies
Develop and implement policies and procedures for evaluation, use and maintenance of equipment and supplies in order to deliver safe, effective, and economical care.
- status of dialysis technology
- Critical elements for evaluation of dialysis equipment and supplies
- Budgeting/Financial Planning
Determine short and long term operational and financial goals and strategies in order to achieve efficient management of the peritoneal dialysis program.
- Budget/financial/operational planning
- Reimbursement structure
- Regulations/options
- Institution’s financial strategies and billing system
- Quality Assurance
Establish and implement a quality assurance program that ensures compliance with established standards in order to provide optimal patient care.
- Continuous quality improvement

DOMAIN III: Education (20%)
Instruction and guidance for the patient and/or family
and significant others in peritoneal dialysis theory and procedures based on the principles of adult learning, to achieve optimal health status.
- Principles of Learning
- Learning styles
- Teaching methods
- Learning domains
- i.e., cognitive, psychomotor, affective
- Activities and Teaching
- Comparison to nursing process
- Assessment/diagnosis phase
- assessment of learning needs
- assessment of readiness and ability to learn
- Planning phase
- teaching activities
- purpose
- developing the teaching plan
- behavioral objectives
- content and outline
- learning activities
- alternative teaching strategies
- evaluation
- Implementation phase
- Evaluation phase

DOMAIN IV: Professional Development (10%)
- Information Sharing
Share information with colleagues to stimulate professional growth by participating in and/or organizing formal inservice programs, disseminating professional literature and attending professional meetings.
- Professional literature
- Professional organizations
- Research
Participate in and/or conduct research designed to analyze and validate current practice and procedures and generate new knowledge. Communicate the information obtained to clarify, revise, and strengthen nursing practice.
- Scientific method and its application
- Research design and implementation
- Ethics
Adhere to the professional code of ethics (e.g., patient confidentiality, patient’s rights, informed consent, allocation of resources) and intervene, if necessary, when violations of practice standards, institutional policies, codes of ethics, or legal standards have been identified in order to protect the peritoneal dialysis patient and the public.
- Nursing Code of Ethics
- State Nurse Practice Act
- Patient’s Bill of Rights
- Nursing Practice Standards
- Patient Care Standards
- Legislative process
- legal standards
- legal ramifications

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BONENT-CPDN Dumps
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killexams.com
Nursing
BONENT-CPDN
BONENT Certified Peritoneal Dialysis Nurse (CPDN)
https://killexams.com/pass4sure/exam-detail/BONENT-CPDN
Which of the following is a factor that influences ultrafiltration in peritoneal dialysis?
1. Intra-abdominal pressure
2. Dialysate glucose concentration
eritoneal membrane surface area wer: A
anation: Intra-abdominal pressure is a factor that influences ultrafiltrat ritoneal dialysis. Increased intra-abdominal pressure can impede the val of fluid during exchanges, leading to decreased ultrafiltration.
stion: 2
ch of the following is a procedure for discontinuing peritoneal dialysis plicing damaged catheter
T scan for diagnosis of internal leaks atheter fluoroscopy
hanging catheter adapter
Patient's body position
3. P
Ans
Expl ion
in pe remo
Que
Whi ?
1. S
2. C
3. C
4. C
Answer: A
Explanation: Splicing a damaged catheter is a procedure for discontinuing peritoneal dialysis. Catheter fluoroscopy, CT scan for diagnosis of internal leaks, and changing catheter adapter are not procedures for discontinuing
Which of the following dialysis modalities involves the use of a machine to perform automated exchanges?
1. CAPD (Continuous Ambulatory Peritoneal Dialysis)
2. NPD (Nocturnal Peritoneal Dialysis)
CPD (Continuous Cycling Peritoneal Dialysis) wer: D
anation: CCPD (Continuous Cycling Peritoneal Dialysis) involves the achine to perform automated exchanges. The machine cycles throug of exchanges during the night while the patient sleeps.
stion: 4
ch of the following factors primarily influences solute transport in oneal dialysis?
olute concentration gradient ialysate flow rate
eritoneal membrane permeability smotic gradient
IPD (Intermittent Peritoneal Dialysis)
3. C
Ans
Expl use
of a m h a
series
Que
Whi perit
1. S
2. D
3. P
4. O
Answer: C
Explanation: Solute transport in peritoneal dialysis is primarily influenced by the permeability of the peritoneal membrane. The membrane's ability to allow solutes to pass through determines the effectiveness of solute clearance during
Which of the following is a measurement used to assess dialysis adequacy in peritoneal dialysis patients?
1. Dialysate to plasma equilibration
ltrafiltration patterns t/V
wer: D
anation: Kt/V is a measurement used to assess dialysis adequacy in oneal dialysis patients. It takes into account the dialyzer clearance (K) ment time (t), and total body water volume (V) to determine the tiveness of dialysis in removing waste products.
stion: 6
ch of the following is a method used to measure the peritoneal membr acteristics in peritoneal dialysis?
t/V measurement
ET (Peritoneal Equilibration Test) ialysate to plasma equilibration
PET (Peritoneal Equilibration Test)
2. U
3. K
Ans Expl
perit ,
treat effec
Que
Whi ane
char
1. K
2. P
3. D
4. Ultrafiltration patterns
Answer: B
Explanation: The Peritoneal Equilibration Test (PET) is a method used to measure the peritoneal membrane characteristics in peritoneal dialysis. It
assesses the rate at which solutes equilibrate between the dialysate and the blood, providing information about the membrane's transport properties.
Question: 7
Which of the following is a procedure for warming dialysis solutions in peritoneal dialysis?
ransfer set change atheter fluoroscopy
T scan for diagnosis of internal leaks
dding medications for IP (Intraperitoneal) administration wer: D
anation: Adding medications for IP (Intraperitoneal) administration is edure for warming dialysis solutions in peritoneal dialysis. Catheter oscopy, CT scan for diagnosis of internal leaks, and transfer set chang rocedures specifically related to warming dialysis solutions.
stion: 8
ch of the following is NOT a method for initiating dialysis in peritone sis patients?
APD (Continuous Ambulatory Peritoneal Dialysis)
T
C
C
A
Ans
Expl a
proc
fluor e are
not p
Que
Whi al
dialy
1. C
2. NPD (Nocturnal Peritoneal Dialysis)
3. IPD (Intermittent Peritoneal Dialysis)
4. CCPD (Continuous Cycling Peritoneal Dialysis) Answer: B
Explanation: NPD (Nocturnal Peritoneal Dialysis) is not a method for initiating
dialysis in peritoneal dialysis patients. CAPD, CCPD, and IPD are commonly used methods for initiating and delivering peritoneal dialysis.
Question: 9
Which of the following is a step in the procedure for initiating peritoneal dialysis?
xchange procedure aily patient assessment
iagnosis and management of patient problems/complications achine setup
wer: D
anation: Machine setup is a step in the procedure for initiating periton sis. It involves preparing the dialysis machine, connecting the approp g, and ensuring proper functioning before starting the dialysis proced
stion: 10
ch of the following procedures is used to warm dialysis solutions befo nistration in peritoneal dialysis?
atheter fluoroscopy
T scan for diagnosis of internal leaks
E
D
D
M
Ans
Expl eal
dialy riate
tubin ure.
Que
Whi re
admi
1. C
2. C
3. Splicing damaged catheter
4. Warming dialysis solutions Answer: D
Explanation: Warming dialysis solutions is a procedure used to increase patient comfort and prevent abdominal discomfort during peritoneal dialysis. The
solutions are warmed to body temperature before administration.
Question: 11
Which of the following is a method used to assess the adequacy of dialysis in peritoneal dialysis patients?
t/V measurement ltrafiltration patterns
ET (Peritoneal Equilibration Test)
wer: B
anation: Kt/V measurement is a method used to assess the adequacy o sis in peritoneal dialysis patients. It measures the clearance of urea an me of distribution of urea in the body, providing information about th tiveness of dialysis in removing waste products.
stion: 12
ch of the following is a procedure for changing the catheter adapter in oneal dialysis?
dding medications for IP (Intraperitoneal) administration
Dialysate to plasma equilibration
K
U
P
Ans
Expl f
dialy d the
volu e
effec
Que
Whi perit
1. A
2. Catheter fluoroscopy
3. CT scan for diagnosis of internal leaks
4. Transfer set change Answer: D
Explanation: Transfer set change is a procedure for changing the catheter
adapter in peritoneal dialysis. Adding medications for IP (Intraperitoneal) administration, catheter fluoroscopy, and CT scan for diagnosis ofinternal leaks are not procedures specifically related to changing the catheter adapter.
Question: 13
dding medications for IP (Intraperitoneal) administration atheter fluoroscopy
isconnecting and reconnecting the transfer set T scan for diagnosis of internal leaks
wer: C
anation: Disconnecting and reconnecting the transfer set is a procedur orming a transfer set change in peritoneal dialysis. Adding medication ntraperitoneal) administration, catheter fluoroscopy, and CT scan for nosis of internal leaks are not procedures specifically related to transfe ges.
atory losses during peritoneal dialysis. These substances, such as insu rowth hormone, are unable to be reabsorbed by the peritoneal membr re therefore lost in the dialysate.
Which of the following is a procedure for performing a transfer set change in peritoneal dialysis?
1. A
2. C
3. D
4. C
Ans
Expl e for
perf s for
IP (I
diag r set
chan
oblig lin
and g ane
and a
Question: 14
Which of the following factors primarily influences ultrafiltration in peritoneal dialysis?
1. Osmotic gradient
2. Dialysate flow rate
3. Peritoneal membrane permeability
4. Solute concentration gradient
Answer: C
eability of the peritoneal membrane. The membrane's ability to allow and solutes to pass through determines the amount of fluid that can b ved during dialysis.
stion: 15
ch of the following is NOT a method for measuring peritoneal membr acteristics?
ET (Peritoneal Equilibration Test) ialysate to plasma equilibration
T scan
ltrafiltration patterns
wer: C
anation: CT scan is not a method for measuring peritoneal membrane
Explanation: Ultrafiltration in peritoneal dialysis is primarily influenced by the perm
water e
remo
Que
Whi ane
char
1. P
2. D
3. C
4. U
Ans Expl
characteristics. PET, dialysate to plasma equilibration, and ultrafiltration patterns are commonly used methods to assess the characteristics of the peritoneal membrane in peritoneal dialysis patients.
Question: 16
Which of the following is a factor that influences drug transport in peritoneal
dialysis?
1. Solute concentration gradient
2. Peritoneal membrane permeability
3. Dialysate flow rate
4. Osmotic gradient
wer: B
anation: Drug transport in peritoneal dialysis is influenced by the eability of the peritoneal membrane. The membrane's ability to allow to pass through determines their clearance during dialysis.
Ans Expl
perm drugs

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Certified Peritoneal Dialysis Nurse Practice Test

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