Latest PDF of CNN: Certified Nephrology Nurse 2025

Certified Nephrology Nurse 2025 Practice Test

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Exam ID : CNN
Exam Title : Certified Nephrology Nurse
Number of Questions : 150
Duration of exam : 3 hours
Passing Scores : 70%

The CNN exam consists of 150 questions and must be completed in three (3) hours. A correct response rate of no less than 70% is required to pass the exam.

Content Areas % of Test
Concepts of kidney disease 35%
Hemodialysis 30%
Peritoneal dialysis 20%
Transplant 10%
Acute therapies 5% (CRRT, SLEDD, apheresis, acute HD, acute PD)

1. Recognize pathologic processes and complications that occur with kidney disease and/or treatment modalities. (18%)
2. Select interventions appropriate to the pathologic processes and complications that occur with kidney disease and/or treatment modalities. (15%)
3. Apply physiologic and technical principles of renal replacement therapies. (10%)
4. Select appropriate teaching/learning strategies to educate client, family, other health professionals, and the public. (10%)
5. Select appropriate actions in administering medication(s) to the patient being treated for kidney disease. (12%)
6. Recognize the importance of an interdisciplinary approach to promote optimum functioning across the continuum of care. (7%)
7. Select interventions appropriate to the psychological and sociocultural effects of kidney disease. (6%)
8. Apply principles of infection control. (16%)
9. Recognize the importance of professional nursing practice in promoting patient outcomes (e.g., staff development, quality improvement, consultation, and research). (6%)

The applicant must hold a full and unrestricted license as a registered nurse in the United States, or its territories.
The applicant must have completed a minimum of 3,000 hours of experience in multiple areas of nephrology nursing within the three (3) years prior to application. If the applicant is working in an outpatient hemodialysis facility, at least 750 hours (25%) of the 3,000 hours of experience must also include one or more of the following:
Home hemodialysis.
Home peritoneal dialysis.
Inpatient acute kidney injury on kidney replacement therapy.
Inpatient critical care on kidney replacement therapy.
CKD management NOT on kidney replacement therapy.
Kidney transplant.
Apheresis.
The applicant must possess a baccalaureate degree in nursing or a masters degree in nursing.
The applicant must have completed thirty (30) contact hours of approved continuing education credit in nephrology nursing within three (3) years prior to submitting the exam application.

Continuing education must be approved by one of the following:
Organizations accredited by the American Nurses Credentialing Center – Commission on Accreditation (ANCC-COA) the credentialing body of the American Nurses Association.
The American Association of Critical-Care Nurses (AACN).
The Council of Continuing Education.
California, Florida, Iowa, Kansas, or Ohio State Boards of Nursing.
Please be aware that although programs may meet requirements set forth by other state boards of nursing, they may not meet the Nephrology Nursing Certification Commission criteria.

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Certified Nephrology Nurse
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QUESTION: 1
Diabetic nephropathy results from an elevation of blood pressure, increasing the workload of the
glomeruli. The glomeruli thicken and allow serum albumin to pass into the urine. Which of the
following signs and symptoms indicate diabetic nephropathy?
A. Edema around the eyes upon awakening, progressing to general swelling of the legs and body
B. Weight gain, malaise, fatigue, and frothy urine
C. Rust-colored urine, weight loss, and back pain
D. A and C
E. A and B
Answer: E
QUESTION: 2
What steps need to be taken to diagnose and eliminate the problem of dialysate leakage during
peritoneal dialysis?
A. Use a Dextrostick to ascertain the presence of glucose.
B. Resuture the exit site, and stabilize or replace the catheter.
C. LDiscontinue peritoneal dialysis to allow for healing, or decrease the infusion time with the
patient lying on the left side.
D. Both A and B are true.
E. Both B and C are true.
Answer: D
QUESTION: 3
Certain precautions must be
followed when performing dialysis on a exact transplant recipient.
All of the following statements regarding dialysis for the post-transplant patient are true
EXCEPT:
A. Close observation is necessary for hypotension because of the risk of internal bleeding in first
24 hours postsurgery; a physician must be alerted if hypotension occurs.
B. Hypotension must be avoided to prevent ischemia of the newly transplanted kidney, even if
fluid removal during dialysis is compromised.
C. High-dose heparin must be used to prevent postoperative clotting;
D. Observation is necessary for electrolyte imbalance, especially hyperkalemia.
Answer: C
QUESTION: 4
A patient is admitted with the following signs and symptoms: edema around the eyes upon
awakening, progressing to general swelling of the legs and body; weight gain; fatigue; headache;
nausea; vomiting; frequent hiccoughs; and itching. A urine specimen is obtained, and the urine is
frothy. The patient has a history of insulin-dependent diabetes (type 1 diabetes), which is poorly
controlled, and high blood pressure, and his blood work comes back showing an elevated
cholesterol level. Which of the following disease processes would you suspect?
A. Nephrosclerosis
B. Diabetic nephropathy
C. Polycystic kidney disease
D. Amyloidosis
Answer: B
QUESTION: 5
Damaged kidneys lose their ability to produce erythropoietin, a hormone that stimulates the
formation of red blood cells. What is usually prescribed to stimulate erythropoiesis in patients
with chronic kidney disease?
A. Epoetin alfa (Epogen, Procrit)
B. Cinacalcet HCl (Sensipar)
C. Furosemide (Lasix) or bumetanide (Bumex)
D. Sevelamer hydrochloride (Renagel)
Answer: A

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References

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