CNN EXAM FOR NEPHROLOGY NURSING FINAL PAPER VERIFIED QUESTIONS
ACCURATE SOLUTIONS
CNN EXAM FOR Nephrology Nursing Certification
Commission Examination Questions and Answers
Verified Solutions Latest Update 2026/2027
Question:
Which Physical Examination finding indicates poor nutrition status? A. Dental Caries B. Loss of
balance C. Shortness of breath D. Skeletal muscle Wasting
Answer:
Answer D Skeletal muscle wasting Rational Physical examination findings that indicate poor
nutrition include general muscle wasting, loss of adipose tissue, decreased alertness, and dry/scaling
skin.
Question:
Volume of distribution is an important concept in understanding plasma concentration of drugs
given to individuals with CKD. Which of the following is accurate regarding volume of distribution
in CKD? A. The larger the volume of distribution, the lower the amount of drug required for
therapeutic effect B. Drugs with a high volume of distribution are found more in the extravascular
spaces. C. The lower the volume of distribution, the longer the half-life of elimination D. Drugs with
a low volume of distribution are more likely to result in toxic effects
Answer:
Answer B. Drugs with a high volume of distribution are found more in the extravascular spaces.
Rational The volume of distribution indicates which body compartment to which a drug is
distributed. Drugs with a high volume of distribution are found more readily in the extracellular
spaces as opposed to the intracellular spaces
Question:
Following a teaching session, which statement by an individual with worsening kidney function due
to high blood pressure indicates an understanding of the effects of hypertension on kidney function:
A. " I'll get my blood pressure under control so my kidneys will heal and go back to normal" B. "No
matter what i do, my kidneys are going to continue to get worse" C. "I know i couldn't avoid high
blood pressure problems because both of my parents have high blood pressure " D. "If i take my
medicine and watch my diet, I can slow down what's happening to my kidneys"
, Answer:
Answer "If i take my medicine and watch my diet, I can slow down what's happening to my
kidneys" Rational Principles of learning that guide patient education include correcting wrong
information immediately in order to facilitate learning. Kidney damage from hypertension may be
slowed but not reversed and is an important aspect of helping patients understand the importance of
blood pressure control. Activate listening to patient feedback or comments assist in determining if
understanding and information processing has occurred
Question:
Which statement is accurate regarding the etiology of metabolic acidosis associated with CKD? A.
Metabolic acidosis occurs due to decreased tubular reabsorption of bicarbonate B. Metabolic
acidosis occurs due to increased tubular reabsorption of sodium and fluid C. Metabolic acidosis
occurs due to increased tubular secretion of hydrogen ion D. Metabolic acidosis occurs due to
decreased tubular secretion of creatinine.
Answer:
Answer Metabolic acidosis occurs due to decreased tubular reabsorption of bicarbonate Rational
The kidneys regulate acid-base balance by reabsorbing and generating bicarbonate, secreting
ammonia and hydrogen ion into the tubular lumen for removal, and excreting acid-producing
metabolic wastes including urea and nitrogen
Question:
Which of the following physiologic parameters provides the best information to evaluate kidney
function? A. Hourly urine output B. serum urea and nitrogen C. Serum creatinine D. Analysis of
urine sediment
Answer:
Answer
Question:
The presence of which substance in the urine indicates an alteration in the glomerular filtration
membrane? A. Urea B. Albumin C. Creatinine D. Urobilinogen
Answer:
Answer
ACCURATE SOLUTIONS
CNN EXAM FOR Nephrology Nursing Certification
Commission Examination Questions and Answers
Verified Solutions Latest Update 2026/2027
Question:
Which Physical Examination finding indicates poor nutrition status? A. Dental Caries B. Loss of
balance C. Shortness of breath D. Skeletal muscle Wasting
Answer:
Answer D Skeletal muscle wasting Rational Physical examination findings that indicate poor
nutrition include general muscle wasting, loss of adipose tissue, decreased alertness, and dry/scaling
skin.
Question:
Volume of distribution is an important concept in understanding plasma concentration of drugs
given to individuals with CKD. Which of the following is accurate regarding volume of distribution
in CKD? A. The larger the volume of distribution, the lower the amount of drug required for
therapeutic effect B. Drugs with a high volume of distribution are found more in the extravascular
spaces. C. The lower the volume of distribution, the longer the half-life of elimination D. Drugs with
a low volume of distribution are more likely to result in toxic effects
Answer:
Answer B. Drugs with a high volume of distribution are found more in the extravascular spaces.
Rational The volume of distribution indicates which body compartment to which a drug is
distributed. Drugs with a high volume of distribution are found more readily in the extracellular
spaces as opposed to the intracellular spaces
Question:
Following a teaching session, which statement by an individual with worsening kidney function due
to high blood pressure indicates an understanding of the effects of hypertension on kidney function:
A. " I'll get my blood pressure under control so my kidneys will heal and go back to normal" B. "No
matter what i do, my kidneys are going to continue to get worse" C. "I know i couldn't avoid high
blood pressure problems because both of my parents have high blood pressure " D. "If i take my
medicine and watch my diet, I can slow down what's happening to my kidneys"
, Answer:
Answer "If i take my medicine and watch my diet, I can slow down what's happening to my
kidneys" Rational Principles of learning that guide patient education include correcting wrong
information immediately in order to facilitate learning. Kidney damage from hypertension may be
slowed but not reversed and is an important aspect of helping patients understand the importance of
blood pressure control. Activate listening to patient feedback or comments assist in determining if
understanding and information processing has occurred
Question:
Which statement is accurate regarding the etiology of metabolic acidosis associated with CKD? A.
Metabolic acidosis occurs due to decreased tubular reabsorption of bicarbonate B. Metabolic
acidosis occurs due to increased tubular reabsorption of sodium and fluid C. Metabolic acidosis
occurs due to increased tubular secretion of hydrogen ion D. Metabolic acidosis occurs due to
decreased tubular secretion of creatinine.
Answer:
Answer Metabolic acidosis occurs due to decreased tubular reabsorption of bicarbonate Rational
The kidneys regulate acid-base balance by reabsorbing and generating bicarbonate, secreting
ammonia and hydrogen ion into the tubular lumen for removal, and excreting acid-producing
metabolic wastes including urea and nitrogen
Question:
Which of the following physiologic parameters provides the best information to evaluate kidney
function? A. Hourly urine output B. serum urea and nitrogen C. Serum creatinine D. Analysis of
urine sediment
Answer:
Answer
Question:
The presence of which substance in the urine indicates an alteration in the glomerular filtration
membrane? A. Urea B. Albumin C. Creatinine D. Urobilinogen
Answer:
Answer
