CSR certified specialist in renal nutrition
exam UPDATED ACTUAL Questions and
CORRECT Answers
Nephrotic Syndrome? Caused by? Leads to? - CORRECT ANSWER -Glomerular damage
(from lupus, autoimmune dx, DM, toxins, collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s - CORRECT ANSWER -(>3g/day SHOULD BE less than 150mg)
fatigued
ineffective healing
lose muscle mass
3rd spacing (ascites, edema)
Nephrotic Syndrome Tx: sodium, fluid, protein, calories, Deficiency repletion - CORRECT
ANSWER -*Sodium: 2g restriction
*Fluid restriction ONLY if RF
*Protein: DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA ( 0.7-0.8 g
protein/kg)
*Calories for healing
*Replete Vit D, Ca, bicarb, iron deficiencies
Protein requirement g/kg RDA - CORRECT ANSWER -0.8 g/kg
Protein requirement g/kg CKD (stages 3-5) - CORRECT ANSWER -Non-DM 0.55-0.6
g/kg
DM 0.6-0.8 g/kg
, Protein requirement g/kg CKD (stage 5D: HD/PD) - CORRECT ANSWER -Non-DM or
DM 1.0-1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg - CORRECT ANSWER -25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - CORRECT ANSWER --Adjust dietary Phos intake
to maintain serum P levels
-Consider bioavailability of Phos sources
-Posttransplant or Low Phos, Rx high phos diet and/or suppl
Potassium mEq/d CKD (all stages and post transplant) - CORRECT ANSWER -Maintain
normal serum range with diet and suppl prn
Sodium mg/day CKD (all stages and post transplant) - CORRECT ANSWER -*<2300
mg/d for BP and volume control
*CKD 3-5 w/ proteinuria, limit Na+ to <2300mg/d with use of diuretics/etc.
Fiber g/day CKD (all stages) - CORRECT ANSWER -20-30 g/day
Fluids ml/day Hemodialysis - CORRECT ANSWER -750-1500
Unstable patient criteria - CORRECT ANSWER --extended or freq hospitalizations
-marked deterioration of health status
-psychosocial change or poor nutritional status
-unmanaged anemia
-inadequate dialysis
Nutrition Care Process (NCP) advantages - CORRECT ANSWER -improves consistency
& quality of individualized care;
exam UPDATED ACTUAL Questions and
CORRECT Answers
Nephrotic Syndrome? Caused by? Leads to? - CORRECT ANSWER -Glomerular damage
(from lupus, autoimmune dx, DM, toxins, collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s - CORRECT ANSWER -(>3g/day SHOULD BE less than 150mg)
fatigued
ineffective healing
lose muscle mass
3rd spacing (ascites, edema)
Nephrotic Syndrome Tx: sodium, fluid, protein, calories, Deficiency repletion - CORRECT
ANSWER -*Sodium: 2g restriction
*Fluid restriction ONLY if RF
*Protein: DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA ( 0.7-0.8 g
protein/kg)
*Calories for healing
*Replete Vit D, Ca, bicarb, iron deficiencies
Protein requirement g/kg RDA - CORRECT ANSWER -0.8 g/kg
Protein requirement g/kg CKD (stages 3-5) - CORRECT ANSWER -Non-DM 0.55-0.6
g/kg
DM 0.6-0.8 g/kg
, Protein requirement g/kg CKD (stage 5D: HD/PD) - CORRECT ANSWER -Non-DM or
DM 1.0-1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg - CORRECT ANSWER -25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - CORRECT ANSWER --Adjust dietary Phos intake
to maintain serum P levels
-Consider bioavailability of Phos sources
-Posttransplant or Low Phos, Rx high phos diet and/or suppl
Potassium mEq/d CKD (all stages and post transplant) - CORRECT ANSWER -Maintain
normal serum range with diet and suppl prn
Sodium mg/day CKD (all stages and post transplant) - CORRECT ANSWER -*<2300
mg/d for BP and volume control
*CKD 3-5 w/ proteinuria, limit Na+ to <2300mg/d with use of diuretics/etc.
Fiber g/day CKD (all stages) - CORRECT ANSWER -20-30 g/day
Fluids ml/day Hemodialysis - CORRECT ANSWER -750-1500
Unstable patient criteria - CORRECT ANSWER --extended or freq hospitalizations
-marked deterioration of health status
-psychosocial change or poor nutritional status
-unmanaged anemia
-inadequate dialysis
Nutrition Care Process (NCP) advantages - CORRECT ANSWER -improves consistency
& quality of individualized care;
