1 | Page
CSR CERTIFIED SPECIALIST IN RENAL
NUTRITION EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
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
,2 | Page
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
, 3 | Page
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;
provides model & standard language;
adoption of core nutrition measures
CSR CERTIFIED SPECIALIST IN RENAL
NUTRITION EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
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
,2 | Page
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
, 3 | Page
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;
provides model & standard language;
adoption of core nutrition measures
