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

The CNN test 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.
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 test 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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Medical Nephrology Question Bank

Column: How did you get it? And what respectable are masks if they didn’t protect you? answers to average reader questions about my COVID-19 ordeal. | CNN Cheatsheet and genuine Questions

a close up of a light: An image from an electron microscope shows SARS-CoV-2, the virus that causes COVID-19. Higher viral load is more deadly for COVID-19 hospital patients, UW analysis finds. © NIAID-RML/Zuma Press/TNS an image from an electron microscope suggests SARS-CoV-2, the virus that motives COVID-19. better viral load is extra deadly for COVID-19 sanatorium sufferers, UW evaluation finds.

past this week I wrote about my October COVID-19 prognosis and subsequent hospitalization, and a whole lot of readers have reached out through e mail and social media with aid, questions and just a few criticisms.

thank you basically to every person who wrote. right here, I’m going to try to answer the questions and criticisms that have come up most often, in the spirit of us all being during this together.

—How did you trap it?

I actually don’t know. I recognize that’s an uncomfortable answer for people who need to recognize what mistake I made on the way to prevent making the equal one — i would had been inclined to ask the equal query of a person else, prior to my very own infection — but I’m afraid it’s not that standard.

It’s an airborne, totally contagious virus. Public fitness consultants now estimate 1 in every 15 Chicagoans has it. might be I touched an contaminated pin pad at the food market or bank and didn’t wash my hands before I touched my eye. perhaps I walked or ran or biked through a person’s COVID-19 cloud in my regional. I wear a masks on every occasion I depart the condominium, however I move a lot of americans who don’t. They stopped wiping down their groceries and mail when Dr. Anthony Fauci talked about those measures weren’t vital. might be they shouldn’t have stopped.

it could be less difficult — for me and for the americans I’m telling my story to — if I had a single time out or adventure that I may aspect to within the two weeks or so leading as much as my prognosis. but they didn’t have pals or family over. They didn’t attend a marriage or different gathering. They gave up their health club memberships and hadn’t eaten inside a restaurant or under the influence of alcohol inside a bar due to the fact March.

This isn’t a statement for or against the lockdowns and skill limits their leaders are putting in place. here is simply a good answer from someone who contracted COVID-19.

—Why would you demand a national masks mandate when a masks didn’t supply protection to you?

there is large, overwhelming scientific facts that masks work. but they work most useful if all and sundry wears them.

“Masks are essentially intended to cut back the emission of virus-encumbered droplets, which is peculiarly imperative for asymptomatic or presymptomatic contaminated wearers who suppose well and might be ignorant of their infectiousness to others, and who are estimated to account for more than 50% of transmissions,” in keeping with the facilities for disease handle and Prevention. “Masks also aid cut back inhalation of these droplets by the wearer. The group benefit of overlaying for SARS-CoV-2 control is as a result of the aggregate of these effects; individual prevention improvement raises with increasing numbers of americans the usage of masks invariably and properly.”

—Why did you wait so long to head to the medical institution/why did you trouble going to the sanatorium?

a number of people chastised me for not going to the sanatorium sooner, especially as a result of I already have a coronary heart situation from a 2011 bout with viral meningitis. Others wrote to assert my health facility talk over with was a waste of time and funds and that my medical doctors had been simply ordering up useless exams in order that they could invoice my insurance.

I’m lending oxygen to these claims as a result of they’re doubtless broadly held. one of the vital disorienting emotions, for me, was the uncertainty about how seriously to take my signs. may still I malicious program my doctor with one other question? should still I text my candy nurse pals and ask why my eyeballs are shaking? Am I having an aneurysm or am I just in fact tired? became that chest pain or heartburn from mendacity down after ingesting?

I stored in close contact with my fundamental care medical professional’s office and went to the emergency room when she noted to. docs almost immediately discovered damage to my heart and ordered tests for that reason.

I additionally got blood thinner pictures to steer clear of clots. There’s statistics displaying an increase in strokes among younger and core-aged adults with COVID-19, and the virus can additionally trigger coronary heart assaults or bad heart rhythms. I’m comfortable I went to the hospital, and that i need others to suppose empowered and justified to do the same, along with their docs’ input.

—How did your family avoid the virus?

My husband and kids have been validated two extra instances each after my effective test and all their tests got here again terrible. I ran this query by epidemiologist John Segreti, scientific director of infection control and prevention at Rush university.

family transmission takes place about 50% of the time one adult is contaminated, according to accurate CDC reports, Segreti talked about. That’s a bit of larger than family transmission of influenza and rather just a little reduce than transmission of chickenpox and measles, earlier than common vaccination for these viruses, he talked about.

“no longer each person who’s exposed to COVID necessarily receives infected,” he mentioned. “Is it as a result of they're naturally resistant to it? have been they infected with a distinct coronavirus during the past in order that they have antibodies that protect them? could it be that they got infected but didn’t have any signs? It’s estimated that 40% of individuals infected have no symptoms.”

It’s uncertain at this factor. This virus is comparatively new to us all.

Regardless, Segreti talked about, an individual may still isolate from household participants as quickly as they learn or suspect they have COVID-19.

“You don’t know in the event you develop into contagious,” he noted. “usually it’s one or two days earlier than you enhance symptoms, however that you can shed the virus for days after.”

—Did you go ahead with your daughter’s party?

No. I started setting apart in a spare bed room as quickly as I acquired my fine test and my husband and kids quarantined at domestic for 2 weeks; no visitors.

—become it in reality wise of you to try to host her friends within the first region?

Readers have chastised me for “losing” tests simply to try to host a small birthday party. Others have cited, as it should be, that testing one day and gathering an additional isn’t foolproof — any of the individuals thinking could develop into infected between verify date and gathering date.

As they method Thanksgiving and the holidays that comply with, many americans are making equivalent calculations. should my asymptomatic baby get confirmed before he or she comes home from faculty? do they accumulate with family unit or chums if all of us get validated and then quarantine?

The suggestions is obvious. The CDC says the bottom-chance Thanksgiving is one celebrated completely with people who already live on your home. Dr. Michael Lin, an infectious sickness expert at Rush tuition system for fitness, told the Tribune he doesn’t recommend trying out as a prelude to break gatherings.

I’m not sharing my story to apply for sainthood. I’m bound I’ve made blunders along the way. I’m sharing it so others can maybe gain knowledge of from my specific adventure. They readily will not make it through this devoid of searching for one an additional.


about the author

Heidi Stevens is a columnist for the Chicago Tribune.


©2020 Chicago Tribune

talk over with the Chicago Tribune at

disbursed by using Tribune content agency, LLC.

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