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CNN teaching - Certified Nephrology Nurse Updated: 2024

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Exam Code: CNN Certified Nephrology Nurse teaching January 2024 by team

CNN Certified Nephrology Nurse

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.


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.
Certified Nephrology Nurse
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Certified Nephrology Nurse
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 latest transplant recipient.
All of the following statements regarding dialysis for the post-transplant patient are true
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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Medical Nephrology teaching - BingNews Search results Medical Nephrology teaching - BingNews Nephrology Fellowship


Baylor College of Medicine is located in the world-renowned Texas Medical Center, considered the largest medical center in the world. Our nephrology fellows principally train at five affiliated hospitals and several clinics located in and around the medical center.

The 2023 U.S News & World Report annual list of top graduate schools places Baylor College of Medicine in the top 25 rank of all U.S. medical schools. With that coveted ranking, the establishment of the O'Brien Kidney Research Center and a generous endowment from Dr. Howard Selzman in 2015, the Section of Nephrology provides a strong infrastructure for its clinical and research programs.

The Section of Nephrology at Baylor College of Medicine is dedicated to excellence in teaching future nephrologists for both academic and clinical practices. We also advocate research careers of promising physicians and scientists. Our goal is to provide the best patient care for patients with kidney diseases. Our faculty are recognized nationally and internationally in research, education and clinical care.

The Nephrology Fellowship was established in 1968 and over 45 years, we have graduated more than 180 nephrologists. Each year, we select four to five fellows from a competitive pool of applicants. The program is designed to provide physicians with the background to complete the nephrology subspecialty Boards and to enter into practice as highly qualified nephrologists.

Wed, 05 Aug 2020 13:37:00 -0500 en text/html
Nephrology Fellowship Director's Message

Welcome to the Section of Nephrology at the Baylor College of Medicine and thank you for your interest in our training programs. Our programs provide high-quality education in nephrology that we believe is second to none. We have a nearly 100 percent passage of the ABIM nephrology examination, not only because of the high quality of the fellows but also because of our superb educational atmosphere. We take great pride in learning that our success is directly linked to your success as a researcher or as a clinician educator.

Our program boasts a rich heritage. The Baylor nephrology fellowship training program was established in 1968 and since inception we have trained over 160 talented physicians just like you. Each year, we recruit an average of four-five fellows with a total program built around nine nephrology fellows.

Most fellows choose a two-year clinical track. All fellows in this track are expected to complete a Clinical Concentration in a category of his/her choice. We also offer a research track. See details about the clinical and research tracks.

Our nephrology program includes past presidents of the American Society of Nephrology and the National Kidney Foundation, the co-chair of KDIGO and KDOQI guideline committees, editorial board members of leading peer-reviewed journals, and have received distinguished awards including the Master Clinician Award from Baylor College of Medicine, John P. Peters Award from the ASN, and membership into the Baylor Academy of Distinguished Educators. You will have the unique opportunity to work closely and learn directly from these senior scientists and leaders in Nephrology as they actively teach during rounds, ambulatory clinics and during conferences. Our Section Chief, Dr. Wolfgang Winkelmayer, is the leading expert in comparative-effective research for patients with kidney disease and has a passion for teaching. He serves on the editorial board for the Journal of American Medical Association, is co-editor of American Journal of Kidney Disease, and has served on the public policy board of the ASN since 2010.

We have an unwavering commitment to your education, your well-being and your future. Our curriculum strives to ensure the opportunity for you to achieve the cognitive knowledge, procedural skills, interpersonal skills, professional attitudes, humanistic qualities and practical experience. Our goal is to tailor your fellowship education to your career goal. Our core strengths include exceptional faculty, diverse patient population and opportunity to train in different health care systems, including private, federal and the county system. Consistently, fellows graduating from our program have identified these demographics as core strengths of our program. View our current fellows and where our graduates have gone.

We believe that the combination of comprehensive clinical experience, excellent research environment and a well-structured educational program makes us among the best nephrology fellowship training programs in the country.

The Houston region is one of the most racially and ethnically diverse large metropolitan area in the United States. From affordability, great weather, active theater and museum districts, professional football, basketball, baseball and soccer teams to fantastic cuisines, Houston has a lot to offer. I am certain that you will have a wonderful time working in the Texas Medical Center, the largest medical center in the world.

Thank you again for your interest in our program. Should you have any questions, kindly do not hesitate to contact us by phone or email.

Best wishes for your successful career in nephrology.

Maulin Shah, M.D.
Program Director, Section of Nephrology

Tue, 20 Apr 2021 21:20:00 -0500 en text/html
Renal Transplant Fellowship Program

Inpatient rotations: 6 months

Transplant nephrology inpatient service:

The transplant nephrology fellow spends 4 months a year on the service.

The transplant nephrology inpatient service is involved in the care and management of transplant patients with a wide range of medical problems. This includes acute kidney injury secondary to rejection and recurrence of native kidney disease, post-transplant malignancies as well as opportunistic infections. The transplant nephrology ward service is also involved in the care of patients with transplants that have been admitted for other medical problems.

Advanced practice practitioners assist in the care of patients and the role of the transplant nephrology fellow on the service is primarily to function as a junior attending, providing both hands-on care and supervising the care of these patients. During the course of this rotation the transplant fellow may be called upon to perform inpatient transplant biopsies if required.

Transplant nephrology inpatient postoperative and consult service:

The transplant nephrology fellow will spend 2 months a year on this service.

This service is for the management of fresh transplant patients who have received kidney; simultaneous kidney-pancreas and simultaneous liver-kidney transplants. The transplant fellow will serve as the primary consultant to the surgical services to assist in the postoperative care of fresh transplant patients. During the rotation the fellow will provide pre-operative care and evaluation prior to surgery. The learning goals of this rotation will include appreciation of pre-transplant evaluation, management of sensitized patients at high immunologic risk and learning to manage early immunosuppression following surgery and post-operative care.

The fellow will also learn about management of acute complications relating to surgery as well as management of early recurrent glomerular disease and early rejection. There will be opportunities to learn about paired kidney donation, ABO incompatible transplants, HLA-incompatible transplants, transplants in HIV infected patients, use of public health service (PHS) high risk organs, use of Hepatitis C positive organs, use of high kidney donor profile index (KDPI) kidneys, transplant in patients at high immunologic risk (eg.100% cPRA) and other aspects of the kidney transplantation.

Outpatient rotations: 6 months

Transplant nephrology recipient and donor evaluation clinic/renal allograft biopsy rotation:

The transplant nephrology fellow will spend 2 months a year on this service.

The outpatient evaluation clinic is held 4 days a week. During this rotation the transplant nephrology fellow will see prospective transplant recipients and evaluate their suitability for listing. Prospective donors will also be evaluated in this clinic. The transplant fellow will learn how to appropriately assess and consult prospective donors and recipients. The transplant nephrology fellow will be expected to attend the weekly Wednesday afternoon listing conference at which time perspective recipients and donors are discussed prior to proceeding to surgery.

The transplant fellow will also perform ultrasound-guided renal allograft biopsies in the transplant clinic during this rotation every morning prior to attending the evaluation clinic and will be involved in the post biopsy care of the patient.

Transplant nephrology continuity clinic:

Daily outpatient clinics are held for early postoperative and long-term follow-up of transplant patients. Patients in this clinic will include patients in the early postoperative period to patients with stable allografts who are being followed up at half yearly to 1 yearly intervals. The transplant nephrology fellow will learn about the long-term management of renal allograft function and learn to identify and manage both early and late complications that may arise. The transplant fellow will be assigned to a weekly continuity clinic for the duration of their fellowship in addition to a 1 month clinic rotation.

Elective rotations:

The transplant fellow will spend 2-3 months on elective rotations. The transplant nephrology fellow will have a mandatory 2 week rotation on the immune-histocompatibility lab service to appreciate the intricacies of tissue typing, cross-matching and detection of donor specific antibodies. Other options for electives include rotations with the apheresis team, liver transplant service, transplant infectious diseases exposure to renal pathology and pediatric transplant nephrology. During their elective months, the fellow will be expected to work on a clinical research project with an aim to presentation at a national conference.

Thu, 09 Feb 2023 09:43:00 -0600 en-US text/html
Clinical Fellowship Program

The Clinical Fellowship Training Program is a two year training program with the option of a third year of continued training by the Division of Nephrology at the University of Alabama at Birmingham located in the Magic City, Birmingham, Alabama and is accredited by the Accreditation Council for Graduate Medical Education (ACGME). 

The Division of Nephrology accepts 6 Fellows each year. A two-year clinical Fellowship satisfies the requirements for application to ABIM subspecialty certification in Nephrology. A three-year or longer Fellowship is available for persons interested in clinical or bench research and a career in academic medicine. Third-year fellow tracks also include interventional nephrology, critical care, and transplant nephrology. 

Thank you for your interest in our Nephrology Fellowship Program. We participate in ERAS (Electronic Residency Application Service) and the NRMP Match Program. Applicants will need four (4) letters: (1) your medical school Dean's letter, (2) a letter from your Internal Medicine Residency Program Director, (3 & 4) 2 letters of recommendation from attendings. We encourage applicants to have their application completed in time for the July 20 download. Selected applicants will be invited to interview. Please go to the ERAS website to submit your application. We look forward to receiving your application.

Typical Clinical Nephrology Fellow Schedule

typical clinical nephrology fellowship schedule


Acute = Acute Consult           
Chronic = Chronic Consult
CPCC = Cardio-Pulmonary Critical Care Consult
EB = Transplant Evaluation Clinic and kidney biopsy
Elective = Elective Rotation
NF = Night Float
Res/PD = Research + outpatient peritoneal dialysis
TX = Transplant Consult  

Elective rotations include clinical or basic science research (paired with a mentor), transplant wards, home dialysis modalities, interventional nephrology, renal pathology, pediatric nephrology, plasmapheresis, specialty clinics (rare genetic clinic, hypertension clinic, glomerular disease clinic, cystic kidney disease clinic), outside elective, and fellow’s choice.

For more information regarding the clinical fellowship program, please contact:  

eric judd

Program Director
Eric Judd, MD

claretha lyas

Associate Program Director
Claretha Lyas, MD

jared cook

Associate Program Director of Education and Wellness
Jared Cook, MD

takamitsu saigusa

Associate Program Director for Research
Takamitsu Saigusa, MD

jessica hargrove

Program Coordinator II
Jessica Hargrove
Phone: (205) 934-1801

Thu, 09 Feb 2023 09:43:00 -0600 en-US text/html
Kashif J. Piracha, MD

Title: Internist, Hospital Medicine, Nephrology

Education: King Edward Medical University

Expertise: Internal Medicine

  • Double board-certified in internal medicine and nephrology by the American Board of Internal Medicine
  • Fellow of the American College of Physicians
  • Fellow of the National Kidney Foundation
  • Fellow of the American Society of Nephrology

Kashif J. Piracha, MD, FACP, FASN, FNKF, is a practicing physician at Methodist Willowbrook Hospital. He is board-certified in both internal medicine and nephrology by the American Board of Internal Medicine with more than 14 years of experience in treating patients in both short and long-term acute care hospitals as well as rehabilitation facilities. Dr. Piracha is also involved in the teaching and mentoring of medical students as the clerkship director of internal medicine for the Texas A&M College of Medicine at the Methodist Willowbrook site. He is a fellow of the American College of Physicians, the National Kidney Foundation, and the American Society of Nephrology.

I want patients to know that healthcare is a team sport in which patients and healthcare providers fight against the disease together.

-Kashif J. Piracha, MD

Dr. Piracha received his medical degree from King Edward Medical University in Lahore, Pakistan, and completed his residency at Memorial Health University Medical Center in Savannah, Georgia. He later completed a fellowship in nephrology and hypertension from Stony Brook University Hospital in Stony Brook, New York.

Health, a Dotdash Meredith Brand, is an award-winning online resource for empathetic, trustworthy, and actionable health and wellness information so you can make the best choice for your health. We reach more than 9 million readers a month. We ensure the accuracy of our content by relying on seasoned health journalists, credentialed medical professionals and thorough fact checkers. Learn more about us and our editorial process.

Sun, 27 Mar 2022 08:06:00 -0500 en text/html
Nephrology News and Research

AI Integration in the Fight Against Age-Related Macular Degeneration

In this interview, Wen Hwa Lee, CEO, and Chief Scientist at Action Against Age-Related Macular Degeneration (AAAMD), offers an enlightening perspective on merging AI with ophthalmology to forge new paths in healthcare and drug discovery.

Sun, 19 Nov 2023 10:00:00 -0600 en text/html
The ISN COMGAN Continuing Medical Education program

The leadership of the International Society of Nephrology's (ISN's) Commission for the Global Advancement of Nephrology (COMGAN) oversees the activities of five working regional subcommittees representing Africa, Asia, Central and South America, Eastern and Central Europe, and the Commonwealth of Independent States (the former Soviet Union) and the Middle East. COMGAN's goals, which have remained remarkably constant over the years, are to assist in strengthening patient care, research, and education; to provide regional postgraduate courses; to solicit and establish institutional partnerships; to create a leadership council of representatives from developing countries; and to reinforce the programs of national societies. Courses organized by COMGAN's Continuing Medical Education (CME) program quickly became the principal mechanism for achieving these goals.

Approximately 50 courses per year have been organized. About 11,000 physicians per year are educated during these courses.

CME courses are organized by the program chair, together with the event organizers and regional subcommittees. COMGAN provides financial assistance, advice on organizing a scientific course that will meet the needs of the local nephrological community, and help in selecting appropriate speakers. The program sponsors the attendance of these expert nephrologists, who provide up-to-date information on basic and clinical nephrology, dialysis, transplantation, and epidemiology of kidney diseases, both in adults and in children. Approximately 50 courses per year have been organized. About 11,000 physicians per year are educated during these courses.

Over the past year, COMGAN has been restructured and is now based on a 'cabinet' model. One of the aims of the restructure was to better integrate COMGAN's different activities (e.g. CME, Sister Renal Centers, and fellowship programs). As a consequence, priority for CME courses is given to locations with an active Sister Renal Center and, whenever possible, former or current ISN fellows are invited to participate. At least one lecture per course focuses on prevention and screening of chronic kidney disease in the area of the world hosting the course.

It was also felt that the need to provide updated nephrological information is greater in certain parts of the globe. As such, great effort is being made to promote CME activities in sub-Saharan Africa. Fortunately, in the past 10 years, many Eastern European countries have made enormous progress, and now have improved access to literature and congresses. Active cooperation between the CME programs of COMGAN and the European Renal Association–European Dialysis and Transplant Association has also been established. The ISN can, therefore, gradually decrease its financial support for CME activities in this part of the world, providing the means to expand its support for CME in areas such as Africa (see Supplementary Figure 1 online for geographical distribution of 2006 CME activities).

Understandably, the content of previous CME courses was primarily a function of the availability of guest speakers. Now, regional subcommittees of COMGAN are becoming ever more involved in organizing CME courses. We hope that future courses will thereby be increasingly focused on local needs.

For more information on COMGAN's CME program, please visit the ISN Nephrology Gateway (,, or contact An Devriese at ISN Global Headquarters (

Tue, 07 May 2019 01:52:00 -0500 en text/html
Renovated OP clinics inaugurated at Osmania General Hospital

Hyderabad: Renovated out-patient clinics of Nephrology and Gastroenterology departments of Osmania General Hospital, Hyderabad was inaugurated by the Director of Medical Education, Telangana state, Dr B Triveni and Academic DME, Dr Siva Ram Prasad on Tuesday.

This will enable the doctors of the departments to consult the ailing, poor and needy patients in a sophisticated and modern ambience which will further add to the patient satisfaction and quality care services. The DME and the academic DME expressed great satisfaction for the renovated and modernised OP clinics.

The superintendent of the hospital, Dr. B Nagendar urged the doctors to deliver even more involved care in the improved ambience. He expressed gratitude to the government for enabling the doctors to work in an improvised ambience so that they can deliver best quality patient care.

Tue, 02 Jan 2024 19:36:00 -0600 en text/html

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