CMN 573 UNIT 5 EXAM QUESTIONS
WITH CORRECT SOLUTIONS|| 100%
GUARANTEED PASS|| UPDATED
2026/2027 SYLLABUS||ALREADY
GRADED A+||<<RECENT VERSION>>
CKD- What can you do as a NP to help your
patient? - ANSWER ✓ Increase testing of urinary albumin of at-risk patients.
Monitor eGFR & ACR (albumin -creatinine ratio).
Increase use of ACEi & ARBs (but not together!!!)
Avoid NSAID RX in at-risk pts (low eGFR)
Consult Nephrology early!!!! (starting at stage 3(b)**Must by stage 4. You will
see
Stage 3 or 4 depending on the source.
Educate pts on CKD and treatment.
Closely manage DM & HTN
*** Don't just look at your patients' blood creatinine level and ACR but also be
sure to
check their UA low pH, high specific gravity, protein in the urine along with
RBC's &
WBC's can alert you early on of a potential problem.
Clinical evaluation of CKD - ANSWER ✓ Many labs are often done in the work
up of CKD but starting by stage 3 (especially 3b) more lab work is required.
Additional labs needed beginning at stage 3 are the serum albumin, phosphorus,
calcium, and Intact parathyroid hormone(PTH).
Tips from readings on CKD - ANSWER ✓ Albuminuria - normal ACR <30mg/g
creatinine: severe > or = to 300mg/g.
Protienuria > 30 mg/dL on urinedipstick.
By stage 3 CKD, the patient will begin to have some complications related to
CKD. (anemia, bone and mineral issues, CV disease and low serum albumin)
Treat lipids in CKD pts with statin or statin + ezetimibe.
, Review pt safety info R/T CKD and diagnostic studies contrast media preps.
Avoid NSAID in CKD and Bisphosphonates
Renal diet is important for patients with
CKD. - ANSWER ✓ Consult a Dietitian.
-Choose and prepare foods with less salt (sodium) and use less salt at the table.
-Select right kinds and smaller amounts of protein (fish)
-Choose foods that are healthy for your heart like lean cuts of meat, skinless
chicken, fish, fruits, vegetables, and beans.
-Read nutrition facts labels, especially for sodium to pick the right foods and
drinks.
Detection and management of CKD complications-Anemia - ANSWER ✓ Initiate
iron therapy if TSAT <30% and ferritin <500ng/Ml (IV iron for dialysis, oral for
non-dialysis CKD)
Individualize erythropoiesis stimulating agent (ESA) therapy, start ESA if HGB
<10 g/dL and maintain HGB <11.52 g/dL. Ensure adequate Fe stores.
Appropriate iron supplementation is needed for ESA to be effective.
Detection and management of CKD complications- Mineral and bone disorder
(CKD-MBD) - ANSWER ✓ Treat with D3 as inditcated to achieve normal serun
levels
2000 IU PO Wday is cheaper and better absorbed than 50,000 IU monthly dose
Limit phosphorus in diet (CKD stage 4/5) with emphasis on decreaseing packaged
products - refer to renal RD
May need phosphate binders.
Abnormal uterine bleeding - ANSWER ✓ AUB occurs most often in the
beginning and end of the reproductive years: 20% of cases occur in
adolescent females, and as many as 50% of women aged 40-50 years experience
AUB.
Of these cases of AUB, about 90% are due to menstrual periods when ovulation
does not occur.
Adolescent females have several anovulatory cycles per year; hence, anovulatory
uterine bleeding is the primary cause of AUB in the female adolescent population.
AUB Suffix - ANSWER ✓ AUB from ovulatory dysfunction is designated as
AUB-O. In addition
WITH CORRECT SOLUTIONS|| 100%
GUARANTEED PASS|| UPDATED
2026/2027 SYLLABUS||ALREADY
GRADED A+||<<RECENT VERSION>>
CKD- What can you do as a NP to help your
patient? - ANSWER ✓ Increase testing of urinary albumin of at-risk patients.
Monitor eGFR & ACR (albumin -creatinine ratio).
Increase use of ACEi & ARBs (but not together!!!)
Avoid NSAID RX in at-risk pts (low eGFR)
Consult Nephrology early!!!! (starting at stage 3(b)**Must by stage 4. You will
see
Stage 3 or 4 depending on the source.
Educate pts on CKD and treatment.
Closely manage DM & HTN
*** Don't just look at your patients' blood creatinine level and ACR but also be
sure to
check their UA low pH, high specific gravity, protein in the urine along with
RBC's &
WBC's can alert you early on of a potential problem.
Clinical evaluation of CKD - ANSWER ✓ Many labs are often done in the work
up of CKD but starting by stage 3 (especially 3b) more lab work is required.
Additional labs needed beginning at stage 3 are the serum albumin, phosphorus,
calcium, and Intact parathyroid hormone(PTH).
Tips from readings on CKD - ANSWER ✓ Albuminuria - normal ACR <30mg/g
creatinine: severe > or = to 300mg/g.
Protienuria > 30 mg/dL on urinedipstick.
By stage 3 CKD, the patient will begin to have some complications related to
CKD. (anemia, bone and mineral issues, CV disease and low serum albumin)
Treat lipids in CKD pts with statin or statin + ezetimibe.
, Review pt safety info R/T CKD and diagnostic studies contrast media preps.
Avoid NSAID in CKD and Bisphosphonates
Renal diet is important for patients with
CKD. - ANSWER ✓ Consult a Dietitian.
-Choose and prepare foods with less salt (sodium) and use less salt at the table.
-Select right kinds and smaller amounts of protein (fish)
-Choose foods that are healthy for your heart like lean cuts of meat, skinless
chicken, fish, fruits, vegetables, and beans.
-Read nutrition facts labels, especially for sodium to pick the right foods and
drinks.
Detection and management of CKD complications-Anemia - ANSWER ✓ Initiate
iron therapy if TSAT <30% and ferritin <500ng/Ml (IV iron for dialysis, oral for
non-dialysis CKD)
Individualize erythropoiesis stimulating agent (ESA) therapy, start ESA if HGB
<10 g/dL and maintain HGB <11.52 g/dL. Ensure adequate Fe stores.
Appropriate iron supplementation is needed for ESA to be effective.
Detection and management of CKD complications- Mineral and bone disorder
(CKD-MBD) - ANSWER ✓ Treat with D3 as inditcated to achieve normal serun
levels
2000 IU PO Wday is cheaper and better absorbed than 50,000 IU monthly dose
Limit phosphorus in diet (CKD stage 4/5) with emphasis on decreaseing packaged
products - refer to renal RD
May need phosphate binders.
Abnormal uterine bleeding - ANSWER ✓ AUB occurs most often in the
beginning and end of the reproductive years: 20% of cases occur in
adolescent females, and as many as 50% of women aged 40-50 years experience
AUB.
Of these cases of AUB, about 90% are due to menstrual periods when ovulation
does not occur.
Adolescent females have several anovulatory cycles per year; hence, anovulatory
uterine bleeding is the primary cause of AUB in the female adolescent population.
AUB Suffix - ANSWER ✓ AUB from ovulatory dysfunction is designated as
AUB-O. In addition
