Certified Nephrology Nurse - Nurse Practitioner Exam Prep
Free practice questions

Free CNN-NP Practice Questions

10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.

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The CNN-NP exam has 175 questions and runs 4 hours.

These 10 free CNN-NP questions are organized by exam domain, so you can see how each part of the Certified Nephrology Nurse - Nurse Practitioner blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Acute Kidney Injury (6-8%)

Question 1

A patient develops acute kidney injury after septic shock with a rapid creatinine rise and oliguria. Which finding most supports urgent AKI management?

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Correct answer: A - A new creatinine increase with reduced urine output after hemodynamic injury

Domain 2: Stages 1 & 2 CKD & General Nephrology (4-6%)

Question 2

The primary purpose of estimating eGFR in CKD evaluation is to:

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Correct answer: A - Classify kidney function and CKD severity

Domain 3: Stage 3 CKD (11-13%)

Question 3

A patient with stage 3 CKD has increasing proteinuria. Which approach is appropriate?

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Correct answer: A - Address CKD progression risks and adjust therapy based on kidney function

Domain 4: Stages 4 & 5 CKD (20-22%)

Question 4

A patient with stage 4 CKD who is not yet on dialysis asks why access planning is discussed early. What is the best explanation?

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Correct answer: A - Early planning allows access creation before urgent dialysis is needed

Question 5

A patient with advanced CKD asks about treatment choices before dialysis. The NP should:

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Correct answer: A - Discuss kidney replacement options while incorporating patient goals and values

Domain 5: Kidney Replacement Therapies (54-56%)

Question 6

A hemodialysis patient becomes hypotensive and confused during treatment after aggressive fluid removal. What is the priority assessment?

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Correct answer: B - Assess for dialysis-related instability and volume issues

Question 7

A hemodialysis patient has rising potassium and poor clearance. Which finding most suggests dialysis delivery failure?

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Correct answer: B - Access dysfunction with reduced clearance

Question 8

A kidney transplant recipient has a rising creatinine above baseline. What should be evaluated first?

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Correct answer: A - Transplant complications using clinical assessment and diagnostic evaluation

Question 9

A peritoneal dialysis patient reports abdominal pain and cloudy effluent. Which condition is most concerning?

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Correct answer: A - Peritoneal dialysis-associated peritonitis

Question 10

A dialysis patient has potassium 7.1 mEq/L with ECG changes. What is the priority?

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Correct answer: A - Urgent evaluation and treatment of life-threatening hyperkalemia

That's 10 of 1,030

The full bank has 1,020 more CNN-NP questions with explanations.

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