CSR Advanced Professional Practice 3

Question 1

A CKD Stage 4 patient with diabetes asks about plant-based protein sources. The renal dietitian recommends cautious use primarily because:

Accepted Answer

Plant proteins often carry higher potassium and phosphorus loads per gram of protein

Answer

Many plant protein sources (legumes, nuts) contain significant potassium and phosphorus that require careful management in CKD.

Question 2

In a peritoneal dialysis patient with recurrent hypertriglyceridemia, which dietary modification should the renal dietitian prioritize?

Accepted Answer

Reduce simple carbohydrate and alcohol intake, as PD glucose absorption worsens lipid profiles

Answer

PD patients absorb significant glucose from dialysate, which drives endogenous triglyceride synthesis, making carbohydrate reduction the priority.

Question 3

When counseling a kidney transplant recipient six months post-transplant about weight management, the dietitian should address which risk MOST urgently?

Accepted Answer

Post-transplant diabetes mellitus and metabolic syndrome risk exacerbated by immunosuppressants

Answer

Calcineurin inhibitors and corticosteroids significantly increase the risk of post-transplant diabetes and metabolic syndrome, making weight and carbohydrate management critical.

Question 4

A hemodialysis patient's normalized protein catabolic rate (nPCR) is consistently below 1.0 g/kg/day. The MOST likely clinical concern is:

Accepted Answer

Inadequate dietary protein intake indicating malnutrition risk

Answer

An nPCR below 1.0 g/kg/day in hemodialysis patients indicates inadequate protein intake and signals protein-energy wasting risk.

Question 5

The renal dietitian is developing a policy for managing hyperphosphatemia in a dialysis unit. According to KDOQI guidelines, which patient-centered approach is MOST evidence-supported?

Accepted Answer

Individualized phosphate binder counseling combined with phosphorus-restricted dietary education

Answer

KDOQI supports individualized, comprehensive management combining dietary education and phosphate binder optimization rather than rigid universal protocols.

(CSR) Board Certified Specialist in Renal Nutrition Practice Test

(CSR) Board Certified Specialist in Renal Nutrition Practice Test

CSR Advanced Professional Practice 3