CSR Risk Assessment & Mitigation 3

Question 1

A renal transplant recipient 6 months post-transplant has a BMI of 31 and fasting glucose of 118 mg/dL. Which post-transplant risk does this clinical picture most suggest?

Accepted Answer

New-onset diabetes after transplant (NODAT)

Answer

Weight gain, hyperglycemia, and the immunosuppressive regimen (especially tacrolimus and corticosteroids) place transplant recipients at high risk for NODAT, which worsens graft outcomes.

Question 2

Which dietary pattern poses the greatest acute hyperkalemia risk for a hemodialysis patient who misses a dialysis session?

Accepted Answer

Consumption of salt substitutes containing potassium chloride

Answer

Salt substitutes replace sodium with potassium chloride and can deliver a large acute potassium load, critically dangerous if a dialysis session is missed.

Question 3

A CKD patient's serum bicarbonate is 18 mEq/L on repeat labs. Which nutritional risk is most directly associated with chronic metabolic acidosis in CKD?

Accepted Answer

Protein catabolism and accelerated muscle wasting

Answer

Chronic metabolic acidosis in CKD activates protein catabolism pathways, worsening protein-energy wasting and accelerating muscle loss.

Question 4

A dietitian reviews labs for a CKD patient taking herbal supplements. Elevated serum potassium with no dietary explanation is found. Which supplement class poses the greatest hyperkalemia risk?

Accepted Answer

Aloe vera and dandelion root

Answer

Aloe vera and dandelion are naturally high in potassium and are commonly used herbal remedies that significantly raise potassium intake in CKD patients.

Question 5

Which anthropometric measurement is considered most reliable for assessing body composition and nutritional risk in ESRD patients who have significant fluid overload?

Accepted Answer

Bioelectrical impedance analysis (BIA) performed post-dialysis

Answer

BIA performed immediately post-dialysis provides the most accurate body composition data because fluid status is closest to dry weight, minimizing hydration interference.

(CSR) Board Certified Specialist in Renal Nutrition Practice Test

(CSR) Board Certified Specialist in Renal Nutrition Practice Test

CSR Risk Assessment & Mitigation 3