CSR PRACTICE EXAM
COMPLETE 150
Question 1: A metabolically stable adult with stage 4 CKD and no diabetes weighs 70 kg. Which protein prescription best aligns with KDOQI 2020 guidance?
Choices:
1) 28-35 g/day 2) 39-42 g/day 3) 56-63 g/day 4) 70-84 g/day
Correct Answer: 39-42 g/day
Explanation: For metabolically stable adults with CKD stages 3-5 without diabetes, a low- protein diet of about 0.55-0.60 g/kg/day is recommended. For 70 kg, that is 38.5-42 g/day.Page 1
Question 2: A 65-kg adult with stage 4 CKD and diabetes is metabolically stable.Which daily protein range is most appropriate?
Choices:
1) 26-32 g 2) 39-52 g 3) 65-78 g 4) 91-104 g
Correct Answer: 39-52 g
Explanation: For CKD stages 3-5 with diabetes, KDOQI 2020 suggests about 0.6-0.8 g/kg/day.For 65 kg, that is 39-52 g/day.
Question 3: A 72-kg patient receiving maintenance hemodialysis has no acute
catabolic illness. Which daily protein range is most appropriate?
Choices:
1) 36-43 g 2) 50-58 g 3) 72-86 g 4) 101-115 g
Correct Answer: 72-86 g
Explanation: Maintenance hemodialysis generally requires about 1.0-1.2 g protein/kg/day. For 72 kg, that is approximately 72-86 g/day.Page 2
Question 4: A 60-kg patient on maintenance peritoneal dialysis is nutritionally
stable. Which protein target is most appropriate?
Choices:
1) 30-36 g/day 2) 42-48 g/day 3) 60-72 g/day 4) 90-108 g/day
Correct Answer: 60-72 g/day
Explanation: Peritoneal dialysis patients generally require about 1.0-1.2 g/kg/day because protein is lost into dialysate.Question 5: Which energy prescription is generally appropriate for a metabolically stable adult with CKD when individualized for age, activity, and body composition?
Choices:
1) 10-15 kcal/kg/day 2) 15-20 kcal/kg/day 3) 25-35 kcal/kg/day 4) 45-55 kcal/kg/day
Correct Answer: 25-35 kcal/kg/day
Explanation: KDOQI 2020 recommends approximately 25-35 kcal/kg/day for metabolically stable adults with CKD, individualized to patient factors.Page 3