BONENT CHN study plan

Draw the nephron segment by segment and state the primary transport function of each segment from memory

Explain the determinants of glomerular filtration rate and work through two clearance calculations step by step

Contrast acute kidney injury with chronic kidney disease using current staging/classification criteria

Match each electrolyte, acid-base, and volume derangement to the dialysis modality or prescription change used to correct it

Describe the systemic manifestations of uremia and translate each into a specific nursing assessment finding

Explain the mechanisms of renal anemia, CKD-mineral and bone disorder, and volume overload, and name the corresponding treatment for each

List the accepted indications for initiating dialysis and give two clinical examples of each

Perform a complete written pre-dialysis patient assessment on a hypothetical patient, including access, volume status, labs, and symptoms

Sequence the full hemodialysis treatment from pre-treatment assessment through post-treatment evaluation and documentation

Calculate Kt/V and urea reduction ratio from provided sample values and interpret whether each result meets adequacy targets

Demonstrate, in writing, vascular access assessment for fistulas, grafts, and catheters, including cannulation technique and management of infiltration

Formulate nursing interventions for the five most common intradialytic complications: hypotension, cramping, disequilibrium syndrome, hypertension, and access bleeding

Identify each component of the extracorporeal circuit and state its function and the safety check it requires

Compare anticoagulation options for the circuit and describe the monitoring parameters that guide dosing

Differentiate dialyzer membrane materials and flux characteristics in terms of clearance and patient response

Interpret common machine alarms and state the first three troubleshooting actions for each

Explain how the proportioning system prepares dialysate and how conductivity and temperature are monitored and alarmed

Describe the principles of ultrafiltration control and calculate net fluid removal from a given prescription

Trace blood and dialysate flow paths through the machine and identify where pressure monitoring occurs

Relate delivered dialysis dose to blood flow, dialysate flow, treatment time, and dialyzer surface area using a worked example

Order the components of a water treatment chain and state what each component removes or controls

Recall the AAMI standard limits for bacterial and endotoxin levels in conventional dialysate and describe how each is monitored

Explain dialysate concentrate composition, mixing ratios, and the consequences of incorrect proportioning

Recognize the clinical presentation of water or dialysate contamination and state the immediate actions and reporting steps

Apply standard and transmission-based precautions to dialysis-specific scenarios, including vaccination and hepatitis B and C isolation practices

Demonstrate in writing correct catheter exit-site care and hub disinfection steps for bloodstream infection prevention

Identify medication safety, fall prevention, and machine safety practices unique to the dialysis unit

Explain the nurse's role in reporting and investigating an adverse event or needlestick exposure

Integrate content from all five domains by working through full-length, timed mixed practice sets

Review every error card from weeks 1 through 7 and rewrite any fact still missed twice

Rehearse calculations for clearance, Kt/V, ultrafiltration, and concentrate mixing under time pressure

Build a final one-page summary sheet of high-yield numbers, limits, and safety checkpoints