CNN-NP study materials
CNN-NP study resources

CNN-NP study plan

CNN-NP · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Nephrology nurse practitioner practice

  • Map the full CNN-NP nephrology blueprint into a one-page topic inventory and weight each topic by expected question share

  • Build a glomerular filtration and clearance calculation drill set covering Cockcroft-Gault, CKD-EPI, and 24-hour urine creatinine clearance, then solve 15 items

  • List the CKD staging framework (G1-G5, A1-A3 albuminuria categories) and write the numeric thresholds from memory

  • Draft a personal error log template that records missed concept, root cause, and revisit date

Your checkpoint

A one-page blueprint map plus a completed 15-item GFR/clearance drill scored and annotated

Week 2

Nephrology nurse practitioner practice

  • Explain the pathophysiology linking diabetes and hypertension to progressive nephron loss, and translate it into 10 mechanism-to-management pairs

  • Differentiate prerenal, intrinsic, and postrenal acute kidney injury using fractional excretion of sodium, urine indices, and volume status

  • Sequence the workup of a rising creatinine: medication review, volume assessment, urinalysis with microscopy, and renal ultrasound indications

  • Practice 20 mixed AKI-versus-CKD decision items and tag each miss by mechanism

Your checkpoint

A 10-row mechanism-to-management table plus a 20-item practice set with a documented accuracy percentage

Week 3

Nephrology nurse practitioner practice

  • Compare dialysis modalities (in-center hemodialysis, home hemodialysis, peritoneal dialysis) on access type, schedule, adequacy targets, and lifestyle impact

  • Calculate Kt/V concepts and interpret urea reduction ratio values in worked examples

  • Identify vascular access complications (stenosis, thrombosis, infection, steal syndrome) and the nurse practitioner's assessment and escalation steps

  • Build a peritonitis-in-peritoneal-dialysis recognition and response checklist

Your checkpoint

A dialysis modality comparison grid plus three fully worked adequacy calculations with interpretation

Week 4

Nephrology nurse practitioner practice

  • Rehearse transplant candidate evaluation: immunologic matching, contraindications, and pretransplant cardiac screening rationale

  • List immunosuppressant classes with their key toxicities and monitoring parameters, and state which require trough level surveillance

  • Recognize acute rejection presentations and distinguish them from calcineurin inhibitor nephrotoxicity and infection

  • Complete a 40-item cumulative timed quiz spanning weeks 1 through 4

Your checkpoint

A transplant pharmacology and rejection reference sheet plus a timed 40-item quiz score with a written remediation list

Week 5

Nephrology nurse practitioner practice

  • Manage CKD complications systematically: anemia of CKD including iron studies and erythropoiesis-stimulating agent thresholds, CKD-mineral bone disorder including phosphate binders and vitamin D analogs, and metabolic acidosis

  • Adjust medication dosing for reduced kidney function across antibiotic, anticoagulant, and analgesic classes

  • Apply potassium and sodium disorder correction rules with attention to rate limits and ECG indications

  • Counsel on nephrotoxin avoidance and contrast-induced injury risk stratification

Your checkpoint

A CKD complication management table with target ranges and drug dosing adjustments for at least 12 medications

Week 6

Nephrology nurse practitioner practice

  • Differentiate glomerular disease presentations (nephritic versus nephrotic) using urinalysis, complement levels, and serologies

  • Interpret acid-base disorders using the anion gap, delta ratio, and compensation formulas in 10 worked arterial blood gas cases

  • Evaluate electrolyte emergencies including hyponatremia correction limits and hyperkalemia stabilization sequence

  • Explain kidney stone and obstructive uropathy evaluation pathways including imaging choice

Your checkpoint

A 10-case acid-base and electrolyte worksheet with calculated values, diagnoses, and management steps

Week 7

Nephrology nurse practitioner practice

  • Integrate patient education, shared decision-making about dialysis initiation, and advance care planning into case responses

  • Practice 60 mixed high-yield items under timed conditions and categorize every miss by domain subarea

  • Rewrite the weakest three subareas into one-page summary sheets from memory

  • Review the error log from weeks 1 through 6 and close every unresolved entry

Your checkpoint

A timed 60-item practice score with a categorized miss analysis and three rewritten summary sheets

Week 8

Nephrology nurse practitioner practice

  • Complete two full-length simulated exams under real timing and record per-subarea accuracy

  • Re-drill only subareas scoring below 70 percent until each reaches at least 80 percent on a fresh set

  • Recite key thresholds, formulas, and drug monitoring parameters aloud from flashcards without reference

  • Finalize a test-day plan covering timing strategy, flagging rules, and a one-page formula sheet

Your checkpoint

Two full-length simulated exam scores with a final subarea accuracy dashboard and a completed one-page formula sheet

Milestones

Week 2: Score at least 70 percent on a 20-item AKI/CKD decision set and correctly explain the mechanism behind every missed item in writing

Week 4: Score at least 75 percent on the timed 40-item cumulative quiz with no unresolved error log entries from weeks 1 through 4

Week 6: Correctly calculate and interpret all 10 acid-base cases, including the anion gap and delta ratio, without reference material

Week 8: Achieve at least 75 percent on both full-length simulations with no subarea below 70 percent on the final dashboard