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Exam ID : CNN

Exam Title : Certified Nephrology Nurse

Number of Questions : 150

Duration of exam : 3 hours

Passing Scores : 70%



The CNN exam consists of 150 questions and must be completed in three (3) hours. A correct response rate of no less than 70% is required to pass the exam.



Content Areas % of Test

Concepts of kidney disease 35%

Hemodialysis 30%

Peritoneal dialysis 20%

Transplant 10%

Acute therapies 5% (CRRT, SLEDD, apheresis, acute HD, acute PD)



1. Recognize pathologic processes and complications that occur with kidney disease and/or treatment modalities. (18%)

2. Select interventions appropriate to the pathologic processes and complications that occur with kidney disease and/or treatment modalities. (15%)

3. Apply physiologic and technical principles of renal replacement therapies. (10%)

4. Select appropriate teaching/learning strategies to educate client, family, other health professionals, and the public. (10%)

5. Select appropriate actions in administering medication(s) to the patient being treated for kidney disease. (12%)

6. Recognize the importance of an interdisciplinary approach to promote optimum functioning across the continuum of care. (7%)

7. Select interventions appropriate to the psychological and sociocultural effects of kidney disease. (6%)

8. Apply principles of infection control. (16%)

9. Recognize the importance of professional nursing practice in promoting patient outcomes (e.g., staff development, quality improvement, consultation, and research). (6%)



The applicant must hold a full and unrestricted license as a registered nurse in the United States, or its territories.
The applicant must have completed a minimum of 3,000 hours of experience in multiple areas of nephrology nursing within the three (3) years prior to application. If the applicant is working in an outpatient hemodialysis facility, at least 750 hours (25%) of the 3,000 hours of experience must also include one or more of the following:

Home hemodialysis.

Home peritoneal dialysis.

Inpatient acute kidney injury on kidney replacement therapy.

Inpatient critical care on kidney replacement therapy.

CKD management NOT on kidney replacement therapy.

Kidney transplant.

Apheresis.

The applicant must possess a baccalaureate degree in nursing or a masters degree in nursing.

The applicant must have completed thirty (30) contact hours of approved continuing education credit in nephrology nursing within three (3) years prior to submitting the exam application.



Continuing education must be approved by one of the following:

Organizations accredited by the American Nurses Credentialing Center – Commission on Accreditation (ANCC-COA) the credentialing body of the American Nurses Association.

The American Association of Critical-Care Nurses (AACN).

The Council of Continuing Education.

California, Florida, Iowa, Kansas, or Ohio State Boards of Nursing.

Please be aware that although programs may meet requirements set forth by other state boards of nursing, they may not meet the Nephrology Nursing Certification Commission criteria.

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