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BONENT-CPDN exam Format | BONENT-CPDN Course Contents | BONENT-CPDN Course Outline | BONENT-CPDN exam Syllabus | BONENT-CPDN exam Objectives

Exam Code: CPDN

Exam Name: BONENT Certified Peritoneal Dialysis Nurse

Questions asked: 150 multiple-choice questions

Passing Marks: 70%

Time Allotted: 3 Hours

Exam Type: Computer-Based Testing (CBT)



DOMAIN I: Nursing Process (60%)

Collect- document and analyze patient information before- during- and after dialysis in order to maintain and/or Improve the quality of patient care through continuous evaluation and ongoing revision of interventions.

- Interviewing Techniques

- Physical Assessment

- Normal and abnormal patient signs and symptoms

- Nursing Assessment

- Patient- family- and significant others knowledge- skills- and self-care abilities

- Gross and fine motor coordination

- Hand strength

- Vision

- Human Anatomy and Physiology

- Anatomy and physiology of the kidney and urinary system

- Anatomy and physiology of the peritoneum

- Fluid balance

- Acid base balance

- Electrolyte balance

- Erythropoiesis

- Pathophysiology of the Kidney and Urinary System

- Etiologies of End Stage Renal Disease

- Laboratory Testing

- Patient preparation

- Nursing responsibilities

- Interpretation of results

- Diagnostic Testing

- Patient preparation

- Nursing responsibilities

- Interpretation of results

- Pharmacology

- General

- Alterations in drug excretion and metabolism in end stage renal disease

- Drugs used frequently in ESRD patients

- Alterations in drug metabolism and excretion in peritoneal dialysis

- Kinetics of intraperitoneally administered medications

- Antibiotics used in peritonitis

- Methods of administration

- Medical and Surgical Asepsis

- Clinical Manifestations of End Stage Renal Disease

- Dietary Prescriptions for End Stage Renal Disease Patients

- Predialysis

- Peritoneal dialysis

- Hemodialysis

- Transplantation

- General Principles of Dialysis

- Osmosis

- Diffusion

- Ultrafiltration

- Blood flow

- Membrane area

- Dialysis solution

- Kinetics of Peritoneal Dialysis

- Dialysate to plasma equilibration

- Ultrafiltration patterns

- Absorption of calcium- dextrose

- Obligatory losses of protein- water soluble vitamins- hormones

- Factors that influence ultrafiltration

- Factors that influence solute transport

- Drug transport

- Kt/V measurement

- Peritonal Membrane Characteristics

- Measurement of peritoneal membrane characteristics (PET)

- Types of Peritoneal Dialysis

- CAPD

- CCPD

- IPD or NPD

- Peritoneal Dialysis Systems

- (i.e.- Cyclers; CAPD systems – bag-spike- bag-spike with assist device; disconnect systems; sterile connections device)

- Dialysis Solutions

- Composition

- Dextrose concentrations

- Volumes

- Containers

- Access

- Types

- acute

- chronic

- Preoperative nursing management

- Insertion techniques

- Postoperative management

- Peritoneal Dialysis Prescription

- Type of dialysis (i.e.- IPD- CAPD- CCPD)

- Frequency of dialysis

- Exchange volume

- Number exchanges

- Type(s) solution

- System of equipment to be used

- Time (total exchange- fill time- dwell time- drain time- etc.)

- Additives

- Acute Peritoneal Dialysis (hospitalized- ill patients)

- Indications

- Predialysis patient exam and education

- Initiating and terminating dialysis

- Monitoring

- Patient education- psychosocial support during treatment

- Procedures

- Chronic automated dialysis (IPD- CCPD)

- predialysis patient exam

- machine set up

- initiation of dialysis

- technical problem solving- troubleshooting

- diagnosis and management of patient problems/complicaitons

- discontinuing dialysis

- post dialysis exam

- documentation

- Chronic manual dialysis (CAPD)

- procedure for initiation of dialysis

- exchange procedure

- daily patient exam- documentation

- diagnosis and management of patient problems/complications

- technical problems

- procedure to discontinue or interrupt dialysis

- Other procedures

- warming dialysis solutions

- adding medications for IP administration

- catheter fluoroscopy

- CT scan for diagnosis of internal leaks

- splicing damaged catheter

- changing catheter adapter

- transfer set change

- Complications

- Infectious: Etiology- signs and symptoms- diagnostic evaluation- nursing- medical and surgical intervention- sequelae of:

- peritonitis

- exit site infection

- subcutaneous tunnel infection

- intraperitoneal abscess

- systemic infection (septicemia)

- recurrent infections

- Noninfectious: Etiology- signs and symptoms- diagnostic evaluation- nursing- medical and surgical intervention- sequelae of:

- catheter related problems

- malfunction (i.e.- malposition- obstruction- air lock- other)

- pain

- cuff erosion

- cuff extrusion

- damage to catheter

- surgical complications

- bladder perforation

- bowel perforation

- incisional pain

- external leak

- subcutaneous leak

- hemorrhage

- ileus

- complications resulting from increased intraabdominal pressure

- hernia

- hemorrhage

- dialysate leaks

- problems related to peritoneal dialysis (inherent and due to less than optimal management)

- pain

- abdominal pain

- low pH

- solution infusion

- empty abdomen

- low back pain

- shoulder pain

- pneumoperitoneum

- fibrin production

- blood in dialysate

- pleural leak

- changes in pulmonary function

- changes in cardiovascular function

- inherent glucose load

- changes in glucose metabolism

- fluid overload

- hyperkalemia

- hypokalemia

- hypernatremia

- hyponatremia

- hyperphosphatemia

- hypertension

- hypotension

- hyperglycemia

- protein losses

- other losses

- peritoneal eosinophilia

- significant changes in membrane permeability

- Contraindications to Peritoneal Dialysis

- Hypercatabolism

- Pleural-peritoneal communication

- Inadequate membrane permeability

- Relative contraindications

- Outpatient Nursing Management of the Chronic Peritoneal Dialysis Patient

- Ongoing exam- nursing diagnosis and intervention

- Anemia

- etiology

- management

- erythropoietin

- administration

- Diabetes mellitus

- pathophysiology

- glucose control

- insulin pharmacokinetics

- blood glucose monitoring

- urine testing

- systemic complications

- intraperitoneal and subcutaneous insulin administration

- Gerontology

- physiologic changes associated with aging

- interventions to facilitate vision

- interventions to facilitate hearing

- Other Treatment Modalities

- Principles of transplantation

- candidate selection criteria

- pre-transplant evaluation

- surgical proedure

- immunosuppressive therapy

- complications

- success/failure rates

- Principles of hemodialysis

- indications

- access

- components of the extracorporeal system

- solute and fluid removal

- treatment parameters

- complications



DOMAIN II: Administration (10%)

- Management

- Establish and implement policies/procedures/standards relating to personnel management of patient care staff in order to deliver

- Patient needs and staffing patterns

- Staff abilities and limitations

- Standards of dialysis care

- Unit policies and procedures relating to personnel management

- Medical-ethical issues involved with patient care

- Staff Training and Development

- Environmental Control

- Biological agents

- potential hazards

- effects of biological agents

- routes of transmission

- Infection control

- CDC recommendations

- OSHA Standards

- Hazards Prevention and Control

- i.e.- fire- bomb threats- power failures- etc.

- EPA requirements

- Equipment and Supplies

Develop and implement policies and procedures for evaluation- use and maintenance of equipment and supplies in order to deliver safe- effective- and economical care.

- status of dialysis technology

- Critical elements for evaluation of dialysis equipment and supplies

- Budgeting/Financial Planning

Determine short and long term operational and financial goals and strategies in order to achieve efficient management of the peritoneal dialysis program.

- Budget/financial/operational planning

- Reimbursement structure

- Regulations/options

- Institutions financial strategies and billing system

- Quality Assurance

Establish and implement a quality assurance program that ensures compliance with established standards in order to provide optimal patient care.

- Continuous quality improvement





DOMAIN III: Education (20%)

Instruction and guidance for the patient and/or family

and significant others in peritoneal dialysis theory and procedures based on the principles of adult learning- to achieve optimal health status.

- Principles of Learning

- Learning styles

- Teaching methods

- Learning domains

- i.e.- cognitive- psychomotor- affective

- Activities and Teaching

- Comparison to nursing process

- Assessment/diagnosis phase

- exam of learning needs

- exam of readiness and ability to learn

- Planning phase

- teaching activities

- purpose

- developing the teaching plan

- behavioral objectives

- content and outline

- learning activities

- alternative teaching strategies

- evaluation

- Implementation phase

- Evaluation phase





DOMAIN IV: Professional Development (10%)

- Information Sharing

Share information with colleagues to stimulate professional growth by participating in and/or organizing formal inservice programs- disseminating professional literature and attending professional meetings.

- Professional literature

- Professional organizations

- Research

Participate in and/or conduct research designed to analyze and validate current practice and procedures and generate new knowledge. Communicate the information obtained to clarify- revise- and strengthen nursing practice.

- Scientific method and its application

- Research design and implementation

- Ethics

Adhere to the professional code of ethics (e.g.- patient confidentiality- patients rights- informed consent- allocation of resources) and intervene- if necessary- when violations of practice standards- institutional policies- codes of ethics- or legal standards have been identified in order to protect the peritoneal dialysis patient and the public.

- Nursing Code of Ethics

- State Nurse Practice Act

- Patients Bill of Rights

- Nursing Practice Standards

- Patient Care Standards

- Legislative process

- legal standards

- legal ramifications

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