Free CSR Exam Prep
Board Certified Specialist in Renal Nutrition
Prepare for the CSR exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.
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CSR CDR Dietetics Exams License: Complete Roadmap
Follow this path to organize your licensing and exam preparation
Nutrition Assessment and Diagnosis (48 items)You are here
Anthropometrics and dry weight, body composition, NFPE and PEW tools (7-point SGA, MIS, ISRNM criteria), diet, medical, medication and psychosocial history, modality-specific tests, and renal PES statements with eNCPT codes.
Intervention and Care Coordination (54 items)
KDOQI 2020 protein, energy, sodium, potassium, phosphorus and bicarbonate targets; binders, vitamin D, calcimimetics, iron and ESAs; nutrition support; transplant and diabetes care; monitoring labs and dialysis adequacy; IDT, interfacility and caregiver coordination.
Quality Management and Evidence-Based Practice (23 items)
CMS ESRD Conditions for Coverage timelines, QAPI and PDSA, the ESRD QIP measure set, the CMS Measures Assessment Tool, KDOQI and KDIGO grading, research appraisal and dialysis protocols.
Integrated case practice and final review
Timed mixed-domain CSR practice sets built around dialysis, CKD and transplant cases, with review of missed guideline numbers and CMS rules.
Can You Take the CSR Exam?
Check if you meet the basic eligibility requirements
- •RD status maintained at least 2 years from the original RD exam date by the specialty exam date
- •Eligibility application submitted through MyCDR, with hours verified before submission
- •Year-round computer-based testing at Pearson VUE test centers; authorization valid 1 year
- •Recertify every 5 years by reapplying with required hours and passing the exam
CSR Quick Facts
Time to Get Licensed
8-12 weeks typical
From start to license in hand
Retake Policy
Reauthorize after a failed attempt and wait 60 days to retest; a one-time 60-day waiver requires an employer letter
Total Cost Breakdown
Free CSR Prep Tools
100+ Practice Questions
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AI Tutor Explains Mistakes
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Independent Study Resources
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What You'll Study
16 chapters covering the exam topics in this guide
Chapter 1: Exam Overview & Kidney Disease Foundations
3 sections
Chapter 2: Domain 1 — Anthropometric & Body Composition Assessment
3 sections
Chapter 3: Domain 1 — Nutrition-Focused Physical Findings & PEW Assessment Tools
4 sections
Chapter 4: Domain 1 — Diet, Medical, Medication & Psychosocial History
3 sections
Chapter 5: Domain 1 — Medical Tests & Procedures by Treatment Modality
3 sections
Chapter 6: Domain 1 — Nutrition Diagnosis: Terminology, Etiology & Reasoning
3 sections
Chapter 7: Domain 1 — Nutrition Diagnosis in Complex Patients
3 sections
Chapter 8: Domain 2 — Food & Nutrient Delivery: Protein & Energy
3 sections
Chapter 9: Domain 2 — Electrolytes, Fluid, Acid–Base & Micronutrients
4 sections
Chapter 10: Domain 2 — Medications & Specialized Nutrition Support
3 sections
Chapter 11: Domain 2 — Treatments Across the Continuum: Transplant & Comorbidities
4 sections
Chapter 12: Domain 2 — Monitoring & Evaluation: Labs, Fluid & Nutrition Trends
3 sections
Chapter 13: Domain 2 — Monitoring Dialysis Adequacy & Kinetics
4 sections
Chapter 14: Domain 2 — Care Coordination, Communication & Education
4 sections
Chapter 15: Domain 3 — Regulations & Quality Management
3 sections
Chapter 16: Domain 3 — Evidence-Based Practice: Guidelines, Research & Protocols
4 sections
CSR Exam Details
Board Certified Specialist in Renal Nutrition
Administered by CDR
Exam Content Breakdown
Based on the official CDR content outline
48 scored items: anthropometric measures, biochemical data, nutrition-focused physical findings, diet history, medical and medications history, medical tests and procedures, psychosocial/social history, and PES diagnosis (problem, etiology, signs and symptoms)
54 scored items: food and nutrient delivery, individualized education and counseling, medications and supplements; treatment across AKI, CKD 1–5, dialysis, transplant and comorbidities (diabetes, GI, cardiovascular); interdisciplinary and interfacility care coordination, patient and caregiver education, psychosocial support
23 scored items: regulatory guidelines such as the CMS ESRD Conditions for Coverage, quality improvement (QAPI, ESRD QIP), nutrition guidelines (Academy, KDOQI, KDIGO), and current research, clinical practices and protocols
What's Included
16 Chapters
Complete exam coverage
Practice Quizzes
With detailed explanations
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What's Next After the CSR?
After passing the CSR, you can pursue these career paths
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