Blood urea nitrogen to creatinine ratio (BUN:creatinine) A BUN test may be done with a blood creatinine test. The level of creatinine in your blood also tells how well your kidneys are working—a high creatinine level may mean your kidneys are not working properly. Blood urea nitrogen (BUN) and creatinine tests can be used together to find the BUN-to-creatinine ratio (BUN:creatinine). A BUN-to-creatinine ratio can help your doctor check for problems, such as dehydration, that may cause abnormal BUN and creatinine levels.