Question 1

Too rapid an infusion of the concentrated glucose load in central parenteral nutrition may cause respiratory difficulty because of:

Accepted Answer

A)  Carbon dioxide retention 
B)  Flatus accumulation in the intestine 
C)  Fatty deposits in the liver 
D)  Reactive hypoglycemia 
A)  Carbon dioxide retention 
B)  Flatus accumulation in the intestine 
C)  Fatty deposits in the liver 
D)  Reactive hypoglycemia A

Question 2

A client needs adaptive devices to assist with self-feeding activities. The nurse anticipates contacting which of the following?

Accepted Answer

A)  Dietitians 
B)  Nurse practitioners 
C)  Occupational therapists 
D)  Physical therapists 
A)  Dietitians 
B)  Nurse practitioners 
C)  Occupational therapists 
D)  Physical therapists C

Question 3

Some physicians permit clients receiving CPN to also consume a clear liquid or light diet in order to:

Accepted Answer

A)  Keep the gut functioning 
B)  Achieve an optimal energy intake 
C)  Counteract the insulin that is contained in the CPN 
D)  Buffer the effects of the acidic CPN solution 
A)  Keep the gut functioning 
B)  Achieve an optimal energy intake 
C)  Counteract the insulin that is contained in the CPN 
D)  Buffer the effects of the acidic CPN solution A

Question 4

Which of the following practices would be least appropriate to reduce the possibility of contamination of a tube-feeding formula?

Accepted Answer

A)  Using only home-prepared feedings 
B)  Discarding unused formula after 24 hours 
C)  Refrigerating and properly labeling remaining formula 
D)  Wiping the lid with isopropyl alcohol before opening it 
A)  Using only home-prepared feedings 
B)  Discarding unused formula after 24 hours 
C)  Refrigerating and properly labeling remaining formula 
D)  Wiping the lid with isopropyl alcohol before opening it

Question 5

A client has ill-fitting dentures and says that she prefers to eat without using them. Which of the following texture modifications is the most appropriate?

Accepted Answer

A)  Full liquid 
B)  Mechanical soft 
C)  Pureed 
D)  Soft 
A)  Full liquid 
B)  Mechanical soft 
C)  Pureed 
D)  Soft

Question 6

Careful administration of central parenteral nutrition (CPN) includes:

Accepted Answer

A)  Rapid advancement to complete nutrition 
B)  Close monitoring of infusion and laboratory values 
C)  Individualized protocols for administration 
D)  Flexible schedule to accommodate the client's activities 
A)  Rapid advancement to complete nutrition 
B)  Close monitoring of infusion and laboratory values 
C)  Individualized protocols for administration 
D)  Flexible schedule to accommodate the client's activities

Question 7

Which of the following is permitted on a clear liquid diet?

Accepted Answer

A)  Diluted Cream of Wheat 
B)  Custard without raisins or nuts 
C)  Plain fruit-flavored gelatin 
D)  Orange juice 
A)  Diluted Cream of Wheat 
B)  Custard without raisins or nuts 
C)  Plain fruit-flavored gelatin 
D)  Orange juice

Question 8

Clients receiving which of the following special diets would have vegetable intake limited to juice or blended items?

Accepted Answer

A)  Clear liquid 
B)  Full liquid 
C)  Mechanical soft 
D)  Pureed 
A)  Clear liquid 
B)  Full liquid 
C)  Mechanical soft 
D)  Pureed

Question 9

Which of the following types of feedings are appropriate for a client on a regular diet to increase both kcal and protein intake between meals?

Accepted Answer

A)  Elemental or semielemental formulas 
B)  Standard or "polymeric" formulas 
C)  Modular supplements 
D)  Any of the above 
A)  Elemental or semielemental formulas 
B)  Standard or "polymeric" formulas 
C)  Modular supplements 
D)  Any of the above

Question 10

A 20% lipid solution contains how many kilocalories per milliliter?

Accepted Answer

A)  3.4 
B)  1.1 
C)  2 
D)  0.9 
A)  3.4 
B)  1.1 
C)  2 
D)  0.9

Question 11

Diarrhea in the tube-fed client is most likely to be caused by the following:

Accepted Answer

A)  Constant continuously dripping feeding 
B)  Delivering feeding for 4 to 6 hours in a few minutes 
C)  Overhydration 
D)  Use of an infusion pump 
A)  Constant continuously dripping feeding 
B)  Delivering feeding for 4 to 6 hours in a few minutes 
C)  Overhydration 
D)  Use of an infusion pump

Question 12

The most reliable method for determining placement of a nasogastric tube is:

Accepted Answer

A)  Auscultation 
B)  Insufflation 
C)  Lack of signs of respiratory distress 
D)  X-ray 
A)  Auscultation 
B)  Insufflation 
C)  Lack of signs of respiratory distress 
D)  X-ray

Question 13

Which of the following would the nurse be least likely to include when developing the plan of care involving nutrition for a client?

Accepted Answer

A)  Assessing the client's need for nutrients 
B)  Ensuring nutrient delivery 
C)  Monitoring the client's food and fluid intake 
D)  Asking the client his or her height 
A)  Assessing the client's need for nutrients 
B)  Ensuring nutrient delivery 
C)  Monitoring the client's food and fluid intake 
D)  Asking the client his or her height

Question 14

A client on a full liquid diet receives a milkshake from a family member. Which of the following actions would be appropriate?

Accepted Answer

A)  Ask the dietitian to analyze the nutritive value of this outside source of nourishment. 
B)  Request the client to wait 30 minutes before consuming the milkshake so it can come to room temperature. 
C)  Observe and document the amount consumed. 
D)  Tell the client the milkshake is not permitted on his or her special diet. 
A)  Ask the dietitian to analyze the nutritive value of this outside source of nourishment. 
B)  Request the client to wait 30 minutes before consuming the milkshake so it can come to room temperature. 
C)  Observe and document the amount consumed. 
D)  Tell the client the milkshake is not permitted on his or her special diet.

Question 15

For which of the following clients would a nurse routinely refer the client to the dietitian?

Accepted Answer

A)  28-year-old male client with pressure ulcers 
B)  45-year-old female client admitted for an appendectomy 
C)  63-year-old female client receiving estrogen replacement therapy 
D)  81-year-old male client scheduled to undergo a total hip replacement 
A)  28-year-old male client with pressure ulcers 
B)  45-year-old female client admitted for an appendectomy 
C)  63-year-old female client receiving estrogen replacement therapy 
D)  81-year-old male client scheduled to undergo a total hip replacement

Question 16

When administering dextrose intravenously, the nurse understands that it provides how many kcalories per gram?

Accepted Answer

A)  3.4 
B)  4 
C)  7.1 
D)  9 
A)  3.4 
B)  4 
C)  7.1 
D)  9

Question 17

The most life-threatening complication of nasogastric tube feeding is:

Accepted Answer

A)  Aspiration 
B)  Food infection 
C)  Diarrhea 
D)  Bowel obstruction 
A)  Aspiration 
B)  Food infection 
C)  Diarrhea 
D)  Bowel obstruction

Question 18

The best method to effectively combat iatrogenic malnutrition in the long term is by:

Accepted Answer

A)  Estimating the client's energy expenditure 
B)  Carefully recording the patient's weight at regular intervals 
C)  Ordering a complete nutritional supplement for poor eaters 
D)  Encouraging clients to clean their plates 
A)  Estimating the client's energy expenditure 
B)  Carefully recording the patient's weight at regular intervals 
C)  Ordering a complete nutritional supplement for poor eaters 
D)  Encouraging clients to clean their plates

Question 19

A nurse has admitted a client to the hospital for a diagnostic workup. The physician did not specify a diet for the evening meal. Which of the following actions should the nurse take?

Accepted Answer

A)  Call the dietitian for guidance. 
B)  Look in the diet manual for direction. 
C)  Obtain an order from a physician who is seeing another client. 
D)  Contact the client's physician for the order. 
A)  Call the dietitian for guidance. 
B)  Look in the diet manual for direction. 
C)  Obtain an order from a physician who is seeing another client. 
D)  Contact the client's physician for the order.

Question 20

Which of the following would be least likely to occur with a tube feeding?

Accepted Answer

A)  Refusal due to lack of palatability 
B)  Food intoxication 
C)  Nausea, vomiting, or diarrhea 
D)  Reflux and aspiration 
A)  Refusal due to lack of palatability 
B)  Food intoxication 
C)  Nausea, vomiting, or diarrhea 
D)  Reflux and aspiration

Exam 14: Nutrient Delivery

Too rapid an infusion of the concentrated glucose load in central parenteral nutrition may cause respiratory difficulty because of:

A client needs adaptive devices to assist with self-feeding activities. The nurse anticipates contacting which of the following?

Some physicians permit clients receiving CPN to also consume a clear liquid or light diet in order to:

Which of the following practices would be least appropriate to reduce the possibility of contamination of a tube-feeding formula?

A client has ill-fitting dentures and says that she prefers to eat without using them. Which of the following texture modifications is the most appropriate?

Careful administration of central parenteral nutrition (CPN) includes:

Which of the following is permitted on a clear liquid diet?

Clients receiving which of the following special diets would have vegetable intake limited to juice or blended items?

Which of the following types of feedings are appropriate for a client on a regular diet to increase both kcal and protein intake between meals?

A 20% lipid solution contains how many kilocalories per milliliter?

Diarrhea in the tube-fed client is most likely to be caused by the following:

The most reliable method for determining placement of a nasogastric tube is:

Which of the following would the nurse be least likely to include when developing the plan of care involving nutrition for a client?

A client on a full liquid diet receives a milkshake from a family member. Which of the following actions would be appropriate?

For which of the following clients would a nurse routinely refer the client to the dietitian?

When administering dextrose intravenously, the nurse understands that it provides how many kcalories per gram?

The most life-threatening complication of nasogastric tube feeding is:

The best method to effectively combat iatrogenic malnutrition in the long term is by:

A nurse has admitted a client to the hospital for a diagnostic workup. The physician did not specify a diet for the evening meal. Which of the following actions should the nurse take?

Which of the following would be least likely to occur with a tube feeding?

Nutrition in Human Health

Carbohydrates

Fats

Protein

Energy Balance

Vitamins

Minerals

Water

Digestion, Absorption, Metabolism, and Excretion

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: the Mature Adult

Food Management

Interactions: Food and Nutrients Versus Medications and Supplements

Weight Management

Diet in Diabetes Mellitus and Hypoglycemia

Diet in Cardiovascular Disease

Diet in Renal Disease

Diet in Digestive Disease

Diet and Cancer

Nutrition in Critical Care

Diet in Hiv and Aids

Nutritional Care of the Terminally Ill

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