Question 1

Which of the following clients would not be a candidate for a home cyclic TPN program?

Accepted Answer

A) An 86 year old with congestive heart failure 
B) A 36 year old with Crohn's disease 
C) A 52 year old with intestinal cancer 
D) An 18 year old with radiation enteritis 
A) An 86 year old with congestive heart failure 
B) A 36 year old with Crohn's disease 
C) A 52 year old with intestinal cancer 
D) An 18 year old with radiation enteritis

Question 2

Which of the following measurements should be taken daily for a client receiving TPN?

Accepted Answer

A) Weight 
B) Serum calcium 
C) Serum ammonia 
D) CBC 
A) Weight 
B) Serum calcium 
C) Serum ammonia 
D) CBC

Question 3

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy.
-After 6 weeks of intense nutrition support, her liver enzymes are elevated.The dietitian recommends:

Accepted Answer

A) a low-fat diet. 
B) elemental tube feedings. 
C) cyclic TPN. 
D) continuous TPN. 
A) a low-fat diet. 
B) elemental tube feedings. 
C) cyclic TPN. 
D) continuous TPN.

Question 4

Which of the following would be the best method of delivery of long-term TPN to a 14 year old?

Accepted Answer

A) Cyclic infusion 
B) PPN 
C) Continuous TPN with lipids daily 
D) Continuous TPN with lipids five times a week 
A) Cyclic infusion 
B) PPN 
C) Continuous TPN with lipids daily 
D) Continuous TPN with lipids five times a week

Question 5

What is usually the main source of energy provided by parenteral nutrition?

Accepted Answer

A) Carbohydrate 
B) Protein 
C) Fat 
D) Amino acids 
A) Carbohydrate 
B) Protein 
C) Fat 
D) Amino acids

Question 6

To prevent bacterial contamination and maintain stability, parenteral solutions are:

Accepted Answer

A) warmed to room temperature prior to infusion. 
B) exposed to light. 
C) pasteurized. 
D) compounded in the pharmacy under aseptic conditions. 
A) warmed to room temperature prior to infusion. 
B) exposed to light. 
C) pasteurized. 
D) compounded in the pharmacy under aseptic conditions.

Question 7

Mr.Ming has been on home nutrition support for two months.He has become more withdrawn and depressed due to:

Accepted Answer

A) his inability to enjoy meals. 
B) lack of sleep. 
C) an increase in bathroom visits. 
D) all of the above 
A) his inability to enjoy meals. 
B) lack of sleep. 
C) an increase in bathroom visits. 
D) all of the above

Question 8

When lipids are administered parenterally on a daily basis, what is the main objective?

Accepted Answer

A) Increase the use of dextrose for energy 
B) Promote the immune response 
C) Provide a concentrated energy source 
D) Avoid hypoglycemia 
A) Increase the use of dextrose for energy 
B) Promote the immune response 
C) Provide a concentrated energy source 
D) Avoid hypoglycemia

Question 9

The health care team has just ordered Mr.Carter to begin TPN.He is a 58-year-old man who is suffering from intractable diarrhea.Which of the following should be monitored daily while Mr.Carter is on TPN?

Accepted Answer

A) Nutrition status 
B) Fluid intake/output 
C) Serum albumin 
D) All of the above 
A) Nutrition status 
B) Fluid intake/output 
C) Serum albumin 
D) All of the above

Question 10

A person on cyclic parenteral nutrition receives an infusion at a constant rate for

Accepted Answer

A) 3 to 6 hours per day. 
B) 6 to 8 hours per day. 
C) 8 to 16 hours per day. 
D) 12 to 18 hours per day. 
A) 3 to 6 hours per day. 
B) 6 to 8 hours per day. 
C) 8 to 16 hours per day. 
D) 12 to 18 hours per day.

Question 11

Which of the following factors should be considered when planning home parenteral nutrition?

Accepted Answer

A) Refrigeration space 
B) Back-up batteries 
C) Catheter care 
D) All of the above 
A) Refrigeration space 
B) Back-up batteries 
C) Catheter care 
D) All of the above

Question 12

What is the maximum blood glucose level that is considered acceptable for most patients receiving parenteral nutrition?

Accepted Answer

A) 100 mg/dL 
B) 150 mg/dL 
C) 200 mg/dL 
D) 250 mg/dL 
A) 100 mg/dL 
B) 150 mg/dL 
C) 200 mg/dL 
D) 250 mg/dL

Question 13

When a person is brought into the emergency room from a nursing home where she was found unresponsive in her room, and CPR is not administered, this is because the physicians are following the _____ in the patient's medical record.

Accepted Answer

A) do-not-resuscitate order 
B) advance directive 
C) durable power of attorney 
D) living will 
A) do-not-resuscitate order 
B) advance directive 
C) durable power of attorney 
D) living will

Question 14

Suppose a person is receiving 2000 milliliters of a 10% amino acid solution.What is the amount of amino acids provided?

Accepted Answer

A) 100 grams 
B) 150 grams 
C) 200 grams 
D) 250 grams 
A) 100 grams 
B) 150 grams 
C) 200 grams 
D) 250 grams

Question 15

Which vitamin is omitted from parenteral solutions designed for patients on warfarin therapy?

Accepted Answer

A) Vitamin C 
B) Vitamin D 
C) Vitamin E 
D) Vitamin K 
A) Vitamin C 
B) Vitamin D 
C) Vitamin E 
D) Vitamin K

Question 16

Julia Reynolds is a 64-year-old realtor. She has been admitted to the local medical center 6 times in the past 3 months with severe pancreatitis. Julia has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a sub-acute nursing facility for therapy.
-Laboratory values indicate that Julia's blood glucose is extremely high.Which nutrient component of her TPN must be adjusted?

Accepted Answer

A) Water 
B) Dextrose 
C) Amino acids 
D) Chromium 
A) Water 
B) Dextrose 
C) Amino acids 
D) Chromium

Question 17

Which of these conditions is least likely to require TPN by central vein?

Accepted Answer

A) GI tract obstructions 
B) Severe pancreatitis with intractable vomiting 
C) Bone marrow transplants 
D) Chronic kidney disease 
A) GI tract obstructions 
B) Severe pancreatitis with intractable vomiting 
C) Bone marrow transplants 
D) Chronic kidney disease

Question 18

For which of the following conditions are disease-specific amino acid solutions commercially available?

Accepted Answer

A) Hyperglycemia 
B) Congestive heart failure 
C) Kidney failure 
D) Crohn's disease 
A) Hyperglycemia 
B) Congestive heart failure 
C) Kidney failure 
D) Crohn's disease

Question 19

All of the following may occur when long-term TPN is discontinued and oral feedings are gradually reintroduced except

Accepted Answer

A) diarrhea. 
B) suppression of appetite for several weeks. 
C) bloating. 
D) a reduction in albumin levels. 
A) diarrhea. 
B) suppression of appetite for several weeks. 
C) bloating. 
D) a reduction in albumin levels.

Question 20

Which statement is true?

Accepted Answer

A) If a person has signed an organ donor card, his physician can remove his organs for donation even if his family members refuse to give their consent. 
B) To avoid a conflict of interest, the care of organ donors and organ recipients is always performed by separate physicians. 
C) If an individual is near death and has agreed to be an organ donor, her physician can initiate treatments that may cause harm to her in order to preserve the organs. 
D) Physicians cannot alert the organ procurement team about available organs until the donor has shown no vital signs for at least 10 minutes. 
A) If a person has signed an organ donor card, his physician can remove his organs for donation even if his family members refuse to give their consent. 
B) To avoid a conflict of interest, the care of organ donors and organ recipients is always performed by separate physicians. 
C) If an individual is near death and has agreed to be an organ donor, her physician can initiate treatments that may cause harm to her in order to preserve the organs. 
D) Physicians cannot alert the organ procurement team about available organs until the donor has shown no vital signs for at least 10 minutes.

Exam 21: Parenteral Nutrition Support

Which of the following clients would not be a candidate for a home cyclic TPN program?

Which of the following measurements should be taken daily for a client receiving TPN?

Which of the following would be the best method of delivery of long-term TPN to a 14 year old?

What is usually the main source of energy provided by parenteral nutrition?

To prevent bacterial contamination and maintain stability, parenteral solutions are:

Mr.Ming has been on home nutrition support for two months.He has become more withdrawn and depressed due to:

When lipids are administered parenterally on a daily basis, what is the main objective?

The health care team has just ordered Mr.Carter to begin TPN.He is a 58-year-old man who is suffering from intractable diarrhea.Which of the following should be monitored daily while Mr.Carter is on TPN?

A person on cyclic parenteral nutrition receives an infusion at a constant rate for

Which of the following factors should be considered when planning home parenteral nutrition?

What is the maximum blood glucose level that is considered acceptable for most patients receiving parenteral nutrition?

When a person is brought into the emergency room from a nursing home where she was found unresponsive in her room, and CPR is not administered, this is because the physicians are following the _____ in the patient's medical record.

Suppose a person is receiving 2000 milliliters of a 10% amino acid solution.What is the amount of amino acids provided?

Which vitamin is omitted from parenteral solutions designed for patients on warfarin therapy?

Which of these conditions is least likely to require TPN by central vein?

For which of the following conditions are disease-specific amino acid solutions commercially available?

All of the following may occur when long-term TPN is discontinued and oral feedings are gradually reintroduced except

Which statement is true?

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

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