Question 1

Which trace mineral is excluded from parenteral solutions because it alters the stability of the other ingredients in the solution?

Accepted Answer

A) Zinc 
B) Copper 
C) Iron 
D) Selenium 
A) Zinc 
B) Copper 
C) Iron 
D) Selenium

Question 2

If a TPN solution contains 80 grams of amino acids per 1 L solution, what is the contribution of these amino acids to the osmolarity of the TPN?

Accepted Answer

A) 100 mOsm/L 
B) 200 mOsm/L 
C) 400 mOsm/L 
D) 800 mOsm/L 
A) 100 mOsm/L 
B) 200 mOsm/L 
C) 400 mOsm/L 
D) 800 mOsm/L

Question 3

Before parenteral nutrition is discontinued, oral intake, tube feeding, or a combination should provide at least what proportion of the estimated energy needs?

Accepted Answer

A) 55% 
B) 60% 
C) 67% 
D) 82% 
A) 55% 
B) 60% 
C) 67% 
D) 82%

Question 4

A(n) _____ is made up of physicians, nurses, dietitians, and pharmacists.

Accepted Answer

A) food service department 
B) nutrition support team 
C) eating disorder treatment team 
D) physical rehabilitation team 
A) food service department 
B) nutrition support team 
C) eating disorder treatment team 
D) physical rehabilitation team

Question 5

Mrs.Harper has been tolerating her tube feeding and is being discharged to her home this afternoon.The insurance company requests the dietitian to:

Accepted Answer

A) change the tube feeding method to continuous. 
B) change the tube feeding product. 
C) change the tube feeding method to bolus. 
D) a and b 
E) b and c 
A) change the tube feeding method to continuous. 
B) change the tube feeding product. 
C) change the tube feeding method to bolus. 
D) a and b 
E) b and c

Question 6

Case Studies
Marc Jejune is a 30-year-old single male who exercises and follows a healthy diet.His physician admits Marc to the medical-surgical unit for evaluation.At his doctor's appointment prior to his admission, he complained of poor appetite, constipation, nausea, and vomiting for 3 days.
-What should the nutritional support team do to ensure that Marc can consume enough food orally to meet his energy needs?

Accepted Answer

A) Send double portions 
B) Discontinue the tube feeding 
C) Discontinue the TPN 
D) Switch to nocturnal feedings
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. 
A) Send double portions 
B) Discontinue the tube feeding 
C) Discontinue the TPN 
D) Switch to nocturnal feedings
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.

Question 7

Which type of parenteral nutrition is provided at night so patients can participate in routine activities during the day?

Accepted Answer

A) Continuous parenteral nutrition 
B) Cyclic parenteral nutrition 
C) Peripheral parenteral nutrition 
D) Piggyback parenteral nutrition 
A) Continuous parenteral nutrition 
B) Cyclic parenteral nutrition 
C) Peripheral parenteral nutrition 
D) Piggyback parenteral nutrition

Question 8

Which statement is false?

Accepted Answer

A) To "piggyback" means to administer a second solution through a second catheter. 
B) Few medications are added to parenteral solutions so that potential drug-nutrient interactions can be avoided. 
C) Two separate ports may be attached to a single catheter using a Y-connector. 
D) Heparin may be added to TPN by piggyback to prevent clotting at the catheter tip. 
A) To "piggyback" means to administer a second solution through a second catheter. 
B) Few medications are added to parenteral solutions so that potential drug-nutrient interactions can be avoided. 
C) Two separate ports may be attached to a single catheter using a Y-connector. 
D) Heparin may be added to TPN by piggyback to prevent clotting at the catheter tip.

Question 9

Kristin Sullivan is on long-term parenteral nutrition.This place her at risk for:

Accepted Answer

A) type 1 diabetes. 
B) osteoporosis. 
C) liver cancer. 
D) heart disease. 
A) type 1 diabetes. 
B) osteoporosis. 
C) liver cancer. 
D) heart disease.

Question 10

A patient on TPN for longer than _____ is at risk for "sludge" buildup in the gallbladder and gall stone formation.

Accepted Answer

A) 2 weeks 
B) 3 weeks 
C) 4 weeks 
D) 5 weeks 
A) 2 weeks 
B) 3 weeks 
C) 4 weeks 
D) 5 weeks

Question 11

Which of the following does not need to be monitored daily for a client receiving TPN?

Accepted Answer

A) Weight changes 
B) Fluid intake and output records 
C) Liver enzymes 
D) Serum glucose 
A) Weight changes 
B) Fluid intake and output records 
C) Liver enzymes 
D) Serum glucose

Question 12

Case Studies
Marc Jejune is a 30-year-old single male who exercises and follows a healthy diet.His physician admits Marc to the medical-surgical unit for evaluation.At his doctor's appointment prior to his admission, he complained of poor appetite, constipation, nausea, and vomiting for 3 days.
-After surgery, Marc remains on ventilator support but his gut function is improving.The doctor should initiate:

Accepted Answer

A) a soft diet. 
B) a clear liquid diet. 
C) an elemental tube feeding. 
D) PPN. 
A) a soft diet. 
B) a clear liquid diet. 
C) an elemental tube feeding. 
D) PPN.

Question 13

Mrs.Jackson is admitted to the hospital with a diagnosis of severe pancreatitis due to hypertriglyceridemia.Which macronutrient(s) in her TPN may need to be restricted?

Accepted Answer

A) Lipids 
B) Carbohydrates 
C) Amino acids 
D) a and b 
A) Lipids 
B) Carbohydrates 
C) Amino acids 
D) a and b

Question 14

Max, a 67-year-old homeless man with a history of alcoholism, is admitted with frostbite and severe malnutrition.What lab values should be monitored when his TPN is started to avoid the development of refeeding syndrome?

Accepted Answer

A) Folate, vitamin B6, and vitamin B12 
B) Sodium, iron, and zinc 
C) Calcium, vitamin D, and vitamin K 
D) Phosphate, potassium, and magnesium 
A) Folate, vitamin B6, and vitamin B12 
B) Sodium, iron, and zinc 
C) Calcium, vitamin D, and vitamin K 
D) Phosphate, potassium, and magnesium

Question 15

Greg Thomas is a 12 year old who is being weaned off of TPN.In addition to TPN, Greg is on a soft diet.Greg is 5'2" and weighs 110 lbs.His energy needs are estimated to be approximately 2100 kcal/day.His calorie count reveals he is consuming 1700 kcal/day.Which intervention is appropriate at this time?

Accepted Answer

A) Discontinue TPN. 
B) Oral feeding should be doubled. 
C) Enteral feeding should be considered. 
D) TPN should be increased to provide an additional 1100 kcal. 
A) Discontinue TPN. 
B) Oral feeding should be doubled. 
C) Enteral feeding should be considered. 
D) TPN should be increased to provide an additional 1100 kcal.

Question 16

A physician writes an order for Mrs.Wilson to receive parenteral lipids twice a week.The purpose of this order is to

Accepted Answer

A) provide essential fatty acids. 
B) provide nonessential amino acids. 
C) provide excessive energy. 
D) suppress the immune response. 
A) provide essential fatty acids. 
B) provide nonessential amino acids. 
C) provide excessive energy. 
D) suppress the immune response.

Question 17

The protein in a TPN solution is primarily in the form of

Accepted Answer

A) amino acids. 
B) protein hydrolysate. 
C) short-chain fatty acids. 
D) intact protein. 
A) amino acids. 
B) protein hydrolysate. 
C) short-chain fatty acids. 
D) intact protein.

Question 18

In order to prevent the development of hyperglycemia, what is the recommended maximum amount of carbohydrate in a TPN solution that should be provided daily?

Accepted Answer

A) 4 mg/kg body weight/minute 
B) 5 mg/kg body weight/minute 
C) 6 mg/kg body weight/minute 
D) 7 mg/kg body weight/minute 
A) 4 mg/kg body weight/minute 
B) 5 mg/kg body weight/minute 
C) 6 mg/kg body weight/minute 
D) 7 mg/kg body weight/minute

Question 19

Caution should be taken when administering parenteral lipids to people with which condition?

Accepted Answer

A) Hypertriglyceridemia 
B) Hyperglycemia 
C) Diabetes 
D) Kidney failure 
A) Hypertriglyceridemia 
B) Hyperglycemia 
C) Diabetes 
D) Kidney failure

Question 20

Which of the following nutrients is not found in parenteral solutions?

Accepted Answer

A) Vitamins and minerals 
B) Amino acids 
C) Fat 
D) Fiber 
A) Vitamins and minerals 
B) Amino acids 
C) Fat 
D) Fiber

Exam 21: Parenteral Nutrition Support

Which trace mineral is excluded from parenteral solutions because it alters the stability of the other ingredients in the solution?

If a TPN solution contains 80 grams of amino acids per 1 L solution, what is the contribution of these amino acids to the osmolarity of the TPN?

Before parenteral nutrition is discontinued, oral intake, tube feeding, or a combination should provide at least what proportion of the estimated energy needs?

A(n) _____ is made up of physicians, nurses, dietitians, and pharmacists.

Mrs.Harper has been tolerating her tube feeding and is being discharged to her home this afternoon.The insurance company requests the dietitian to:

Which type of parenteral nutrition is provided at night so patients can participate in routine activities during the day?

Which statement is false?

Kristin Sullivan is on long-term parenteral nutrition.This place her at risk for:

A patient on TPN for longer than _____ is at risk for "sludge" buildup in the gallbladder and gall stone formation.

Which of the following does not need to be monitored daily for a client receiving TPN?

Mrs.Jackson is admitted to the hospital with a diagnosis of severe pancreatitis due to hypertriglyceridemia.Which macronutrient(s) in her TPN may need to be restricted?

Max, a 67-year-old homeless man with a history of alcoholism, is admitted with frostbite and severe malnutrition.What lab values should be monitored when his TPN is started to avoid the development of refeeding syndrome?

A physician writes an order for Mrs.Wilson to receive parenteral lipids twice a week.The purpose of this order is to

The protein in a TPN solution is primarily in the form of

In order to prevent the development of hyperglycemia, what is the recommended maximum amount of carbohydrate in a TPN solution that should be provided daily?

Caution should be taken when administering parenteral lipids to people with which condition?

Which of the following nutrients is not found in parenteral solutions?

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

Filters