Question 1

A standard formula is to intact proteins as a modular formula is to

Accepted Answer

A) broken-down proteins. 
B) single macronutrient(s). 
C) polyunsaturated fat. 
D) saturated fat. 
A) broken-down proteins. 
B) single macronutrient(s). 
C) polyunsaturated fat. 
D) saturated fat. B

Question 2

Which feeding tube placement may require a surgical procedure?

Accepted Answer

A) Nasogastric 
B) Nasojejunal 
C) Enterostomy 
D) Nasoduodenal 
A) Nasogastric 
B) Nasojejunal 
C) Enterostomy 
D) Nasoduodenal C

Question 3

Which type of formula delivery is generally used in patients who receive intestinal feedings?

Accepted Answer

A) Continuous 
B) Bolus 
C) Intermittent 
D) b and c 
A) Continuous 
B) Bolus 
C) Intermittent 
D) b and c A

Question 4

When determining nutrient requirements for patients, which of the following should not be considered?

Accepted Answer

A) Medical condition 
B) Ability to digest and absorb nutrients 
C) Patient's age 
D) Feeding tube diameter 
A) Medical condition 
B) Ability to digest and absorb nutrients 
C) Patient's age 
D) Feeding tube diameter

Question 5

Standard formulas usually provide _____ kcal/mL, _____ of which come from protein.

Accepted Answer

A) 1.0-1.2; 30%-40% 
B) 1.0-1.2; 12%-20% 
C) 1.2-3.0; 30%-40% 
D) 1.2-3.0; 12%-20% 
A) 1.0-1.2; 30%-40% 
B) 1.0-1.2; 12%-20% 
C) 1.2-3.0; 30%-40% 
D) 1.2-3.0; 12%-20%

Question 6

Which of the following is not a possible cause of diarrhea in a tube fed client?

Accepted Answer

A) Lactose malabsorption 
B) Bacterial contamination 
C) Low fiber intake 
D) Hypertonic solutions 
A) Lactose malabsorption 
B) Bacterial contamination 
C) Low fiber intake 
D) Hypertonic solutions

Question 7

An isotonic formula has

Accepted Answer

A) approximately the same osmolality of blood serum. 
B) an osmolality of about 300 mOsm/kg. 
C) a greater osmolality than blood serum. 
D) a and b 
E) b and c 
A) approximately the same osmolality of blood serum. 
B) an osmolality of about 300 mOsm/kg. 
C) a greater osmolality than blood serum. 
D) a and b 
E) b and c

Question 8

Which of the following enteral formulas would you expect to have the lowest osmolality?

Accepted Answer

A) Hydrolyzed formulas 
B) Nutrient-dense formulas 
C) Standard formulas 
D) Elemental formulas 
A) Hydrolyzed formulas 
B) Nutrient-dense formulas 
C) Standard formulas 
D) Elemental formulas

Question 9

Which of the following is not a recommended method for helping patients accept oral formulas?

Accepted Answer

A) Assist patients with sampling a variety of oral formulas. 
B) Serve the oral formulas in an attractive way (i.e.in a glass vs.in a can). 
C) Lecture the patient on the importance of drinking the formula. 
D) Check back with the patients to see if they still like what they are receiving. 
A) Assist patients with sampling a variety of oral formulas. 
B) Serve the oral formulas in an attractive way (i.e.in a glass vs.in a can). 
C) Lecture the patient on the importance of drinking the formula. 
D) Check back with the patients to see if they still like what they are receiving.

Question 10

Why are bolus feedings used only in patients who are not critically ill?

Accepted Answer

A) Bolus feedings restrict the patient's movements for long periods of time. 
B) Risk of aspiration is greater than with other delivery methods. 
C) Bolus feedings wouldn't be adequate to meet the patient's nutrition needs in this situation. 
D) Bolus feedings require the use of an infusion pump. 
A) Bolus feedings restrict the patient's movements for long periods of time. 
B) Risk of aspiration is greater than with other delivery methods. 
C) Bolus feedings wouldn't be adequate to meet the patient's nutrition needs in this situation. 
D) Bolus feedings require the use of an infusion pump.

Question 11

For clients suffering from constipation or diarrhea, health care professionals recommend increasing

Accepted Answer

A) fat intake. 
B) fiber intake. 
C) vitamin intake. 
D) mineral intake. 
A) fat intake. 
B) fiber intake. 
C) vitamin intake. 
D) mineral intake.

Question 12

Maureen Grey is a 75-year-old nursing home patient. She has been obtaining her nutrition via tube feeding for over three years. She is admitted to Good Valley Hospital with a diagnosis of dehydration with an eight-pound weight loss in one month.
-Which type of tube feeding does Ms.Grey most likely have?

Accepted Answer

A) Nasogastric 
B) Orogastric 
C) Gastrostomy 
D) Double lumen 
A) Nasogastric 
B) Orogastric 
C) Gastrostomy 
D) Double lumen

Question 13

Mr.Thomas is receiving an enteral feeding product at 60 cc/hr by continuous drip.At 2:00 p.m., it is time to hang additional feeding product since there are only 40 cc left in the feeding bag.When you check the residual you note that there is 50 cc of gastric contents, so you should

Accepted Answer

A) stop the feeding and contact the physician. 
B) stop the feeding, irrigate the tube, and then contact the physician. 
C) continue the feeding but decrease the rate to 50 cc/hr. 
D) continue the feeding as ordered. 
A) stop the feeding and contact the physician. 
B) stop the feeding, irrigate the tube, and then contact the physician. 
C) continue the feeding but decrease the rate to 50 cc/hr. 
D) continue the feeding as ordered.

Question 14

Which of the following is appropriate to meet the nutritional needs of a 36-year-old patient in the intensive care unit on a mechanical ventilator?

Accepted Answer

A) Elemental feeding via gastrostomy 
B) Pareneteral nutrition 
C) Regular diet 
D) Standard feeding via nasogastric tube 
A) Elemental feeding via gastrostomy 
B) Pareneteral nutrition 
C) Regular diet 
D) Standard feeding via nasogastric tube

Question 15

Mrs.Arthur is receiving 2000 mL of an enteral ready-to-feed formula continuously over 24 hours.She is not on a fluid restriction.Mrs.Arthur will receive _____ of formula each hour.

Accepted Answer

A) 42 mL 
B) 63 mL 
C) 83 mL 
D) none of the above 
A) 42 mL 
B) 63 mL 
C) 83 mL 
D) none of the above

Question 16

Which of the following does not contribute to dehydration of a tube fed patient?

Accepted Answer

A) Malfunctioning feeding pumps 
B) Diarrhea 
C) Clogged feeding tubes 
D) Providing supplemental water flushes 
A) Malfunctioning feeding pumps 
B) Diarrhea 
C) Clogged feeding tubes 
D) Providing supplemental water flushes

Question 17

Daniel Davis is suffering from abnormal digestion and malabsorption.The physician orders Daniel to be placed on enteral nutrition.What type of formula would be prescribed?

Accepted Answer

A) Standard formula 
B) Elemental formula 
C) Polymeric formula 
D) Modular formula 
A) Standard formula 
B) Elemental formula 
C) Polymeric formula 
D) Modular formula

Question 18

Case Studies
Eighty-year-old Antonio Hernandez has a past medical history of hypertension, elevated cholesterol, and diabetes.He suffers a massive stroke and is stabilized in the CCU (coronary care unit).It is determined that it is unsafe to feed him orally and a tube feeding will be started immediately.
-Which formula would be the most appropriate for Antonio?

Accepted Answer

A) Modular formula 
B) Blenderized formula 
C) Specialized formula 
D) Elemental formula
Maureen Grey is a 75-year-old nursing home patient.She has been obtaining her nutrition via tube feeding for over three years.She is admitted to Good Valley Hospital with a diagnosis of dehydration with an eight-pound weight loss in one month. 
A) Modular formula 
B) Blenderized formula 
C) Specialized formula 
D) Elemental formula
Maureen Grey is a 75-year-old nursing home patient.She has been obtaining her nutrition via tube feeding for over three years.She is admitted to Good Valley Hospital with a diagnosis of dehydration with an eight-pound weight loss in one month.

Question 19

Intermittent feeding using the gravity drip is the delivery of no more than how much formula over 30 minutes?

Accepted Answer

A) 100 mL 
B) 200 mL 
C) 300 mL 
D) 400 mL 
A) 100 mL 
B) 200 mL 
C) 300 mL 
D) 400 mL

Question 20

Enteral nutrition refers to which of the following?

Accepted Answer

A) Provision of nutrients using the GI tract 
B) Provision of nutrients intravenously 
C) Provision of nutrients through oral diets and supplements 
D) a and b 
E) a and c 
A) Provision of nutrients using the GI tract 
B) Provision of nutrients intravenously 
C) Provision of nutrients through oral diets and supplements 
D) a and b 
E) a and c

Exam 20: Enteral Nutrition Support

A standard formula is to intact proteins as a modular formula is to

Which feeding tube placement may require a surgical procedure?

Which type of formula delivery is generally used in patients who receive intestinal feedings?

When determining nutrient requirements for patients, which of the following should not be considered?

Standard formulas usually provide _____ kcal/mL, _____ of which come from protein.

Which of the following is not a possible cause of diarrhea in a tube fed client?

An isotonic formula has

Which of the following enteral formulas would you expect to have the lowest osmolality?

Which of the following is not a recommended method for helping patients accept oral formulas?

Why are bolus feedings used only in patients who are not critically ill?

For clients suffering from constipation or diarrhea, health care professionals recommend increasing

Mr.Thomas is receiving an enteral feeding product at 60 cc/hr by continuous drip.At 2:00 p.m., it is time to hang additional feeding product since there are only 40 cc left in the feeding bag.When you check the residual you note that there is 50 cc of gastric contents, so you should

Which of the following is appropriate to meet the nutritional needs of a 36-year-old patient in the intensive care unit on a mechanical ventilator?

Mrs.Arthur is receiving 2000 mL of an enteral ready-to-feed formula continuously over 24 hours.She is not on a fluid restriction.Mrs.Arthur will receive _____ of formula each hour.

Which of the following does not contribute to dehydration of a tube fed patient?

Daniel Davis is suffering from abnormal digestion and malabsorption.The physician orders Daniel to be placed on enteral nutrition.What type of formula would be prescribed?

Intermittent feeding using the gravity drip is the delivery of no more than how much formula over 30 minutes?

Enteral nutrition refers to which of the following?

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

Parenteral 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

Standard formulas usually provide _ kcal/mL, _ of which come from protein.