Question 1

Which of the following statements is true?

Accepted Answer

A) The effectiveness of disease-specific formulas to manage particular conditions is considered controversial. 
B) Polymeric formulas are designed to meet the specific needs of patients with certain illnesses. 
C) Disease-specific formulas cost the same as standard formulas. 
D) Special formulas have been developed to treat liver disease but not kidney disease. 
A) The effectiveness of disease-specific formulas to manage particular conditions is considered controversial. 
B) Polymeric formulas are designed to meet the specific needs of patients with certain illnesses. 
C) Disease-specific formulas cost the same as standard formulas. 
D) Special formulas have been developed to treat liver disease but not kidney disease.

Question 2

Cale, a nurse, determines that his patient's jejunostomy tube is clogged.Which of the following is a possible cause?

Accepted Answer

A) Using liquid medications 
B) Using a viscous energy-dense formula 
C) Excessive water flushing 
D) Using a high-fiber formula 
A) Using liquid medications 
B) Using a viscous energy-dense formula 
C) Excessive water flushing 
D) Using a high-fiber formula

Question 3

Tom Teenager is a 15 year old who is eating some but must also receive enteral feedings for malnutrition associated with Crohn's disease.To help Tom carry on normal activities, the health care team might try

Accepted Answer

A) continuous feedings. 
B) intermittent feedings. 
C) a neon-colored feeding tube. 
D) all of the above 
A) continuous feedings. 
B) intermittent feedings. 
C) a neon-colored feeding tube. 
D) all of the above

Question 4

The delivery of up to 500 mL of formula within 20 minutes is termed

Accepted Answer

A) minimal residual. 
B) intermittent feeding. 
C) a bolus feeding. 
D) a continuous drip. 
A) minimal residual. 
B) intermittent feeding. 
C) a bolus feeding. 
D) a continuous drip.

Question 5

The only current treatment for phenylketonuria (PKU) is a diet that:

Accepted Answer

A) restricts phenylalanine and tyrosine. 
B) supplies tyrosine and valine. 
C) supplies valine and restricts phenylalanine. 
D) supplies tyrosine and restricts phenylalanine. 
A) restricts phenylalanine and tyrosine. 
B) supplies tyrosine and valine. 
C) supplies valine and restricts phenylalanine. 
D) supplies tyrosine and restricts phenylalanine.

Question 6

A characteristic of an elemental formula is that

Accepted Answer

A) it may be low in fat or contain MCT. 
B) it reduces the amount of work needed for digestion. 
C) it contains complete proteins. 
D) a and b 
E) a, b, and c 
A) it may be low in fat or contain MCT. 
B) it reduces the amount of work needed for digestion. 
C) it contains complete proteins. 
D) a and b 
E) a, b, and c

Question 7

The main focus of the dietary treatment for galactosemia is:

Accepted Answer

A) the exclusion of galactose. 
B) the provision of galactose. 
C) the exclusion of protein. 
D) the provision of essential fatty acids. 
A) the exclusion of galactose. 
B) the provision of galactose. 
C) the exclusion of protein. 
D) the provision of essential fatty acids.

Question 8

Which of the following measures will not help to reduce the risk of aspiration for patients receiving a tube feeding?

Accepted Answer

A) Elevate the patient's upper body to at least a 30- to 45-degree angle during the feeding. 
B) Elevate the patient's upper body to at least a 30- to 45-degree angle for 30 minutes after the feeding. 
C) Use X-ray to verify the position of the feeding tube before initiating tube feeding. 
D) Flush the tube with water before and after administering the formula. 
A) Elevate the patient's upper body to at least a 30- to 45-degree angle during the feeding. 
B) Elevate the patient's upper body to at least a 30- to 45-degree angle for 30 minutes after the feeding. 
C) Use X-ray to verify the position of the feeding tube before initiating tube feeding. 
D) Flush the tube with water before and after administering the formula.

Question 9

Which of the following is not used as a carbohydrate source in enteral formulas?

Accepted Answer

A) Corn syrup 
B) Corn starch 
C) Lactose 
D) Sucrose 
A) Corn syrup 
B) Corn starch 
C) Lactose 
D) Sucrose

Question 10

All of the following statements are true except:

Accepted Answer

A) inborn errors of metabolism are inherited and present at birth. 
B) all inborn errors of metabolism are fatal. 
C) PKU is an inborn error of amino acid metabolism. 
D) galactosemia is an inborn error of carbohydrate metabolism. 
A) inborn errors of metabolism are inherited and present at birth. 
B) all inborn errors of metabolism are fatal. 
C) PKU is an inborn error of amino acid metabolism. 
D) galactosemia is an inborn error of carbohydrate metabolism.

Question 11

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 feeding route would be the most appropriate for Antonio?

Accepted Answer

A) Orogastric 
B) Nasogastric 
C) Gastrostomy 
D) Jejunostomy 
A) Orogastric 
B) Nasogastric 
C) Gastrostomy 
D) Jejunostomy

Question 12

Mr.Heiman has suffered a stroke and now has dysphagia (difficulty swallowing).He is 5'8" and weighs 127 lbs.The most appropriate method of nutrition support for him would be

Accepted Answer

A) gastrostomy feedings. 
B) nasojejunal feedings. 
C) liquid supplements. 
D) jejunostomy feedings. 
A) gastrostomy feedings. 
B) nasojejunal feedings. 
C) liquid supplements. 
D) jejunostomy feedings.

Question 13

Which of the following tube feeding delivery methods would allow the most flexibility for feeding a school-age child?

Accepted Answer

A) Continuous feedings 
B) Bolus feedings 
C) Intermittent feedings 
D) a and b 
A) Continuous feedings 
B) Bolus feedings 
C) Intermittent feedings 
D) a and b

Question 14

In the United States, phenylketonuria (PKU) affects approximately 1 out of _____ births annually.

Accepted Answer

A) 5,000 
B) 10,000 
C) 50,000 
D) 100,000 
A) 5,000 
B) 10,000 
C) 50,000 
D) 100,000

Question 15

Roberta is a registered dietitian and is visiting one of her tube-fed patients.She notices that there are many unopened cans of the tube feeding formula at the patient's bedside.What could be the primary cause of this accumulation of cans?

Accepted Answer

A) The can are expired. 
B) The cans will be used as part of a closed system. 
C) The patient's feeding has been held. 
D) The nursing staff forgot to put them in the refrigerator. 
A) The can are expired. 
B) The cans will be used as part of a closed system. 
C) The patient's feeding has been held. 
D) The nursing staff forgot to put them in the refrigerator.

Question 16

Daily assessment data to be collected on a client on a feeding tube should include all of the following except

Accepted Answer

A) administration schedule. 
B) body weight. 
C) fat fold measurements. 
D) lab values. 
A) administration schedule. 
B) body weight. 
C) fat fold measurements. 
D) lab values.

Question 17

Mr.Simpson is receiving formula intermittently six times a day.He needs 1500 mL each 24 hours.How many milliliters of formula is Mr.Simpson receiving at each feeding?

Accepted Answer

A) 250 
B) 333 
C) 900 
D) 120 
A) 250 
B) 333 
C) 900 
D) 120

Question 18

Which of the following is not a goal of medical nutrition therapy for an inborn error of metabolism?

Accepted Answer

A) Prevent the accumulation of toxic metabolites. 
B) Replace the nutrients that are deficient. 
C) Completely eliminate substances from the diet that cannot be properly metabolized. 
D) Provide a diet that supports normal growth and development. 
A) Prevent the accumulation of toxic metabolites. 
B) Replace the nutrients that are deficient. 
C) Completely eliminate substances from the diet that cannot be properly metabolized. 
D) Provide a diet that supports normal growth and development.

Question 19

Sarah has been receiving enteral nutrition support for the past 4 days.She has developed diarrhea.What is the most likely culprit?

Accepted Answer

A) Allergies 
B) Dehydration 
C) Medication 
D) Lactose intolerance 
A) Allergies 
B) Dehydration 
C) Medication 
D) Lactose intolerance

Question 20

Which of the following feeding sites is most appropriate for clients requiring long-term nutrition support?

Accepted Answer

A) Enterostomy 
B) Nasoenteric 
C) Nasogastric 
D) Orogastric 
A) Enterostomy 
B) Nasoenteric 
C) Nasogastric 
D) Orogastric

Exam 20: Enteral Nutrition Support

Which of the following statements is true?

Cale, a nurse, determines that his patient's jejunostomy tube is clogged.Which of the following is a possible cause?

Tom Teenager is a 15 year old who is eating some but must also receive enteral feedings for malnutrition associated with Crohn's disease.To help Tom carry on normal activities, the health care team might try

The delivery of up to 500 mL of formula within 20 minutes is termed

The only current treatment for phenylketonuria (PKU) is a diet that:

A characteristic of an elemental formula is that

The main focus of the dietary treatment for galactosemia is:

Which of the following measures will not help to reduce the risk of aspiration for patients receiving a tube feeding?

Which of the following is not used as a carbohydrate source in enteral formulas?

All of the following statements are true except:

Mr.Heiman has suffered a stroke and now has dysphagia (difficulty swallowing).He is 5'8" and weighs 127 lbs.The most appropriate method of nutrition support for him would be

Which of the following tube feeding delivery methods would allow the most flexibility for feeding a school-age child?

In the United States, phenylketonuria (PKU) affects approximately 1 out of _____ births annually.

Roberta is a registered dietitian and is visiting one of her tube-fed patients.She notices that there are many unopened cans of the tube feeding formula at the patient's bedside.What could be the primary cause of this accumulation of cans?

Daily assessment data to be collected on a client on a feeding tube should include all of the following except

Mr.Simpson is receiving formula intermittently six times a day.He needs 1500 mL each 24 hours.How many milliliters of formula is Mr.Simpson receiving at each feeding?

Which of the following is not a goal of medical nutrition therapy for an inborn error of metabolism?

Sarah has been receiving enteral nutrition support for the past 4 days.She has developed diarrhea.What is the most likely culprit?

Which of the following feeding sites is most appropriate for clients requiring long-term nutrition support?

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