Question 1

Kristina is a 4 year old with galactosemia.Which nutrient should her caregivers take special care to make sure she receives enough of?

Accepted Answer

A) Vitamin C 
B) Calcium 
C) Vitamin E 
D) Potassium 
A) Vitamin C 
B) Calcium 
C) Vitamin E 
D) Potassium

Question 2

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.
-For the first 24 hours the tube feeding should be delivered by a(n) _____ feeding method.

Accepted Answer

A) continuous 
B) daily 
C) intermittent 
D) bolus 
A) continuous 
B) daily 
C) intermittent 
D) bolus

Question 3

Which of the following is not a potential fat source for enteral formulas?

Accepted Answer

A) Corn oil 
B) Palm kernel oil 
C) Medium-chain triglycerides (MCT) oil 
D) Fish oil 
A) Corn oil 
B) Palm kernel oil 
C) Medium-chain triglycerides (MCT) oil 
D) Fish oil

Question 4

Parenteral 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
Questions for Section 20.1 Enteral Formulas 
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
Questions for Section 20.1 Enteral Formulas

Question 5

Standard formulas are used for clients who

Accepted Answer

A) require large amounts of kcalories. 
B) are able to digest and absorb nutrients. 
C) are severely malnourished. 
D) require intravenous feedings. 
A) require large amounts of kcalories. 
B) are able to digest and absorb nutrients. 
C) are severely malnourished. 
D) require intravenous feedings.

Question 6

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.
-While reviewing the nursing home's medical record, the nurse discovers that Maureen's weight loss can be linked to the addition of phenytoin, a medication that requires the tube feeding to be _____.

Accepted Answer

A) halted 
B) increased 
C) diluted 
D) bolused 
A) halted 
B) increased 
C) diluted 
D) bolused

Question 7

A formula with an osmolality greater than that of blood serum is known as a(n)

Accepted Answer

A) isotonic formula. 
B) hypertonic formula. 
C) enteral formula. 
D) complete formula. 
A) isotonic formula. 
B) hypertonic formula. 
C) enteral formula. 
D) complete formula.

Question 8

Mr.Smith is 63 years old with Alzheimer's disease.He has an order for a feeding tube because he refuses to eat and is becoming malnourished.Which of the following feeding tubes would be a good choice?

Accepted Answer

A) Nasogastric 
B) Nasoduodenal 
C) Gastrostomy 
D) Transnasal 
A) Nasogastric 
B) Nasoduodenal 
C) Gastrostomy 
D) Transnasal

Question 9

Which of the following statements is true?

Accepted Answer

A) An open feeding system reduces the risk of bacterial contamination. 
B) An enteral formula delivery system ready to be attached to a feeding tube is called a closed feeding system. 
C) Formulas in cans, bottles, or powders can all be used in a closed feeding system. 
D) None of the above 
A) An open feeding system reduces the risk of bacterial contamination. 
B) An enteral formula delivery system ready to be attached to a feeding tube is called a closed feeding system. 
C) Formulas in cans, bottles, or powders can all be used in a closed feeding system. 
D) None of the above

Question 10

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.
-The patient obtains 100% of her nutrients via her tube feeding.However, she is found to have food poising (Salmonella).Which is the most plausible cause?

Accepted Answer

A) Closed system 
B) Open system 
C) Improper hand washing 
D) Improper tube placement 
A) Closed system 
B) Open system 
C) Improper hand washing 
D) Improper tube placement

Question 11

Techniques used to prevent the risk of bacterial contamination include all of the following except:

Accepted Answer

A) cleaning the can lid before opening a can of formula. 
B) changing the feeding bags every 8 to 12 hours in an open system. 
C) mixing new formula with remaining formula into one bag. 
D) discarding open containers of formula not used within 24 hours. 
A) cleaning the can lid before opening a can of formula. 
B) changing the feeding bags every 8 to 12 hours in an open system. 
C) mixing new formula with remaining formula into one bag. 
D) discarding open containers of formula not used within 24 hours.

Question 12

Which of the following solutions provides the most energy and nutrients in the smallest volume?

Accepted Answer

A) 0.5 kcal/mL 
B) 1.0 kcal/mL 
C) 1.5 kcal/mL 
D) 2.0 kcal/mL 
A) 0.5 kcal/mL 
B) 1.0 kcal/mL 
C) 1.5 kcal/mL 
D) 2.0 kcal/mL

Question 13

Which of the following conditions would probably not increase the body's requirement for water?

Accepted Answer

A) Fever 
B) Decreased urine output 
C) Fistula drainage or high-output ostomies 
D) Open wounds 
A) Fever 
B) Decreased urine output 
C) Fistula drainage or high-output ostomies 
D) Open wounds

Question 14

Enteral formulas usually provide energy from the macronutrients within which of the following ranges (expressed as percentages of total kcalories)?

Accepted Answer

A) 8-10% protein, 55-60% carbohydrate, 30% fat 
B) 20-30% protein, 40-50% carbohydrate, 20-40% fat 
C) 12-20% protein, 40-60% carbohydrate, 30-40% fat 
D) 40-50% protein, 8-29% carbohydrate, 30-45% fat 
A) 8-10% protein, 55-60% carbohydrate, 30% fat 
B) 20-30% protein, 40-50% carbohydrate, 20-40% fat 
C) 12-20% protein, 40-60% carbohydrate, 30-40% fat 
D) 40-50% protein, 8-29% carbohydrate, 30-45% fat

Question 15

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.
-The nurse will determine whether the patient is tolerating the tube feeding by:

Accepted Answer

A) diluting the formula. 
B) adding dye to the formula. 
C) checking gastric residuals. 
D) adding drug therapy. 
A) diluting the formula. 
B) adding dye to the formula. 
C) checking gastric residuals. 
D) adding drug therapy.

Question 16

Mr.Preston has just started a bolus feeding.However, the doctor has decided to stop it because:

Accepted Answer

A) the patient complains of nausea and fullness. 
B) the patient wants a more flexible regimen. 
C) the patient has become critically ill. 
D) Either a or c could be correct. 
A) the patient complains of nausea and fullness. 
B) the patient wants a more flexible regimen. 
C) the patient has become critically ill. 
D) Either a or c could be correct.

Question 17

Which one of the following formulas is not nutritionally complete?

Accepted Answer

A) Hydrolyzed 
B) Modules 
C) Protein isolate 
D) Polymeric 
A) Hydrolyzed 
B) Modules 
C) Protein isolate 
D) Polymeric

Question 18

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 of the following may have caused her to become dehydrated?

Accepted Answer

A) Dysphagia 
B) Food allergy 
C) Tube feeding rate 
D) Diarrhea 
A) Dysphagia 
B) Food allergy 
C) Tube feeding rate 
D) Diarrhea

Question 19

A general-purpose enteral formula that contains intact proteins is a(n)

Accepted Answer

A) standard formula. 
B) elemental formula. 
C) modular formula. 
D) isotonic formula. 
A) standard formula. 
B) elemental formula. 
C) modular formula. 
D) isotonic formula.

Question 20

Mrs.Smith, a client with congestive heart failure, requires 2000 kcal/day.She is receiving a formula with 2 kcal/mL by continuous drip.How many milliliters of formula will be given each hour?

Accepted Answer

A) 33 
B) 42 
C) 66 
D) 83 
A) 33 
B) 42 
C) 66 
D) 83

Exam 20: Enteral Nutrition Support

Kristina is a 4 year old with galactosemia.Which nutrient should her caregivers take special care to make sure she receives enough of?

Which of the following is not a potential fat source for enteral formulas?

Parenteral nutrition refers to which of the following?

Standard formulas are used for clients who

A formula with an osmolality greater than that of blood serum is known as a(n)

Mr.Smith is 63 years old with Alzheimer's disease.He has an order for a feeding tube because he refuses to eat and is becoming malnourished.Which of the following feeding tubes would be a good choice?

Which of the following statements is true?

Techniques used to prevent the risk of bacterial contamination include all of the following except:

Which of the following solutions provides the most energy and nutrients in the smallest volume?

Which of the following conditions would probably not increase the body's requirement for water?

Enteral formulas usually provide energy from the macronutrients within which of the following ranges (expressed as percentages of total kcalories)?

Mr.Preston has just started a bolus feeding.However, the doctor has decided to stop it because:

Which one of the following formulas is not nutritionally complete?

A general-purpose enteral formula that contains intact proteins is a(n)

Mrs.Smith, a client with congestive heart failure, requires 2000 kcal/day.She is receiving a formula with 2 kcal/mL by continuous drip.How many milliliters of formula will be given each hour?

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

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