Question 1

A common GI complication of PN when the bowel is at complete rest is:

Accepted Answer

A) diarrhea. 
B) decreased LFTs. 
C) hepatic steatosis. 
D) cholestasis. 
A) diarrhea. 
B) decreased LFTs. 
C) hepatic steatosis. 
D) cholestasis. D

Question 2

Case Study
You have an 80 yo M patient that has end-stage Alzheimer's disease and has recently been diagnosed with severe dysphagia.This patient is getting ready for discharge from the hospital.His height is 5' 9'' and he weighs 162# with no recent changes in weight.
-How would you feed this patient?

Accepted Answer

A) nasogastric tube 
B) nasointestinal tube 
C) PEG 
D) PN 
A) nasogastric tube 
B) nasointestinal tube 
C) PEG 
D) PN C

Question 3

What lab value would you monitor to evaluate the tolerance to IV lipid?

Accepted Answer

A) albumin 
B) triglycerides 
C) glucose 
D) creatinine 
A) albumin 
B) triglycerides 
C) glucose 
D) creatinine B

Question 4

A formula feeding that is administered within the space of a few minutes is a:

Accepted Answer

A) single feeding. 
B) bolus feeding. 
C) complete feeding. 
D) quick delivery system. 
A) single feeding. 
B) bolus feeding. 
C) complete feeding. 
D) quick delivery system.

Question 5

Which of the following is true about PPN?

Accepted Answer

A) The formula is generally sufficient in protein and kilocalories. 
B) It is administered through a central line. 
C) It is indicated for long-term support. 
D) The formula is dilute so it does not irritate veins. 
A) The formula is generally sufficient in protein and kilocalories. 
B) It is administered through a central line. 
C) It is indicated for long-term support. 
D) The formula is dilute so it does not irritate veins.

Question 6

Which of the following is a contraindication for tube feeding?

Accepted Answer

A) hypomotility of the small intestine 
B) functioning GI tract, but patient cannot meet nutritional needs 
C) protein-energy malnutrition 
D) severe dysphagia (difficulty swallowing) 
A) hypomotility of the small intestine 
B) functioning GI tract, but patient cannot meet nutritional needs 
C) protein-energy malnutrition 
D) severe dysphagia (difficulty swallowing)

Question 7

Which of the following is not a side effect of excessive carbohydrate infusion via PN?

Accepted Answer

A) hyperglycemia 
B) excessive CO₂ production 
C) excess fluid infusion 
D) hepatic steatosis 
A) hyperglycemia 
B) excessive CO₂ production 
C) excess fluid infusion 
D) hepatic steatosis

Question 8

The most commonly reported GI complication from enteral nutrition support is:

Accepted Answer

A) hepatic steatosis. 
B) diarrhea. 
C) constipation. 
D) elevated LFTs. 
A) hepatic steatosis. 
B) diarrhea. 
C) constipation. 
D) elevated LFTs.

Question 9

You have a patient who weighs 215# and is on dialysis This patient often presents with edema Which of the following formulas would be best for this patient?

Accepted Answer

A) hydrolyzed 
B) intact 
C) nutrient dense 
D) hepatic 
A) hydrolyzed 
B) intact 
C) nutrient dense 
D) hepatic

Question 10

Case Study
You have an 80 yo M patient that has end-stage Alzheimer's disease and has recently been diagnosed with severe dysphagia.This patient is getting ready for discharge from the hospital.His height is 5' 9'' and he weighs 162# with no recent changes in weight.
-How many kcalories per kilogram of body weight would you use to estimate his caloric needs?

Accepted Answer

A) 20 
B) 25 
C) 35 
D) 15 
A) 20 
B) 25 
C) 35 
D) 15

Question 11

Which of the following is not a contraindication to enteral feeding?

Accepted Answer

A) paralytic ileus 
B) nonresponsive, intractable vomiting and diarrhea 
C) intestinal obstruction distal to tube 
D) severe dysphagia 
A) paralytic ileus 
B) nonresponsive, intractable vomiting and diarrhea 
C) intestinal obstruction distal to tube 
D) severe dysphagia

Question 12

If a patient's enteral volume requirement is 2100 mL/day, what will the final rate be?

Accepted Answer

A) 88 mL/hr 
B) 100 mL/hr 
C) 50 mL/hr 
D) 75 mL/hr 
A) 88 mL/hr 
B) 100 mL/hr 
C) 50 mL/hr 
D) 75 mL/hr

Question 13

Complications of EN delivered into the stomach could include:

Accepted Answer

A) ulcer. 
B) gastric atrophy. 
C) aspiration pneumonia. 
D) edema. 
A) ulcer. 
B) gastric atrophy. 
C) aspiration pneumonia. 
D) edema.

Question 14

What is the consequence of a hyperosmolar formula?

Accepted Answer

A) excess kilocalories 
B) diarrhea 
C) excess fluid 
D) delayed healing 
A) excess kilocalories 
B) diarrhea 
C) excess fluid 
D) delayed healing

Question 15

Formulas containing crystalline amino acids are termed:

Accepted Answer

A) intact. 
B) semi-elemental. 
C) elemental. 
D) modular. 
A) intact. 
B) semi-elemental. 
C) elemental. 
D) modular.

Question 16

Which of the following feedings is isotonic?

Accepted Answer

A) Traumacal 425 mOsm/kg 
B) Vivonex 550 mOsm/kg 
C) Isocal 300 mOsm/kg 
D) Boost 620 mOsm/kg 
A) Traumacal 425 mOsm/kg 
B) Vivonex 550 mOsm/kg 
C) Isocal 300 mOsm/kg 
D) Boost 620 mOsm/kg

Question 17

Which of the following would not be an effective measure of hydration status for a patient on tube feeding?

Accepted Answer

A) hydration is monitored by daily weights 
B) hydration is monitored by interviews with the patient 
C) hydration is monitored by BUN 
D) hydration is monitored by urine specific gravity 
A) hydration is monitored by daily weights 
B) hydration is monitored by interviews with the patient 
C) hydration is monitored by BUN 
D) hydration is monitored by urine specific gravity

Question 18

Case Study
You have an 80 yo M patient that has end-stage Alzheimer's disease and has recently been diagnosed with severe dysphagia.This patient is getting ready for discharge from the hospital.His height is 5' 9'' and he weighs 162# with no recent changes in weight.
-How many milliliters of fluid per kilogram of body weight does he need?

Accepted Answer

A) 20 
B) 25 
C) 30 
D) 40 
A) 20 
B) 25 
C) 30 
D) 40

Question 19

The carbohydrate source used in PN is:

Accepted Answer

A) glucose. 
B) intralipid. 
C) disaccharides. 
D) dextrose monohydrate. 
A) glucose. 
B) intralipid. 
C) disaccharides. 
D) dextrose monohydrate.

Question 20

Which type of feeding tube is the most common, least expensive, and easiest to achieve and maintain?

Accepted Answer

A) nasogastric 
B) orogastric 
C) nasojejunal 
D) nasoduodenal 
A) nasogastric 
B) orogastric 
C) nasojejunal 
D) nasoduodenal

Exam 5: Enteral and Parenteral Nutrition Support

A common GI complication of PN when the bowel is at complete rest is:

What lab value would you monitor to evaluate the tolerance to IV lipid?

A formula feeding that is administered within the space of a few minutes is a:

Which of the following is true about PPN?

Which of the following is a contraindication for tube feeding?

Which of the following is not a side effect of excessive carbohydrate infusion via PN?

The most commonly reported GI complication from enteral nutrition support is:

You have a patient who weighs 215# and is on dialysis This patient often presents with edema Which of the following formulas would be best for this patient?

Which of the following is not a contraindication to enteral feeding?

If a patient's enteral volume requirement is 2100 mL/day, what will the final rate be?

Complications of EN delivered into the stomach could include:

What is the consequence of a hyperosmolar formula?

Formulas containing crystalline amino acids are termed:

Which of the following feedings is isotonic?

Which of the following would not be an effective measure of hydration status for a patient on tube feeding?

The carbohydrate source used in PN is:

Which type of feeding tube is the most common, least expensive, and easiest to achieve and maintain?

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment: Foundation of the Nutrition Care Process

Nutrition Intervention

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid-Base Balance

Cellular and Physiological Response to Injury:The Role of the Immune System

Nutritional Genomics

Pharmacology

Energy Balance and Body Weight

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver, Gallbladder, and Exocrine Pancreas

Diseases of the Endocrine System

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

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