Question 1

Which of the following is not routinely included in the parenteral solution, but may be added in some institutions?

Accepted Answer

A) medications 
B) trace minerals 
C) vitamins 
D) electrolytes 
A) medications 
B) trace minerals 
C) vitamins 
D) electrolytes

Question 2

In which of the following clinical conditions might your patient benefit from a larger percentage of their kcal provided by lipid?

Accepted Answer

A) respiratory failure 
B) liver failure 
C) hyperglycemia 
D) congestive heart failure 
A) respiratory failure 
B) liver failure 
C) hyperglycemia 
D) congestive heart failure

Question 3

Which tube feeding administration is most useful for people who have poor tolerance to larger volumes of formula?

Accepted Answer

A) bolus 
B) intermittent 
C) continuous drip 
D) combination 
A) bolus 
B) intermittent 
C) continuous drip 
D) combination

Question 4

Your patient presents to the ER with intractable vomiting that is not responding to anti-nausea medications How do you feed this patient?

Accepted Answer

A) nasointestinal tube 
B) gastrostomy 
C) PN 
D) jejunostomy 
A) nasointestinal tube 
B) gastrostomy 
C) PN 
D) jejunostomy

Question 5

Protein is added to the solution by using:

Accepted Answer

A) di- and tripeptides. 
B) complete proteins. 
C) amino acids. 
A) di- and tripeptides. 
B) complete proteins. 
C) amino acids.

Question 6

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 grams of protein per kilogram of body weight does he need?

Accepted Answer

A) 0.8 
B) 1.0 
C) 1.4 
D) 1.6 
A) 0.8 
B) 1.0 
C) 1.4 
D) 1.6

Question 7

Which of the following is true about enteral formulas?

Accepted Answer

A) They contain SCFA. 
B) They are lactose free. 
C) They are composed of dipeptides. 
D) The source of fat is canola oil. 
A) They contain SCFA. 
B) They are lactose free. 
C) They are composed of dipeptides. 
D) The source of fat is canola oil.

Question 8

Which of the following tube feedings would leave the least residue in the gut?

Accepted Answer

A) a blenderized formula 
B) a hydrolyzed formula 
C) a polymeric formula 
D) a fiber-added formula 
A) a blenderized formula 
B) a hydrolyzed formula 
C) a polymeric formula 
D) a fiber-added formula

Question 9

If a physician places a feeding tube through the skin and into the stomach without a surgical incision and using an endoscope, it is most specifically referred to as:

Accepted Answer

A) gastrostomy. 
B) nasogastric. 
C) orogastric. 
D) PEG. 
A) gastrostomy. 
B) nasogastric. 
C) orogastric. 
D) PEG.

Question 10

Concern about the adverse side effects of long-chain fats has given rise to formulas supplemented with _____ to boost immunity

Accepted Answer

A) omega-3 fatty acids 
B) MCT oil 
C) FOS 
D) CHO 
A) omega-3 fatty acids 
B) MCT oil 
C) FOS 
D) CHO

Question 11

In PN, concentrations of up to 70% are used for:

Accepted Answer

A) protein. 
B) carbohydrates. 
C) lipids. 
D) vitamins. 
A) protein. 
B) carbohydrates. 
C) lipids. 
D) vitamins.

Question 12

Formulas containing di- and tripeptides are termed:

Accepted Answer

A) intact. 
B) hydrolyzed. 
C) crystalline. 
D) modular. 
A) intact. 
B) hydrolyzed. 
C) crystalline. 
D) modular.

Question 13

An isotonic tube feeding is often started at _____ mL/h, then gradually increased by _____ mL/h every 6-8 hours as tolerated until final volume is reached

Accepted Answer

A) 50; 20 
B) 25; 50 
C) 100; 50 
D) 10; 10 
A) 50; 20 
B) 25; 50 
C) 100; 50 
D) 10; 10

Question 14

What are the benefits of enteral formulas with fiber?

Accepted Answer

A) Fiber aids in the absorption of minerals. 
B) Fiber helps prevent clogging of the feeding tube. 
C) Fiber helps maintain normal bowel function. 
D) Fiber reduces viscosity of the formula by attracting water. 
A) Fiber aids in the absorption of minerals. 
B) Fiber helps prevent clogging of the feeding tube. 
C) Fiber helps maintain normal bowel function. 
D) Fiber reduces viscosity of the formula by attracting water.

Question 15

If there is a concern that a client may not tolerate a tube feeding well it is wise to:

Accepted Answer

A) start the tube feeding at a very slow rate. 
B) administer the tube feeding rapidly to provide as much formula as possible before complications occur. 
C) start the tube feeding at half strength. 
D) none of the above 
A) start the tube feeding at a very slow rate. 
B) administer the tube feeding rapidly to provide as much formula as possible before complications occur. 
C) start the tube feeding at half strength. 
D) none of the above

Question 16

The most common form of parenteral access is a(n):

Accepted Answer

A) CVC. 
B) PICC. 
C) PPN. 
D) implantable port. 
A) CVC. 
B) PICC. 
C) PPN. 
D) implantable port.

Question 17

The caloric value of the carbohydrate source used in PN is:

Accepted Answer

A) 4 kcal/g. 
B) 9 kcal/g. 
C) 3.4 kcal/g. 
D) 11 kcal/g. 
A) 4 kcal/g. 
B) 9 kcal/g. 
C) 3.4 kcal/g. 
D) 11 kcal/g.

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.
-After selecting the formula that would best fit his nutrient needs, you determine that he needs ~ 1500 mL of formula per day Which of the following is the most appropriate schedule for him?

Accepted Answer

A) 375 mL four times daily 
B) 100 mL eight times daily 
C) 35 mL per hour over 24 hours 
D) 75 mL per hour from 8 p.m.to 8 a.m.daily 
A) 375 mL four times daily 
B) 100 mL eight times daily 
C) 35 mL per hour over 24 hours 
D) 75 mL per hour from 8 p.m.to 8 a.m.daily

Question 19

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.
-What is the most important parameter for the RD to follow up on with this patient on the second day?

Accepted Answer

A) refeeding syndrome 
B) gastrointestinal tolerance 
C) dehydration 
D) tube dislodgement 
A) refeeding syndrome 
B) gastrointestinal tolerance 
C) dehydration 
D) tube dislodgement

Question 20

Your patient's PN is infusing from one bag This is called:

Accepted Answer

A) a two-in-one system. 
B) a three-in-one system. 
C) a closed system. 
D) an open system. 
A) a two-in-one system. 
B) a three-in-one system. 
C) a closed system. 
D) an open system.

Exam 5: Enteral and Parenteral Nutrition Support

Which of the following is not routinely included in the parenteral solution, but may be added in some institutions?

In which of the following clinical conditions might your patient benefit from a larger percentage of their kcal provided by lipid?

Which tube feeding administration is most useful for people who have poor tolerance to larger volumes of formula?

Your patient presents to the ER with intractable vomiting that is not responding to anti-nausea medications How do you feed this patient?

Protein is added to the solution by using:

Which of the following is true about enteral formulas?

Which of the following tube feedings would leave the least residue in the gut?

If a physician places a feeding tube through the skin and into the stomach without a surgical incision and using an endoscope, it is most specifically referred to as:

Concern about the adverse side effects of long-chain fats has given rise to formulas supplemented with _____ to boost immunity

In PN, concentrations of up to 70% are used for:

Formulas containing di- and tripeptides are termed:

An isotonic tube feeding is often started at _____ mL/h, then gradually increased by _____ mL/h every 6-8 hours as tolerated until final volume is reached

What are the benefits of enteral formulas with fiber?

If there is a concern that a client may not tolerate a tube feeding well it is wise to:

The most common form of parenteral access is a(n):

The caloric value of the carbohydrate source used in PN is:

Your patient's PN is infusing from one bag This is called:

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

Filters

An isotonic tube feeding is often started at _ mL/h, then gradually increased by _ mL/h every 6-8 hours as tolerated until final volume is reached