Question 1

Most intestinal feedings are delivered by continuous drip.

Accepted Answer

A) True 
 B)False

Question 2

appropriate method for administering TPN to a critically ill and malnourished patient is:

Accepted Answer

A) bolus. 
B) continuous. 
C) cyclic. 
D) as needed. 
A) bolus. 
B) continuous. 
C) cyclic. 
D) as needed.

Question 3

All of the following are criteria for the selection of candidates for home parenteral and enteral nutrition except:

Accepted Answer

A) the cleanliness of the home environment. 
B) the patient's financial resources. 
C) the ability of the patient or caregiver to learn the necessary procedures. 
D) the patient's expected lifespan. 
A) the cleanliness of the home environment. 
B) the patient's financial resources. 
C) the ability of the patient or caregiver to learn the necessary procedures. 
D) the patient's expected lifespan.

Question 4

of the following are true statements concerning IV lipid emulsions except that:

Accepted Answer

A) they provide essential fatty acids. 
B) they are hypertonic. 
C) they are a concentrated source of energy. 
D) they are isotonic. 
A) they provide essential fatty acids. 
B) they are hypertonic. 
C) they are a concentrated source of energy. 
D) they are isotonic.

Question 5

Delivering 250 to 500 milliliters of formula in less than 20 minutes is referred to as:

Accepted Answer

A) a bolus feeding. 
B) a continuous drip feeding. 
C) an intermittent feeding. 
D) a slow drip feeding. 
A) a bolus feeding. 
B) a continuous drip feeding. 
C) an intermittent feeding. 
D) a slow drip feeding.

Question 6

Name and discuss five metabolic complications that may result from parenteral feedings.

Accepted Answer

Metabolic complications that may result

Question 7

Case Study 
Jennifer Johnson is a 53-year-old woman with a history of Crohn's disease and type 2 diabetes.She had surgery two days ago to remove a portion of her small intestine.Her gastrointestinal tract will not be accessible for 10 to 14 days.She is slightly underweight and moderately malnourished due to her ongoing problems with Crohn's disease.
-After 10 days, Ms.Johnson's physician decides to taper her nutrition support and advance her to an oral diet.Describe the process.

Accepted Answer

Parenteral infusions are usually tapered

Question 8

Infants diagnosed with galactosemia are given formulas that do not contain:

Accepted Answer

A) iron. 
B) lactose. 
C) tyrosine. 
D) soy. 
A) iron. 
B) lactose. 
C) tyrosine. 
D) soy.

Question 9

outer diameter of a feeding tube is measured in:

Accepted Answer

A) millimeters. 
B) French units. 
C) milliliters. 
D) English units. 
A) millimeters. 
B) French units. 
C) milliliters. 
D) English units.

Question 10

Enteral formulas may be used orally to supplement a patient's diet.When this occurs, _____ becomes an important consideration.

Accepted Answer

A) taste 
B) cost 
C) osmolality 
D) calorie content 
A) taste 
B) cost 
C) osmolality 
D) calorie content

Question 11

patient is receiving intravenous lipid emulsions on a daily basis.The nurse recognizes that these emulsions serve primarily as a source of:

Accepted Answer

A) essential fatty acids. 
B) short-chain peptides. 
C) branched-chain amino acids. 
D) concentrated energy. 
A) essential fatty acids. 
B) short-chain peptides. 
C) branched-chain amino acids. 
D) concentrated energy.

Question 12

Which of the following medical conditions or treatments indicates the need for TPN?

Accepted Answer

A) severe swallowing disorders 
B) mechanical ventilation 
C) extremely high nutrient needs 
D) short bowel syndrome 
A) severe swallowing disorders 
B) mechanical ventilation 
C) extremely high nutrient needs 
D) short bowel syndrome

Question 13

Patients undergoing severe metabolic stress may develop hyperglycemia, which is a common complication associated with TPN.

Accepted Answer

A) True 
 B)False

Question 14

Case Study Questions
Use the following case study to answer questions 
Mr.Avery is a 77-year-old retired engineer.He is 5'10" tall and weighs 171 pounds.He suffered a stroke, which left him with left-sided paralysis, and he is having difficulty swallowing so he is unable to meet his nutritional needs via oral intake at this time.
-Which form of nutrition support is appropriate for Mr.Avery at this time?

Accepted Answer

A) total parenteral nutrition 
B) tube feeding 
C) oral enteral supplement 
D) peripheral parenteral nutrition 
A) total parenteral nutrition 
B) tube feeding 
C) oral enteral supplement 
D) peripheral parenteral nutrition

Question 15

of the following are characteristics of feeding tubes except:

Accepted Answer

A) they are all the same diameter. 
B) they come in a variety of lengths. 
C) they are soft and flexible. 
D) they come with special characteristics for specific purposes. 
A) they are all the same diameter. 
B) they come in a variety of lengths. 
C) they are soft and flexible. 
D) they come with special characteristics for specific purposes.

Question 16

Complications of tube feedings can be gastrointestinal, mechanical, or metabolic in nature.

Accepted Answer

A) True 
 B)False

Question 17

Describe the proper administration of tube feedings.

Accepted Answer

Proper administration of tube feedings i

Question 18

nurse understands that infusing medications along with an enteral formula increases the osmolality of the tube feeding and may cause a patient to experience:

Accepted Answer

A) diarrhea. 
B) elevated blood glucose levels. 
C) high blood pressure. 
D) constipation. 
A) diarrhea. 
B) elevated blood glucose levels. 
C) high blood pressure. 
D) constipation.

Question 19

"12 French" feeding tube has a diameter of:

Accepted Answer

A) 2 mm. 
B) 4 mm. 
C) 6 mm. 
D) 8 mm. 
A) 2 mm. 
B) 4 mm. 
C) 6 mm. 
D) 8 mm.

Question 20

drawback to using specialized or disease-specific formulas is:

Accepted Answer

A) they are expensive. 
B) patients do not tolerate them well. 
C) they cause high gastric residuals. 
D) they are not available for common chronic conditions. 
A) they are expensive. 
B) patients do not tolerate them well. 
C) they cause high gastric residuals. 
D) they are not available for common chronic conditions.

Exam 16: Specialized Nutrition Support: Enteral and Parenteral Nutrition

Most intestinal feedings are delivered by continuous drip.

appropriate method for administering TPN to a critically ill and malnourished patient is:

All of the following are criteria for the selection of candidates for home parenteral and enteral nutrition except:

of the following are true statements concerning IV lipid emulsions except that:

Delivering 250 to 500 milliliters of formula in less than 20 minutes is referred to as:

Name and discuss five metabolic complications that may result from parenteral feedings.

Infants diagnosed with galactosemia are given formulas that do not contain:

outer diameter of a feeding tube is measured in:

Enteral formulas may be used orally to supplement a patient's diet.When this occurs, _____ becomes an important consideration.

patient is receiving intravenous lipid emulsions on a daily basis.The nurse recognizes that these emulsions serve primarily as a source of:

Which of the following medical conditions or treatments indicates the need for TPN?

Patients undergoing severe metabolic stress may develop hyperglycemia, which is a common complication associated with TPN.

of the following are characteristics of feeding tubes except:

Complications of tube feedings can be gastrointestinal, mechanical, or metabolic in nature.

Describe the proper administration of tube feedings.

nurse understands that infusing medications along with an enteral formula increases the osmolality of the tube feeding and may cause a patient to experience:

"12 French" feeding tube has a diameter of:

drawback to using specialized or disease-specific formulas is:

Overview of Nutrition and Health

Carbohydrates

Lipids

Protein

Digestion and Absorption

Metabolism, Energy Balance, and Body Composition

Weight Management: Overweight and Underweight

The Vitamins

Water and the Minerals

Fitness and Nutrition

Nutrition Through the Life Span: Pregnancy and Lactation

Nutrition Through the Life Span: Infancy, Childhood, and Adolescence

Nutrition Through the Life Span: Later Adulthood

Illness and Nutrition Care

Medications, Diet-Drug Interactions, and Herbal Supplements

Foods and Food Consistency for Upper Gi Disorders

Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders

Carbohydrate- and Fat-Modified Diets for Malabsorption Disorders

Nutrition Therapy for Liver and Gallbladder Diseases

Carbohydrate-Controlled Diets for Diabetes Mellitus

Fat-Controlled, Mineral-Modified Diets for Cardiovascular Diseases

Protein-, Mineral-, and Fluid-Modified Diets for Kidney Diseases

Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

Energy- and Protein-Modified Diets for Cancer and Hiv Infection

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