Question 1

The economic impact of home nutrition support is a concern for people on these programs.

Accepted Answer

A) True 
 B)False  True

Question 2

Insertion of central catheters is less invasive and more easily performed than direct insertion of peripherally inserted catheters.

Accepted Answer

A) True 
 B)False  False

Question 3

The appropriate method for administering TPN to an acutely ill and malnourished patient is as a:

Accepted Answer

A)  continuous infusion. 
B)  bolus infusion. 
C)  cyclic infusion. 
D)  prn infusion. 
E)  gravity infusion. 
A)  continuous infusion. 
B)  bolus infusion. 
C)  cyclic infusion. 
D)  prn infusion. 
E)  gravity infusion. A

Question 4

Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center and resuscitated after being found unconscious in his car in a parking lot. His history was obtained by contacting his daughter. The patient presents with:
End-stage adenocarcinoma of the gastroesophageal juncture.
Chronic malnutrition and significant weight loss × 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
Acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke @ age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s.
Ht: 5'8". Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr. Edward is not being actively treated for cancer at his request. A peripheral line for hydration and nutrition support has been inserted.
Which type of feeding would be least likely to cause Mr. Edward any complications?

Accepted Answer

A)  a  cyclic parenteral infusion 
B)  a  continuous parenteral infusion 
C)  a n oral feeding 
D)  t otal parenteral nutrition 
E)  c ontinuous enteral feedings 
A)  a  cyclic parenteral infusion 
B)  a  continuous parenteral infusion 
C)  a n oral feeding 
D)  t otal parenteral nutrition 
E)  c ontinuous enteral feedings

Question 5

A parenteral solution that contains dextrose and amino acids but which requires lipids to be administered separately is called a(n):

Accepted Answer

A)  standard formula. 
B)  modular formula. 
C)  2-in-1 solution. 
D)  total nutrient admixture. 
E)  all-in-one solution. 
A)  standard formula. 
B)  modular formula. 
C)  2-in-1 solution. 
D)  total nutrient admixture. 
E)  all-in-one solution.

Question 6

Which type of enteral formula usually has the highest osmolality?

Accepted Answer

A)  s tandard formulas 
B)  m odular formulas 
C)  s pecialized formulas 
D)  e lemental formulas 
E)  hypertonic formulas 
A)  s tandard formulas 
B)  m odular formulas 
C)  s pecialized formulas 
D)  e lemental formulas 
E)  hypertonic formulas

Question 7

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

Accepted Answer

A)  taste 
B)  kcalorie content 
C)  osmolality 
D)  cost 
E)  glucose content 
A)  taste 
B)  kcalorie content 
C)  osmolality 
D)  cost 
E)  glucose content

Question 8

A patient who is suffering from weakness and lethargy is using an oral supplement to take in extra nutrients. A disadvantage of using oral nutrition supplements is that:

Accepted Answer

A)  they are only available in the hospital. 
B)  patients must consume large volumes to gain any benefits. 
C)  they are too high in sugar and fat. 
D)  taste becomes an important consideration. 
E)  they must be delivered through a feeding tube. 
A)  they are only available in the hospital. 
B)  patients must consume large volumes to gain any benefits. 
C)  they are too high in sugar and fat. 
D)  taste becomes an important consideration. 
E)  they must be delivered through a feeding tube.

Question 9

When a patient receives enteral nutrition through tube feedings, they cannot eat food.

Accepted Answer

A) True 
 B)False

Question 10

A "12 French" feeding tube has a diameter of:

Accepted Answer

A)  2 mm. 
B)  4 mm. 
C)  6 mm. 
D)  8 mm. 
E)  12 mm. 
A)  2 mm. 
B)  4 mm. 
C)  6 mm. 
D)  8 mm. 
E)  12 mm.

Question 11

Nursing Exam Review Multiple Choice The nurse in the neonatal intensive care unit understands that the preferred feeding tube placement for an infant is orogastric because:

Accepted Answer

A)  it allows the infant to learn the suck-swallow reflex. 
B)  it provides the infant with a more direct route for feeding. 
C)  it allows the infant to breathe more normally during feeding. 
D)  it decreases the chance of overfeeding the infant. 
E)  it prevents the infant from losing weight. 
A)  it allows the infant to learn the suck-swallow reflex. 
B)  it provides the infant with a more direct route for feeding. 
C)  it allows the infant to breathe more normally during feeding. 
D)  it decreases the chance of overfeeding the infant. 
E)  it prevents the infant from losing weight.

Question 12

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)  continuous parenteral nutrition 
B)  tube feedings 
C)  oral enteral supplements 
D)  peripheral parenteral nutrition 
E)  cyclic parenteral nutrition 
A)  continuous parenteral nutrition 
B)  tube feedings 
C)  oral enteral supplements 
D)  peripheral parenteral nutrition 
E)  cyclic parenteral nutrition

Question 13

What tube placement site would be the most appropriate for a client who is expected to be on a tube feeding for less than 4 weeks?

Accepted Answer

A)  gastrostomy 
B)  jejunostomy 
C)  nasogastric 
D)  enterostomy 
E)  duodenostomy 
A)  gastrostomy 
B)  jejunostomy 
C)  nasogastric 
D)  enterostomy 
E)  duodenostomy

Question 14

Identify specific conditions that necessitate the use of total parenteral nutrition (TPN) by central vein.

Accepted Answer

Central veins carry a large volume of bl

Question 15

Phlebitis may develop as a result of:

Accepted Answer

A)  tube feeding intolerance. 
B)  refeeding syndrome. 
C)  peripheral parenteral nutrition. 
D)  the use of hypertonic formulas. 
E)  elevated blood glucose levels. 
A)  tube feeding intolerance. 
B)  refeeding syndrome. 
C)  peripheral parenteral nutrition. 
D)  the use of hypertonic formulas. 
E)  elevated blood glucose levels.

Question 16

What is refeeding syndrome and how can it be prevented?

Accepted Answer

Severely malnourished patients who are a

Question 17

A parenteral solution containing 500 mL of a 20% lipid emulsion would provide _____ kcalories from lipids.

Accepted Answer

A)  550 
B)  1000 
C)  1500 
D)  1800 
E)  2000 
A)  550 
B)  1000 
C)  1500 
D)  1800 
E)  2000

Question 18

The main source of energy in parenteral solutions is:

Accepted Answer

A)  amino acids. 
B)  glucose. 
C)  lipid emulsions. 
D)  fluids and electrolytes. 
E)  vitamins. 
A)  amino acids. 
B)  glucose. 
C)  lipid emulsions. 
D)  fluids and electrolytes. 
E)  vitamins.

Question 19

Which condition would most likely require nutrition delivered through TPN?

Accepted Answer

A)  a  severe swallowing disorder 
B)  m echanical ventilation 
C)  a  neurological disorder 
D)  p aralytic ileus 
E)  i mpaired esophageal motility 
A)  a  severe swallowing disorder 
B)  m echanical ventilation 
C)  a  neurological disorder 
D)  p aralytic ileus 
E)  i mpaired esophageal motility

Question 20

Dextrose overfeeding or rapid infusion of lipid emulsions may result in :

Accepted Answer

A)  hypernatremia. 
B)  hypertriglyceridemia. 
C)  hyperglycemia. 
D)  hyperkalemia. 
E)  hypercalcemia. 
A)  hypernatremia. 
B)  hypertriglyceridemia. 
C)  hyperglycemia. 
D)  hyperkalemia. 
E)  hypercalcemia.

Exam 15: Enteral and Parenteral Nutrition Support

The economic impact of home nutrition support is a concern for people on these programs.

Insertion of central catheters is less invasive and more easily performed than direct insertion of peripherally inserted catheters.

The appropriate method for administering TPN to an acutely ill and malnourished patient is as a:

A parenteral solution that contains dextrose and amino acids but which requires lipids to be administered separately is called a(n):

Which type of enteral formula usually has the highest osmolality?

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

A patient who is suffering from weakness and lethargy is using an oral supplement to take in extra nutrients. A disadvantage of using oral nutrition supplements is that:

When a patient receives enteral nutrition through tube feedings, they cannot eat food.

A "12 French" feeding tube has a diameter of:

Nursing Exam Review Multiple Choice The nurse in the neonatal intensive care unit understands that the preferred feeding tube placement for an infant is orogastric because:

What tube placement site would be the most appropriate for a client who is expected to be on a tube feeding for less than 4 weeks?

Identify specific conditions that necessitate the use of total parenteral nutrition (TPN) by central vein.

Phlebitis may develop as a result of:

What is refeeding syndrome and how can it be prevented?

A parenteral solution containing 500 mL of a 20% lipid emulsion would provide _____ kcalories from lipids.

The main source of energy in parenteral solutions is:

Which condition would most likely require nutrition delivered through TPN?

Dextrose overfeeding or rapid infusion of lipid emulsions may result in :

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

The Vitamins

Water and the Minerals

Nutrition Through the Life Span: Pregnancy and Lactation

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

Nutrition Through the Life Span: Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Nutrition in Metabolic and Respiratory Stress

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Cardiovascular Diseases

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

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