Question 1

Fiber-containing formulas would most likely be used for what condition?

Accepted Answer

A)  d iarrhea 
B)  c hronic kidney disease 
C)  c eliac disease 
D)  v itamin K deficiency 
E)  h emophilia 
A)  d iarrhea 
B)  c hronic kidney disease 
C)  c eliac disease 
D)  v itamin K deficiency 
E)  h emophilia

Question 2

Which candidate would most likely benefit from peripheral parenteral nutrition?

Accepted Answer

A)  a  patient who needs nutrition support for 2 to 4 weeks 
B)  a  person who has fluid restrictions 
C)  a  patient who does not have high nutrient needs 
D)  a  patient with a central line 
E)  a  person who has swallowing difficulties 
A)  a  patient who needs nutrition support for 2 to 4 weeks 
B)  a  person who has fluid restrictions 
C)  a  patient who does not have high nutrient needs 
D)  a  patient with a central line 
E)  a  person who has swallowing difficulties

Question 3

In infants, _____ tube placement may be preferred because it doesn't interfere with breathing.

Accepted Answer

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

Question 4

Nursing Exam Review Multiple Choice 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)  hyperglycemia. 
C)  high blood pressure. 
D)  constipation. 
E)  hyperlipidemia. 
A)  diarrhea. 
B)  hyperglycemia. 
C)  high blood pressure. 
D)  constipation. 
E)  hyperlipidemia.

Question 5

What action would best prevent bacterial contamination when providing an enteral tube feeding?

Accepted Answer

A)  u sing fresh formula every 48 hours 
B)  s toring open or mixed formula in the refrigerator 
C)  a dding fresh formula to formula that has been hanging 
D)  c hanging the feeding container and tubing every 72 hours 
E)  h anging no more than a 24-hour supply of formula 
A)  u sing fresh formula every 48 hours 
B)  s toring open or mixed formula in the refrigerator 
C)  a dding fresh formula to formula that has been hanging 
D)  c hanging the feeding container and tubing every 72 hours 
E)  h anging no more than a 24-hour supply of formula

Question 6

Currently, the primary treatment for many inborn errors that involve nutrient metabolism is:

Accepted Answer

A)  nutrition therapy. 
B)  gene therapy. 
C)  the use of dietary supplements. 
D)  genetic counseling. 
E)  surgery. 
A)  nutrition therapy. 
B)  gene therapy. 
C)  the use of dietary supplements. 
D)  genetic counseling. 
E)  surgery.

Question 7

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.

Accepted Answer

A) True 
 B)False

Question 8

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.
In the absence of any pre-existing medical problems or problems with digestion and absorption, the type of enteral formula that would be most appropriate for Mr. Avery is a(n):

Accepted Answer

A)  standard formula. 
B)  elemental formula. 
C)  specialized formula. 
D)  3-in-1 solution. 
E)  low-fiber formula. 
A)  standard formula. 
B)  elemental formula. 
C)  specialized formula. 
D)  3-in-1 solution. 
E)  low-fiber formula.

Question 9

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.
After two weeks, Mr. Avery is moved to a rehab facility. It would be appropriate at this time to change his feeding method to:

Accepted Answer

A)  total parenteral nutrition. 
B)  an intermittent feeding. 
C)  an oral supplement. 
D)  peripheral parenteral nutrition. 
E)  a clear liquid diet. 
A)  total parenteral nutrition. 
B)  an intermittent feeding. 
C)  an oral supplement. 
D)  peripheral parenteral nutrition. 
E)  a clear liquid diet.

Question 10

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.
Mr. Avery's feeding is being delivered continuously by an infusion pump. What best describes an advantage of using a continuous feeding?

Accepted Answer

A)  It provides an accurate and steady flow rate. 
B)  It is similar to usual patterns of eating for the patient. 
C)  It provides less freedom of movement for the patient. 
D)  There is less risk of diarrhea. 
E)  It is a less expensive method. 
A)  It provides an accurate and steady flow rate. 
B)  It is similar to usual patterns of eating for the patient. 
C)  It provides less freedom of movement for the patient. 
D)  There is less risk of diarrhea. 
E)  It is a less expensive method.

Question 11

Which patient would most likely be a candidate for enteral tube feedings?

Accepted Answer

A)  a patient with severe dysphagia 
B)  a  person suffering from intractable diarrhea 
C)  a  patient with gastrointestinal bleeding 
D)  a  person suffering from a paralytic ileus 
E)  a  patient who has undergone a bone marrow transplant 
A)  a patient with severe dysphagia 
B)  a  person suffering from intractable diarrhea 
C)  a  patient with gastrointestinal bleeding 
D)  a  person suffering from a paralytic ileus 
E)  a  patient who has undergone a bone marrow transplant

Question 12

Lifelong adherence to dietary restrictions is recommended for individuals with PKU in order to protect their:

Accepted Answer

A)  lung function. 
B)  cognitive function. 
C)  muscular function. 
D)  kidney function. 
E)  cardiac function. 
A)  lung function. 
B)  cognitive function. 
C)  muscular function. 
D)  kidney function. 
E)  cardiac function.

Question 13

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.
Because Mr. Edward is starting parenteral nutrition, what actions should the team take that would best prevent liver damage?

Accepted Answer

A)  Increase energy amounts in the nutrition formulation. 
B)  Provide a supplemental lipid infusion. 
C)  Decrease the amount of lipid infusion. 
D)  Administer infusions over a period of 4 to 6 weeks. 
E)  Provide continuous infusions instead of intermittent infusions. 
A)  Increase energy amounts in the nutrition formulation. 
B)  Provide a supplemental lipid infusion. 
C)  Decrease the amount of lipid infusion. 
D)  Administer infusions over a period of 4 to 6 weeks. 
E)  Provide continuous infusions instead of intermittent infusions.

Question 14

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition is associated with fewer complications.

Accepted Answer

A) True 
 B)False

Question 15

Match between columns
                        Premises: 2-in-1 solution
elemental formulas
metabolites
enteral nutrition
mutation
intractable
standard formulas
aspiration
cyclic feedings
hypertonic formula
inborn error of metabolism
blenderized formulas
genetic counseling
continuous parenteral nutrition
refeeding syndrome
cystic fibrosis
specialized nutrition support
modular formulas
gastric decompression
piggyback

Accepted Answer

The Answer of a formula with an osmolality greater than is...

Question 16

Many tube feeding complications can be prevented by selecting the formula and feeding route wisely, preparing the formula correctly, and delivering it appropriately.

Accepted Answer

A) True 
 B)False

Question 17

Nursing Exam Review Multiple Choice When administering an enteral feeding to a patient, the nurse understands that a hydrolyzed enteral formula contains:

Accepted Answer

A)  only one nutrient source. 
B)  lactose . 
C)  partially or fully broken down nutrients. 
D)  intact proteins. 
E)  a combination of dextrose and sucrose. 
A)  only one nutrient source. 
B)  lactose . 
C)  partially or fully broken down nutrients. 
D)  intact proteins. 
E)  a combination of dextrose and sucrose.

Question 18

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.
Mr. Avery is receiving continuous enteral tube feedings and has an order for oral phenytoin. Which method is most appropriate for administering the medication?

Accepted Answer

A)  Stop the formula infusion for an hour before and after administering the drug. 
B)  Crush the drug and administer it with the enteral formula. 
C)  Administer the medication through the tube and flush with 100 mL of water afterward. 
D)  Have Mr. Avery take the medication by mouth. 
E)  Crush the medication and dissolve it in water to administer through the feeding tube. 
A)  Stop the formula infusion for an hour before and after administering the drug. 
B)  Crush the drug and administer it with the enteral formula. 
C)  Administer the medication through the tube and flush with 100 mL of water afterward. 
D)  Have Mr. Avery take the medication by mouth. 
E)  Crush the medication and dissolve it in water to administer through the feeding tube.

Question 19

The energy density of most enteral formulas is between:

Accepted Answer

A)  0.5 and 0.9 kcalories per mL. 
B)  1.0 and 2.0 kcalorie per mL. 
C)  1.5 and 3.0 kcalories per mL. 
D)  2.0 and 4.0 kcalories per mL. 
E)  3.0 and 4.5 kcalories per mL. 
A)  0.5 and 0.9 kcalories per mL. 
B)  1.0 and 2.0 kcalorie per mL. 
C)  1.5 and 3.0 kcalories per mL. 
D)  2.0 and 4.0 kcalories per mL. 
E)  3.0 and 4.5 kcalories per mL.

Question 20

Describe characteristics of clients who are candidates for peripheral parenteral nutrition.

Accepted Answer

In peripheral parenteral nutrition (PPN

Fiber-containing formulas would most likely be used for what condition?

Which candidate would most likely benefit from peripheral parenteral nutrition?

In infants, _____ tube placement may be preferred because it doesn't interfere with breathing.

Nursing Exam Review Multiple Choice Infusing medications along with an enteral formula increases the osmolality of the tube feeding and may cause a patient to experience:

What action would best prevent bacterial contamination when providing an enteral tube feeding?

Currently, the primary treatment for many inborn errors that involve nutrient metabolism is:

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.

Which patient would most likely be a candidate for enteral tube feedings?

Lifelong adherence to dietary restrictions is recommended for individuals with PKU in order to protect their:

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition is associated with fewer complications.

Many tube feeding complications can be prevented by selecting the formula and feeding route wisely, preparing the formula correctly, and delivering it appropriately.

Nursing Exam Review Multiple Choice When administering an enteral feeding to a patient, the nurse understands that a hydrolyzed enteral formula contains:

The energy density of most enteral formulas is between:

Describe characteristics of clients who are candidates for peripheral parenteral nutrition.

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

Filters

Exam 15: Enteral and Parenteral Nutrition Support

Fiber-containing formulas would most likely be used for what condition?

Which candidate would most likely benefit from peripheral parenteral nutrition?

In infants, _____ tube placement may be preferred because it doesn't interfere with breathing.

Nursing Exam Review Multiple Choice Infusing medications along with an enteral formula increases the osmolality of the tube feeding and may cause a patient to experience:

What action would best prevent bacterial contamination when providing an enteral tube feeding?

Currently, the primary treatment for many inborn errors that involve nutrient metabolism is:

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.

Which patient would most likely be a candidate for enteral tube feedings?

Lifelong adherence to dietary restrictions is recommended for individuals with PKU in order to protect their:

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition is associated with fewer complications.

Many tube feeding complications can be prevented by selecting the formula and feeding route wisely, preparing the formula correctly, and delivering it appropriately.

Nursing Exam Review Multiple Choice When administering an enteral feeding to a patient, the nurse understands that a hydrolyzed enteral formula contains:

The energy density of most enteral formulas is between:

Describe characteristics of clients who are candidates for peripheral parenteral nutrition.

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

Filters