Question 1

The vast majority of patients commonly use which type of enteral formula?

Accepted Answer

A)  standard 
B)  hydrolyzed 
C)  specialized 
D)  modular 
A)  standard 
B)  hydrolyzed 
C)  specialized 
D)  modular

Question 2

A disadvantage of transnasal tube placement is that ____.

Accepted Answer

A)  it is not an effective means for tube feeding 
B)  the tube can be easily pulled out 
C)  the tube is inserted through the skin 
D)  it requires surgical placement 
A)  it is not an effective means for tube feeding 
B)  the tube can be easily pulled out 
C)  the tube is inserted through the skin 
D)  it requires surgical placement

Question 3

Which condition or treatment may indicate the need for tube feedings?

Accepted Answer

A)  obesity 
B)  mechanical ventilation 
C)  systemic infection 
D)  potassium depletion 
A)  obesity 
B)  mechanical ventilation 
C)  systemic infection 
D)  potassium depletion

Question 4

Short Case Study Questions  
Maureen Grey is a 75-year-old nursing home patient. She has been obtaining her nutrition via tube feeding for over 3 years. She is admitted to Good Valley Hospital with a diagnosis of dehydration with weight loss (8 lb) in 1 month.
-What may have caused Maureen to become dehydrated?

Accepted Answer

A)  dysphagia 
B)  food allergy 
C)  tube feeding rate 
D)  diarrhea 
A)  dysphagia 
B)  food allergy 
C)  tube feeding rate 
D)  diarrhea

Question 5

Describe the factors to consider when selecting a feeding route for a patient who needs tube feedings.

Accepted Answer

Transnasal access is usually preferred w

Question 6

Typically, adults require ____ mL per kilogram of body weight of water daily.

Accepted Answer

A)  5 to 8 
B)  10 to 12 
C)  15 to 20 
D)  30 to 40 
A)  5 to 8 
B)  10 to 12 
C)  15 to 20 
D)  30 to 40

Question 7

When an open feeding system is used, the nurse should hang no more than a(n) ____-hour supply.

Accepted Answer

A)  6 
B)  8 
C)  12 
D)  16 
A)  6 
B)  8 
C)  12 
D)  16

Question 8

Most enteral formulas have energy density of ____ kcalories per milliliter of fluid.

Accepted Answer

A)  1.0 to 2.0 
B)  2.0 to 3.0 
C)  3.0 to 4.0 
D)  4.0 to 5.0 
A)  1.0 to 2.0 
B)  2.0 to 3.0 
C)  3.0 to 4.0 
D)  4.0 to 5.0

Question 9

A health care provider is preparing to administer a tube feeding to a patient with a nasogastric tube. To best reduce the risk of formula contamination, the caregiver should perform which step first?

Accepted Answer

A)  Clean the lid of the can with an alcohol wipe. 
B)  Warm the can in a pan of hot water. 
C)  Pour the contents of the can into a clean container. 
D)  Label the can with the date and time of its opening. 
A)  Clean the lid of the can with an alcohol wipe. 
B)  Warm the can in a pan of hot water. 
C)  Pour the contents of the can into a clean container. 
D)  Label the can with the date and time of its opening.

Question 10

For what purpose would a nurse measure the gastric residual volume in a patient's feeding tube?

Accepted Answer

A)  to check that the stomach is emptying properly 
B)  to ensure that the patient is receiving adequate water 
C)  to prevent dumping syndrome and diarrhea 
D)  to ensure that medications have been digested 
A)  to check that the stomach is emptying properly 
B)  to ensure that the patient is receiving adequate water 
C)  to prevent dumping syndrome and diarrhea 
D)  to ensure that medications have been digested

Question 11

Elemental enteral formulas provide fat from medium-chain triglycerides (MCTs). Which of the following is false regarding MCTs?

Accepted Answer

A)  They contain fatty acids that are 6 to 12 carbons long. 
B)  They do not require digestion. 
C)  They can be absorbed in the absence of lipase or bile. 
D)  They require pancreatic lipase and bile for digestion and absorption. 
A)  They contain fatty acids that are 6 to 12 carbons long. 
B)  They do not require digestion. 
C)  They can be absorbed in the absence of lipase or bile. 
D)  They require pancreatic lipase and bile for digestion and absorption.

Question 12

What is a good guideline for serving oral supplements to hospitalized patients?

Accepted Answer

A)  Serve beverages in the can they come in, so that the patient can recognize them. 
B)  Serve beverages as cold as possible to minimize the often-unpleasant taste. 
C)  Serve the supplements attractively in a glass on a plate, which may be more appealing to patients. 
D)  Serve the same flavor every day so that the patient will get used to them. 
A)  Serve beverages in the can they come in, so that the patient can recognize them. 
B)  Serve beverages as cold as possible to minimize the often-unpleasant taste. 
C)  Serve the supplements attractively in a glass on a plate, which may be more appealing to patients. 
D)  Serve the same flavor every day so that the patient will get used to them.

Question 13

How often should the feeding tube placement be checked if the patient is on intermittent feedings?

Accepted Answer

A)  before each feeding is initiated 
B)  after each feeding 
C)  every 6 hours 
D)  every 12 hours 
A)  before each feeding is initiated 
B)  after each feeding 
C)  every 6 hours 
D)  every 12 hours

Question 14

Intermittent feeding using the gravity drip method is suitable for the delivery of no more than how much formula over 30 minutes?

Accepted Answer

A)  100 mL 
B)  200 mL 
C)  300 mL 
D)  400 mL 
A)  100 mL 
B)  200 mL 
C)  300 mL 
D)  400 mL

Question 15

Standard formulas are used for clients who ____.

Accepted Answer

A)  require specific nutrient combinations 
B)  are able to digest and absorb nutrients without difficulty 
C)  are severely malnourished 
D)  require intravenous feedings 
A)  require specific nutrient combinations 
B)  are able to digest and absorb nutrients without difficulty 
C)  are severely malnourished 
D)  require intravenous feedings

Question 16

To reduce the risk of aspiration, the patient's upper body is elevated to a ____-degree angle during the feeding.

Accepted Answer

A)  5 to 10 
B)  15 to 30 
C)  30 to 45 
D)  45 to 60 
A)  5 to 10 
B)  15 to 30 
C)  30 to 45 
D)  45 to 60

Question 17

Which feature is essential for the administration of enteral nutrition?

Accepted Answer

A)  a functional gastrointestinal tract 
B)  a good appetite 
C)  good peripheral venous access 
D)  minimal nutritional needs 
A)  a functional gastrointestinal tract 
B)  a good appetite 
C)  good peripheral venous access 
D)  minimal nutritional needs

Question 18

A patient with fluid, electrolyte, and protein restrictions would most likely need which type of formula?

Accepted Answer

A)  carbohydrate-modified 
B)  high-kcalorie 
C)  renal or hepatic insufficiency 
D)  standard formula with moderate fiber content 
A)  carbohydrate-modified 
B)  high-kcalorie 
C)  renal or hepatic insufficiency 
D)  standard formula with moderate fiber content

Question 19

Discuss medical nutrition therapy for galactosemia and possible long-term complications of this disorder.

Accepted Answer

Patients with galactosemia must consume

Question 20

Intermittent tube feedings are best tolerated when they are administered over ____.

Accepted Answer

A)  5 to 10 minutes 
B)  30 to 45 minutes 
C)  1 to 2 hours 
D)  4 to 6 hours 
A)  5 to 10 minutes 
B)  30 to 45 minutes 
C)  1 to 2 hours 
D)  4 to 6 hours

Exam 20: Enteral Nutrition Support

The vast majority of patients commonly use which type of enteral formula?

A disadvantage of transnasal tube placement is that ____.

Which condition or treatment may indicate the need for tube feedings?

Describe the factors to consider when selecting a feeding route for a patient who needs tube feedings.

Typically, adults require ____ mL per kilogram of body weight of water daily.

When an open feeding system is used, the nurse should hang no more than a(n) ____-hour supply.

Most enteral formulas have energy density of ____ kcalories per milliliter of fluid.

A health care provider is preparing to administer a tube feeding to a patient with a nasogastric tube. To best reduce the risk of formula contamination, the caregiver should perform which step first?

For what purpose would a nurse measure the gastric residual volume in a patient's feeding tube?

Elemental enteral formulas provide fat from medium-chain triglycerides (MCTs). Which of the following is false regarding MCTs?

What is a good guideline for serving oral supplements to hospitalized patients?

How often should the feeding tube placement be checked if the patient is on intermittent feedings?

Intermittent feeding using the gravity drip method is suitable for the delivery of no more than how much formula over 30 minutes?

Standard formulas are used for clients who ____.

To reduce the risk of aspiration, the patient's upper body is elevated to a ____-degree angle during the feeding.

Which feature is essential for the administration of enteral nutrition?

A patient with fluid, electrolyte, and protein restrictions would most likely need which type of formula?

Discuss medical nutrition therapy for galactosemia and possible long-term complications of this disorder.

Intermittent tube feedings are best tolerated when they are administered over ____.

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugar, Starches, and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Energy Metabolism

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

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