Question 1

In the United States, phenylketonuria (PKU) affects approximately 1 out of ____ births annually.

Accepted Answer

A)  5000 
B)  12,700 
C)  34,500 
D)  150,000 
A)  5000 
B)  12,700 
C)  34,500 
D)  150,000

Question 2

Which tube feeding route is most appropriate for patients requiring long-term nutrition support?

Accepted Answer

A)  enterostomy 
B)  nasoenteric 
C)  nasogastric 
D)  orogastric 
A)  enterostomy 
B)  nasoenteric 
C)  nasogastric 
D)  orogastric

Question 3

What is a potential metabolic complication of tube feedings?

Accepted Answer

A)  elevated heart rate 
B)  hyperglycemia 
C)  increased vitamin C levels 
D)  redness and irritation at the tube insertion site 
A)  elevated heart rate 
B)  hyperglycemia 
C)  increased vitamin C levels 
D)  redness and irritation at the tube insertion site

Question 4

An enteral formula that contains intact proteins and polysaccharides is a(n) ____ formula.

Accepted Answer

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

Question 5

In which patient should gastric feedings be avoided?

Accepted Answer

A)  a pediatric patient 
B)  a patient at risk of aspiration 
C)  a patient with extremely high nutrient requirements 
D)  a patient with severe malnutrition 
A)  a pediatric patient 
B)  a patient at risk of aspiration 
C)  a patient with extremely high nutrient requirements 
D)  a patient with severe malnutrition

Question 6

How often should the feeding tube be flushed if the patient is on continuous feedings?

Accepted Answer

A)  every 4 hours 
B)  every 8 hours 
C)  every 12 hours 
D)  daily 
A)  every 4 hours 
B)  every 8 hours 
C)  every 12 hours 
D)  daily

Question 7

A patient with a jejunostomy tube has developed an infection around the tube's insertion site. What measure would most likely correct this situation?

Accepted Answer

A)  Using a small-bore tube. 
B)  Ensuring that medication doses are appropriate. 
C)  Applying a protective antibiotic dressing. 
D)  Elevating the head of bed during and after feeding. 
A)  Using a small-bore tube. 
B)  Ensuring that medication doses are appropriate. 
C)  Applying a protective antibiotic dressing. 
D)  Elevating the head of bed during and after feeding.

Question 8

Which tube feeding delivery method is administered every 3 to 4 hours using a syringe?

Accepted Answer

A)  continuous feedings 
B)  bolus feedings 
C)  sustainable feedings 
D)  cyclic feedings 
A)  continuous feedings 
B)  bolus feedings 
C)  sustainable feedings 
D)  cyclic feedings

Question 9

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.
-While reviewing the nursing home's medical record, the nurse discovers that the doctor has prescribed
Phenytoin for Maureen, a medication that requires the tube feeding to be ____.

Accepted Answer

A)  stopped for an hour before and after medication administration 
B)  increased by 25 mL every hour following medication administration 
C)  diluted with 100 mL of water to facilitate medication dissolution 
D)  administered as a bolus within 2 hours of medication administration 
A)  stopped for an hour before and after medication administration 
B)  increased by 25 mL every hour following medication administration 
C)  diluted with 100 mL of water to facilitate medication dissolution 
D)  administered as a bolus within 2 hours of medication administration

Question 10

Normal 0
False
False
False
EN-US
X-NONE
X-NONE
A formula with an osmolality greater than that of blood serum is known as a(n) ____ formula.

Accepted Answer

A)  isotonic 
B)  hypertonic 
C)  enteral 
D)  complete 
A)  isotonic 
B)  hypertonic 
C)  enteral 
D)  complete

Question 11

What is the diameter (in millimeters) for a 18 French feeding tube?

Accepted Answer

A)  9 mm 
B)  6 mm 
C)  3 mm 
D)  2 mm 
A)  9 mm 
B)  6 mm 
C)  3 mm 
D)  2 mm

Question 12

A patient who requires 3000 kcal per day is receiving a standard formula that provides 1.5 kcal per milliliter continuously over 24 hours. How many milliliters of formula will the patient receive each hour?

Accepted Answer

A)  50 mL per hour 
B)  83 mL per hour 
C)  125 mL per hour 
D)  150 mL per hour 
A)  50 mL per hour 
B)  83 mL per hour 
C)  125 mL per hour 
D)  150 mL per hour

Question 13

What is a characteristic of a closed feeding system?

Accepted Answer

A)  The formula can hang for a longer period of time. 
B)  It is more expensive in the long run. 
C)  Aseptic technique is not necessary. 
D)  It requires far more nursing time. 
A)  The formula can hang for a longer period of time. 
B)  It is more expensive in the long run. 
C)  Aseptic technique is not necessary. 
D)  It requires far more nursing time.

Question 14

Tom is a 15-year-old who is eating some food but must also receive enteral feedings for malnutrition associated with Crohn's disease. To help Tom carry on normal activities, the health care team might try ____.

Accepted Answer

A)  continuous feedings 
B)  intermittent feedings 
C)  a neon-colored feeding tube 
D)  brightly colored formulas 
A)  continuous feedings 
B)  intermittent feedings 
C)  a neon-colored feeding tube 
D)  brightly colored formulas

Question 15

Nondietary therapies can treat some inborn errors of metabolism. In some cases, the missing protein is infused, such as in the case of ____.

Accepted Answer

A)  PKU 
B)  cystic fibrosis 
C)  hemophilia 
D)  galactosemia 
A)  PKU 
B)  cystic fibrosis 
C)  hemophilia 
D)  galactosemia

Exam 20: Enteral Nutrition Support

In the United States, phenylketonuria (PKU) affects approximately 1 out of ____ births annually.

Which tube feeding route is most appropriate for patients requiring long-term nutrition support?

What is a potential metabolic complication of tube feedings?

An enteral formula that contains intact proteins and polysaccharides is a(n) ____ formula.

In which patient should gastric feedings be avoided?

How often should the feeding tube be flushed if the patient is on continuous feedings?

A patient with a jejunostomy tube has developed an infection around the tube's insertion site. What measure would most likely correct this situation?

Which tube feeding delivery method is administered every 3 to 4 hours using a syringe?

Normal 0 False False False EN-US X-NONE X-NONE A formula with an osmolality greater than that of blood serum is known as a(n) ____ formula.

What is the diameter (in millimeters) for a 18 French feeding tube?

A patient who requires 3000 kcal per day is receiving a standard formula that provides 1.5 kcal per milliliter continuously over 24 hours. How many milliliters of formula will the patient receive each hour?

What is a characteristic of a closed feeding system?

Tom is a 15-year-old who is eating some food but must also receive enteral feedings for malnutrition associated with Crohn's disease. To help Tom carry on normal activities, the health care team might try ____.

Nondietary therapies can treat some inborn errors of metabolism. In some cases, the missing protein is infused, such as in the case of ____.

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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