Question 1

The small-diameter veins that are used for peripheral parenteral nutrition carry blood from the ___________.

Accepted Answer

A)  heart 
B)  limbs 
C)  kidneys 
D)  brain 
A)  heart 
B)  limbs 
C)  kidneys 
D)  brain B

Question 2

Match between columns
                        Premises: kcalories in 360 mL of a 20% lipid emulsion
refers to the concentration of solutes per liter of solution
written or oral instruction regarding one's preferences for medical treatment to be used in the event that a person becomes incapacitated
small-diameter veins that carry blood from the arms and legs
type of nutrition support that usually has a maximum of 900 mOsm/L
parenteral solution that contains dextrose and amino acids, and excludes lipids
continuous administration of parenteral solution over 24 hours
exhibited by severely malnourished patients who are fed aggressively; characterized by fluid and electrolyte imbalances
large-diameter veins close to the heart
kcalories in 360 mL of a 10% lipid emulsion
parenteral solution that contains dextrose, amino acids, and lipids
legal document that gives legal authority to another to make medical decisions in the event of incapacitation
type of nutrition support in which the nutrient concentrations do not need to be limited
refers to the concentration of solutes per kilogram of water
energy content of 1 L of a parenteral solution that contains 17% dextrose
administration of a second solution using a separate port in an intravenous catheter
administration of a parenteral solution over an 8- to 14-hour period

Accepted Answer

The Answer of durable power of attorney and peripheral veins is...

Question 3

Which trace mineral is typically excluded from parenteral solutions because it alters the stability of the other ingredients in the solution?

Accepted Answer

A)  zinc 
B)  copper 
C)  iron 
D)  selenium 
A)  zinc 
B)  copper 
C)  iron 
D)  selenium C

Question 4

A physician writes an order for a patient to receive lipid emulsions via total parenteral nutrition twice a week. The purpose of this order to supply lipids is mainly to ____.

Accepted Answer

A)  provide essential fatty acids 
B)  provide nonessential amino acids 
C)  provide essential minerals 
D)  suppress the immune response 
A)  provide essential fatty acids 
B)  provide nonessential amino acids 
C)  provide essential minerals 
D)  suppress the immune response

Question 5

Short Case Study
Elena Hayes is a 64-year-old realtor. She has been admitted to the local medical center six times in the past 3 months with severe pancreatitis. Elena has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a subacute nursing facility for therapy.
-The nutrition support team decides to increase the kcal in Ms. Hayes's total parenteral nutrition slowly to prevent ____.

Accepted Answer

A)  hypoglycemia 
B)  an elevated white blood cell count 
C)  refeeding syndrome 
D)  weight gain 
A)  hypoglycemia 
B)  an elevated white blood cell count 
C)  refeeding syndrome 
D)  weight gain

Question 6

Short Case Study
Elena Hayes is a 64-year-old realtor. She has been admitted to the local medical center six times in the past 3 months with severe pancreatitis. Elena has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a subacute nursing facility for therapy.
-The registered dietitian completing Elena's initial assessment should expect which result?

Accepted Answer

A)  high albumin 
B)  weight loss 
C)  high iron 
D)  low insulin 
A)  high albumin 
B)  weight loss 
C)  high iron 
D)  low insulin

Question 7

Delivery of nutrient solutions directly into the vein is called ____.

Accepted Answer

A)  standard nutrition 
B)  enteral nutrition 
C)  parenteral nutrition 
D)  tube feeding 
A)  standard nutrition 
B)  enteral nutrition 
C)  parenteral nutrition 
D)  tube feeding

Question 8

The administration of a second solution using a separate port is called a ____.

Accepted Answer

A)  Y-connector 
B)  piggyback 
C)  double-lumen tube 
D)  distal port 
A)  Y-connector 
B)  piggyback 
C)  double-lumen tube 
D)  distal port

Question 9

The energy content of 2 L of a parenteral solution that contains 22% dextrose and 15% amino acids supplemented with 300 mL of a 10% lipid emulsion is _________ kcalories

Accepted Answer

A)  1696 
B)  2696 
C)  3696 
D)  4696 
A)  1696 
B)  2696 
C)  3696 
D)  4696

Question 10

Discuss the use of carbohydrates in parenteral nutrition.

Accepted Answer

Glucose is the main source of energy in

Question 11

Which condition describes a metabolic complication of parenteral nutrition?

Accepted Answer

A)  hypoglycemia 
B)  phlebitis 
C)  air embolism 
D)  sepsis 
A)  hypoglycemia 
B)  phlebitis 
C)  air embolism 
D)  sepsis

Question 12

A female patient who is on long-term parenteral nutrition is at risk for ____.

Accepted Answer

A)  type 1 diabetes 
B)  osteoporosis 
C)  liver cancer 
D)  heart disease 
A)  type 1 diabetes 
B)  osteoporosis 
C)  liver cancer 
D)  heart disease

Question 13

When providers consider whether provision of health care for one patient would unfairly limit the care of other patients, ____ is being considered.

Accepted Answer

A)  autonomy 
B)  informed consent 
C)  beneficence 
D)  distributive justice 
A)  autonomy 
B)  informed consent 
C)  beneficence 
D)  distributive justice

Question 14

What is an advantage of total parenteral nutrition?

Accepted Answer

A)  Nutrient concentrations do not need to be limited. 
B)  It accesses only peripheral veins. 
C)  Patients who require only brief support (7 to 10 days) can use it. 
D)  It is less invasive. 
A)  Nutrient concentrations do not need to be limited. 
B)  It accesses only peripheral veins. 
C)  Patients who require only brief support (7 to 10 days) can use it. 
D)  It is less invasive.

Question 15

In which situation would home total parenteral nutrition be an appropriate means for maintaining adequate nutrition status?

Accepted Answer

A)  an individual with dysphagia 
B)  an individual with chronic intestinal obstruction 
C)  an individual with head and neck cancer 
D)  an individual with neurological impairment affecting the esophagus 
A)  an individual with dysphagia 
B)  an individual with chronic intestinal obstruction 
C)  an individual with head and neck cancer 
D)  an individual with neurological impairment affecting the esophagus

Question 16

One of the greatest concerns of patients who use home nutrition support is the ____.

Accepted Answer

A)  inability to consume meals with friends 
B)  appearance of the tube 
C)  risks of the tube becoming clogged 
D)  inability to choose the type and amount of formula delivered 
A)  inability to consume meals with friends 
B)  appearance of the tube 
C)  risks of the tube becoming clogged 
D)  inability to choose the type and amount of formula delivered

Question 17

Cyclic parenteral nutrition is administered over ____ hours per day.

Accepted Answer

A)  3 to 6 
B)  6 to 8 
C)  8 to 14 
D)  12 to 18 
A)  3 to 6 
B)  6 to 8 
C)  8 to 14 
D)  12 to 18

Question 18

Before parenteral nutrition is discontinued, oral intake, tube feeding, or a combination of both should provide at least _____ percent of the estimated energy needs.

Accepted Answer

A)  40 to 50 
B)  55 to 60 
C)  60 to 75 
D)  90 to 95 
A)  40 to 50 
B)  55 to 60 
C)  60 to 75 
D)  90 to 95

Question 19

Refeeding syndrome is characterized by fluid and electrolyte imbalances and ____.

Accepted Answer

A)  systemic infection 
B)  hypothyroidism 
C)  severe weight loss 
D)  hyperglycemia 
A)  systemic infection 
B)  hypothyroidism 
C)  severe weight loss 
D)  hyperglycemia

Question 20

Which type of oil most commonly makes up the triglycerides in lipid emulsions?

Accepted Answer

A)  corn oil 
B)  sunflower oil 
C)  soybean oil 
D)  coconut oil 
A)  corn oil 
B)  sunflower oil 
C)  soybean oil 
D)  coconut oil

Exam 21: Parenteral Nutrition Support

The small-diameter veins that are used for peripheral parenteral nutrition carry blood from the ___________.

Which trace mineral is typically excluded from parenteral solutions because it alters the stability of the other ingredients in the solution?

A physician writes an order for a patient to receive lipid emulsions via total parenteral nutrition twice a week. The purpose of this order to supply lipids is mainly to ____.

Delivery of nutrient solutions directly into the vein is called ____.

The administration of a second solution using a separate port is called a ____.

The energy content of 2 L of a parenteral solution that contains 22% dextrose and 15% amino acids supplemented with 300 mL of a 10% lipid emulsion is _________ kcalories

Discuss the use of carbohydrates in parenteral nutrition.

Which condition describes a metabolic complication of parenteral nutrition?

A female patient who is on long-term parenteral nutrition is at risk for ____.

When providers consider whether provision of health care for one patient would unfairly limit the care of other patients, ____ is being considered.

What is an advantage of total parenteral nutrition?

In which situation would home total parenteral nutrition be an appropriate means for maintaining adequate nutrition status?

One of the greatest concerns of patients who use home nutrition support is the ____.

Cyclic parenteral nutrition is administered over ____ hours per day.

Before parenteral nutrition is discontinued, oral intake, tube feeding, or a combination of both should provide at least _____ percent of the estimated energy needs.

Refeeding syndrome is characterized by fluid and electrolyte imbalances and ____.

Which type of oil most commonly makes up the triglycerides in lipid emulsions?

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

Enteral 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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