Question 1

Enteral nutrition refers to delivery of nutrients distal to the oral cavity of the gastrointestinal tract via a tube, catheter, or _______________.

Accepted Answer

stoma

Question 2

List four examples of potential complications associated with parenteral nutrition.

Accepted Answer

Complications of parenteral nutrition include electrolyte imbalance, underfeeding or overfeeding, hyperglycemia, refeeding syndrome, cholestasis, increased permeability to bacteria in the intestinal tract, elevations in liver enzymes, and increased rates of infection.

Question 3

What is the recommended criteria for use of enteral feedings in a pediatric patient?

Accepted Answer

A)  weight loss of 5 pounds in 6 months 
B)  unable to obtain 20% of caloric needs by mouth 
C)  requiring over 4 hours a day to eat 
D)  inadequate oral intake for over 48 hours 
E)  persistent TSF below the 50th percentile 
A)  weight loss of 5 pounds in 6 months 
B)  unable to obtain 20% of caloric needs by mouth 
C)  requiring over 4 hours a day to eat 
D)  inadequate oral intake for over 48 hours 
E)  persistent TSF below the 50th percentile C

Question 4

In the United States, the primary source of carbohydrate in parenteral nutrition is:

Accepted Answer

A)  modified food starch 
B)  maltose oligosaccharides 
C)  dextrose monohydrate 
D)  arginine polyesters 
E)  high fructose corn syrup 
A)  modified food starch 
B)  maltose oligosaccharides 
C)  dextrose monohydrate 
D)  arginine polyesters 
E)  high fructose corn syrup

Question 5

An 80-year-old male patient has end-stage Alzheimer's and has recently been diagnosed with severe dysphagia. This patient is getting discharged from hospital. His height is 5' 9" and he weighs 162 pounds with no recent changes in weight.
-How many grams of protein per kilogram of body weight does this patient need?

Accepted Answer

A)  0.8 
B)  1.0 
C)  1.2 
D)  1.5 
E)  2.0 
A)  0.8 
B)  1.0 
C)  1.2 
D)  1.5 
E)  2.0

Question 6

A substance that is water loving or that attracts water is said to be _______________.

Accepted Answer

The answer of A substance that is water loving or...

Question 7

An 80-year-old male patient has end-stage Alzheimer's and has recently been diagnosed with severe dysphagia. This patient is getting discharged from hospital. His height is 5' 9" and he weighs 162 pounds with no recent changes in weight.
-What is the correct amount of kcals needed to maintain the normal body weight of this patient?

Accepted Answer

A)  1110-1750 kcal 
B)  1840-2210 kcal 
C)  2350-2380 kcal 
D)  2900-3020 kcal 
E)  3150-3200 kcal 
A)  1110-1750 kcal 
B)  1840-2210 kcal 
C)  2350-2380 kcal 
D)  2900-3020 kcal 
E)  3150-3200 kcal

Question 8

A three-in-one solution of parenteral nutrition prepared by an automated compounder contains:

Accepted Answer

A)  fatty acids, iron, and monosaccharides 
B)  dextrose, amino acids, and lipids 
C)  omega-3 fatty acids, triglycerides, and commercial amino acids 
D)  oligosaccharides, leucine, and valine 
E)  nonessential amino acids, dextrose, and vitamins 
A)  fatty acids, iron, and monosaccharides 
B)  dextrose, amino acids, and lipids 
C)  omega-3 fatty acids, triglycerides, and commercial amino acids 
D)  oligosaccharides, leucine, and valine 
E)  nonessential amino acids, dextrose, and vitamins

Question 9

Feeding access is achieved when a feeding tube is placed into the stomach or _______________.

Accepted Answer

The answer of Feeding access is achieved when a feeding...

Question 10

Recent research has reexamined the use of blenderized feedings and has demonstrated an improved tolerance in children with feeding disorders.

Accepted Answer

A) True 
 B)False

Question 11

Give two examples of each of the following: short-term venous access device, long-term venous access device.

Accepted Answer

Examples of short-term venous access dev

Question 12

The Hickman catheter is an example of which type of catheter that is used for parenteral nutrition?

Accepted Answer

A)  peripherally inserted central catheter 
B)  non-tunneled catheter 
C)  implantable port 
D)  tunneled catheter 
E)  Swan-Ganz catheter 
A)  peripherally inserted central catheter 
B)  non-tunneled catheter 
C)  implantable port 
D)  tunneled catheter 
E)  Swan-Ganz catheter

Question 13

One of the most common disadvantages of surgical gastrostomy tubes is that they get dislodged easily.

Accepted Answer

A) True 
 B)False

Question 14

_______________ is a term used to describe several common metabolic alterations that may occur during nutritional repletion of patients who are malnourished or in a state of starvation.

Accepted Answer

The answer of _______________ is a term used to describe...

Question 15

The primary difference between enteral and parenteral feedings is that nutrients are provided via the _______________ rather than the gastrointestinal tract in PN.

Accepted Answer

The answer of The primary difference between enteral and parenteral...

Question 16

Which is an advantage of a research-supported use of enteral nutrition support?

Accepted Answer

A)  decreased risk of respiratory infections 
B)  improved wound healing 
C)  increased tolerance of formulas 
D)  complete nutritional coverage 
E)  ease of administration 
A)  decreased risk of respiratory infections 
B)  improved wound healing 
C)  increased tolerance of formulas 
D)  complete nutritional coverage 
E)  ease of administration

Question 17

Which is an advantage of compounding parenteral solutions in the hospital pharmacy?

Accepted Answer

A)  cost-effectiveness 
B)  multiple administration sets 
C)  decreased risk of infection 
D)  increased infusion of particulate into the patient 
E)  increased nursing time 
A)  cost-effectiveness 
B)  multiple administration sets 
C)  decreased risk of infection 
D)  increased infusion of particulate into the patient 
E)  increased nursing time

Question 18

Describe the use of an automated compounder in managing a nutrition prescription. Also, list advantages and disadvantages of pharmacy compounding.

Accepted Answer

Automated compounders can be used to man

Question 19

The rapid administration of 1,000 to 1,500 mL of formula several times a day is called bolus feeding.

Accepted Answer

A) True 
 B)False

Question 20

Benefits attributed to fiber, particularly improved bowel function, are often associated with insoluble fiber.

Accepted Answer

A) True 
 B)False

Exam 5: Enteral and Parenteral Nutrition Support

Enteral nutrition refers to delivery of nutrients distal to the oral cavity of the gastrointestinal tract via a tube, catheter, or _______________.

List four examples of potential complications associated with parenteral nutrition.

What is the recommended criteria for use of enteral feedings in a pediatric patient?

In the United States, the primary source of carbohydrate in parenteral nutrition is:

A substance that is water loving or that attracts water is said to be _______________.

A three-in-one solution of parenteral nutrition prepared by an automated compounder contains:

Feeding access is achieved when a feeding tube is placed into the stomach or _______________.

Recent research has reexamined the use of blenderized feedings and has demonstrated an improved tolerance in children with feeding disorders.

Give two examples of each of the following: short-term venous access device, long-term venous access device.

The Hickman catheter is an example of which type of catheter that is used for parenteral nutrition?

One of the most common disadvantages of surgical gastrostomy tubes is that they get dislodged easily.

_______________ is a term used to describe several common metabolic alterations that may occur during nutritional repletion of patients who are malnourished or in a state of starvation.

The primary difference between enteral and parenteral feedings is that nutrients are provided via the _______________ rather than the gastrointestinal tract in PN.

Which is an advantage of a research-supported use of enteral nutrition support?

Which is an advantage of compounding parenteral solutions in the hospital pharmacy?

Describe the use of an automated compounder in managing a nutrition prescription. Also, list advantages and disadvantages of pharmacy compounding.

The rapid administration of 1,000 to 1,500 mL of formula several times a day is called bolus feeding.

Benefits attributed to fiber, particularly improved bowel function, are often associated with insoluble fiber.

Role of the Registered Dietitian Nutritionist in the Health Care System

Overview the Nutrition Care Process

Nutrition Assessment Foundation of the Nutrition Care Process

Nutrition Intervention Nutrition Monitoring and Evaluation

Nutrition Informatics and Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid Base Balance

Cellular and Physiological Response to Injury the Role of the Immune System

Nutritional Genomics

Pharmacology

Diseases and Disorders of Energy Imbalance

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver Gallbladder and Exocrine Pancreas

Diseases of the Endocrine System

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Diseases of the Musculoskeletal System

Metabolic Disorders

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