Question 1

Which patient is most likely at the risk of refeeding syndrome?

Accepted Answer

A)  a patient recovering from outpatient surgery 
B)  a patient with gastroesophageal reflux 
C)  a patient with hypermagnesemia 
D)  a patient with osteoporosis 
E)  a patient with a history of long-term inadequate oral intake 
A)  a patient recovering from outpatient surgery 
B)  a patient with gastroesophageal reflux 
C)  a patient with hypermagnesemia 
D)  a patient with osteoporosis 
E)  a patient with a history of long-term inadequate oral intake

Question 2

Which of the following medical conditions occurs because of excessive carbohydrate intake through parenteral nutrition formulas?

Accepted Answer

A)  hypoglycemia 
B)  hepatitis 
C)  hepatic steatosis 
D)  jaundice 
E)  hypolipidemia 
A)  hypoglycemia 
B)  hepatitis 
C)  hepatic steatosis 
D)  jaundice 
E)  hypolipidemia

Question 3

The means of prescribing a very small rate of enteral nutrition with the goal to minimize villous atrophy is known as:

Accepted Answer

A)  parenteral nutrition 
B)  bolus feedings 
C)  refeeding 
D)  intermittent feeding 
E)  trophic nutrition 
A)  parenteral nutrition 
B)  bolus feedings 
C)  refeeding 
D)  intermittent feeding 
E)  trophic nutrition

Question 4

The outer lumen diameter of a feeding tube is described using a measurement called _______________ size.

Accepted Answer

The answer of The outer lumen diameter of a feeding...

Question 5

Parenteral solutions are compounded from as many as 40 different items under the supervision of a licensed _______________.

Accepted Answer

The answer of Parenteral solutions are compounded from as many...

Question 6

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.
-Calculate the approximate daily fluid requirements of this patient.

Accepted Answer

A)  1000 mL 
B)  1800 mL 
C)  2200 mL 
D)  3100 mL 
E)  3400 mL 
A)  1000 mL 
B)  1800 mL 
C)  2200 mL 
D)  3100 mL 
E)  3400 mL

Question 7

Which patient is at the highest risk of aspiration when receiving an enteral feeding?

Accepted Answer

A)  a patient with Crohn's disease 
B)  a pregnant patient 
C)  a patient with an endotracheal tube 
D)  a patient with celiac disease 
E)  a patient with a concurrent diagnosis of cancer 
A)  a patient with Crohn's disease 
B)  a pregnant patient 
C)  a patient with an endotracheal tube 
D)  a patient with celiac disease 
E)  a patient with a concurrent diagnosis of cancer

Question 8

Which is a true statement about continuous enteral feedings?

Accepted Answer

A)  They are administered daily for 30 minutes. 
B)  They may be administered by gravity from a container suspended above the patient. 
C)  They consist of the administration of approximately 250 mL of formula at a time 
D)  They are usually more time consuming for staff to administer. 
E)  They require a pump and other equipment to administer. 
A)  They are administered daily for 30 minutes. 
B)  They may be administered by gravity from a container suspended above the patient. 
C)  They consist of the administration of approximately 250 mL of formula at a time 
D)  They are usually more time consuming for staff to administer. 
E)  They require a pump and other equipment to administer.

Question 9

Increased permeability to _______________ has been noted when atrophic intestinal cells result from lack of enteral stimulation.

Accepted Answer

The answer of Increased permeability to _______________ has been noted...

Question 10

List and describe examples of complications associated with enteral feedings.

Accepted Answer

Enteral feeding is not a simple procedur

Question 11

A registered dietitian is assisting with the placement of a nasogastric tube in a patient. The patient has just received a dose of metoclopramide (Reglan). What is the next appropriate step in the process?

Accepted Answer

A)  insert the tube in the patient's nose and advance the tube 
B)  obtain an abdominal radiograph 
C)  remove the stylet from the tube 
D)  measure for gastric placement 
E)  tape the tube to the patient's nose 
A)  insert the tube in the patient's nose and advance the tube 
B)  obtain an abdominal radiograph 
C)  remove the stylet from the tube 
D)  measure for gastric placement 
E)  tape the tube to the patient's nose

Question 12

The thickness of a liquid is known as its:

Accepted Answer

A)  osmolality 
B)  viscosity 
C)  nutrient density 
D)  osmolarity 
E)  coagulation 
A)  osmolality 
B)  viscosity 
C)  nutrient density 
D)  osmolarity 
E)  coagulation

Question 13

Identify a true statement regarding peripheral parenteral nutrition (PPN).

Accepted Answer

A)  PPN involves the administration of concentrated fluids. 
B)  PPN involves the administration of small volumes of nutrients. 
C)  PPN is typically most acceptable for a fluid-restricted patient. 
D)  The high osmolality of PPN may cause small veins to collapse. 
E)  Peripheral access for PPN is easier to maintain than a central line. 
A)  PPN involves the administration of concentrated fluids. 
B)  PPN involves the administration of small volumes of nutrients. 
C)  PPN is typically most acceptable for a fluid-restricted patient. 
D)  The high osmolality of PPN may cause small veins to collapse. 
E)  Peripheral access for PPN is easier to maintain than a central line.

Question 14

Which situation must be considered when deciding to start parenteral nutrition?

Accepted Answer

A)  the length of time the patient will require nutrition support 
B)  the patient's social involvement 
C)  the patient's sleep routine 
D)  the physician's ability to obtain an order 
E)  the need for an automated compounder 
A)  the length of time the patient will require nutrition support 
B)  the patient's social involvement 
C)  the patient's sleep routine 
D)  the physician's ability to obtain an order 
E)  the need for an automated compounder

Question 15

Which of the following medical conditions will require a lower range of protein intake?

Accepted Answer

A)  trauma 
B)  burns 
C)  sepsis 
D)  bone marrow transplant 
E)  acute kidney injury 
A)  trauma 
B)  burns 
C)  sepsis 
D)  bone marrow transplant 
E)  acute kidney injury

Question 16

Describe indications, advantages, and disadvantages of the following types of enteral feeding tubes: nasogastric tubes, orogastric tubes, gastrostomy tubes, PEG tubes.

Accepted Answer

Nasogastric tubes are indicated in cases

Question 17

Enteral formulas are often the primary source of water for patients receiving them.

Accepted Answer

A) True 
 B)False

Question 18

A nutritionally unstable patient who is receiving enteral feedings should have fluid status assessed at least:

Accepted Answer

A)  every day 
B)  three times per week 
C)  every week 
D)  every 1-2 weeks 
E)  PRN 
A)  every day 
B)  three times per week 
C)  every week 
D)  every 1-2 weeks 
E)  PRN

Question 19

The _______________ is an intravenous access device that is placed in the vein on the upper chest walls and exits the body near the xyphoid process, axilla, or abdominal wall.

Accepted Answer

The answer of The _______________ is an intravenous access device...

Question 20

Postpyloric access is most often used when the patient is at high risk of diarrhea.

Accepted Answer

A) True 
 B)False

Exam 5: Enteral and Parenteral Nutrition Support

Which patient is most likely at the risk of refeeding syndrome?

Which of the following medical conditions occurs because of excessive carbohydrate intake through parenteral nutrition formulas?

The means of prescribing a very small rate of enteral nutrition with the goal to minimize villous atrophy is known as:

The outer lumen diameter of a feeding tube is described using a measurement called _______________ size.

Parenteral solutions are compounded from as many as 40 different items under the supervision of a licensed _______________.

Which patient is at the highest risk of aspiration when receiving an enteral feeding?

Which is a true statement about continuous enteral feedings?

Increased permeability to _______________ has been noted when atrophic intestinal cells result from lack of enteral stimulation.

List and describe examples of complications associated with enteral feedings.

A registered dietitian is assisting with the placement of a nasogastric tube in a patient. The patient has just received a dose of metoclopramide (Reglan). What is the next appropriate step in the process?

The thickness of a liquid is known as its:

Identify a true statement regarding peripheral parenteral nutrition (PPN).

Which situation must be considered when deciding to start parenteral nutrition?

Which of the following medical conditions will require a lower range of protein intake?

Describe indications, advantages, and disadvantages of the following types of enteral feeding tubes: nasogastric tubes, orogastric tubes, gastrostomy tubes, PEG tubes.

Enteral formulas are often the primary source of water for patients receiving them.

A nutritionally unstable patient who is receiving enteral feedings should have fluid status assessed at least:

The _______________ is an intravenous access device that is placed in the vein on the upper chest walls and exits the body near the xyphoid process, axilla, or abdominal wall.

Postpyloric access is most often used when the patient is at high risk of diarrhea.

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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