Question 1

A lipid-based drug that is often administered to a critically ill patient is:

Accepted Answer

A)  hydrosol 
B)  hepatosol 
C)  propofol 
D)  amines 
E)  clinisol 
A)  hydrosol 
B)  hepatosol 
C)  propofol 
D)  amines 
E)  clinisol

Question 2

The osmolality of body fluids in a healthy individual is _______________ mOsm/kg.

Accepted Answer

The answer of The osmolality of body fluids in a...

Question 3

Describe the procedure for inserting a nasogastric feeding tube.

Accepted Answer

Registered dietitians (RDs) may be respo

Question 4

The first step in determining the enteral nutrition prescription is to:

Accepted Answer

A)  consider electrolyte needs 
B)  establish a dosing weight 
C)  determine fluid needs 
D)  determine a kcal goal 
E)  consider vitamin and mineral needs 
A)  consider electrolyte needs 
B)  establish a dosing weight 
C)  determine fluid needs 
D)  determine a kcal goal 
E)  consider vitamin and mineral needs

Question 5

Which of the following nursing interventions is appropriate to reduce the risk of aspiration during enteral feedings?

Accepted Answer

A)  instill a blue dye into the feeding 
B)  check the level of lung aspirate daily 
C)  elevate the head of the patient at an angle ≥30 degrees 
D)  continue the feeding at a faster rate 
E)  increase fiber to 8 g in each supplement 
A)  instill a blue dye into the feeding 
B)  check the level of lung aspirate daily 
C)  elevate the head of the patient at an angle ≥30 degrees 
D)  continue the feeding at a faster rate 
E)  increase fiber to 8 g in each supplement

Question 6

The minimum amount of carbohydrate intake parenteral nutrition as specified by the DRI is:

Accepted Answer

A)  60 g/day 
B)  130 g/day 
C)  200 g/day 
D)  240 g/day 
E)  300 g/day 
A)  60 g/day 
B)  130 g/day 
C)  200 g/day 
D)  240 g/day 
E)  300 g/day

Question 7

List the indications for using parenteral nutrition, and list several conditions that would require parenteral nutrition instead of enteral nutrition.

Accepted Answer

Parenteral nutrition is indicated in tho

Question 8

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.
-Which situation would require that the patient change from enteral nutrition to parenteral nutrition?

Accepted Answer

A)  the patient loses 5 pounds 
B)  the patient develops a paralytic ileus 
C)  the patient can no longer afford enteral nutrition 
D)  the patient develops sleeping problems 
E)  the protein content of the enteral nutrition needs to be changed 
A)  the patient loses 5 pounds 
B)  the patient develops a paralytic ileus 
C)  the patient can no longer afford enteral nutrition 
D)  the patient develops sleeping problems 
E)  the protein content of the enteral nutrition needs to be changed

Question 9

List the steps of determining the nutrition prescription.

Accepted Answer

To determine the nutrition prescription,

Question 10

The disadvantages of peptide and crystalline amino acid products include increased _______________ and _______________.

Accepted Answer

osmolality

Question 11

Which is a common consequence of malnutrition?

Accepted Answer

A)  increased gastric emptying 
B)  delayed wound healing 
C)  cirrhosis 
D)  atrophic gastritis 
E)  hearing loss 
A)  increased gastric emptying 
B)  delayed wound healing 
C)  cirrhosis 
D)  atrophic gastritis 
E)  hearing loss

Question 12

_______________ consist of the administration of 250-500 mL of formula several times daily.

Accepted Answer

The answer of _______________ consist of the administration of 250-500...

Question 13

Excessive _______________ in parenteral nutrition may contribute to hyperglycemia, hepatic steatosis, and excessive carbon dioxide production.

Accepted Answer

carbohydra

Question 14

To which of the following blood vessels are the central catheters inserted?

Accepted Answer

A)  cephalic vein 
B)  subclavian vein 
C)  lumbar vein 
D)  gonadal vein 
E)  iliac vein 
A)  cephalic vein 
B)  subclavian vein 
C)  lumbar vein 
D)  gonadal vein 
E)  iliac vein

Question 15

Which element is not added routinely to standard parenteral nutrition formulas?

Accepted Answer

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

Question 16

The wire guide within the enteral tube that assists with insertion is called the _______________.

Accepted Answer

The answer of The wire guide within the enteral tube...

Question 17

Which type of medication would most likely be added to parenteral nutrition solution for patient care?

Accepted Answer

A)  acetaminophen 
B)  keterolac 
C)  fentanyl 
D)  cimetidine 
E)  demerol 
A)  acetaminophen 
B)  keterolac 
C)  fentanyl 
D)  cimetidine 
E)  demerol

Question 18

In which clinical condition would parenteral nutrition most likely be indicated?

Accepted Answer

A)  short bowel syndrome 
B)  increased oral fluid intake 
C)  hyperkalemia 
D)  severe dysphagia 
E)  cardiovascular disease 
A)  short bowel syndrome 
B)  increased oral fluid intake 
C)  hyperkalemia 
D)  severe dysphagia 
E)  cardiovascular disease

Question 19

The most common type of vascular access device is a(n) _______________.

Accepted Answer

central ve

Question 20

Which statement regarding an implantable port is true?

Accepted Answer

A)  An implantable port can be self-placed by the patient. 
B)  An implantable port is usually inserted into the arm and threaded to the vena cava. 
C)  An implantable port must have the catheter changed every few hours to reduce the risk of infection. 
D)  An implantable port may be difficult for the patient to access. 
E)  An implantable port is only suitable for short-term access. 
A)  An implantable port can be self-placed by the patient. 
B)  An implantable port is usually inserted into the arm and threaded to the vena cava. 
C)  An implantable port must have the catheter changed every few hours to reduce the risk of infection. 
D)  An implantable port may be difficult for the patient to access. 
E)  An implantable port is only suitable for short-term access.

Exam 5: Enteral and Parenteral Nutrition Support

A lipid-based drug that is often administered to a critically ill patient is:

The osmolality of body fluids in a healthy individual is _______________ mOsm/kg.

Describe the procedure for inserting a nasogastric feeding tube.

The first step in determining the enteral nutrition prescription is to:

Which of the following nursing interventions is appropriate to reduce the risk of aspiration during enteral feedings?

The minimum amount of carbohydrate intake parenteral nutrition as specified by the DRI is:

List the indications for using parenteral nutrition, and list several conditions that would require parenteral nutrition instead of enteral nutrition.

List the steps of determining the nutrition prescription.

The disadvantages of peptide and crystalline amino acid products include increased _______________ and _______________.

Which is a common consequence of malnutrition?

_______________ consist of the administration of 250-500 mL of formula several times daily.

Excessive _______________ in parenteral nutrition may contribute to hyperglycemia, hepatic steatosis, and excessive carbon dioxide production.

To which of the following blood vessels are the central catheters inserted?

Which element is not added routinely to standard parenteral nutrition formulas?

The wire guide within the enteral tube that assists with insertion is called the _______________.

Which type of medication would most likely be added to parenteral nutrition solution for patient care?

In which clinical condition would parenteral nutrition most likely be indicated?

The most common type of vascular access device is a(n) _______________.

Which statement regarding an implantable port is true?

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

Filters

The disadvantages of peptide and crystalline amino acid products include increased _ and _.