Question 1

Delivering 250 to 500 milliliters of formula over 5 to 15 minutes is referred to as _____. ​

Accepted Answer

A)  ​a bolus feeding 
B)  ​a continuous drip feeding 
C)  ​an intermittent feeding 
D)  ​a slow drip feeding 
E)  ​a closed tube feeding 
A)  ​a bolus feeding 
B)  ​a continuous drip feeding 
C)  ​an intermittent feeding 
D)  ​a slow drip feeding 
E)  ​a closed tube feeding

Question 2

Enteral formulas may be used orally to supplement a patient's diet. When this occurs, _____ becomes an important consideration.​

Accepted Answer

A)  ​taste 
B)  ​kcalorie content 
C)  ​osmolality 
D)  ​cost 
E)  ​glucose content 
A)  ​taste 
B)  ​kcalorie content 
C)  ​osmolality 
D)  ​cost 
E)  ​glucose content

Question 3

Parenteral nutrition can be discontinued when _____ of estimated energy needs are being met by oral intake, tube feeding, or a combination of the two.​

Accepted Answer

A)  ​35-50% 
B)  ​25-35% 
C)  ​35-75% 
D)  ​60-75% 
E)  ​80-90% 
A)  ​35-50% 
B)  ​25-35% 
C)  ​35-75% 
D)  ​60-75% 
E)  ​80-90%

Question 4

Mr. Avery is a 77-year-old retired engineer. He is 5'10" tall and weighs 171 pounds. He suffered a stroke, which left him with left-sided paralysis, and he is having difficulty swallowing so he is unable to meet his nutritional needs via oral intake at this time.
-Mr. Avery's feeding is being delivered continuously by an infusion pump. What best describes an advantage of using a continuous feeding? ​

Accepted Answer

A)  ​It provides an accurate and steady flow rate 
B)  ​It is similar to usual patterns of eating for the patient 
C)  ​It provides more freedom of movement for the patient 
D)  ​There is less risk of diarrhea 
E)  ​It is a less expensive method 
A)  ​It provides an accurate and steady flow rate 
B)  ​It is similar to usual patterns of eating for the patient 
C)  ​It provides more freedom of movement for the patient 
D)  ​There is less risk of diarrhea 
E)  ​It is a less expensive method

Question 5

A parenteral solution containing 500 mL of a 20% lipid emulsion would provide _____ kcalories from lipids.​

Accepted Answer

A)  ​550 
B)  ​1000 
C)  ​1500 
D)  ​1800 
E)  ​2000 
A)  ​550 
B)  ​1000 
C)  ​1500 
D)  ​1800 
E)  ​2000

Question 6

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition is associated with fewer complications.​

Accepted Answer

A) True 
 B)False

Question 7

The appropriate method for administering TPN to a critically ill and malnourished patient is as a _____. ​

Accepted Answer

A)  ​bolus infusion 
B)  ​continuous infusion 
C)  ​cyclic infusion 
D)  ​prn infusion 
E)  ​gravity infusion 
A)  ​bolus infusion 
B)  ​continuous infusion 
C)  ​cyclic infusion 
D)  ​prn infusion 
E)  ​gravity infusion

Question 8

What tube placement site would be the most appropriate for a client who is expected to be on a tube feeding for less than 4 weeks?​

Accepted Answer

A)  ​gastrostomy 
B)  ​jejunostomy 
C)  ​nasogastric 
D)  enterostomy​ 
E)  ​duodenostomy 
A)  ​gastrostomy 
B)  ​jejunostomy 
C)  ​nasogastric 
D)  enterostomy​ 
E)  ​duodenostomy

Question 9

Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center and resuscitated after being found unconscious in his car in a parking lot. His history was obtained by contacting his daughter. The patient presents with:
end-stage adenocarcinoma of the gastroesophageal juncture.
chronic malnutrition and significant weight loss × 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke @ age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s.
Ht: 5'8". Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support.
-Which type of feeding would be least likely to cause Mr. Edward a liver-related abnormality?​

Accepted Answer

A)  ​A cyclic parenteral infusion 
B)  ​A continuous parenteral infusion 
C)  ​An oral feeding 
D)  ​Total parenteral nutrition 
E)  ​Continuous enteral feedings 
A)  ​A cyclic parenteral infusion 
B)  ​A continuous parenteral infusion 
C)  ​An oral feeding 
D)  ​Total parenteral nutrition 
E)  ​Continuous enteral feedings

Question 10

Insertion of central catheters is less invasive and more easily performed than direct insertion of peripherally inserted catheters.​

Accepted Answer

A) True 
 B)False

Question 11

What type of enteral formulas are made from whole foods and derive their protein primarily from pureed meat?​

Accepted Answer

A)  ​Standard 
B)  ​Hydrolyzed 
C)  ​Blenderized 
D)  ​Modular 
E)  ​Polymeric 
A)  ​Standard 
B)  ​Hydrolyzed 
C)  ​Blenderized 
D)  ​Modular 
E)  ​Polymeric

Question 12

Mr. Avery is a 77-year-old retired engineer. He is 5'10" tall and weighs 171 pounds. He suffered a stroke, which left him with left-sided paralysis, and he is having difficulty swallowing so he is unable to meet his nutritional needs via oral intake at this time.
-Mr. Avery's swallowing ability and oral intake are improving. He is now consuming about 2/3 of his estimated nutrient needs from oral intake. It would be appropriate at this time to _____. ​

Accepted Answer

A)  ​discontinue the tube feeding 
B)  ​increase the rate of the tube feeding 
C)  ​decrease the rate of the parenteral feeding 
D)  ​discontinue the parenteral feeding 
E)  ​include a vitamin-mineral supplement with the tube feeding 
A)  ​discontinue the tube feeding 
B)  ​increase the rate of the tube feeding 
C)  ​decrease the rate of the parenteral feeding 
D)  ​discontinue the parenteral feeding 
E)  ​include a vitamin-mineral supplement with the tube feeding

Question 13

Differentiate between the characteristics and uses of standard formulas and hydrolyzed formulas.​

Accepted Answer

There are various enteral formulas avail

Question 14

Matching​
-aspiration​

Accepted Answer

A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids 
A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids

Question 15

Types of formulas that contain complete proteins are called _____.​

Accepted Answer

A)  ​disease-specific formulas 
B)  hydrolyzed formulas​ 
C)  ​standard formulas 
D)  ​modular formulas 
E)  ​monomeric formulas 
A)  ​disease-specific formulas 
B)  hydrolyzed formulas​ 
C)  ​standard formulas 
D)  ​modular formulas 
E)  ​monomeric formulas

Question 16

Matching​
-mutation

Accepted Answer

A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids 
A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids

Question 17

​The economic impact of home nutrition support is a concern for people on these programs.

Accepted Answer

A) True 
 B)False

Question 18

Fiber-containing formulas would most likely be used for what condition?​

Accepted Answer

A)  ​Diarrhea 
B)  ​Chronic kidney disease 
C)  ​Celiac disease 
D)  ​Vitamin K deficiency 
E)  ​Hemophilia 
A)  ​Diarrhea 
B)  ​Chronic kidney disease 
C)  ​Celiac disease 
D)  ​Vitamin K deficiency 
E)  ​Hemophilia

Question 19

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.​

Accepted Answer

A) True 
 B)False

Question 20

Matching​
-genetic counseling

Accepted Answer

A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids 
A) ​drawing in by suction or inhalation 
B) ​the removal of stomach contents in patients with motility problems or obstructions that prevent stomach emptying 
C) ​not easily managed or controlled 
D) ​a condition that sometimes develops when a severely malnourished person is aggressively fed 
E) ​enteral formulas prepared in the hospital from modules that contain single macronutrients
F)​a formula with an osmolality greater than that of blood serum
G)​an inherited trait (one that is present at birth) that causes the absence, deficiency, or malfunction of a protein that has a critical metabolic role
H)​enteral formulas that contain mostly intact proteins and polysaccharide
I)​the provision of nutrients using the GI tract; usually refers to the use of tube feedings
J)​enteral formulas that contain proteins and carbohydrates that are partially or fully hydrolyzed
K)​the administration of a second solution using a separate port in an intravenous catheter
L)​the delivery of nutrients using a feeding tube or intravenous infusions
M)​continuous feedings conducted for 8 to 16 hours daily
N)​an inherited disorder that affects the transport of chloride across epithelial cell membranes
O)​enteral formulas that are prepared by using a food blender to mix and puree whole foods
P)​continuous administration of parenteral solutions over a 24-hour period
Q)​products of metabolism; compounds produced by a biochemical pathway
R)​support for families at risk of genetic disorders
S)​a heritable change in the DNA sequence of a gene
T)​a parenteral solution that contains dextrose and amino acids, but excludes lipids

Delivering 250 to 500 milliliters of formula over 5 to 15 minutes is referred to as _____.

Enteral formulas may be used orally to supplement a patient's diet. When this occurs, _____ becomes an important consideration.

Parenteral nutrition can be discontinued when _____ of estimated energy needs are being met by oral intake, tube feeding, or a combination of the two.

A parenteral solution containing 500 mL of a 20% lipid emulsion would provide _____ kcalories from lipids.

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition is associated with fewer complications.

The appropriate method for administering TPN to a critically ill and malnourished patient is as a _____.

What tube placement site would be the most appropriate for a client who is expected to be on a tube feeding for less than 4 weeks?

Insertion of central catheters is less invasive and more easily performed than direct insertion of peripherally inserted catheters.

What type of enteral formulas are made from whole foods and derive their protein primarily from pureed meat?

Differentiate between the characteristics and uses of standard formulas and hydrolyzed formulas.

Matching -aspiration

Types of formulas that contain complete proteins are called _____.

Matching -mutation

The economic impact of home nutrition support is a concern for people on these programs.

Fiber-containing formulas would most likely be used for what condition?

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.

Matching -genetic counseling

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management - Overweight and Underweight

The Vitamins

Water and the Minerals

Nutrition Through the Life Span - Pregnancy and Infancy

Nutrition Through the Life Span - Childhood and Adolescence

Nutrition Through the Life Span - Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Nutrition in Metabolic and Respiratory Stress

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition - Cancer - and HIV Infection

Filters

Exam 15: Enteral and Parenteral Nutrition Support

Delivering 250 to 500 milliliters of formula over 5 to 15 minutes is referred to as _____. ​

Enteral formulas may be used orally to supplement a patient's diet. When this occurs, _____ becomes an important consideration.​

Parenteral nutrition can be discontinued when _____ of estimated energy needs are being met by oral intake, tube feeding, or a combination of the two.​

A parenteral solution containing 500 mL of a 20% lipid emulsion would provide _____ kcalories from lipids.​

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition is associated with fewer complications.​

The appropriate method for administering TPN to a critically ill and malnourished patient is as a _____. ​

What tube placement site would be the most appropriate for a client who is expected to be on a tube feeding for less than 4 weeks?​

Insertion of central catheters is less invasive and more easily performed than direct insertion of peripherally inserted catheters.​

What type of enteral formulas are made from whole foods and derive their protein primarily from pureed meat?​

Differentiate between the characteristics and uses of standard formulas and hydrolyzed formulas.​

Matching​ -aspiration​

Types of formulas that contain complete proteins are called _____.​

Matching​ -mutation

​The economic impact of home nutrition support is a concern for people on these programs.

Fiber-containing formulas would most likely be used for what condition?​

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.​

Matching​ -genetic counseling

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management - Overweight and Underweight

The Vitamins

Water and the Minerals

Nutrition Through the Life Span - Pregnancy and Infancy

Nutrition Through the Life Span - Childhood and Adolescence

Nutrition Through the Life Span - Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Nutrition in Metabolic and Respiratory Stress

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition - Cancer - and HIV Infection

Filters

Delivering 250 to 500 milliliters of formula over 5 to 15 minutes is referred to as _____.

Enteral formulas may be used orally to supplement a patient's diet. When this occurs, _____ becomes an important consideration.

Parenteral nutrition can be discontinued when _____ of estimated energy needs are being met by oral intake, tube feeding, or a combination of the two.

A parenteral solution containing 500 mL of a 20% lipid emulsion would provide _____ kcalories from lipids.

Enteral nutrition is preferred over parenteral nutrition because enteral nutrition is associated with fewer complications.

The appropriate method for administering TPN to a critically ill and malnourished patient is as a _____.

What tube placement site would be the most appropriate for a client who is expected to be on a tube feeding for less than 4 weeks?

Insertion of central catheters is less invasive and more easily performed than direct insertion of peripherally inserted catheters.

What type of enteral formulas are made from whole foods and derive their protein primarily from pureed meat?

Differentiate between the characteristics and uses of standard formulas and hydrolyzed formulas.

Matching -aspiration

Types of formulas that contain complete proteins are called _____.

Matching -mutation

The economic impact of home nutrition support is a concern for people on these programs.

Fiber-containing formulas would most likely be used for what condition?

Any drug-nutrient interaction that occurs between conventional foods and drugs can occur between formulas and drugs as well.

Matching -genetic counseling