Question 1

After assessment of a patient has determined that oral intake is inadequate, what is the next determination to be made?

Accepted Answer

A) Is the GI tract functional? 
B) What type of tube should be placed? 
C) What type of formula should be used? 
D) What amount and composition of TPN are appropriate? 
A) Is the GI tract functional? 
B) What type of tube should be placed? 
C) What type of formula should be used? 
D) What amount and composition of TPN are appropriate? A

Question 2

The functions of the _____ system are better maintained with enteral feedings than with parenteral feedings.

Accepted Answer

A) Cardiovascular 
B) Renal 
C) Gastrointestinal 
D) Pulmonary 
A) Cardiovascular 
B) Renal 
C) Gastrointestinal 
D) Pulmonary C

Question 3

For a fluid restricted patient, an appropriate formula to select for use would be _____ kcal/mL.

Accepted Answer

A) 0.8 
B) 1 
C) 1.2 
D) 1.5 
A) 0.8 
B) 1 
C) 1.2 
D) 1.5 D

Question 4

Which one of these routes of parenteral access is considered long term?

Accepted Answer

A) Peripheral intravenous catheter 
B) Peripherally inserted central catheter 
C) Single-lumen catheter inserted into the subclavian vein 
D) Catheter inserted into the external jugular vein 
A) Peripheral intravenous catheter 
B) Peripherally inserted central catheter 
C) Single-lumen catheter inserted into the subclavian vein 
D) Catheter inserted into the external jugular vein

Question 5

The maximum osmolality of parenteral solution that the cephalic or brachial vein may tolerate for infusion is _____ mOsm/kg.

Accepted Answer

A) 300 to 500 
B) 500 to 800 
C) 800 to 900 
D) 900 to 1200 
A) 300 to 500 
B) 500 to 800 
C) 800 to 900 
D) 900 to 1200

Question 6

The most important technique for prevention of aspiration in an enterally fed patient is:

Accepted Answer

A) To position the patient at a 45-degree angle for feeding 
B) To use a calorically dense enteral formula 
C) To use a large bore feeding tube 
D) To administer feedings at a slow rate 
A) To position the patient at a 45-degree angle for feeding 
B) To use a calorically dense enteral formula 
C) To use a large bore feeding tube 
D) To administer feedings at a slow rate

Question 7

For the patient with delayed gastric emptying, nausea and vomiting, or other indications of risk of aspiration, the tube should be placed through the

Accepted Answer

A) mouth into the stomach. 
B) nose into the stomach. 
C) mouth into the duodenum or jejunum. 
D) nose into the duodenum or jejunum. 
A) mouth into the stomach. 
B) nose into the stomach. 
C) mouth into the duodenum or jejunum. 
D) nose into the duodenum or jejunum.

Question 8

What type of enteric tube enters the body at the nose and terminates at the stomach?

Accepted Answer

A) Nasogastric 
B) Nasojejunal 
C) Percutaneous endoscopic gastrostomy 
D) Percutaneous endoscopic jejunostomy 
A) Nasogastric 
B) Nasojejunal 
C) Percutaneous endoscopic gastrostomy 
D) Percutaneous endoscopic jejunostomy

Question 9

A common complication of enteral tube feeding is

Accepted Answer

A) hyponatremia. 
B) refeeding syndrome 
C) diarrhea. 
D) hypoalbuminemia. 
A) hyponatremia. 
B) refeeding syndrome 
C) diarrhea. 
D) hypoalbuminemia.

Question 10

The osmolarity of a 1-L bottle of 5% dextrose solution is _____ mOsm/L.

Accepted Answer

A) 50 
B) 500 
C) 200 
D) 250 
A) 50 
B) 500 
C) 200 
D) 250

Question 11

In general, a patient's parenteral feeding can be discontinued when enteral nutrition meets _____ of the patient's need.

Accepted Answer

A) 25% 
B) 50% 
C) 75% 
D) 100% 
A) 25% 
B) 50% 
C) 75% 
D) 100%

Question 12

The following is NOT a potential complication of nasoenteric feeding tubes.

Accepted Answer

A) Thrombophlebitis 
B) Sinusitis 
C) Vocal cord paralysis 
D) Pulmonary injury 
A) Thrombophlebitis 
B) Sinusitis 
C) Vocal cord paralysis 
D) Pulmonary injury

Question 13

A major drawback of safflower and soybean based lipid emulsions is:

Accepted Answer

A) it cannot be given peripherally. 
B) it provides less calories per ml than other oils. 
C) it cannot be mixed with the dextrose and amino acids. 
D) it has a proinflammatory effect. 
A) it cannot be given peripherally. 
B) it provides less calories per ml than other oils. 
C) it cannot be mixed with the dextrose and amino acids. 
D) it has a proinflammatory effect.

Question 14

Which condition would most likely require parenteral nutrition as the medical nutrition therapy?

Accepted Answer

A) Severe acute pancreatitis 
B) HIV/AIDS 
C) Failure to thrive 
D) Oral or esophageal trauma 
A) Severe acute pancreatitis 
B) HIV/AIDS 
C) Failure to thrive 
D) Oral or esophageal trauma

Question 15

A patient is receiving an intravenous solution that provides 120 g of dextrose monohydrate.How many calories does this provide the patient?

Accepted Answer

A) 132 kcal 
B) 240 kcal 
C) 408 kcal 
D) 480 kcal 
A) 132 kcal 
B) 240 kcal 
C) 408 kcal 
D) 480 kcal

Question 16

In home care, what is the recommended administration method for enteral nutrition?

Accepted Answer

A) Bolus feeding 
B) Gravity drip 
C) Cyclic pump 
D) Continuous pump 
A) Bolus feeding 
B) Gravity drip 
C) Cyclic pump 
D) Continuous pump

Question 17

The patient most likely to experience refeeding syndrome is a patient who has

Accepted Answer

A) enteral feeding initiated after 7 days NPO. 
B) parenteral feeding initiated after 7 days NPO. 
C) enteral feeding after 24 hours NPO. 
D) parenteral feeding after 24 hours NPO. 
A) enteral feeding initiated after 7 days NPO. 
B) parenteral feeding initiated after 7 days NPO. 
C) enteral feeding after 24 hours NPO. 
D) parenteral feeding after 24 hours NPO.

Question 18

Which trace element needs to be initially given at higher levels when there is a risk of refeeding syndrome?

Accepted Answer

A) Zinc 
B) Copper 
C) Chromium 
D) Phosphorus 
A) Zinc 
B) Copper 
C) Chromium 
D) Phosphorus

Question 19

Feeding tube diameter is measured in

Accepted Answer

A) French size. 
B) millimeters. 
C) inches. 
D) centimeters. 
A) French size. 
B) millimeters. 
C) inches. 
D) centimeters.

Question 20

The calorie concentration provided by most general-purpose formulas is _____ kcal/mL.

Accepted Answer

A) 0.5 
B) 1 to 1.2 
C) 1.5 
D) 2 
A) 0.5 
B) 1 to 1.2 
C) 1.5 
D) 2

Exam 14: Food-Nutrient Delivery: Nutrition Support Methods

After assessment of a patient has determined that oral intake is inadequate, what is the next determination to be made?

The functions of the _____ system are better maintained with enteral feedings than with parenteral feedings.

For a fluid restricted patient, an appropriate formula to select for use would be _____ kcal/mL.

Which one of these routes of parenteral access is considered long term?

The maximum osmolality of parenteral solution that the cephalic or brachial vein may tolerate for infusion is _____ mOsm/kg.

The most important technique for prevention of aspiration in an enterally fed patient is:

For the patient with delayed gastric emptying, nausea and vomiting, or other indications of risk of aspiration, the tube should be placed through the

What type of enteric tube enters the body at the nose and terminates at the stomach?

A common complication of enteral tube feeding is

The osmolarity of a 1-L bottle of 5% dextrose solution is _____ mOsm/L.

In general, a patient's parenteral feeding can be discontinued when enteral nutrition meets _____ of the patient's need.

The following is NOT a potential complication of nasoenteric feeding tubes.

A major drawback of safflower and soybean based lipid emulsions is:

Which condition would most likely require parenteral nutrition as the medical nutrition therapy?

A patient is receiving an intravenous solution that provides 120 g of dextrose monohydrate.How many calories does this provide the patient?

In home care, what is the recommended administration method for enteral nutrition?

The patient most likely to experience refeeding syndrome is a patient who has

Which trace element needs to be initially given at higher levels when there is a risk of refeeding syndrome?

Feeding tube diameter is measured in

The calorie concentration provided by most general-purpose formulas is _____ kcal/mL.

Digestion, Absorption, Transport, and Excretion of Nutrients

Energy

The Nutrients and Their Metabolism

Intake: Analysis of the Diet

Assessment: Nutritional Genomics

Clinical: Inflammation, Physical and Functional Assessment

Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical Assessment

Clinical: Food-Drug Interactions

Behavioral-Environmental: The Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food-Nutrient Delivery: Planning the Diet With Cultural Competency

Food and Nutrient Delivery: Bioactive Substances and Integrative Care

Interventions: Education and Counseling for Behavior Change

Nutrition in Pregnancy and Lactation

Nutrition During Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Mnt for Food Allergy and Food Intolerance

Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Liver, Biliary System, and Exocrine Pancreas Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid and Related Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical and Nutrition Therapy for Renal Disorders

Medical and Nutrition Therapy for Cancer

Medical and Nutrition Therapy for HIV and AIDS

Medical and Nutrition Therapy for Metabolic Stress: Sepsis, Trauma, Burns, and Surgery

Medical and Nutrition Therapy for Rheumatic Disease

Medical and Nutrition Therapy for Neurologic Disorders

Medical and Nutrition Therapy for Psychiatric Conditions

Medical and Nutrition Therapy for Low-Birth-Weight Infants

Medical and Nutrition Therapy for Genetic Metabolic Disorders

Medical and Nutrition Therapy for Developmental Disabilities

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