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

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 A

Question 3

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. A

Question 4

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

Question 5

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 6

Possible advantages of using homemade tube feedings include

Accepted Answer

A) they are better reimbursed by insurance. 
B) they may help an immunocompromised patient. 
C) they can be used with any French size feeding tube. 
D) they can create a bond with the caretaker. 
A) they are better reimbursed by insurance. 
B) they may help an immunocompromised patient. 
C) they can be used with any French size feeding tube. 
D) they can create a bond with the caretaker.

Question 7

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 8

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 9

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

Question 10

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

Question 11

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 12

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 13

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 14

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 15

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 16

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 17

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 18

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 19

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 20

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

Exam 13: Food and Nutrient Delivery: Nutrition Support

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

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

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

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

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

Possible advantages of using homemade tube feedings include

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

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

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

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

Feeding tube diameter is measured in

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

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

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.

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

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

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.

Intake: Digestion, Absorption, Transport, and Excretion of Nutrients

Intake: Energy

Inflammation and the Pathophysiology of Chronic Disease

Intake: Analysis of the Diet

Clinical: Nutritional Genomics

Clinical: Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical, Physical, and Functional Assessment

Clinical: Food-Drug Interactions

Behavioral-Environmental: the Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food and Nutrient Delivery: Diet Guidelines, Nutrient Standards, and Cultural Competence

Food and Nutrient Delivery: Complementary and Integrative Medicine and Dietary Supplementation

Education and Counseling: Behavioral Change

Nutrition for Reproductive Health and Lactation

Nutrition in Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Nutrition in Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Medical Nutrition Therapy for Adverse Reactions to Food: Allergies and Intolerances

Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Hepatobiliary and Pancreatic Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid, Adrenal, and Other Endocrine Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical Nutrition Therapy for Renal Disorders

Medical Nutrition Therapy for Cancer Prevention, Treatment, and Survivorship

Medical Nutrition Therapy for Hiv and Aids

Medical Nutrition Therapy in Critical Care

Medical Nutrition Therapy for Rheumatic Disease

Medical Nutrition Therapy for Neurologic Disorders

Mnt in Psychiatric and Cognitive Disorders

Medical Nutrition Therapy for Low-Birth-Weight Infants

Medical Nutrition Therapy for Genetic Metabolic Disorders

Medical Nutrition Therapy for Intellectual and Developmental Disabilities

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