Question 1

In the first 24 to 48 hours after the burn injury, patients with second- or third-degree burns that cover 15% to 20% or more of their total body surface usually require:

Accepted Answer

A)  enteral nutrition. 
B)  total parenteral nutrition. 
C)  small frequent meals. 
D)  IV fluid and electrolytes. 
A)  enteral nutrition. 
B)  total parenteral nutrition. 
C)  small frequent meals. 
D)  IV fluid and electrolytes.

Question 2

The name of the surgical procedure in which the ileum is attached to an opening in the abdominal wall is called a(n):

Accepted Answer

A)  colostomy. 
B)  ileostomy. 
C)  jejunostomy. 
D)  cholecystectomy. 
A)  colostomy. 
B)  ileostomy. 
C)  jejunostomy. 
D)  cholecystectomy.

Question 3

Immune-enhancing enteral formulas may be enriched with:

Accepted Answer

A)  vitamin C and zinc. 
B)  omega-3 fatty acids and arginine. 
C)  essential amino acids and medium-chain triglycerides (MCTs). 
D)  iron, folic acid, and vitamin B₁₂. 
A)  vitamin C and zinc. 
B)  omega-3 fatty acids and arginine. 
C)  essential amino acids and medium-chain triglycerides (MCTs). 
D)  iron, folic acid, and vitamin B₁₂.

Question 4

When a client has the most radical form of total gastrectomy (Billroth II), the stomach is excised and the esophagus is joined to the:

Accepted Answer

A)  ileum. 
B)  duodenum. 
C)  jejunum. 
D)  rectum. 
A)  ileum. 
B)  duodenum. 
C)  jejunum. 
D)  rectum.

Question 5

For patients with burns covering more than 20% of total body surface area, resting energy expenditure (REE) exceeds that calculated using the Harris-Benedict equations by about:

Accepted Answer

A)  20% to 30%. 
B)  30% to 50%. 
C)  50% to 60%. 
D)  80% to 100%. 
A)  20% to 30%. 
B)  30% to 50%. 
C)  50% to 60%. 
D)  80% to 100%.

Question 6

After surgery, protein intake may be limited if the patient has impaired:

Accepted Answer

A)  kidney function. 
B)  absorption. 
C)  pancreatic function. 
D)  ability to chew. 
A)  kidney function. 
B)  absorption. 
C)  pancreatic function. 
D)  ability to chew.

Question 7

Protein is important in the postoperative recovery period for tissue synthesis and:

Accepted Answer

A)  good immune function. 
B)  maintaining insulin levels. 
C)  metabolism of antibiotics. 
D)  sparing glycogen stores. 
A)  good immune function. 
B)  maintaining insulin levels. 
C)  metabolism of antibiotics. 
D)  sparing glycogen stores.

Question 8

If a client has had surgery of the head, neck, or throat and can only swallow a limited amount of food, his or her oral diet should include:

Accepted Answer

A)  clear liquids only. 
B)  full liquids only. 
C)  energy- and protein-dense soft foods. 
D)  low-residue foods. 
A)  clear liquids only. 
B)  full liquids only. 
C)  energy- and protein-dense soft foods. 
D)  low-residue foods.

Question 9

Symptoms of dumping syndrome are most likely to occur after patients consume:

Accepted Answer

A)  protein. 
B)  fat. 
C)  simple carbohydrates. 
D)  complex carbohydrates. 
A)  protein. 
B)  fat. 
C)  simple carbohydrates. 
D)  complex carbohydrates.

Question 10

Foods allowed on a clear liquid diet include:

Accepted Answer

A)  broth. 
B)  cream soup. 
C)  milk. 
D)  pudding. 
A)  broth. 
B)  cream soup. 
C)  milk. 
D)  pudding.

Question 11

Postsurgical patients should resume oral feedings as soon as possible to:

Accepted Answer

A)  prevent dehydration. 
B)  prevent permanent damage to the gastrointestinal tract. 
C)  provide adequate nutrition. 
D)  support optimal kidney function. 
A)  prevent dehydration. 
B)  prevent permanent damage to the gastrointestinal tract. 
C)  provide adequate nutrition. 
D)  support optimal kidney function.

Question 12

Dietary recommendations for patients with chylous ascites or chylothorax include:

Accepted Answer

A)  replacement of long-chain triglycerides (LCTs) with MCTs. 
B)  high energy and protein intakes. 
C)  use of immune-enhancing formulas. 
D)  normal diet. 
A)  replacement of long-chain triglycerides (LCTs) with MCTs. 
B)  high energy and protein intakes. 
C)  use of immune-enhancing formulas. 
D)  normal diet.

Question 13

Preoperative or postoperative blood losses may result in a deficiency of:

Accepted Answer

A)  calcium. 
B)  vitamin C. 
C)  iron. 
D)  zinc. 
A)  calcium. 
B)  vitamin C. 
C)  iron. 
D)  zinc.

Question 14

Nutrients lost in the initial period following a major burn injury are:

Accepted Answer

A)  fluids and electrolytes. 
B)  electrolytes and protein. 
C)  protein and fluids. 
D)  fluids, electrolytes, and protein. 
A)  fluids and electrolytes. 
B)  electrolytes and protein. 
C)  protein and fluids. 
D)  fluids, electrolytes, and protein.

Question 15

The physiologic basis for symptoms associated with dumping syndrome is that:

Accepted Answer

A)  concentrated hyperosmolar intestinal contents are absorbed too quickly. 
B)  ingested foods remain in the stomach too long and cause excessive bloating. 
C)  only the intestinal water is being absorbed, resulting in hemodilution and increased blood volume. 
D)  concentrated hyperosmolar fluids draw water into the intestine, decreasing blood volume. 
A)  concentrated hyperosmolar intestinal contents are absorbed too quickly. 
B)  ingested foods remain in the stomach too long and cause excessive bloating. 
C)  only the intestinal water is being absorbed, resulting in hemodilution and increased blood volume. 
D)  concentrated hyperosmolar fluids draw water into the intestine, decreasing blood volume.

Question 16

The minimum daily amount of carbohydrate that supports central nervous system function is about:

Accepted Answer

A)  100g. 
B)  150g. 
C)  200g. 
D)  500g. 
A)  100g. 
B)  150g. 
C)  200g. 
D)  500g.

Question 17

Conditionally essential amino acids include:

Accepted Answer

A)  L-lysine and L-threonine. 
B)  L-arginine and L-glutamine. 
C)  L-cysteine and L-methionine. 
D)  L-phenylalanine and L-tyramine. 
A)  L-lysine and L-threonine. 
B)  L-arginine and L-glutamine. 
C)  L-cysteine and L-methionine. 
D)  L-phenylalanine and L-tyramine.

Question 18

Fat intake in patients who have experienced burns or multiple trauma should be:

Accepted Answer

A)  5% to 10% of total kilocalories (kcalories or kcal). 
B)  12% to 15% of total kilocalories (kcalories or kcal). 
C)  15% to 18% of total kilocalories (kcalories or kcal). 
D)  20% to 30% of total kilocalories (kcalories or kcal). 
A)  5% to 10% of total kilocalories (kcalories or kcal). 
B)  12% to 15% of total kilocalories (kcalories or kcal). 
C)  15% to 18% of total kilocalories (kcalories or kcal). 
D)  20% to 30% of total kilocalories (kcalories or kcal).

Question 19

The recommended diet for patients with dumping syndrome is low in:

Accepted Answer

A)  sugar. 
B)  fat. 
C)  protein. 
D)  sodium. 
A)  sugar. 
B)  fat. 
C)  protein. 
D)  sodium.

Question 20

After extensive surgery or burns, protein needs are usually:

Accepted Answer

A)  1.0 to 1.2 g/kg body weight per day. 
B)  1.2 to 1.5 g/kg body weight per day. 
C)  1.5 to 2.0 g/kg body weight per day. 
D)  2.0 to 3.0 g/kg body weight per day. 
A)  1.0 to 1.2 g/kg body weight per day. 
B)  1.2 to 1.5 g/kg body weight per day. 
C)  1.5 to 2.0 g/kg body weight per day. 
D)  2.0 to 3.0 g/kg body weight per day.

Exam 17: Metabolic Stress

In the first 24 to 48 hours after the burn injury, patients with second- or third-degree burns that cover 15% to 20% or more of their total body surface usually require:

The name of the surgical procedure in which the ileum is attached to an opening in the abdominal wall is called a(n):

Immune-enhancing enteral formulas may be enriched with:

When a client has the most radical form of total gastrectomy (Billroth II), the stomach is excised and the esophagus is joined to the:

For patients with burns covering more than 20% of total body surface area, resting energy expenditure (REE) exceeds that calculated using the Harris-Benedict equations by about:

After surgery, protein intake may be limited if the patient has impaired:

Protein is important in the postoperative recovery period for tissue synthesis and:

If a client has had surgery of the head, neck, or throat and can only swallow a limited amount of food, his or her oral diet should include:

Symptoms of dumping syndrome are most likely to occur after patients consume:

Foods allowed on a clear liquid diet include:

Postsurgical patients should resume oral feedings as soon as possible to:

Dietary recommendations for patients with chylous ascites or chylothorax include:

Preoperative or postoperative blood losses may result in a deficiency of:

Nutrients lost in the initial period following a major burn injury are:

The physiologic basis for symptoms associated with dumping syndrome is that:

The minimum daily amount of carbohydrate that supports central nervous system function is about:

Conditionally essential amino acids include:

Fat intake in patients who have experienced burns or multiple trauma should be:

The recommended diet for patients with dumping syndrome is low in:

After extensive surgery or burns, protein needs are usually:

Nutrition and Health

Digestion, Absorption, and Metabolism

Carbohydrates

Lipids

Proteins

Vitamins

Minerals and Water

Energy Balance

Food Selection and Food Safety

Community Nutrition: Promoting Healthy Eating

Nutrition During Pregnancy and Lactation

Nutrition for Normal Growth and Development

Nutrition for Adults: Early, Middle, and Later Years

Nutrition and Physical Fitness

The Complexity of Obesity: Beyond Energy Balance

Nutrition Assessment and Nutrition Therapy in Patient Care

Drug-Nutrient Interactions

Nutrition Support: Enteral and Parenteral Nutrition

Gastrointestinal Diseases

Diseases of the Heart, Blood Vessels, and Lungs

Diabetes Mellitus

Renal Disease

Acquired Immunodeficiency Syndrome Aids

Cancer

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