Question 1

Which of the following is NOT a reason to use enteral feeding over parenteral?

Accepted Answer

A) reduced incidence of stress ulcers 
B) enteral route may avoid intestinal atrophy 
C) enteral causes less hypoglycemia 
D) enteral is safer and cheaper 
A) reduced incidence of stress ulcers 
B) enteral route may avoid intestinal atrophy 
C) enteral causes less hypoglycemia 
D) enteral is safer and cheaper C

Question 2

Which of the following situations is NOT an indication for enteral nutritional support?

Accepted Answer

A) burns over 30% of the body surface area 
B) persistent inability to eat orally 
C) severe pancreatitis 
D) renal failure 
A) burns over 30% of the body surface area 
B) persistent inability to eat orally 
C) severe pancreatitis 
D) renal failure D

Question 3

Which of the following pieces of equipment is NOT needed to perform indirect calorimetry?

Accepted Answer

A) oxygen analyzer 
B) Tissot spirometer 
C) Douglas bag 
D) nitrogen analyzer 
A) oxygen analyzer 
B) Tissot spirometer 
C) Douglas bag 
D) nitrogen analyzer D

Question 4

Zinc deficiencies are associated with all the following except:

Accepted Answer

A) poor blood clotting 
B) impaired wound healing 
C) bronchospasm 
D) reduced immunity 
A) poor blood clotting 
B) impaired wound healing 
C) bronchospasm 
D) reduced immunity

Question 5

In which of the following patients would indirect calorimetry be indicated?
I.patients who are difficult to wean from mechanical ventilation
II.patients with morbid obesity
III.patients with a high level of stress

Accepted Answer

A) I only 
B) I and II only 
C) I and III only 
D) I, II, and III 
A) I only 
B) I and II only 
C) I and III only 
D) I, II, and III

Question 6

What tube feeding method is associated with an increased risk of aspiration?

Accepted Answer

A) bolus 
B) intermittent 
C) continuous drip 
D) pressurized 
A) bolus 
B) intermittent 
C) continuous drip 
D) pressurized

Question 7

Ideally, approximately what percent of a patient's estimated calorie needs should be provided by protein?

Accepted Answer

A) 20% 
B) 40% 
C) 50% 
D) 60% 
A) 20% 
B) 40% 
C) 50% 
D) 60%

Question 8

Which of the following statements is FALSE regarding energy needs?

Accepted Answer

A) They vary with state of health. 
B) They vary with activity level. 
C) They are increased with obese patients. 
D) They increase with sepsis. 
A) They vary with state of health. 
B) They vary with activity level. 
C) They are increased with obese patients. 
D) They increase with sepsis.

Question 9

Which of the following metabolism issues is NOT associated with systemic inflammatory response syndrome (SIRS)?

Accepted Answer

A) hypoglycemia 
B) protein catabolism 
C) increased macronutrient requirement 
D) triglyceride intolerance 
A) hypoglycemia 
B) protein catabolism 
C) increased macronutrient requirement 
D) triglyceride intolerance

Question 10

What is the recommended measurement for nitrogen balance?

Accepted Answer

A) blood urea nitrogen 
B) serum urea nitrogen 
C) urinary nitrogen 
D) urinary urea nitrogen 
A) blood urea nitrogen 
B) serum urea nitrogen 
C) urinary nitrogen 
D) urinary urea nitrogen

Question 11

Which of the following abnormalities in the respiratory system is/are associated with malnutrition?
I.reduced hypoxic drive
II.reduced airway clearance
III.loss of lung surfactant

Accepted Answer

A) I only 
B) I and II only 
C) II and III only 
D) I, II, and III 
A) I only 
B) I and II only 
C) II and III only 
D) I, II, and III

Question 12

Which of the following diseases is/are associated with protein-energy malnutrition (PEM)?
I.asthma
II.emphysema
III.cancer

Accepted Answer

A) I only 
B) I and II only 
C) II and III only 
D) I, II, and III 
A) I only 
B) I and II only 
C) II and III only 
D) I, II, and III

Question 13

Obesity is defined as a BMI over what value?

Accepted Answer

A) 20 kg/m2 
B) 25 kg/m2 
C) 30 kg/m2 
D) 35 kg/m2 
A) 20 kg/m2 
B) 25 kg/m2 
C) 30 kg/m2 
D) 35 kg/m2

Question 14

Which of the following complications is LEAST likely to influence creatinine excretion?

Accepted Answer

A) sepsis 
B) trauma 
C) hypoxemia 
D) diet 
A) sepsis 
B) trauma 
C) hypoxemia 
D) diet

Question 15

Your male patient has a creatinine excretion level of 8 mg/kg body weight/day. What does this indicate?

Accepted Answer

A) It is normal. 
B) There is mild muscle wasting. 
C) There is moderate muscle wasting. 
D) There is severe muscle wasting. 
A) It is normal. 
B) There is mild muscle wasting. 
C) There is moderate muscle wasting. 
D) There is severe muscle wasting.

Question 16

If your patient is 2 m in height and weighs 80 kg, what is his body mass index (BMI)?

Accepted Answer

A) 40 
B) 30 
C) 20 
D) 15 
A) 40 
B) 30 
C) 20 
D) 15

Question 17

What is the primary purpose of nutrition assessment?

Accepted Answer

A) to identify how much weight the patient needs to lose 
B) to identify the patient's ideal body weight 
C) to develop a nutrition care plan 
D) to identify the proper caloric intake for the patient 
A) to identify how much weight the patient needs to lose 
B) to identify the patient's ideal body weight 
C) to develop a nutrition care plan 
D) to identify the proper caloric intake for the patient

Question 18

What tube feeding method must be used when the food substance is delivered beyond the pylorus?

Accepted Answer

A) bolus 
B) intermittent 
C) continuous drip 
D) pressurized 
A) bolus 
B) intermittent 
C) continuous drip 
D) pressurized

Question 19

Why raise the head of the bed during tube feedings?

Accepted Answer

A) It reduces the time needed. 
B) It improves absorption. 
C) It reduces the risk of aspiration. 
D) It is easier for the caregiver. 
A) It reduces the time needed. 
B) It improves absorption. 
C) It reduces the risk of aspiration. 
D) It is easier for the caregiver.

Question 20

What are the primary goals of nutritional support during mechanical ventilation?
I.avoid loss of lean body mass
II.avoid lung infection
III.keep muscles of breathing strong enough for weaning

Accepted Answer

A) I only 
B) I and II only 
C) I and III only 
D) I, II, and III 
A) I only 
B) I and II only 
C) I and III only 
D) I, II, and III

Exam 21: Nutrition Assessment

Which of the following is NOT a reason to use enteral feeding over parenteral?

Which of the following situations is NOT an indication for enteral nutritional support?

Which of the following pieces of equipment is NOT needed to perform indirect calorimetry?

Zinc deficiencies are associated with all the following except:

In which of the following patients would indirect calorimetry be indicated? I.patients who are difficult to wean from mechanical ventilation II.patients with morbid obesity III.patients with a high level of stress

What tube feeding method is associated with an increased risk of aspiration?

Ideally, approximately what percent of a patient's estimated calorie needs should be provided by protein?

Which of the following statements is FALSE regarding energy needs?

Which of the following metabolism issues is NOT associated with systemic inflammatory response syndrome (SIRS)?

What is the recommended measurement for nitrogen balance?

Which of the following abnormalities in the respiratory system is/are associated with malnutrition? I.reduced hypoxic drive II.reduced airway clearance III.loss of lung surfactant

Which of the following diseases is/are associated with protein-energy malnutrition (PEM)? I.asthma II.emphysema III.cancer

Obesity is defined as a BMI over what value?

Which of the following complications is LEAST likely to influence creatinine excretion?

Your male patient has a creatinine excretion level of 8 mg/kg body weight/day. What does this indicate?

If your patient is 2 m in height and weighs 80 kg, what is his body mass index (BMI)?

What is the primary purpose of nutrition assessment?

What tube feeding method must be used when the food substance is delivered beyond the pylorus?

Why raise the head of the bed during tube feedings?

What are the primary goals of nutritional support during mechanical ventilation? I.avoid loss of lean body mass II.avoid lung infection III.keep muscles of breathing strong enough for weaning

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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