Question 1

Which of the following statements is NOT true regarding kwashiorkor?

Accepted Answer

A) occurs with a long-term loss of protein 
B) often causes facial and limb edema 
C) child often has a pot belly 
D) may occur in combination with marasmus 
A) occurs with a long-term loss of protein 
B) often causes facial and limb edema 
C) child often has a pot belly 
D) may occur in combination with marasmus

Question 2

Magnesium deficiencies are associated with all the following except:

Accepted Answer

A) reduced diaphragm strength 
B) neurologic abnormalities 
C) cardiac abnormalities 
D) liver enlargement 
A) reduced diaphragm strength 
B) neurologic abnormalities 
C) cardiac abnormalities 
D) liver enlargement

Question 3

What is the classic measure of energy expenditure?

Accepted Answer

A) basal oxygen consumption 
B) basal metabolic rate (BMR) 
C) resting caloric uptake 
D) resting carbon dioxide production 
A) basal oxygen consumption 
B) basal metabolic rate (BMR) 
C) resting caloric uptake 
D) resting carbon dioxide production

Question 4

Which of the following is associated with primary protein-energy malnutrition (PEM)?

Accepted Answer

A) poor diet due to living in a Third World country 
B) anorexia 
C) malabsorption 
D) severe infection 
A) poor diet due to living in a Third World country 
B) anorexia 
C) malabsorption 
D) severe infection

Question 5

Which of the following blood tests is most useful for day to day monitoring of long-term trends in the nutrition status of the patient?

Accepted Answer

A) albumin levels 
B) total white blood cell count 
C) hematocrit 
D) serum potassium levels 
A) albumin levels 
B) total white blood cell count 
C) hematocrit 
D) serum potassium levels

Question 6

Protein-energy malnutrition may be reflected in reduced values for each of the following except:

Accepted Answer

A) albumin levels 
B) lymphocyte count 
C) transferrin 
D) red blood cell count 
A) albumin levels 
B) lymphocyte count 
C) transferrin 
D) red blood cell count

Question 7

What changes in lung function are associated with malnutrition?

Accepted Answer

A) reduced VC 
B) increased TLC 
C) increased RV 
D) decreased FRC 
A) reduced VC 
B) increased TLC 
C) increased RV 
D) decreased FRC

Question 8

What procedure is used to overcome the limitations associated with estimating resting energy expenditures?

Accepted Answer

A) measuring blood glucose before and after exercise 
B) monitoring body temperature during heavy exercise 
C) indirect calorimetry 
D) the Douglas procedure 
A) measuring blood glucose before and after exercise 
B) monitoring body temperature during heavy exercise 
C) indirect calorimetry 
D) the Douglas procedure

Question 9

What is the normal BMI for adults?

Accepted Answer

A) 15.5 to 20.6 kg/m2 
B) 18.5 to 24.9 kg/m2 
C) 20.6 to 25.9 kg/m2 
D) 22.5 to 26.0 kg/m2 
A) 15.5 to 20.6 kg/m2 
B) 18.5 to 24.9 kg/m2 
C) 20.6 to 25.9 kg/m2 
D) 22.5 to 26.0 kg/m2

Question 10

Your patient is reported to be cachexic. Which of the following physical findings would support this statement?

Accepted Answer

A) The patient's belly is swollen. 
B) The patient has facial edema. 
C) The patient's ribs protrude. 
D) The patient's hair falls out easily. 
A) The patient's belly is swollen. 
B) The patient has facial edema. 
C) The patient's ribs protrude. 
D) The patient's hair falls out easily.

Question 11

What probably represents the most significant problem while performing calorimetry on a patient being mechanically ventilated?

Accepted Answer

A) compensating for mechanical dead space 
B) leaks in the circuit 
C) volume compression during inspiration 
D) high PEEP levels 
A) compensating for mechanical dead space 
B) leaks in the circuit 
C) volume compression during inspiration 
D) high PEEP levels

Question 12

Which of the following statements is NOT true regarding malnutrition in patients with chronic obstructive pulmonary disease (COPD)?

Accepted Answer

A) Use of a nasal cannula may contribute to the problem. 
B) Depression is common and may reduce appetite. 
C) A high work of breathing increases caloric needs. 
D) Vitamin deficiencies increased the need for oxygen. 
A) Use of a nasal cannula may contribute to the problem. 
B) Depression is common and may reduce appetite. 
C) A high work of breathing increases caloric needs. 
D) Vitamin deficiencies increased the need for oxygen.

Question 13

Which of the following pulmonary diseases is similar to chronic obstructive pulmonary disease with regard to metabolic abnormalities?

Accepted Answer

A) asthma 
B) cystic fibrosis 
C) pulmonary fibrosis 
D) acute respiratory distress syndrome 
A) asthma 
B) cystic fibrosis 
C) pulmonary fibrosis 
D) acute respiratory distress syndrome

Question 14

What percent of the patient's caloric intake should come from fat in most circumstances?

Accepted Answer

A) 10% to 15% 
B) 20% to 30% 
C) 30% to 40% 
D) 40% to 50% 
A) 10% to 15% 
B) 20% to 30% 
C) 30% to 40% 
D) 40% to 50%

Question 15

What does the RQ represent?

Accepted Answer

A) matching of respiration to perfusion 
B) ratio of the moles of CO2 produced to O2 consumed 
C) ratio of O2 consumed to kilograms of ideal body weight 
D) ratio of calories consumed to CO2 produced 
A) matching of respiration to perfusion 
B) ratio of the moles of CO2 produced to O2 consumed 
C) ratio of O2 consumed to kilograms of ideal body weight 
D) ratio of calories consumed to CO2 produced

Question 16

Which of the following is NOT considered part of the anthropometric assessment?

Accepted Answer

A) body mass index 
B) activity level 
C) history of weight loss 
D) triceps skinfold 
A) body mass index 
B) activity level 
C) history of weight loss 
D) triceps skinfold

Question 17

What effect does high carbohydrate intake have on metabolism?

Accepted Answer

A) increases CO2 production 
B) reduces oxygen consumption 
C) increases caloric needs 
D) reduces protein catabolism 
A) increases CO2 production 
B) reduces oxygen consumption 
C) increases caloric needs 
D) reduces protein catabolism

Question 18

Which of the following is associated with acute cardiac muscle weakness and potential cardiopulmonary failure?

Accepted Answer

A) hyperkalemia 
B) hypophosphatemia 
C) hypernatremia 
D) low folic acid levels 
A) hyperkalemia 
B) hypophosphatemia 
C) hypernatremia 
D) low folic acid levels

Question 19

Which of the following illnesses is NOT associated with acute catabolic disease?

Accepted Answer

A) trauma 
B) sepsis 
C) burns 
D) pulmonary embolism 
A) trauma 
B) sepsis 
C) burns 
D) pulmonary embolism

Question 20

Which of the following statements is NOT true with regard to nutritional support of the patient with advanced chronic obstructive pulmonary disease?

Accepted Answer

A) Provide low-calorie options. 
B) Provide high-protein nutrition. 
C) Provide small, frequent meals. 
D) Provide good patient education. 
A) Provide low-calorie options. 
B) Provide high-protein nutrition. 
C) Provide small, frequent meals. 
D) Provide good patient education.

Exam 21: Nutrition Assessment

Which of the following statements is NOT true regarding kwashiorkor?

Magnesium deficiencies are associated with all the following except:

What is the classic measure of energy expenditure?

Which of the following is associated with primary protein-energy malnutrition (PEM)?

Which of the following blood tests is most useful for day to day monitoring of long-term trends in the nutrition status of the patient?

Protein-energy malnutrition may be reflected in reduced values for each of the following except:

What changes in lung function are associated with malnutrition?

What procedure is used to overcome the limitations associated with estimating resting energy expenditures?

What is the normal BMI for adults?

Your patient is reported to be cachexic. Which of the following physical findings would support this statement?

What probably represents the most significant problem while performing calorimetry on a patient being mechanically ventilated?

Which of the following statements is NOT true regarding malnutrition in patients with chronic obstructive pulmonary disease (COPD)?

Which of the following pulmonary diseases is similar to chronic obstructive pulmonary disease with regard to metabolic abnormalities?

What percent of the patient's caloric intake should come from fat in most circumstances?

What does the RQ represent?

Which of the following is NOT considered part of the anthropometric assessment?

What effect does high carbohydrate intake have on metabolism?

Which of the following is associated with acute cardiac muscle weakness and potential cardiopulmonary failure?

Which of the following illnesses is NOT associated with acute catabolic disease?

Which of the following statements is NOT true with regard to nutritional support of the patient with advanced chronic obstructive pulmonary disease?

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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