Question 1

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 A

Question 2

Which of the following diseases is/are associated with protein-energy malnutrition (PEM)?
1) Asthma
2) Emphysema
3) Cancer

Accepted Answer

A) 1 only 
B) 1 and 2 only 
C) 2 and 3 only 
D) 3 only 
A) 1 only 
B) 1 and 2 only 
C) 2 and 3 only 
D) 3 only C

Question 3

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 B

Question 4

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 5

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 6

Which of the following are reasons to use enteral feeding over parenteral?
1) Reduced incidence of stress ulcers.
2) Enteral route may avoid intestinal atrophy.
3) Enteral causes less hypoglycemia.
4) Enteral is safer and cheaper.

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 4 only 
C) 2 and 3 only 
D) 3 and 4 only 
A) 1 and 3 only 
B) 1, 2, and 4 only 
C) 2 and 3 only 
D) 3 and 4 only

Question 7

Which of the following has an RQ of 1.0?

Accepted Answer

A)  Fat 
B)  Carbohydrates 
C)  Protein 
D)  Soy 
A)  Fat 
B)  Carbohydrates 
C)  Protein 
D)  Soy

Question 8

Which of the following illnesses are associated with acute catabolic disease?
1) Trauma
2) Sepsis
3) Burns
4) Pulmonary embolism

Accepted Answer

A) 3 only 
B) 1, 2, and 3 only 
C) 2, 3, and 4 only 
D) 3 and 4 only 
A) 3 only 
B) 1, 2, and 3 only 
C) 2, 3, and 4 only 
D) 3 and 4 only

Question 9

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 skin fold 
A)  Body mass index 
B)  Activity level 
C)  History of weight loss 
D)  Triceps skin fold

Question 10

Which of the following abnormalities in the respiratory system is/are associated with malnutrition?
1) Reduced hypoxic drive
2) Increased airway clearance
3) Loss of lung surfactant

Accepted Answer

A) 1 only 
B) 1 and 3 only 
C) 2 and 3 only 
D) 2 only 
A) 1 only 
B) 1 and 3 only 
C) 2 and 3 only 
D) 2 only

Question 11

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 12

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

Accepted Answer

A)  40 kg/m2 
B)  30 kg/m2 
C)  20 kg/m2 
D)  15 kg/m2 
A)  40 kg/m2 
B)  30 kg/m2 
C)  20 kg/m2 
D)  15 kg/m2

Question 13

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

Question 14

Which of the following is not a nutritional goal for the management of a cystic fibrosis patient?

Accepted Answer

A)  Maximize nutritional intake. 
B)  Meet clinical and psychological needs. 
C)  Avoid caloric dense foods. 
D)  Encourage mineral and vitamin supplementation. 
A)  Maximize nutritional intake. 
B)  Meet clinical and psychological needs. 
C)  Avoid caloric dense foods. 
D)  Encourage mineral and vitamin supplementation.

Question 15

Which of the following statements is false 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.

Question 16

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 17

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 18

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 19

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 20

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

Exam 23: Nutrition Assessment

What changes in lung function are associated with malnutrition?

Which of the following diseases is/are associated with protein-energy malnutrition (PEM)? 1) Asthma 2) Emphysema 3) Cancer

What does the RQ represent?

What is the primary purpose of nutrition assessment?

What is the recommended measurement for nitrogen balance?

Which of the following are reasons to use enteral feeding over parenteral? 1) Reduced incidence of stress ulcers. 2) Enteral route may avoid intestinal atrophy. 3) Enteral causes less hypoglycemia. 4) Enteral is safer and cheaper.

Which of the following has an RQ of 1.0?

Which of the following illnesses are associated with acute catabolic disease? 1) Trauma 2) Sepsis 3) Burns 4) Pulmonary embolism

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

Which of the following abnormalities in the respiratory system is/are associated with malnutrition? 1) Reduced hypoxic drive 2) Increased airway clearance 3) Loss of lung surfactant

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)?

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

Which of the following is not a nutritional goal for the management of a cystic fibrosis patient?

Which of the following statements is false with regard to nutritional support of the patient with advanced chronic obstructive pulmonary disease?

Why raise the head of the bed during tube feedings?

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

What is the classic measure of energy expenditure?

What effect does high carbohydrate intake have on metabolism?

What is the normal BMI for adults?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

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

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

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

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring 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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