Question 1

Which of the following statements is false 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 2

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 3

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 4

What are the primary goals of nutritional support during mechanical ventilation?
1) Avoid loss of lean body mass.
2) Avoid lung infection.
3) Keep muscles of breathing strong enough for weaning.

Accepted Answer

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

Question 5

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 6

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 7

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 8

In which of the following patients would indirect calorimetry be indicated?
1) Patients who are difficult to wean from mechanical ventilation
2) Patients with morbid obesity
3) Patients with a high level of stress

Accepted Answer

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

Question 9

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 10

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 11

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 12

Protein-energy malnutrition may be reflected in reduced values for which of the following?
1) Albumin levels
2) Lymphocyte count
3) Transferrin
4) Red blood cell count

Accepted Answer

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

Question 13

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 14

Which of the following is not associated with zinc deficiencies?

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 15

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

Question 16

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 17

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 18

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

Accepted Answer

A)  Poor diet due to living in a developing country 
B)  Anorexia 
C)  Malabsorption 
D)  Severe infection 
A)  Poor diet due to living in a developing country 
B)  Anorexia 
C)  Malabsorption 
D)  Severe infection

Question 19

When is the basal metabolic rate (BMR) best obtained?

Accepted Answer

A)  After 10 hr of fasting 
B)  While walking on a treadmill 
C)  On rising in the morning 
D)  1 hr after lunch 
A)  After 10 hr of fasting 
B)  While walking on a treadmill 
C)  On rising in the morning 
D)  1 hr after lunch

Question 20

Which of the following is not associated with magnesium deficiencies?

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

Exam 23: Nutrition Assessment

Which of the following statements is false regarding malnutrition in patients with chronic obstructive pulmonary disease (COPD)?

Which of the following statements is false regarding energy needs?

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

What are the primary goals of nutritional support during mechanical ventilation? 1) Avoid loss of lean body mass. 2) Avoid lung infection. 3) Keep muscles of breathing strong enough for weaning.

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

Obesity is defined as a BMI over what value?

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

In which of the following patients would indirect calorimetry be indicated? 1) Patients who are difficult to wean from mechanical ventilation 2) Patients with morbid obesity 3) Patients with a high level of stress

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?

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

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

Protein-energy malnutrition may be reflected in reduced values for which of the following? 1) Albumin levels 2) Lymphocyte count 3) Transferrin 4) Red blood cell count

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

Which of the following is not associated with zinc deficiencies?

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

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

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

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

When is the basal metabolic rate (BMR) best obtained?

Which of the following is not associated with magnesium deficiencies?

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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