Question 1

Which vein might be used for parenteral nutrition?

Accepted Answer

A)  Subclavian 
B)  Antecubital 
C)  Basilic 
D)  Cephalic 
A)  Subclavian 
B)  Antecubital 
C)  Basilic 
D)  Cephalic A

Question 2

Parenteral solutions are usually prepared:

Accepted Answer

A)  by the health facility kitchen staff. 
B)  onsite in the ward or clinical area. 
C)  ideally by the dietetics department. 
D)  under sterile conditions in the pharmacy. 
A)  by the health facility kitchen staff. 
B)  onsite in the ward or clinical area. 
C)  ideally by the dietetics department. 
D)  under sterile conditions in the pharmacy. D

Question 3

What is a suitable strategy to manage a large return of gastric aspirate in a person receiving nasogastric feeding?

Accepted Answer

A)  Lower the head of the person's bed. 
B)  Use a hyperosmolar feed. 
C)  Select a feed with a higher fat content. 
D)  Decrease the rate of infusion. 
A)  Lower the head of the person's bed. 
B)  Use a hyperosmolar feed. 
C)  Select a feed with a higher fat content. 
D)  Decrease the rate of infusion. D

Question 4

What finding must be present in order to proceed with enteral feedings?

Accepted Answer

A)  Bowel sounds 
B)  Normal blood sugar 
C)  Normal faeces 
D)  Sufficient kidney function 
A)  Bowel sounds 
B)  Normal blood sugar 
C)  Normal faeces 
D)  Sufficient kidney function

Question 5

What is a suitable strategy to manage a large return of gastric aspirate in a person receiving nasogastric feeding?

Accepted Answer

A)  Lower the head of the person's bed. 
B)  Use a hyperosmolar feed. 
C)  Select a feed with a higher fat content. 
D)  Decrease the rate of infusion. 
A)  Lower the head of the person's bed. 
B)  Use a hyperosmolar feed. 
C)  Select a feed with a higher fat content. 
D)  Decrease the rate of infusion.

Question 6

What finding must be present in order to proceed with enteral feedings?

Accepted Answer

A)  Bowel sounds 
B)  Normal blood sugar 
C)  Normal faeces 
D)  Sufficient kidney function 
A)  Bowel sounds 
B)  Normal blood sugar 
C)  Normal faeces 
D)  Sufficient kidney function

Question 7

Which of the following measures would not improve the management of diarrhoea during enteral feeding?

Accepted Answer

A)  Select a feed with a high fat content. 
B)  Decrease the rate of feed. 
C)  Remove the feed from the refrigerator about half an hour before administration. 
D)  Administer an iso-osmolar feed rather than a hyperosmolar feed. 
A)  Select a feed with a high fat content. 
B)  Decrease the rate of feed. 
C)  Remove the feed from the refrigerator about half an hour before administration. 
D)  Administer an iso-osmolar feed rather than a hyperosmolar feed.

Question 8

Which patient(s)might require enteral feeding? Select all that apply.

Accepted Answer

A)  A patient with impaired consciousness 
B)  A patient with morbid obesity 
C)  A patient with severe burns 
D)  A patient with trauma to the face or jaw 
A)  A patient with impaired consciousness 
B)  A patient with morbid obesity 
C)  A patient with severe burns 
D)  A patient with trauma to the face or jaw

Question 9

Which of the following is the most common complication of parenteral nutrition?

Accepted Answer

A)  Pneumothorax 
B)  Subcutaneous emphysema 
C)  Cardiac perforation 
D)  Infection 
A)  Pneumothorax 
B)  Subcutaneous emphysema 
C)  Cardiac perforation 
D)  Infection

Question 10

A patient is receiving parenteral feedings.What could be the indication for such nutritional delivery?

Accepted Answer

A)  Short-bowel syndrome 
B)  Carcinoma of the oesophagus 
C)  Organ failure 
D)  All of the above 
A)  Short-bowel syndrome 
B)  Carcinoma of the oesophagus 
C)  Organ failure 
D)  All of the above

Question 11

At what rate are enteral feeds usually commenced?

Accepted Answer

A)  100 mL per hour. 
B)  30 mL per hour. 
C)  10 mL per hour. 
D)  60 mL per hour. 
A)  100 mL per hour. 
B)  30 mL per hour. 
C)  10 mL per hour. 
D)  60 mL per hour.

Question 12

Components incorporated in central venous nutrition usually include:

Accepted Answer

A)  25-50% glucose, amino acids, electrolytes, vitamins and trace elements. 
B)  5% or 10% glucose, thiamine, vitamin C and vitamin B complex. 
C)  5% or 10% glucose and vitamin B complex. 
D)  0.9% sodium chloride thiamine, vitamin C and vitamin B complex. 
A)  25-50% glucose, amino acids, electrolytes, vitamins and trace elements. 
B)  5% or 10% glucose, thiamine, vitamin C and vitamin B complex. 
C)  5% or 10% glucose and vitamin B complex. 
D)  0.9% sodium chloride thiamine, vitamin C and vitamin B complex.

Question 13

Which of the following measures would not improve the management of diarrhoea during enteral feeding?

Accepted Answer

A)  Select a feed with a high fat content. 
B)  Decrease the rate of feed. 
C)  Remove the feed from the refrigerator about half an hour before administration. 
D)  Administer an iso-osmolar feed rather than a hyperosmolar feed. 
A)  Select a feed with a high fat content. 
B)  Decrease the rate of feed. 
C)  Remove the feed from the refrigerator about half an hour before administration. 
D)  Administer an iso-osmolar feed rather than a hyperosmolar feed.

Question 14

Which complication would be least common with an enteral feed?

Accepted Answer

A)  Electrolyte imbalance 
B)  Entry of feed into the lungs 
C)  Clogging of the tube 
D)  Intracranial penetration 
A)  Electrolyte imbalance 
B)  Entry of feed into the lungs 
C)  Clogging of the tube 
D)  Intracranial penetration

Question 15

Which of the following actions will NOT improve the management of regurgitation during enteral feeding?

Accepted Answer

A)  Lower the head of the client's bed. 
B)  Avoid the use of hyperosmolar feeds. 
C)  Insert a fine-bore enteric tube. 
D)  Slow down the rate of infusion. 
A)  Lower the head of the client's bed. 
B)  Avoid the use of hyperosmolar feeds. 
C)  Insert a fine-bore enteric tube. 
D)  Slow down the rate of infusion.

Question 16

At what rate are enteral feeds usually commenced?

Accepted Answer

A)  100 mL per hour. 
B)  30 mL per hour. 
C)  10 mL per hour. 
D)  60 mL per hour. 
A)  100 mL per hour. 
B)  30 mL per hour. 
C)  10 mL per hour. 
D)  60 mL per hour.

Question 17

Which diagnostic tests should be performed regularly on a patient receiving parenteral nutrition? Select all that apply.

Accepted Answer

A)  Electrolytes 
B)  Glucose 
C)  Creatinine 
D)  Cholesterol 
A)  Electrolytes 
B)  Glucose 
C)  Creatinine 
D)  Cholesterol

Question 18

A complication of bolus feeds compared to continuous infusion in individuals with a nasogastric tube is:

Accepted Answer

A)  diarrhoea. 
B)  feed contamination. 
C)  ileus. 
D)  gastric bleeding. 
A)  diarrhoea. 
B)  feed contamination. 
C)  ileus. 
D)  gastric bleeding.

Question 19

Total parenteral nutrition is a(n)________ solution that needs to be administered centrally.

Accepted Answer

A)  nutrition 
B)  hypotonic 
C)  hypertonic 
D)  isotonic 
E)  iso-osmotic 
A)  nutrition 
B)  hypotonic 
C)  hypertonic 
D)  isotonic 
E)  iso-osmotic

Question 20

Which of the following actions will NOT improve the management of regurgitation during enteral feeding?

Accepted Answer

A)  Lower the head of the client's bed. 
B)  Avoid the use of hyperosmolar feeds. 
C)  Insert a fine-bore enteric tube. 
D)  Slow down the rate of infusion. 
A)  Lower the head of the client's bed. 
B)  Avoid the use of hyperosmolar feeds. 
C)  Insert a fine-bore enteric tube. 
D)  Slow down the rate of infusion.

Exam 58: Enteral and Parenteral Nutrition

Which vein might be used for parenteral nutrition?

Parenteral solutions are usually prepared:

What is a suitable strategy to manage a large return of gastric aspirate in a person receiving nasogastric feeding?

What finding must be present in order to proceed with enteral feedings?

What is a suitable strategy to manage a large return of gastric aspirate in a person receiving nasogastric feeding?

What finding must be present in order to proceed with enteral feedings?

Which of the following measures would not improve the management of diarrhoea during enteral feeding?

Which patient(s)might require enteral feeding? Select all that apply.

Which of the following is the most common complication of parenteral nutrition?

A patient is receiving parenteral feedings.What could be the indication for such nutritional delivery?

At what rate are enteral feeds usually commenced?

Components incorporated in central venous nutrition usually include:

Which of the following measures would not improve the management of diarrhoea during enteral feeding?

Which complication would be least common with an enteral feed?

Which of the following actions will NOT improve the management of regurgitation during enteral feeding?

At what rate are enteral feeds usually commenced?

Which diagnostic tests should be performed regularly on a patient receiving parenteral nutrition? Select all that apply.

A complication of bolus feeds compared to continuous infusion in individuals with a nasogastric tube is:

Total parenteral nutrition is a(n)________ solution that needs to be administered centrally.

Which of the following actions will NOT improve the management of regurgitation during enteral feeding?

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