Question 1

Your patient has had multiple bowel resections and is being sent home on PN What is the best access option for this patient?

Accepted Answer

A) NDT 
B) tunneled catheter 
C) CVC 
D) PICC

Question 2

Your patient is a reported alcohol abuser and has been in and out of homeless shelters for 2 years He presents to the ER with a CVA and severe dysphagia and requires a feeding tube What complication is he at risk for developing?

Accepted Answer

A) refeeding syndrome 
B) hypoglycemia 
C) overhydration 
D) hepatic steatosis

Question 3

What type of lipid is commonly used to make the lipid used in TPN?

Accepted Answer

A) olive oil 
B) egg phospholipid 
C) stearic acid 
D) soybean oil

Question 4

Which of the following access devices would be best for a patient requiring long-term PN who has body image concerns and would like something that can be hidden?

Accepted Answer

A) CVC 
B) PICC 
C) tunneled catheter 
D) implantable port

Question 5

How much additional water would a patient with an energy requirement of 2400 kcal/day need if 2400 mL of a standard formula (85% water) were administered daily?

Accepted Answer

A) 235 mL/day 
B) 360 mL/day 
C) 480 mL/day 
D) 125 mL/day

Question 6

In cases of gastroparesis, which methods of support would yield the best results?

Accepted Answer

A) nasogastric 
B) nasoduodenal 
C) orogastric 
D) oral

Question 7

Your patient has Crohn's disease and presents with severe malabsorption Which of the following formulas would be best for this patient?

Accepted Answer

A) intact 
B) immune enhancing 
C) lactose free 
D) hydrolyzed

Question 8

What EN complication should the RD particularly monitor for in a patient who is sedated, has an endotracheal tube, or has swallowing problems?

Accepted Answer

A) diarrhea 
B) hyperglycemia 
C) a clogged tube 
D) aspiration

Question 9

Your patient has had a portion of his stomach resected The physician predicts that he will likely be on nutrition support for a long time He has a functional GI tract What is the best way to feed this patient?

Accepted Answer

A) TPN 
B) jejunostomy 
C) PEG 
D) PPN

Question 10

Match between columns
                        Premises: aspiration
refeeding syndrome
PEG
bolus feedings
NPO
surgical gastrostomy
colonocyte
iso-osmolar
stylet
osmolality
hyperosmolar
osmolarity
viscosity
hydrophilic
continuous feedings

Accepted Answer

The Answer of epithelial cell of the large intestine or is...

Question 11

A disadvantage of using the gastrostomy route for a tube feeding is:

Accepted Answer

A) the intestine does not have time to properly absorb the nutrients. 
B) the feedings are sometimes regurgitated. 
C) the feeding bypasses the stomach. 
D) all of the above

Exam 5: Enteral and Parenteral Nutrition Support