Question 1

The large-diameter central veins are located near the ____.

Accepted Answer

A)  extremities 
B)  heart 
C)  liver 
D)  lungs

Question 2

The enteral formula used for home nutrition is most often influenced by cost and ____.

Accepted Answer

A)  taste 
B)  availability 
C)  efficiency of administration 
D)  appearance

Question 3

When refrigerated, ready-made parenteral solutions may be stable for ____.

Accepted Answer

A)  1 week 
B)  10 days 
C)  2 weeks 
D)  3 weeks

Question 4

The potential good that can come from a proposed treatment is referred to as ____.

Accepted Answer

A)  autonomy 
B)  informed consent 
C)  beneficence 
D)  distributive justice

Question 5

Short Case-study  
Devon Young is a 30-year-old single male who exercises and follows a healthy diet. His physician admits Devon to the medical-surgical unit for evaluation of reported symptoms of poor appetite, constipation, nausea, and vomiting for 3 days.
-Upon admission, what diet is most appropriate for Devon until he receives further testing?

Accepted Answer

A)  nothing by mouth 
B)  low sodium 
C)  low fiber 
D)  high protein/high kcalorie

Question 6

The movement of water across biological membranes is known as ____.

Accepted Answer

A)  osmosis 
B)  peripheral transport 
C)  diffusion 
D)  absorption

Question 7

To prevent phlebitis, the osmolarity of parenteral solutions used for peripheral parenteral nutrition is generally kept below ____ milliosmoles per liter.

Accepted Answer

A)  300 
B)  600 
C)  900 
D)  1200

Question 8

How often should the fluid intake and output of a patient on total parenteral nutrition be checked?

Accepted Answer

A)  before starting 
B)  every 4 to 8 hours 
C)  daily 
D)  once a week

Question 9

A 21-year-old athlete who has a nonfunctional gastrointestinal tract is scheduled for major gastric surgery in 3 weeks. His energy and nutrient needs are higher than those of the average person his age, but his fluid intake is restricted. What would be the preferred method of feeding for this patient in order to keep him well nourished until surgery?

Accepted Answer

A)  clear liquids 
B)  peripheral parenteral nutrition 
C)  total parenteral nutrition 
D)  mechanically soft diet

Question 10

The health care team has just ordered total parenteral nutrition for Mr. Calabria. He is a 58-year-old man who is suffering from intractable diarrhea. Before Mr. Calabria starts TPN, what procedure should be performed?

Accepted Answer

A)  X-ray to confirm catheter placement 
B)  body mass index assessment 
C)  calcium balance 
D)  hand grip strength

Question 11

How many grams of amino acids would be provided to a client receiving 2000 mL of a 5% amino acid solution?

Accepted Answer

A)  50 
B)  100 
C)  200 
D)  400

Question 12

Approximately how many liters of fluids will be required by a stable adult patient weighing 81 kg?

Accepted Answer

A)  1.4 to 2.2 L 
B)  2.4 to 3.2 L 
C)  3.2 to 4.0 L 
D)  4.0 to 4.4 L

Question 13

Dextrose concentrations of ____ percent or lower can be used for peripheral parenteral nutrition solutions.

Accepted Answer

A)  10 
B)  30 
C)  50 
D)  70

Question 14

Which type of parenteral nutrition provided at night allows patients to participate in routine activities during the day?

Accepted Answer

A)  continuous 
B)  cyclic 
C)  peripheral 
D)  piggyback

Question 15

The protein in a total parenteral nutrition solution is primarily in the form of ____.

Accepted Answer

A)  amino acids 
B)  protein hydrolysate 
C)  short-chain fatty acids 
D)  intact protein

Question 16

What best describes the role of the nurse on the nutrition support team?

Accepted Answer

A)  diagnosing nutrition problems 
B)  recommending the appropriate diet 
C)  performing direct patient care 
D)  recommending appropriate drug therapy

Question 17

Liver enzymes should be monitored ____ during parenteral support.

Accepted Answer

A)  hourly 
B)  daily 
C)  weekly 
D)  every 2 weeks

Question 18

A patient should be fully informed of a treatment's benefits and risks in a fair and honest manner. If the patient agrees to the proposed treatment, it is referred to as ____.

Accepted Answer