CNSC ASPEN PRACTICE TEST QUESTIONS
WITH 100% CORRECT ANSWERS
A 24-year-old, 10 week pregnant woman presented with persistent nausea and vomiting
for the past 6 weeks associated with a 10% weight loss. Her symptoms were refractory
to a 48 hour trial of anti-emetics and IV fluids. Given mother's nutritional status, decision
was made to initiate nutrition support. What vitamin should be supplemented in this
patient before providing nutrition support?
1: Vitamin B122: Thiamin3: Vitamin E4: Vitamin C - Answer-2
What risk is associated with the abrupt cessation of a parenteral nutrition solution?
1: Hypokalemia2: Hypoglycemia3: Hypervolemia4: Hypomagnesemia - Answer-2
Which of the following is not a common change in the body composition of healthy older
adults?
1: Increased body water2: Decreased bone mineral mass3: Decreased lean body
mass4: Redistributed fatty tissue - Answer-1
When is it most appropriate to start PN infusion in a patient with a new central venous
catheter inserted at the bedside without fluoroscopy?
1: Immediately2: After auscultating for catheter tip placement3: After chest X-ray
confirms correct placement of catheter tip4: After ensuring there were no complications
with insertion - Answer-3
Indirect calorimetry (IC) calculates
1: total energy expenditure.2: nitrogen balance.3: heat released from the subject.4:
resting energy expenditure. - Answer-4
When administering multiple medications via enteral feeding tubes, medications should
be
1: administered separately, followed by a 15-30 mL water flush.2: mixed together in a
30 mL slurry and administered together.3: delivered in liquid form without water
flushes.4: mixed directly into the feeding formulations for administration. - Answer-1
Which intervention assists with maintaining feeding tube patency in the adult patient?
1: Administer medications through feeding tube with 5 mL of water2: Use a 20mL or
smaller syringe to flush small-bore feeding tubes3: Flush feeding tube with 30 mL of
water every 4 hours during continuous feeding4: Change feeding tube every 72 hours -
Answer-3
, According to Medicare (and Medicaid) guidelines, under the prosthetic device act, home
enteral nutrition (HEN) is covered for a patient who
1: cannot meet his/her nutrition requirements by oral intake.2: has documented weight
loss of 10% in 3 months and refuses to eat.3: has a permanent disease of the structures
that normally permit food to reach the small bowel.4: has a temporary (estimated as
less than 3 months) impairment or disease of the mouth, esophagus or stomach that
prevents food from reaching the small bowel. - Answer-3
In patients with severe acute pancreatitis enteral nutrition has been documented to
provide the following benefits over parenteral nutrition EXCEPT
1: decreased infection rate.2: decreased hospital length of stay.3: decreased pain.4:
decreased mortality. - Answer-3
Which of the following is NOT true regarding the small bowel in adult populations?
1: Measures 400-800 cm in length2: < 100cm without colon requires TPN3: < 50cm with
colon requires TPN4: Length correlates with weight - Answer-4
When used in assessment of critically ill children, how do predictive equations compare
to indirect calorimetry?
1: No consistent comparison can be found2: Equations typically overestimate needs3:
Equations typically underestimate needs4: Equations correlate well with indirect
calorimetry - Answer-1
Patients with short bowel syndrome would benefit most from octreotide injections in the
presence of
1: recent bowel resection with loss of ileocecal valve2: short bowel secondary to
mesenteric ischemia.3: short bowel secondary to inflammatory bowel disease.4:
refractory diarrhea not controlled with diet and medication. - Answer-4
Question: 1Which of the following acute changes in the serum chemistry profile would
be expected in a patient who is experiencing tumor lysis syndrome(TLS)?
1: Hypercalcemia and hypomagnesemia2: Hyperkalemia and hyperphosphatemia3:
Hypernatremia and hypermagnesemia4: Hypocalcemia and hyperphosphatemia -
Answer-2
A patient with acute respiratory distress syndrome (ARDS) receiving enteral nutrition will
benefit most from
1: supplemental arginine.2: formulas containing omega-6 fatty acids.3: formulas
containing omega-3 fatty acids.4: avoidance of overfeeding. - Answer-4
Which of the following methods to determine energy expenditure incorporates body
surface area?
1: Harris-Benedict Equation2: Ireton-Jones Equation3: Mifflin-St. Jeor Equation4:
Swinamer Equation - Answer-4
The clinical presentation of refeeding syndrome includes all of the following EXCEPT
WITH 100% CORRECT ANSWERS
A 24-year-old, 10 week pregnant woman presented with persistent nausea and vomiting
for the past 6 weeks associated with a 10% weight loss. Her symptoms were refractory
to a 48 hour trial of anti-emetics and IV fluids. Given mother's nutritional status, decision
was made to initiate nutrition support. What vitamin should be supplemented in this
patient before providing nutrition support?
1: Vitamin B122: Thiamin3: Vitamin E4: Vitamin C - Answer-2
What risk is associated with the abrupt cessation of a parenteral nutrition solution?
1: Hypokalemia2: Hypoglycemia3: Hypervolemia4: Hypomagnesemia - Answer-2
Which of the following is not a common change in the body composition of healthy older
adults?
1: Increased body water2: Decreased bone mineral mass3: Decreased lean body
mass4: Redistributed fatty tissue - Answer-1
When is it most appropriate to start PN infusion in a patient with a new central venous
catheter inserted at the bedside without fluoroscopy?
1: Immediately2: After auscultating for catheter tip placement3: After chest X-ray
confirms correct placement of catheter tip4: After ensuring there were no complications
with insertion - Answer-3
Indirect calorimetry (IC) calculates
1: total energy expenditure.2: nitrogen balance.3: heat released from the subject.4:
resting energy expenditure. - Answer-4
When administering multiple medications via enteral feeding tubes, medications should
be
1: administered separately, followed by a 15-30 mL water flush.2: mixed together in a
30 mL slurry and administered together.3: delivered in liquid form without water
flushes.4: mixed directly into the feeding formulations for administration. - Answer-1
Which intervention assists with maintaining feeding tube patency in the adult patient?
1: Administer medications through feeding tube with 5 mL of water2: Use a 20mL or
smaller syringe to flush small-bore feeding tubes3: Flush feeding tube with 30 mL of
water every 4 hours during continuous feeding4: Change feeding tube every 72 hours -
Answer-3
, According to Medicare (and Medicaid) guidelines, under the prosthetic device act, home
enteral nutrition (HEN) is covered for a patient who
1: cannot meet his/her nutrition requirements by oral intake.2: has documented weight
loss of 10% in 3 months and refuses to eat.3: has a permanent disease of the structures
that normally permit food to reach the small bowel.4: has a temporary (estimated as
less than 3 months) impairment or disease of the mouth, esophagus or stomach that
prevents food from reaching the small bowel. - Answer-3
In patients with severe acute pancreatitis enteral nutrition has been documented to
provide the following benefits over parenteral nutrition EXCEPT
1: decreased infection rate.2: decreased hospital length of stay.3: decreased pain.4:
decreased mortality. - Answer-3
Which of the following is NOT true regarding the small bowel in adult populations?
1: Measures 400-800 cm in length2: < 100cm without colon requires TPN3: < 50cm with
colon requires TPN4: Length correlates with weight - Answer-4
When used in assessment of critically ill children, how do predictive equations compare
to indirect calorimetry?
1: No consistent comparison can be found2: Equations typically overestimate needs3:
Equations typically underestimate needs4: Equations correlate well with indirect
calorimetry - Answer-1
Patients with short bowel syndrome would benefit most from octreotide injections in the
presence of
1: recent bowel resection with loss of ileocecal valve2: short bowel secondary to
mesenteric ischemia.3: short bowel secondary to inflammatory bowel disease.4:
refractory diarrhea not controlled with diet and medication. - Answer-4
Question: 1Which of the following acute changes in the serum chemistry profile would
be expected in a patient who is experiencing tumor lysis syndrome(TLS)?
1: Hypercalcemia and hypomagnesemia2: Hyperkalemia and hyperphosphatemia3:
Hypernatremia and hypermagnesemia4: Hypocalcemia and hyperphosphatemia -
Answer-2
A patient with acute respiratory distress syndrome (ARDS) receiving enteral nutrition will
benefit most from
1: supplemental arginine.2: formulas containing omega-6 fatty acids.3: formulas
containing omega-3 fatty acids.4: avoidance of overfeeding. - Answer-4
Which of the following methods to determine energy expenditure incorporates body
surface area?
1: Harris-Benedict Equation2: Ireton-Jones Equation3: Mifflin-St. Jeor Equation4:
Swinamer Equation - Answer-4
The clinical presentation of refeeding syndrome includes all of the following EXCEPT
