WGU NUTRITION D440 UPDATED EXAM SCRIPT
QUESTIONS AND SOLUTIONS GRADED A+
✔✔If a pt has low albumin levels - ✔✔Increase protein intake
✔✔1 tsp equals - ✔✔5 ml
✔✔1 Tbsp equals - ✔✔15 ml
✔✔1 cup equals - ✔✔240 ml or 8oz
✔✔1 oz equals - ✔✔30 ml or 2 tbsp
✔✔Most common complication of TPN - ✔✔INFECTION
✔✔Labs to monitor on enteral nutrition - ✔✔Glucose, Serum electrolytes, BUN
✔✔Preventing Aspiration with tube feedings - ✔✔Confirm placement before using,
Keep HOB elevated 30-45 degrees, Assess gastric residual q4hrs, Do not administer if
residual >100 ml., Administer slowly at room temp
✔✔If aspiration occurs (enteral nutrition) - ✔✔Suction as needed, asses RR, breath
sounds, monitor temp for aspiration pneumonia, and prepare to obtain a chest x-ray
✔✔If diarrhea occurs (enteral nutrition) - ✔✔Stool sample, Run feedings for longer time,
Access for lactose intolerance
✔✔If the pt vomits - ✔✔stop the tube feeding, place pt in side-lying position & suction
as needed
✔✔High-Calorie & High-Protein Diet: - ✔✔Pts w/ severe trauma, Burns, AIDS/HIV,
Cancer, COPD, Respiratory Failure
✔✔What formulas are safe for an infant w/ PKU? - ✔✔Phenex, Lofenalac
✔✔When administering medications through a G-Tube make sure to: - ✔✔Flush 30 mL
before and after each medication to avoid drug-formula interactions
✔✔What foods should be avoided while taking spironolactone? - ✔✔Potassium rich
food (K sparing diuretic)
✔✔Diet for pts taking thiazide diuretics? - ✔✔High Potassium foods
QUESTIONS AND SOLUTIONS GRADED A+
✔✔If a pt has low albumin levels - ✔✔Increase protein intake
✔✔1 tsp equals - ✔✔5 ml
✔✔1 Tbsp equals - ✔✔15 ml
✔✔1 cup equals - ✔✔240 ml or 8oz
✔✔1 oz equals - ✔✔30 ml or 2 tbsp
✔✔Most common complication of TPN - ✔✔INFECTION
✔✔Labs to monitor on enteral nutrition - ✔✔Glucose, Serum electrolytes, BUN
✔✔Preventing Aspiration with tube feedings - ✔✔Confirm placement before using,
Keep HOB elevated 30-45 degrees, Assess gastric residual q4hrs, Do not administer if
residual >100 ml., Administer slowly at room temp
✔✔If aspiration occurs (enteral nutrition) - ✔✔Suction as needed, asses RR, breath
sounds, monitor temp for aspiration pneumonia, and prepare to obtain a chest x-ray
✔✔If diarrhea occurs (enteral nutrition) - ✔✔Stool sample, Run feedings for longer time,
Access for lactose intolerance
✔✔If the pt vomits - ✔✔stop the tube feeding, place pt in side-lying position & suction
as needed
✔✔High-Calorie & High-Protein Diet: - ✔✔Pts w/ severe trauma, Burns, AIDS/HIV,
Cancer, COPD, Respiratory Failure
✔✔What formulas are safe for an infant w/ PKU? - ✔✔Phenex, Lofenalac
✔✔When administering medications through a G-Tube make sure to: - ✔✔Flush 30 mL
before and after each medication to avoid drug-formula interactions
✔✔What foods should be avoided while taking spironolactone? - ✔✔Potassium rich
food (K sparing diuretic)
✔✔Diet for pts taking thiazide diuretics? - ✔✔High Potassium foods
