Practice Test CNSC – ASPEN study with clear
questions and answer
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 - CORRECT ANSWERS-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. - CORRECT ANSWERS-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 -
CORRECT ANSWERS-4
The clinical presentation of refeeding syndrome includes all of the following EXCEPT
1: respiratory failure.2: seizures.3: cardiac arrythmias.4: dehydration. - CORRECT ANSWERS-4
The acute phase response has what effect on serum iron and ferritin levels?
1: Increases serum iron levels and increases serum ferritin levels2: Increases serum iron levels and
decreases serum ferritin levels3: Decreases serum iron levels and decreases serum ferritin levels4:
Decreases serum iron levels and increases serum ferritin levels - CORRECT ANSWERS-4
Which of the following interventions may assist with the appropriate placement of a nasogastric feeding
tube in an alert patient?
1: Administer IV metoclopramide2: Keep patient NPO during insertion3: Have the patient flex his head
slightly forward4: Place the patient supine for tube insertion - CORRECT ANSWERS-3
,Which of the following is associated with adaptation to starvation?
1: Increased glycogenesis2: Increased lipid oxidation3: Decreased gluconeogenesis4: Increased glucose
oxidation - CORRECT ANSWERS-2
Which of the following medications is most likely to contribute to hyponatremia in an older adult?
1: Furosemide2: Digoxin3: Omeprazole4: Ciprofloxacin - CORRECT ANSWERS-1
Which of the following describes an optimal method of preparing and administering medications via an
enteral feeding tube?
1: Crush tablets and add them directly into the enteral formula2: Administer liquid formulations
undiluted to minimize fluid overload3: Crush individual tablets and mix with water prior to separate
administration4: Add crushed tablets to liquid medications and administer the mixture all together -
CORRECT ANSWERS-3
Which of the following children is at greatest risk for iron deficiency anemia?
1: 3 month-old term infant exclusively fed human milk2: 4 month corrected gestational age, former
preemie on a transitional formula3: 10 month-old switched from formula to whole milk4: 17 month-old
\"picky eater\" - CORRECT ANSWERS-3
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 - CORRECT ANSWERS-2
What risk is associated with the abrupt cessation of a parenteral nutrition solution?
1: Hypokalemia2: Hypoglycemia3: Hypervolemia4: Hypomagnesemia - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT
ANSWERS-3
Indirect calorimetry (IC) calculates
1: total energy expenditure.2: nitrogen balance.3: heat released from the subject.4: resting energy
expenditure. - CORRECT ANSWERS-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. - CORRECT ANSWERS-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 - CORRECT ANSWERS-3
Manganese toxicity is a concern for long-term parenteral nutrition (PN) patients due to its presence in
trace element mixtures and as a contaminant from other PN solution components. Symptoms of
manganese toxicity are associated most commonly with accumulation of the mineral in which organ?
1: Kidney2: Brain3: Muscle4: Heart - CORRECT ANSWERS-2
The most common complication seen after percutaneous endoscopic gastrostomy (PEG) tube placement
is:
questions and answer
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 - CORRECT ANSWERS-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. - CORRECT ANSWERS-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 -
CORRECT ANSWERS-4
The clinical presentation of refeeding syndrome includes all of the following EXCEPT
1: respiratory failure.2: seizures.3: cardiac arrythmias.4: dehydration. - CORRECT ANSWERS-4
The acute phase response has what effect on serum iron and ferritin levels?
1: Increases serum iron levels and increases serum ferritin levels2: Increases serum iron levels and
decreases serum ferritin levels3: Decreases serum iron levels and decreases serum ferritin levels4:
Decreases serum iron levels and increases serum ferritin levels - CORRECT ANSWERS-4
Which of the following interventions may assist with the appropriate placement of a nasogastric feeding
tube in an alert patient?
1: Administer IV metoclopramide2: Keep patient NPO during insertion3: Have the patient flex his head
slightly forward4: Place the patient supine for tube insertion - CORRECT ANSWERS-3
,Which of the following is associated with adaptation to starvation?
1: Increased glycogenesis2: Increased lipid oxidation3: Decreased gluconeogenesis4: Increased glucose
oxidation - CORRECT ANSWERS-2
Which of the following medications is most likely to contribute to hyponatremia in an older adult?
1: Furosemide2: Digoxin3: Omeprazole4: Ciprofloxacin - CORRECT ANSWERS-1
Which of the following describes an optimal method of preparing and administering medications via an
enteral feeding tube?
1: Crush tablets and add them directly into the enteral formula2: Administer liquid formulations
undiluted to minimize fluid overload3: Crush individual tablets and mix with water prior to separate
administration4: Add crushed tablets to liquid medications and administer the mixture all together -
CORRECT ANSWERS-3
Which of the following children is at greatest risk for iron deficiency anemia?
1: 3 month-old term infant exclusively fed human milk2: 4 month corrected gestational age, former
preemie on a transitional formula3: 10 month-old switched from formula to whole milk4: 17 month-old
\"picky eater\" - CORRECT ANSWERS-3
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 - CORRECT ANSWERS-2
What risk is associated with the abrupt cessation of a parenteral nutrition solution?
1: Hypokalemia2: Hypoglycemia3: Hypervolemia4: Hypomagnesemia - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT
ANSWERS-3
Indirect calorimetry (IC) calculates
1: total energy expenditure.2: nitrogen balance.3: heat released from the subject.4: resting energy
expenditure. - CORRECT ANSWERS-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. - CORRECT ANSWERS-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 - CORRECT ANSWERS-3
Manganese toxicity is a concern for long-term parenteral nutrition (PN) patients due to its presence in
trace element mixtures and as a contaminant from other PN solution components. Symptoms of
manganese toxicity are associated most commonly with accumulation of the mineral in which organ?
1: Kidney2: Brain3: Muscle4: Heart - CORRECT ANSWERS-2
The most common complication seen after percutaneous endoscopic gastrostomy (PEG) tube placement
is:
