NTR 604 Midterm
Study online at https://quizlet.com/_c400ox
1. Which of the following methods is used most common- A
ly to obtain placement for long-term enteral nutrition
support?
A. Gastrostomy
B. Orogastric
C. Nasogastric
D. Jejunostomy
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various
industries
2. Which of the following actions is most appropriate for A
improving gastric emptying during enteral feeding?
A. Change from bolus to continuous feeding.
B. Switch to an enteral formulation with a higher pro-
tein content.
C. Switch to an enteral formulation with a higher fat
content.
D. Keep the bed in Trendelenburg position (head of
bed is lower than feet).
3. Clinical assessment should include examination of the D
hair, skin and mouth because they:
A. Only show signs of the most severe nutrient defi-
ciencies
B. Can be examined without embarrassment to the
patient
C. Show signs that always indicate specific nutrient
deficiencies
D. Are susceptible to nutrient deficiencies because of
rapid turnover
4. You are seeing a 45 YO male who needs TPN due C
to a small bowel obstruction. Using 30 kcal/kg and
1.2-1.5 gm protein/kg, determine which formula will
, NTR 604 Midterm
Study online at https://quizlet.com/_c400ox
best meet his needs.
Ht 5'11 Wt 195 lb
A. 1000 ml 8.5% amino acids, 1000 ml D30, 520 ml 20%
lipid
B. 800 ml 10% amino acids, 800 ml D50, 280 ml 20%
lipid
C. 100 ml/hr for 24 hours of solution containing final
concentration of 5% protein and 20% CHO; separately
250 ml 20% lipid is piggybacked over 10 hrs
D. 125 ml/hr for 24 hours of solution containing final
concentration of 5% protein and 15% CHO; separately
500 ml 10% lipid is piggybacked over 10 hrs
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares
students for leadership and management roles in various industries
5. The ASPEN Critical Illness Guideline states that enteral B
nutrition should be initiated within hrs
of injury or admission and the feedings advanced to
goal over the next hrs.
A. 12-24 hrs; 24-48 hrs
B. 24-48 hrs; 48-72 hrs
C. 48-72 hrs; 48-72 hrs
D. 48-72 hrs; 24-48 hrs
6. Diarrhea in critically ill patients is always a result of False
enteral nutrition (EN). True or False
7. Which of the following techniques is NOT recommend- C
ed to reduce aspiration in tube fed patients?
A. Monitor for dysphagia.
B. Elevate HOB (head of bed) to 30-45 degrees.
C. Administer a hypertonic formula.
D. Check for abdominal distention every 4 hours.
8. B
, NTR 604 Midterm
Study online at https://quizlet.com/_c400ox
A patient is admitted to the medical intensive care unit
(ICU) for sepsis and now requires the use of continu-
ous intravenous (IV) insulin infusion for hyperglycemia
management. What is the appropriate target glucose
range for this patient?
A. 115 - 135 mg/dl
B. 140 - 180 mg/dl
C. 80 - 110 mg/dl
D. 185 - 210 mg/dl careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares
students for leadership and management roles in various industries
9. The definition of chronic disease-related malnutrition B
refers to patients with which of the following condition
descriptors?
A. Acute illness (e.g. GI bleed in a patient with alco-
holism)
B. Low grade inflammatory states (e.g. rheumatoid
arthritis or sarcopenic obesity)
C. Weight loss related to persistently poor access to
food
D. High grade inflammatory states (e.g. adult respira-
tory distress syndrome)
10. A positive acute phase reactant that is useful in detect- D
ing the presence of active inflammation is:
A. Cholesterol
B. Prealbumin
C. Albumin
D. C reactive protein
11. Which of the following electrolyte derangements is C
commonly seen in a patient with a high output naso-
gastric tube?
Study online at https://quizlet.com/_c400ox
1. Which of the following methods is used most common- A
ly to obtain placement for long-term enteral nutrition
support?
A. Gastrostomy
B. Orogastric
C. Nasogastric
D. Jejunostomy
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various
industries
2. Which of the following actions is most appropriate for A
improving gastric emptying during enteral feeding?
A. Change from bolus to continuous feeding.
B. Switch to an enteral formulation with a higher pro-
tein content.
C. Switch to an enteral formulation with a higher fat
content.
D. Keep the bed in Trendelenburg position (head of
bed is lower than feet).
3. Clinical assessment should include examination of the D
hair, skin and mouth because they:
A. Only show signs of the most severe nutrient defi-
ciencies
B. Can be examined without embarrassment to the
patient
C. Show signs that always indicate specific nutrient
deficiencies
D. Are susceptible to nutrient deficiencies because of
rapid turnover
4. You are seeing a 45 YO male who needs TPN due C
to a small bowel obstruction. Using 30 kcal/kg and
1.2-1.5 gm protein/kg, determine which formula will
, NTR 604 Midterm
Study online at https://quizlet.com/_c400ox
best meet his needs.
Ht 5'11 Wt 195 lb
A. 1000 ml 8.5% amino acids, 1000 ml D30, 520 ml 20%
lipid
B. 800 ml 10% amino acids, 800 ml D50, 280 ml 20%
lipid
C. 100 ml/hr for 24 hours of solution containing final
concentration of 5% protein and 20% CHO; separately
250 ml 20% lipid is piggybacked over 10 hrs
D. 125 ml/hr for 24 hours of solution containing final
concentration of 5% protein and 15% CHO; separately
500 ml 10% lipid is piggybacked over 10 hrs
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares
students for leadership and management roles in various industries
5. The ASPEN Critical Illness Guideline states that enteral B
nutrition should be initiated within hrs
of injury or admission and the feedings advanced to
goal over the next hrs.
A. 12-24 hrs; 24-48 hrs
B. 24-48 hrs; 48-72 hrs
C. 48-72 hrs; 48-72 hrs
D. 48-72 hrs; 24-48 hrs
6. Diarrhea in critically ill patients is always a result of False
enteral nutrition (EN). True or False
7. Which of the following techniques is NOT recommend- C
ed to reduce aspiration in tube fed patients?
A. Monitor for dysphagia.
B. Elevate HOB (head of bed) to 30-45 degrees.
C. Administer a hypertonic formula.
D. Check for abdominal distention every 4 hours.
8. B
, NTR 604 Midterm
Study online at https://quizlet.com/_c400ox
A patient is admitted to the medical intensive care unit
(ICU) for sepsis and now requires the use of continu-
ous intravenous (IV) insulin infusion for hyperglycemia
management. What is the appropriate target glucose
range for this patient?
A. 115 - 135 mg/dl
B. 140 - 180 mg/dl
C. 80 - 110 mg/dl
D. 185 - 210 mg/dl careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares
students for leadership and management roles in various industries
9. The definition of chronic disease-related malnutrition B
refers to patients with which of the following condition
descriptors?
A. Acute illness (e.g. GI bleed in a patient with alco-
holism)
B. Low grade inflammatory states (e.g. rheumatoid
arthritis or sarcopenic obesity)
C. Weight loss related to persistently poor access to
food
D. High grade inflammatory states (e.g. adult respira-
tory distress syndrome)
10. A positive acute phase reactant that is useful in detect- D
ing the presence of active inflammation is:
A. Cholesterol
B. Prealbumin
C. Albumin
D. C reactive protein
11. Which of the following electrolyte derangements is C
commonly seen in a patient with a high output naso-
gastric tube?
