NURS 3209 NUTRITION AND ELIMINATION EXAM PRACTICE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES Q&A INSTANT DOWNLOAD PDF
120 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Demonstrate mastery of core concepts
2 NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers
3 Verified Answers
4 Plus Rationales Q&A Instant Download Pdf
5 Foundations of NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers
(Verified Answers) Plus Rationales Q&A Instant Download Pdf
6 Applied NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers (Verified
Answers) Plus Rationales Q&A Instant Download Pdf
7 Advanced NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers (Verified
Answers) Plus Rationales Q&A Instant Download Pdf
8 NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers (Verified Answers)
Plus Rationales Q&A Instant Download Pdf Review
Q1 DEMONSTRATE MASTERY OF CORE CONCEPTS
In a patient with short bowel syndrome, which enteral formula characteristic most
effectively attenuates diarrhea while preserving mucosal adaptation?
A. High-osmolality peptide-based formula
B. Low-fat, high-carbohydrate polymeric formula CORRECT
C. High-protein, low-carbohydrate elemental formula
D. High-soluble-fiber, high-fat formula
RATIONALE: Low-fat, high-carbohydrate polymeric formulas reduce osmotic load and stimulate
intestinal adaptation via luminal nutrients. High-osmolality formulas worsen diarrhea; elemental
formulas may reduce adaptation; high-fat formulas increase steatorrhea.
Page 1
,Q2 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which finding most strongly indicates that a patient's diarrhea is osmotic rather
than secretory?
A. Stool volume persists during a 48-hour fast
B. Stool osmotic gap is less than 50 mOsm/kg
C. Stool osmotic gap exceeds 100 mOsm/kg CORRECT
D. Stool pH is above 7.0
RATIONALE: An osmotic gap >100 mOsm/kg indicates unmeasured solutes (e.g., laxatives,
carbohydrates), typical of osmotic diarrhea. Secretory diarrhea persists with fasting and has a
low osmotic gap. Stool pH is often acidic in carbohydrate malabsorption.
Q3 DEMONSTRATE MASTERY OF CORE CONCEPTS
A patient with chronic kidney disease (not on dialysis) has a serum potassium of
5.6 mEq/L. Which dietary modification is most appropriate?
A. Increase intake of legumes and nuts
B. Advise to avoid salt substitutes containing potassium chloride CORRECT
C. Encourage high-potassium fruits like bananas and oranges
D. Recommend potassium-binding resins without dietary changes
RATIONALE: Salt substitutes are concentrated potassium chloride and can precipitate
hyperkalemia. Legumes/nuts and high-potassium fruits are contraindicated. Dietary changes are
first-line; potassium binders are adjunctive, not a substitute.
Page 2
,Q4 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which enteral feeding administration method most reduces the risk of aspiration
in a patient with delayed gastric emptying?
A. Intermittent bolus feeding
B. Continuous pump feeding
C. Gastric residual volume monitoring with bolus feeds
D. Post-pyloric feeding via nasojejunal tube CORRECT
RATIONALE: Post-pyloric feeding bypasses the stomach, minimizing regurgitation and aspiration
risk. Continuous pump feeding and residual monitoring do not protect against reflux in delayed
gastric emptying. Bolus feeds increase gastric volume and risk.
Q5 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which laboratory value is most specific for protein-energy malnutrition in a patient
with inflammation?
A. Serum albumin
B. Serum prealbumin
C. C-reactive protein CORRECT
D. Transferrin
RATIONALE: CRP indicates inflammation, which confounds visceral proteins (albumin,
prealbumin, transferrin) making them unreliable for malnutrition diagnosis. CRP itself is not a
marker of malnutrition but helps interpret low proteins. A low protein with elevated CRP suggests
inflammation, not necessarily malnutrition.
Page 3
, Q6 DEMONSTRATE MASTERY OF CORE CONCEPTS
A patient with an ileostomy has high-output output (2 L/day). Which intervention is
most effective in reducing effluent volume?
A. Increase oral hypotonic fluids
B. Administer loperamide before meals CORRECT
C. Restrict dietary soluble fiber
D. Switch to a low-sodium oral rehydration solution
RATIONALE: Loperamide slows intestinal transit, reducing ileostomy output. Hypotonic fluids
worsen losses; soluble fiber helps form gel but not volume; low-sodium ORS is not as effective
as glucose-based ORS with adequate sodium.
Q7 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which finding is most consistent with refeeding syndrome in a patient receiving
aggressive nutritional support?
A. Hyperphosphatemia and hyperkalemia
B. Hypophosphatemia, hypokalemia, and hypomagnesemia CORRECT
C. Hypernatremia and hypercalcemia
D. Elevated blood urea nitrogen and creatinine
RATIONALE: Refeeding syndrome is characterized by shifts of phosphate, potassium, and
magnesium into cells leading to low serum levels. Hyperphosphatemia and hyperkalemia are not
typical. Elevated BUN/creatinine may reflect dehydration, not refeeding.
Page 4
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES Q&A INSTANT DOWNLOAD PDF
120 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Demonstrate mastery of core concepts
2 NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers
3 Verified Answers
4 Plus Rationales Q&A Instant Download Pdf
5 Foundations of NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers
(Verified Answers) Plus Rationales Q&A Instant Download Pdf
6 Applied NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers (Verified
Answers) Plus Rationales Q&A Instant Download Pdf
7 Advanced NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers (Verified
Answers) Plus Rationales Q&A Instant Download Pdf
8 NURS 3209 Nutrition and Elimination Exam Practice Questions And Correct Answers (Verified Answers)
Plus Rationales Q&A Instant Download Pdf Review
Q1 DEMONSTRATE MASTERY OF CORE CONCEPTS
In a patient with short bowel syndrome, which enteral formula characteristic most
effectively attenuates diarrhea while preserving mucosal adaptation?
A. High-osmolality peptide-based formula
B. Low-fat, high-carbohydrate polymeric formula CORRECT
C. High-protein, low-carbohydrate elemental formula
D. High-soluble-fiber, high-fat formula
RATIONALE: Low-fat, high-carbohydrate polymeric formulas reduce osmotic load and stimulate
intestinal adaptation via luminal nutrients. High-osmolality formulas worsen diarrhea; elemental
formulas may reduce adaptation; high-fat formulas increase steatorrhea.
Page 1
,Q2 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which finding most strongly indicates that a patient's diarrhea is osmotic rather
than secretory?
A. Stool volume persists during a 48-hour fast
B. Stool osmotic gap is less than 50 mOsm/kg
C. Stool osmotic gap exceeds 100 mOsm/kg CORRECT
D. Stool pH is above 7.0
RATIONALE: An osmotic gap >100 mOsm/kg indicates unmeasured solutes (e.g., laxatives,
carbohydrates), typical of osmotic diarrhea. Secretory diarrhea persists with fasting and has a
low osmotic gap. Stool pH is often acidic in carbohydrate malabsorption.
Q3 DEMONSTRATE MASTERY OF CORE CONCEPTS
A patient with chronic kidney disease (not on dialysis) has a serum potassium of
5.6 mEq/L. Which dietary modification is most appropriate?
A. Increase intake of legumes and nuts
B. Advise to avoid salt substitutes containing potassium chloride CORRECT
C. Encourage high-potassium fruits like bananas and oranges
D. Recommend potassium-binding resins without dietary changes
RATIONALE: Salt substitutes are concentrated potassium chloride and can precipitate
hyperkalemia. Legumes/nuts and high-potassium fruits are contraindicated. Dietary changes are
first-line; potassium binders are adjunctive, not a substitute.
Page 2
,Q4 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which enteral feeding administration method most reduces the risk of aspiration
in a patient with delayed gastric emptying?
A. Intermittent bolus feeding
B. Continuous pump feeding
C. Gastric residual volume monitoring with bolus feeds
D. Post-pyloric feeding via nasojejunal tube CORRECT
RATIONALE: Post-pyloric feeding bypasses the stomach, minimizing regurgitation and aspiration
risk. Continuous pump feeding and residual monitoring do not protect against reflux in delayed
gastric emptying. Bolus feeds increase gastric volume and risk.
Q5 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which laboratory value is most specific for protein-energy malnutrition in a patient
with inflammation?
A. Serum albumin
B. Serum prealbumin
C. C-reactive protein CORRECT
D. Transferrin
RATIONALE: CRP indicates inflammation, which confounds visceral proteins (albumin,
prealbumin, transferrin) making them unreliable for malnutrition diagnosis. CRP itself is not a
marker of malnutrition but helps interpret low proteins. A low protein with elevated CRP suggests
inflammation, not necessarily malnutrition.
Page 3
, Q6 DEMONSTRATE MASTERY OF CORE CONCEPTS
A patient with an ileostomy has high-output output (2 L/day). Which intervention is
most effective in reducing effluent volume?
A. Increase oral hypotonic fluids
B. Administer loperamide before meals CORRECT
C. Restrict dietary soluble fiber
D. Switch to a low-sodium oral rehydration solution
RATIONALE: Loperamide slows intestinal transit, reducing ileostomy output. Hypotonic fluids
worsen losses; soluble fiber helps form gel but not volume; low-sodium ORS is not as effective
as glucose-based ORS with adequate sodium.
Q7 DEMONSTRATE MASTERY OF CORE CONCEPTS
Which finding is most consistent with refeeding syndrome in a patient receiving
aggressive nutritional support?
A. Hyperphosphatemia and hyperkalemia
B. Hypophosphatemia, hypokalemia, and hypomagnesemia CORRECT
C. Hypernatremia and hypercalcemia
D. Elevated blood urea nitrogen and creatinine
RATIONALE: Refeeding syndrome is characterized by shifts of phosphate, potassium, and
magnesium into cells leading to low serum levels. Hyperphosphatemia and hyperkalemia are not
typical. Elevated BUN/creatinine may reflect dehydration, not refeeding.
Page 4
