ASPEN Practice Test Graded A

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 - 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. - 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 - 4 The clinical presentation of refeeding syndrome includes all of the following EXCEPT 1: respiratory failure.2: seizures.3: cardiac arrythmias.4: dehydration. - 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 - 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 - 3 Which of the following is associated with adaptation to starvation? 1: Increased glycogenesis2: Increased lipid oxidation3: Decreased gluconeogenesis4: Increased glucose oxidation - 2 Which of the following medications is most likely to contribute to hyponatremia in an older adult? 1: Furosemide2: Digoxin3: Omeprazole4: Ciprofloxacin - 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 - 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" - 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 - 2 What risk is associated with the abrupt cessation of a parenteral nutrition solution? 1: Hypokalemia2: Hypoglycemia3: Hypervolemia4: Hypomagnesemia - 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 - 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 - 3 Indirect calorimetry (IC) calculates 1: total energy expenditure.2: nitrogen balance.3: heat released from the subject.4: resting energy expenditure. - 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. - 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 - 3