ASPEN Practice Test questions with correct answers

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