Page 1 of 87
NTR 604 final Exam A&B 2026-2027 COMPLETE 200
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
NTR 604 final Exam A
QUESTION: patients with the following symptoms should be evaluated for potential
overfeeding and their energy provision reduced.
a. liver dysfunction
b. fluid overload
c. azotemia
d. hypoglycemia - ANSWER-a. liver dysfunction
b. fluid overload
c. azotemia
QUESTION: which of the following is a ASPEN guideline for nutrition support in patients with
pulmonary failure?
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a. immune-modulating enteral formulas are recommended
b. full nutrition is recommended over tropic feedings, as it has been shown to be associated
with better outcomes
c. high-fat/low-carbohydrate formulations are recommended
d. consider hypocaloric PN dosing with adequate protein - ANSWER-d. consider hypocaloric PN
dosing with adequate protein
QUESTION: for patients on the prone position, head of bed can be elevated using the
Trendelenburg strategy at 10-20 degrees.
a. true
b. false - ANSWER-a. true
QUESTION: indirect calirometry can be used to measure REE in both mechanical ventilated and
spontaneous breathing patients.
,Page 3 of 87
a. true
b. false - ANSWER-a. true
QUESTION: which of the following is not a contraindication for indirect calorimetry?
a. hemodialysis
b. extracorporal membrane oxygenation
c. fluid overload
d. inability to cooperate with measurement - ANSWER-c. fluid overload
QUESTION: you have performed an indirect calorimetry study in a patients admitted to the ICU
unit 3 days ago. The test was valid and shows a measured resing energy expenditure of 2300
kcal. What would be your estimation of the patient energy needs?
a. 2300 kcal x Stress factor?
b. 2300 kcal
, Page 4 of 87
c. average between 2500 and the estimated REE from the Penn State equation
d. < 2300 kcal to prevent overfeeding - ANSWER-b. 2300 kcal
QUESTION: which of the following are common factors contributing to malnutrition in cancer
patients?
a. intestinal dismotility
b. depression
c. excretion of glucose in urine
d. inflammation - ANSWER-a. intestinal dismotility
b. depression
d. inflammation
QUESTION: which of the following are common metabolic changes seen in cancer?
a. increase renal excretion of vitamins and minerals
NTR 604 final Exam A&B 2026-2027 COMPLETE 200
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
NTR 604 final Exam A
QUESTION: patients with the following symptoms should be evaluated for potential
overfeeding and their energy provision reduced.
a. liver dysfunction
b. fluid overload
c. azotemia
d. hypoglycemia - ANSWER-a. liver dysfunction
b. fluid overload
c. azotemia
QUESTION: which of the following is a ASPEN guideline for nutrition support in patients with
pulmonary failure?
,Page 2 of 87
a. immune-modulating enteral formulas are recommended
b. full nutrition is recommended over tropic feedings, as it has been shown to be associated
with better outcomes
c. high-fat/low-carbohydrate formulations are recommended
d. consider hypocaloric PN dosing with adequate protein - ANSWER-d. consider hypocaloric PN
dosing with adequate protein
QUESTION: for patients on the prone position, head of bed can be elevated using the
Trendelenburg strategy at 10-20 degrees.
a. true
b. false - ANSWER-a. true
QUESTION: indirect calirometry can be used to measure REE in both mechanical ventilated and
spontaneous breathing patients.
,Page 3 of 87
a. true
b. false - ANSWER-a. true
QUESTION: which of the following is not a contraindication for indirect calorimetry?
a. hemodialysis
b. extracorporal membrane oxygenation
c. fluid overload
d. inability to cooperate with measurement - ANSWER-c. fluid overload
QUESTION: you have performed an indirect calorimetry study in a patients admitted to the ICU
unit 3 days ago. The test was valid and shows a measured resing energy expenditure of 2300
kcal. What would be your estimation of the patient energy needs?
a. 2300 kcal x Stress factor?
b. 2300 kcal
, Page 4 of 87
c. average between 2500 and the estimated REE from the Penn State equation
d. < 2300 kcal to prevent overfeeding - ANSWER-b. 2300 kcal
QUESTION: which of the following are common factors contributing to malnutrition in cancer
patients?
a. intestinal dismotility
b. depression
c. excretion of glucose in urine
d. inflammation - ANSWER-a. intestinal dismotility
b. depression
d. inflammation
QUESTION: which of the following are common metabolic changes seen in cancer?
a. increase renal excretion of vitamins and minerals
