CNSC EXAM 2 FINAL PAPER 2026 COMPLETE
QUESTIONS WITH SOLUTIONS GUARANTEED
TO PASS
◉ Macrocytic anemia results from a deficiency of... Answer: B12 or
Folate
◉ Consequences of long-term parenteral nutrition Answer: Anemia
Leukopenia
Neutropenia
Skeletal abnormalities
◉ Symptoms of copper deficiency Answer: Sensory ataxia
Lower extremity spasticity
Parathesis in extremities
Leukopenia
Neutropenia
Hypercholesterolemia
Increased erythrocyte turnover
Decreased ceruloplasmin and erythrocyte copper/zinc superoxide
dismutase (SOD)
Abnormal EKG patterns
,Myeloneuropathy
◉ What change should be made to the PN for a patient with high
ileostomy output? Answer: Increase sodium and increase fluid
volume (high output leads to water and Na loss)
◉ Acute disease-associated malnutrition symptoms Answer:
Hypalbuminemia
Edema
Anasarca
◉ % body weight loss to meet malnutrition criteria Answer: 5% or
more in 1 month
7.5% or more in 3 months
10% or more in 6 months
◉ Stress vs Starvation related malnutrition Answer: Stress:
hypermetabolism, hypergylcemia, lipolysis
Starvation: ketosis, hypoglycemia, lipolysis
◉ Subjective Global Assessment includes Answer: Historical:
Weight history
,Dietary intake
GI symptoms
Functional status
Metabolic demand
Physical Exam Parameters:
Subcutaneous fat
Muscle wasting
Edema
Ascites
◉ What lab value is a significant predictor of morbidity and
mortality in critically ill patients? Answer: Albumin
◉ What can compromise the reliability of urinary urea nitrogen to
calculate nitrogen balance? Answer: Creatinine clearance < 50
mL/min
◉ What can reduce plasma homocysteine concentrations? Answer:
Folic acid
B6
B12
, ◉ Fluid requirements for healthy adults Answer: 35 mL/kg for 18-
55 yo
30 mL/kg for 55-75 yo
25 mL/kg for >75 yo
<25 mL/kg when fluid restriction indicated
◉ Iron is primarily absorbed in the Answer: Duodenum and Jejunum
(in ferrous state)
◉ Which amino acid is essential for small intestinal structure and
function? Answer: Glutamine
◉ PKU is caused by a... Answer: deficiency of phenylalanine
hydroxylase (PAH)
◉ Conditionally indispensable amino acids Answer: Require a
dietary source in order to meet increased needs caused by metabolic
stress.
Arginine (wound healing)
Cysteine
Glutamine
Glycine
QUESTIONS WITH SOLUTIONS GUARANTEED
TO PASS
◉ Macrocytic anemia results from a deficiency of... Answer: B12 or
Folate
◉ Consequences of long-term parenteral nutrition Answer: Anemia
Leukopenia
Neutropenia
Skeletal abnormalities
◉ Symptoms of copper deficiency Answer: Sensory ataxia
Lower extremity spasticity
Parathesis in extremities
Leukopenia
Neutropenia
Hypercholesterolemia
Increased erythrocyte turnover
Decreased ceruloplasmin and erythrocyte copper/zinc superoxide
dismutase (SOD)
Abnormal EKG patterns
,Myeloneuropathy
◉ What change should be made to the PN for a patient with high
ileostomy output? Answer: Increase sodium and increase fluid
volume (high output leads to water and Na loss)
◉ Acute disease-associated malnutrition symptoms Answer:
Hypalbuminemia
Edema
Anasarca
◉ % body weight loss to meet malnutrition criteria Answer: 5% or
more in 1 month
7.5% or more in 3 months
10% or more in 6 months
◉ Stress vs Starvation related malnutrition Answer: Stress:
hypermetabolism, hypergylcemia, lipolysis
Starvation: ketosis, hypoglycemia, lipolysis
◉ Subjective Global Assessment includes Answer: Historical:
Weight history
,Dietary intake
GI symptoms
Functional status
Metabolic demand
Physical Exam Parameters:
Subcutaneous fat
Muscle wasting
Edema
Ascites
◉ What lab value is a significant predictor of morbidity and
mortality in critically ill patients? Answer: Albumin
◉ What can compromise the reliability of urinary urea nitrogen to
calculate nitrogen balance? Answer: Creatinine clearance < 50
mL/min
◉ What can reduce plasma homocysteine concentrations? Answer:
Folic acid
B6
B12
, ◉ Fluid requirements for healthy adults Answer: 35 mL/kg for 18-
55 yo
30 mL/kg for 55-75 yo
25 mL/kg for >75 yo
<25 mL/kg when fluid restriction indicated
◉ Iron is primarily absorbed in the Answer: Duodenum and Jejunum
(in ferrous state)
◉ Which amino acid is essential for small intestinal structure and
function? Answer: Glutamine
◉ PKU is caused by a... Answer: deficiency of phenylalanine
hydroxylase (PAH)
◉ Conditionally indispensable amino acids Answer: Require a
dietary source in order to meet increased needs caused by metabolic
stress.
Arginine (wound healing)
Cysteine
Glutamine
Glycine
