NUTRITION PROCTORED RETAKE
CERTIFICATION EVALUATION 2026 SOLVED
QUESTIONS
◉ Two medications may be added to PN solutions however
administering any IV medication through a PN IV line or port is
contraindicated. What are the two medications? Answer: Heparin
and insulin
◉ Two medications may be added to PN solutions however
administering any IV medication through a PN IV line or port is
contraindicated. What are the two medications? Answer: Heparin
and insulin
◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
,◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
,◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ Enteral (w/in GI) tube feed Answer: o Place in fowlers position
o Verify tube placement
o Check residual
o Flush w/ 30mL water
o Admin @ room temp; cold induce cramp/D
o Admin @ full strength
o Bolus IM feeding over 15-30min
, o IM feeding over 30-60min
o Promote tolerance - inc vol each feeding f/ 1st 4-6hr
o Discard open cans in 24hr
o Feed in sm, freq
o Switch to high cal to pv D
o Dec abd distention risk to pv aspiration - ambulate, turn pt on R
side (inc GI movement), avoid inc rat, switch to low fat formula (NOT
high fat)
o If tube clogs switch to less cal dense formula
o Tube feeding stops - flush 30-50mL warm water to re-establish
flow
o Pv aspration w/ monitor gastric residuals q4hr, HOB 30-45
degrees, check tube placement w/ xray once @ beginning
o Maintain patency by flushing 30-50mL water b4 & after Rx
o Dec D - low fat formula, cont feed, warm b4 admin, dec rate to inc
abs
◉ Enteral (w/in GI) tube feed Answer: o Place in fowlers position
o Verify tube placement
o Check residual
o Flush w/ 30mL water
o Admin @ room temp; cold induce cramp/D
o Admin @ full strength
CERTIFICATION EVALUATION 2026 SOLVED
QUESTIONS
◉ Two medications may be added to PN solutions however
administering any IV medication through a PN IV line or port is
contraindicated. What are the two medications? Answer: Heparin
and insulin
◉ Two medications may be added to PN solutions however
administering any IV medication through a PN IV line or port is
contraindicated. What are the two medications? Answer: Heparin
and insulin
◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
,◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
,◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol
◉ Enteral (w/in GI) tube feed Answer: o Place in fowlers position
o Verify tube placement
o Check residual
o Flush w/ 30mL water
o Admin @ room temp; cold induce cramp/D
o Admin @ full strength
o Bolus IM feeding over 15-30min
, o IM feeding over 30-60min
o Promote tolerance - inc vol each feeding f/ 1st 4-6hr
o Discard open cans in 24hr
o Feed in sm, freq
o Switch to high cal to pv D
o Dec abd distention risk to pv aspiration - ambulate, turn pt on R
side (inc GI movement), avoid inc rat, switch to low fat formula (NOT
high fat)
o If tube clogs switch to less cal dense formula
o Tube feeding stops - flush 30-50mL warm water to re-establish
flow
o Pv aspration w/ monitor gastric residuals q4hr, HOB 30-45
degrees, check tube placement w/ xray once @ beginning
o Maintain patency by flushing 30-50mL water b4 & after Rx
o Dec D - low fat formula, cont feed, warm b4 admin, dec rate to inc
abs
◉ Enteral (w/in GI) tube feed Answer: o Place in fowlers position
o Verify tube placement
o Check residual
o Flush w/ 30mL water
o Admin @ room temp; cold induce cramp/D
o Admin @ full strength
