CNSC ACTUAL EXAM TEST PAPER FULL QUESTIONS CORRECT RESPONSES
CNSC Practice Solution 2026/2027 Solved Items
Confirmed A Questions and Answers Verified
Solutions Latest Update
Question:
extemporaneously (without preperation) compounded L- glutamine for supplementation in a PN
formulation is what level risk
Answer:
High
Question:
Creaming of a total nutrient admixture (TNA) appears as
Answer:
a translucent band at the surface of the emulsion separate from the remaining TNA dispersion.
Question:
When transitioning from parenteral to enteral nutrition, patients may receive nutrients in excess
during overlap of therapy leading to _______________. Appropriate adjustments to limit total
carbohydrate intake to no greater than ______mg/kg/min can prevent this metabolic complication in
many critically ill adult patients.
Answer:
hyperglycemia, 4
Question:
Rapid intravenous infusion of sodium or potassium phosphate may result in
Answer:
Tetany
,Question:
Rapid infusion of phosphate can result in tetany due to an abrupt decrease in serum
Answer:
calcium concentration
Question:
Metabolic acidosis results in an extracellular shift to maintain electroneutrality. For every 0.1
decrease in pH, __________will increase by 0.6mEq per liter generally
Answer:
potassium
Question:
What is considered to be the most serious complication of significant hyperphosphatemia?
Answer:
Soft tissue and vascular calcifications
Question:
what Two polyunsaturated fatty acids cannot be synthesized by the body and are considered
essential.
Answer:
linoleic, alpha- linolenic
Question:
How much ILE should be given to prevent EFAD
Answer:
500 mL of 10% ILE, 250 mL of 20% ILE administered twice weekly, or 500 mL of a 20% ILE can
be given once a week to prevent EFAD.
,Question:
EFAD can occur within what timeframe in adults receiving PN without intravenous fat emulsion
(ILE)
Answer:
1 to 3 weeks
Question:
Biochemical evidence of EFAD is determined by a ______________ratio greater than 0.2
Answer:
triene: tetraene
Question:
What is azotemia?
Answer:
A higher-than-normal blood level of urea or other nitrogen-containing compounds. BUN
Question:
ILE are also a source of vitamin
Answer:
K
Question:
Which component of parenteral nutrition (PN) is most likely to impact anticoagulation in a patient
receiving warfarin?
Answer:
lipid injectable emulsion (ILE) and vitamins
, Question:
When initiating a PN regimen that contains regular insulin, how often should capillary blood
glucose levels be monitored?
Answer:
every 6 hours
Question:
In adult parenteral nutrition patients, intravenous lipid emulsion (ILE) use should be limited when
serum triglyceride levels rise above
Answer:
400 mg/dL.
Question:
The FDA currently recommends that daily intake of parenteral aluminum not exceed what amount?
Answer:
5 mcg/kg/day
Question:
what conditions can be attributed to PN aluminum toxicity?
Answer:
Alterations in bone formation and mineralization, parathyroid hormone secretion, and urinary
calcium excretion
Question:
Continuous PN infusion can result in
Answer:
hyperinsulinemia and hepatic fat deposition
CNSC Practice Solution 2026/2027 Solved Items
Confirmed A Questions and Answers Verified
Solutions Latest Update
Question:
extemporaneously (without preperation) compounded L- glutamine for supplementation in a PN
formulation is what level risk
Answer:
High
Question:
Creaming of a total nutrient admixture (TNA) appears as
Answer:
a translucent band at the surface of the emulsion separate from the remaining TNA dispersion.
Question:
When transitioning from parenteral to enteral nutrition, patients may receive nutrients in excess
during overlap of therapy leading to _______________. Appropriate adjustments to limit total
carbohydrate intake to no greater than ______mg/kg/min can prevent this metabolic complication in
many critically ill adult patients.
Answer:
hyperglycemia, 4
Question:
Rapid intravenous infusion of sodium or potassium phosphate may result in
Answer:
Tetany
,Question:
Rapid infusion of phosphate can result in tetany due to an abrupt decrease in serum
Answer:
calcium concentration
Question:
Metabolic acidosis results in an extracellular shift to maintain electroneutrality. For every 0.1
decrease in pH, __________will increase by 0.6mEq per liter generally
Answer:
potassium
Question:
What is considered to be the most serious complication of significant hyperphosphatemia?
Answer:
Soft tissue and vascular calcifications
Question:
what Two polyunsaturated fatty acids cannot be synthesized by the body and are considered
essential.
Answer:
linoleic, alpha- linolenic
Question:
How much ILE should be given to prevent EFAD
Answer:
500 mL of 10% ILE, 250 mL of 20% ILE administered twice weekly, or 500 mL of a 20% ILE can
be given once a week to prevent EFAD.
,Question:
EFAD can occur within what timeframe in adults receiving PN without intravenous fat emulsion
(ILE)
Answer:
1 to 3 weeks
Question:
Biochemical evidence of EFAD is determined by a ______________ratio greater than 0.2
Answer:
triene: tetraene
Question:
What is azotemia?
Answer:
A higher-than-normal blood level of urea or other nitrogen-containing compounds. BUN
Question:
ILE are also a source of vitamin
Answer:
K
Question:
Which component of parenteral nutrition (PN) is most likely to impact anticoagulation in a patient
receiving warfarin?
Answer:
lipid injectable emulsion (ILE) and vitamins
, Question:
When initiating a PN regimen that contains regular insulin, how often should capillary blood
glucose levels be monitored?
Answer:
every 6 hours
Question:
In adult parenteral nutrition patients, intravenous lipid emulsion (ILE) use should be limited when
serum triglyceride levels rise above
Answer:
400 mg/dL.
Question:
The FDA currently recommends that daily intake of parenteral aluminum not exceed what amount?
Answer:
5 mcg/kg/day
Question:
what conditions can be attributed to PN aluminum toxicity?
Answer:
Alterations in bone formation and mineralization, parathyroid hormone secretion, and urinary
calcium excretion
Question:
Continuous PN infusion can result in
Answer:
hyperinsulinemia and hepatic fat deposition
