Chapter 05 - Enteral and Parental Nutrition Support
1. Which example is not considered to be a contraindication to enteral feeding?
a. diffuse peritonitis
b. intestinal obstruction
c. GI bleeding
d. impaired swallowing
e. intractable vomiting
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
2. Which is an example of a research-supported reason to use enteral nutrition support?
a. Decreased risk of respiratory infections
b. Improved wound healing
c. Increased tolerance of formulas
d. Complete nutritional coverage
e. Ease of administration
ANSWER: b
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
3. The means of prescribing a very small rate of enteral nutrition with the goal to minimize villous atrophy is known as:
a. parenteral nutrition.
b. bolus feedings.
c. refeeding.
d. intermittent feeding.
e. trophic nutrition.
ANSWER: e
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
4. A registered dietitian is assisting with placement of a nasogastric tube in a patient. The patient has just received a dose
of metoclopramide (Reglan). What is the next appropriate step in the process?
a. Insert the tube in the patient’s nose and advance the tube
b. Obtain an abdominal radiograph
c. Remove the stylet from the tube
d. Measure for gastric placement
e. Tape the tube to the patient’s nose
ANSWER: d
DIFFICULTY: Bloom's: Apply
REFERENCES: Enteral Nutrition
5. Which best describes a disadvantage of using a nasogastric tube in a patient?
a. Discomfort for the patient
b. Formula must be delivered by pump only
c. It requires a surgical procedure
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,Chapter 05 - Enteral and Parental Nutrition Support
d. There is a risk of infection at the site
e. There is a greater risk of tube clogging
ANSWER: a
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
6. A surgeon places a feeding tube that provides nutrients directly into the patient’s stomach. This type of tube is called a:
a. nasogastric tube.
b. jejunostomy
c. surgical gastrostomy.
d. percutaneous endoscopic gastrostomy.
e. surgical gastrectomy.
ANSWER: c
DIFFICULTY: Bloom's: Remember
REFERENCES: Enteral Nutrition
7. The thickness of a liquid is known as its:
a. osmolality.
b. viscosity.
c. nutrient density.
d. osmolarity.
e. coagulation.
ANSWER: b
DIFFICULTY: Bloom's: Remember
REFERENCES: Enteral Nutrition
8. The protein component of most enteral formulas comes from:
a. lactose.
b. monosaccharides.
c. dextrin and fatty acids.
d. albumin and whey.
e. soy or casein.
ANSWER: e
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
9. Which best describes an advantage of a percutaneous endoscopic gastrostomy (PEG) tube?
a. The tube can be inserted at the bedside
b. The tube is used for short-term feedings
c. It allows for bolus feedings
d. There is little risk of infection
e. The tube can be used for IV fluids
ANSWER: c
DIFFICULTY: Bloom's: Apply
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, Chapter 05 - Enteral and Parental Nutrition Support
REFERENCES: Enteral Nutrition
10. The usual nutrient density of enteral formulas ranges between:
a. 0.5 and 1.0 kcal/mL
b. 1.0 and 2.0 kcal/mL
c. 2.0 and 2.5 kcal/mL
d. 3.0 and 3.5 kcal/mL
e. 4.0 and 5.5 kcal/mL
ANSWER: b
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
11. For the critically ill patient in the hospital, enteral feedings should be advanced to meet the nutrition prescription
within:
a. 12 hours.
b. 48 hours.
c. 72 hours.
d. 1 week.
e. 2 weeks.
ANSWER: c
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
12. Which describes a true statement about continuous enteral feedings?
a. They are administered several times a day -- every 30 minutes.
b. They may be administered by gravity from a container suspended above the patient.
c. They consist of the administration of approximately 250 mL of formula at a time.
d. They are usually more time consuming for staff to administer.
e. They require a pump and other equipment to administer.
ANSWER: e
DIFFICULTY: Bloom's: Apply
REFERENCES: Enteral Nutrition
13. The first step in determining the enteral nutrition prescription is to:
a. consider electrolyte needs.
b. establish a dosing weight.
c. determine fluid needs.
d. determine a kcal goal.
e. consider vitamin and mineral needs.
ANSWER: b
DIFFICULTY: Bloom's: Apply
REFERENCES: Enteral Nutrition
14. Which patient is at highest risk of aspiration when receiving an enteral feeding?
a. A patient with Crohn’s disease
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1. Which example is not considered to be a contraindication to enteral feeding?
a. diffuse peritonitis
b. intestinal obstruction
c. GI bleeding
d. impaired swallowing
e. intractable vomiting
ANSWER: d
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
2. Which is an example of a research-supported reason to use enteral nutrition support?
a. Decreased risk of respiratory infections
b. Improved wound healing
c. Increased tolerance of formulas
d. Complete nutritional coverage
e. Ease of administration
ANSWER: b
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
3. The means of prescribing a very small rate of enteral nutrition with the goal to minimize villous atrophy is known as:
a. parenteral nutrition.
b. bolus feedings.
c. refeeding.
d. intermittent feeding.
e. trophic nutrition.
ANSWER: e
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
4. A registered dietitian is assisting with placement of a nasogastric tube in a patient. The patient has just received a dose
of metoclopramide (Reglan). What is the next appropriate step in the process?
a. Insert the tube in the patient’s nose and advance the tube
b. Obtain an abdominal radiograph
c. Remove the stylet from the tube
d. Measure for gastric placement
e. Tape the tube to the patient’s nose
ANSWER: d
DIFFICULTY: Bloom's: Apply
REFERENCES: Enteral Nutrition
5. Which best describes a disadvantage of using a nasogastric tube in a patient?
a. Discomfort for the patient
b. Formula must be delivered by pump only
c. It requires a surgical procedure
Page 1
,Chapter 05 - Enteral and Parental Nutrition Support
d. There is a risk of infection at the site
e. There is a greater risk of tube clogging
ANSWER: a
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
6. A surgeon places a feeding tube that provides nutrients directly into the patient’s stomach. This type of tube is called a:
a. nasogastric tube.
b. jejunostomy
c. surgical gastrostomy.
d. percutaneous endoscopic gastrostomy.
e. surgical gastrectomy.
ANSWER: c
DIFFICULTY: Bloom's: Remember
REFERENCES: Enteral Nutrition
7. The thickness of a liquid is known as its:
a. osmolality.
b. viscosity.
c. nutrient density.
d. osmolarity.
e. coagulation.
ANSWER: b
DIFFICULTY: Bloom's: Remember
REFERENCES: Enteral Nutrition
8. The protein component of most enteral formulas comes from:
a. lactose.
b. monosaccharides.
c. dextrin and fatty acids.
d. albumin and whey.
e. soy or casein.
ANSWER: e
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
9. Which best describes an advantage of a percutaneous endoscopic gastrostomy (PEG) tube?
a. The tube can be inserted at the bedside
b. The tube is used for short-term feedings
c. It allows for bolus feedings
d. There is little risk of infection
e. The tube can be used for IV fluids
ANSWER: c
DIFFICULTY: Bloom's: Apply
Page 2
, Chapter 05 - Enteral and Parental Nutrition Support
REFERENCES: Enteral Nutrition
10. The usual nutrient density of enteral formulas ranges between:
a. 0.5 and 1.0 kcal/mL
b. 1.0 and 2.0 kcal/mL
c. 2.0 and 2.5 kcal/mL
d. 3.0 and 3.5 kcal/mL
e. 4.0 and 5.5 kcal/mL
ANSWER: b
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
11. For the critically ill patient in the hospital, enteral feedings should be advanced to meet the nutrition prescription
within:
a. 12 hours.
b. 48 hours.
c. 72 hours.
d. 1 week.
e. 2 weeks.
ANSWER: c
DIFFICULTY: Bloom's: Understand
REFERENCES: Enteral Nutrition
12. Which describes a true statement about continuous enteral feedings?
a. They are administered several times a day -- every 30 minutes.
b. They may be administered by gravity from a container suspended above the patient.
c. They consist of the administration of approximately 250 mL of formula at a time.
d. They are usually more time consuming for staff to administer.
e. They require a pump and other equipment to administer.
ANSWER: e
DIFFICULTY: Bloom's: Apply
REFERENCES: Enteral Nutrition
13. The first step in determining the enteral nutrition prescription is to:
a. consider electrolyte needs.
b. establish a dosing weight.
c. determine fluid needs.
d. determine a kcal goal.
e. consider vitamin and mineral needs.
ANSWER: b
DIFFICULTY: Bloom's: Apply
REFERENCES: Enteral Nutrition
14. Which patient is at highest risk of aspiration when receiving an enteral feeding?
a. A patient with Crohn’s disease
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