ASPEN Practice Test Questions

ASPEN Practice Test Questions Medicare approved indications for home parenteral nutrition include which of the following? a. supplement to enteral nutrition b. end-stage renal disease c. long-term loss of gastrointestinal function d. delayed gastric emptying - c. long-term loss of gastrointestinal function Which of the following is true concerning manganese and patients on long-term parenteral nutrition? a. manganese deficiency occurs in patients on PN for greater than 1 year b. hypermanganesemia has been reported only in patients with cholestasis c. manganese in commercial trace element preparations may result in hypermanganesemia d. the best indicator of manganese status is serum manganese - c. manganese in commercial trace element preparations may result in hypermanganesemia Which of the following are most likely to result in malnutrition of mild to moderate inflammatory response? a. anorexia nervosa b. cancer c. closed head injury d. sepsis - b. cancer In patients with severe acute pancreatitis enteral nutrition has been documented to provide the following benefits over parenteral nutrition EXCEPT: a. decreased infection rate b. decreased hospital length of stay c. decreased pain d. decreased mortality - c. decreased pain Indirect calorimetry calculates: a. total energy expenditure b. nitrogen balance c. heat released from the subject d. resting energy expenditure - d. resting energy expenditure A seven month-old infant fed reconstituted infant formula and other age-appropriate complementary foods may be at risk of over-supplementation with which of the following? a. Vitamin A b. Fluoride c. Vitamin E d. Iron - b. Fluoride Zinc supplementation should be considered for patients: a. with chronic wounds b. with unexplained skin rashes and alopecia c. who are elderly d. who have below normal zinc levels - b. with unexplained skin rashes and alopecia A long term parenteral nutrition patient begins to experience Parkinson-like symptoms. Which trace element toxicity is most likely to present with these symptoms? a. manganese b. copper c. zinc d. selenium - a. manganese How much fluid per day is required to maintain fluid balance in an average healthy adult? a. 10-21 ml/kg/day b. 25-35 ml/kg/day c. 45-55 ml/kg/day d. 60-70 ml/kg/day - b. 25-35 ml/kg/day In the first 1-3 months after a bone marrow transplant the nutritional needs of a patient are best met with: a. 20-25 kcal/kg daily with /=1.5 g protein per kg body weight b. 20-25 kcal/kg daily with 80% of total calories from carbohydrate c. 30-35 kcal/kg daily with /=1.5 g protein per kg body weight d. 30-35 kcal/kg daily with 80% of total calories from carbohydrate - c. 30-35 kcal/kg daily with /=1.5 g protein per kg body weight