©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
Certified Nutrition Support Clinician
Certification (CNSC) Use of
Supplemental Parenteral Nutrition in
Critically Ill Patients Exam Questions
and Answers 100% Correct
What percentage of hospitalized patients are malnourished on admission? -
✔✔An estimated 33% of all hospitalized patients are malnourished on
admission with only 8.9% identified and diagnosed
What percentage of patients experience a decline in nutrition status during
hospitalization? - ✔✔An estimated 69% of patients experience a decline
in nutrition status during hospitalization
What are malnourished patients at an increased risk for medically
speaking? - ✔✔2-3x increased risk of C diff colitis
4x increased risk of developing a PI
5x increased risk of mediastinitis after CABG
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
5x increased risk of catheter-associated UTI
What are the differences in mortality between malnourished pts vs
nourished pts? - ✔✔Mortality found to be 6.8% in malnourished patients
vs 2.0% in those without malnutrition
What do the international guidelines agree is the preferred method of
nutrition therapy? - ✔✔International guidelines agree that EN is the
preferred method of nutrition therapy whenever possible, generally within
48 hours
What are some conditions where PN may be indicated? - ✔✔-SBS
-SBO
-Bowel ischemia
-Paralytic ileus
-Severe enteritis
-High-output entercutaneous fistula
-Esophageal varices
What other circumstances might PN be indicated over EN? - ✔✔-GI
dysmotility or EN intolerance
-Hemodynamic instability/escalating vaso dose
-Repeated interruption of EN infusions
Certified Nutrition Support Clinician
Certification (CNSC) Use of
Supplemental Parenteral Nutrition in
Critically Ill Patients Exam Questions
and Answers 100% Correct
What percentage of hospitalized patients are malnourished on admission? -
✔✔An estimated 33% of all hospitalized patients are malnourished on
admission with only 8.9% identified and diagnosed
What percentage of patients experience a decline in nutrition status during
hospitalization? - ✔✔An estimated 69% of patients experience a decline
in nutrition status during hospitalization
What are malnourished patients at an increased risk for medically
speaking? - ✔✔2-3x increased risk of C diff colitis
4x increased risk of developing a PI
5x increased risk of mediastinitis after CABG
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
5x increased risk of catheter-associated UTI
What are the differences in mortality between malnourished pts vs
nourished pts? - ✔✔Mortality found to be 6.8% in malnourished patients
vs 2.0% in those without malnutrition
What do the international guidelines agree is the preferred method of
nutrition therapy? - ✔✔International guidelines agree that EN is the
preferred method of nutrition therapy whenever possible, generally within
48 hours
What are some conditions where PN may be indicated? - ✔✔-SBS
-SBO
-Bowel ischemia
-Paralytic ileus
-Severe enteritis
-High-output entercutaneous fistula
-Esophageal varices
What other circumstances might PN be indicated over EN? - ✔✔-GI
dysmotility or EN intolerance
-Hemodynamic instability/escalating vaso dose
-Repeated interruption of EN infusions
