Parenteral and Enteral Nutrition – Practice Questions for
Exam Prep.
*B.*
Nursing
time to
administer
TPN
*C.* Risk of
catheter
occlusion
1. Identify if the following patients should *D.*
receive PAR- ENTERAL nutrition. (*Select all Medication
that apply*) compatibiliti
*A.* A previously healthy patient with es
dysphagia after a stroke who is expected to be
3. Two weeks
eating regular foods in four days.
after starting
*B.* A patient with dysphagia from Parkinson's
TPN, AB has
dis- ease and the dysphagia is not expected to
increasing
resolve.
LFTs. Her
*C.* Pregnant patient with hyperemesis
doctors
gravidum ex- pected to resolve in 3-4 days.
notes
*D.* Patient with colorectal cancer and a small
gallstones
bowel obstruction.
on an
*E.* Premature neonate born at 24 weeks.
abdominal
*F.* A patient who specified "no artificial
ultra- sound.
feeding" to her medical power of attorney.
Select the
2. A national shortage of intravenous lipids occurs. BEST
AB is switched to a 2-in-1 TPN formulation recommenda
and will now re- ceive lipids three times a tion to
week as a separate infusion. Select the correct address this
statement comparing to a 2-in-1 in- stead of 3- complicatio
in-1 TPN bag. A 2-in-1 TPN compared to a n:
3-in-1 TPN will result in DECREASED: *A.* Change
to a cycled
*A.* Vein irritation from the TPN
, Parenteral and Enteral Nutrition – Practice Questions for
Exam Prep.
infusion
*D.* Patient with
*B.* Increase the infusion rate
colorectal cancer and a
small bowel
obstruction.
*E.* Premature
neonate born at 24
weeks.
*C.* Risk of catheter
occlu- sion
*D.* Start enteral feeds
at a low rate
, Parenteral and Enteral Nutrition – Practice Questions for
Exam Prep.
*C.* Decrease the total kilocalories
*D.* Start enteral feeds at a low rate
4. Which of the following monitoring parameters *A.* Weights should be
for pa- tient newly starting PN is CORRECT? checked daily.
(*Select ALL that apply.*) *B.* In's and out's
*A.* Weights should be checked daily. should be checked
*B.* In's and out's should be checked daily. daily.
*C.* Prealbumin should be checked weekly. *E.* Caloric intake
*D.* Blood sugars only need to be checked if needs to be assessed
the pa- tient is diabetic. daily, even if the
*E.* Caloric intake needs to be assessed daily, patient is transition- ing
even if to enteral feeds or a
regular diet.
the patient is transitioning to enteral feeds or a regular *F.* LFTs
should be
diet. checked 2-3 times
*F.* LFTs should be checked 2-3 times per per week.
week.
5. AB is on Day 3 of TPN. After one week, she should have *A.* Her BUN
increases
her protein in his nutrition care plan DECREASED if:
*A.* Her BUN increases
*B.* She has a +3.3 nitrogen balance
*C.* Her prealbumin is increasing
*D.* Her albumin is staying the same
6. Calcium Potassium
gluconate...4.7mEq=1g...20mEq/day chloride...........
Magnesium 30mEq/day
sulfate...8.12mEq=1g...10mEq/day Potassium
phosphate......
Potassium acetate. 20mEq/day
Exam Prep.
*B.*
Nursing
time to
administer
TPN
*C.* Risk of
catheter
occlusion
1. Identify if the following patients should *D.*
receive PAR- ENTERAL nutrition. (*Select all Medication
that apply*) compatibiliti
*A.* A previously healthy patient with es
dysphagia after a stroke who is expected to be
3. Two weeks
eating regular foods in four days.
after starting
*B.* A patient with dysphagia from Parkinson's
TPN, AB has
dis- ease and the dysphagia is not expected to
increasing
resolve.
LFTs. Her
*C.* Pregnant patient with hyperemesis
doctors
gravidum ex- pected to resolve in 3-4 days.
notes
*D.* Patient with colorectal cancer and a small
gallstones
bowel obstruction.
on an
*E.* Premature neonate born at 24 weeks.
abdominal
*F.* A patient who specified "no artificial
ultra- sound.
feeding" to her medical power of attorney.
Select the
2. A national shortage of intravenous lipids occurs. BEST
AB is switched to a 2-in-1 TPN formulation recommenda
and will now re- ceive lipids three times a tion to
week as a separate infusion. Select the correct address this
statement comparing to a 2-in-1 in- stead of 3- complicatio
in-1 TPN bag. A 2-in-1 TPN compared to a n:
3-in-1 TPN will result in DECREASED: *A.* Change
to a cycled
*A.* Vein irritation from the TPN
, Parenteral and Enteral Nutrition – Practice Questions for
Exam Prep.
infusion
*D.* Patient with
*B.* Increase the infusion rate
colorectal cancer and a
small bowel
obstruction.
*E.* Premature
neonate born at 24
weeks.
*C.* Risk of catheter
occlu- sion
*D.* Start enteral feeds
at a low rate
, Parenteral and Enteral Nutrition – Practice Questions for
Exam Prep.
*C.* Decrease the total kilocalories
*D.* Start enteral feeds at a low rate
4. Which of the following monitoring parameters *A.* Weights should be
for pa- tient newly starting PN is CORRECT? checked daily.
(*Select ALL that apply.*) *B.* In's and out's
*A.* Weights should be checked daily. should be checked
*B.* In's and out's should be checked daily. daily.
*C.* Prealbumin should be checked weekly. *E.* Caloric intake
*D.* Blood sugars only need to be checked if needs to be assessed
the pa- tient is diabetic. daily, even if the
*E.* Caloric intake needs to be assessed daily, patient is transition- ing
even if to enteral feeds or a
regular diet.
the patient is transitioning to enteral feeds or a regular *F.* LFTs
should be
diet. checked 2-3 times
*F.* LFTs should be checked 2-3 times per per week.
week.
5. AB is on Day 3 of TPN. After one week, she should have *A.* Her BUN
increases
her protein in his nutrition care plan DECREASED if:
*A.* Her BUN increases
*B.* She has a +3.3 nitrogen balance
*C.* Her prealbumin is increasing
*D.* Her albumin is staying the same
6. Calcium Potassium
gluconate...4.7mEq=1g...20mEq/day chloride...........
Magnesium 30mEq/day
sulfate...8.12mEq=1g...10mEq/day Potassium
phosphate......
Potassium acetate. 20mEq/day
