BSN 445 Week 3 Sherpath Study
Guide Exam with All Actual Complete
Answers 2025-2026 Update.
1. A patient in the critical care unit is experiencing stress and malnutrition and requires a
significant amount of glucose to be released into the bloodstream. Which organ would the
nurse expect to provide this glucose?
Lungs
Intestines
Pancreas
Liver - Answer Liver
2. In which way are proteins responsible for preservation of immune function within the body?
Development of antibodies
Production of albumin
Regulation of blood neutrality
Transportation of albumin - Answer Development of antibodies
3. Which change would the nurse expect to see in the body during a period of metabolic stress?
Decreased production of glucose
Increased production of insulin
Breakdown of fatty acids
Excretion of triglycerides - Answer Breakdown of fatty acids
4. Which patient is at the highest risk for malnutrition?
Food insecurity, takes five medications for cystic fibrosis
History of hypertension requiring a low-salt diet
Admitted to critical care 3 days ago after a motor vehicle accident
History of chronic obstructive pulmonary disorder - Answer Food insecurity, takes five
medications for cystic fibrosis
,Petechiae
Follicular hyperkeratosis
Confabulation
Dry, scaly skin - Answer Conjunctival dryness
Follicular hyperkeratosis
Dry, scaly skin
6. The dietician would like to determine a patient's nutritional requirements. Which method
would be most accurate?
Harris-Benedict formula
Ireton-Jones calculation
Indirect calorimetry
Frankenfield equation - Answer Indirect calorimetry
Indirect calorimetry is the most accurate method for determining caloric needs. Formulas only
provide estimates.
7. Which intervention best prevents nutrition-related septic complications in critically ill
patients?
Early enteral nutritional
Malnutrition assessment
Indirect calorimetry
Volume resuscitation - Answer Early enteral nutritional
8. Which hormone is released during a hypermetabolic state? Select all that apply. One, some,
or all responses may be correct.
Epinephrine
Glucagon
Adrenocorticotropic hormone
Cortisol
, Aldosterone
9. Which assessment finding would the nurse expect to find in a patient with severe
malnutrition in the context of chronic illness? Select all that apply. One, some, or all responses
may be correct.
Energy intake < 75% of requirement for > 1 month
Mild body fat loss
Moderate fluid accumulation
6% weight loss over 3 months
Measurably reduced grip strength - Answer Energy intake < 75% of requirement for > 1 month
Measurably reduced grip strength
10. When evaluating a patient for response to nutrition support, the nurse will exclude which
type of assessment?
Patient dietary preferences
Anthropometric measurements
Biochemical evaluation
Physical examination - Answer Patient dietary preferences
11. Which laboratory value will assist the nurse with evaluating a patient's adequacy of renal
function to handle nutrition support? Select all that apply. One, some, or all responses may be
correct.
Blood urea nitrogen
Serum levels of electrolyte
Blood glucose
Creatinine
Serum triglyceride concentration - Answer Blood urea nitrogen
Creatinine
12. Which practical challenge is associated with developing an evidence base for clinical
nutrition practice?
Guide Exam with All Actual Complete
Answers 2025-2026 Update.
1. A patient in the critical care unit is experiencing stress and malnutrition and requires a
significant amount of glucose to be released into the bloodstream. Which organ would the
nurse expect to provide this glucose?
Lungs
Intestines
Pancreas
Liver - Answer Liver
2. In which way are proteins responsible for preservation of immune function within the body?
Development of antibodies
Production of albumin
Regulation of blood neutrality
Transportation of albumin - Answer Development of antibodies
3. Which change would the nurse expect to see in the body during a period of metabolic stress?
Decreased production of glucose
Increased production of insulin
Breakdown of fatty acids
Excretion of triglycerides - Answer Breakdown of fatty acids
4. Which patient is at the highest risk for malnutrition?
Food insecurity, takes five medications for cystic fibrosis
History of hypertension requiring a low-salt diet
Admitted to critical care 3 days ago after a motor vehicle accident
History of chronic obstructive pulmonary disorder - Answer Food insecurity, takes five
medications for cystic fibrosis
,Petechiae
Follicular hyperkeratosis
Confabulation
Dry, scaly skin - Answer Conjunctival dryness
Follicular hyperkeratosis
Dry, scaly skin
6. The dietician would like to determine a patient's nutritional requirements. Which method
would be most accurate?
Harris-Benedict formula
Ireton-Jones calculation
Indirect calorimetry
Frankenfield equation - Answer Indirect calorimetry
Indirect calorimetry is the most accurate method for determining caloric needs. Formulas only
provide estimates.
7. Which intervention best prevents nutrition-related septic complications in critically ill
patients?
Early enteral nutritional
Malnutrition assessment
Indirect calorimetry
Volume resuscitation - Answer Early enteral nutritional
8. Which hormone is released during a hypermetabolic state? Select all that apply. One, some,
or all responses may be correct.
Epinephrine
Glucagon
Adrenocorticotropic hormone
Cortisol
, Aldosterone
9. Which assessment finding would the nurse expect to find in a patient with severe
malnutrition in the context of chronic illness? Select all that apply. One, some, or all responses
may be correct.
Energy intake < 75% of requirement for > 1 month
Mild body fat loss
Moderate fluid accumulation
6% weight loss over 3 months
Measurably reduced grip strength - Answer Energy intake < 75% of requirement for > 1 month
Measurably reduced grip strength
10. When evaluating a patient for response to nutrition support, the nurse will exclude which
type of assessment?
Patient dietary preferences
Anthropometric measurements
Biochemical evaluation
Physical examination - Answer Patient dietary preferences
11. Which laboratory value will assist the nurse with evaluating a patient's adequacy of renal
function to handle nutrition support? Select all that apply. One, some, or all responses may be
correct.
Blood urea nitrogen
Serum levels of electrolyte
Blood glucose
Creatinine
Serum triglyceride concentration - Answer Blood urea nitrogen
Creatinine
12. Which practical challenge is associated with developing an evidence base for clinical
nutrition practice?
