Page 1 of 119
NTR 604 Midterm Exam 2026-2027 COMPLETE 500
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
NTR 604 Midterm
The definition of chronic disease-related malnutrition refers to patients with which of the
following condition descriptors?
A. Acute illness (e.g. GI bleed in a patient with alcoholism)
B. Low grade inflammatory states (e.g. rheumatoid arthritis or sarcopenic obesity)
C. Weight loss related to persistently poor access to food
D. High grade inflammatory states (e.g. adult respiratory distress syndrome)
B
A positive acute phase reactant that is useful in detecting the presence of active
inflammation is:
A. Cholesterol
B. Prealbumin
C. Albumin
D. C reactive protein
D
,Page 2 of 119
Which of the following electrolyte derangements is commonly seen in a patient with a high
output nasogastric tube?
A. Hypochloremia and hyperkalemia
B. Hyperchloremia and hyperkalemia
C. Hyperchloremia and hypokalemia
D. Hypochloremia and hypokalemia
C
One of the best validated screening indicators for malnutrition risk is what?
A. Patient reports a nonvolitional weight loss of 10% of usual body weight.
B. Patient is 2 days status post laparoscopic cholecystectomy.
C. Patient reports following a low-carbohydrate weight loss diet.
D. Patient reports a recent flu-like febrile illness.
A
A 55-year old critically ill patient has been tolerating a standard 1 kcal/ml feeding formula
well over the past week. She begins having frequent bouts of loose stools. What should be
the clinician's next suggestion?
A. Add pre and probiotics
B. Change to a fiber-supplemented formula
C. Determine the cause of the diarrhea
D. Change to a peptide-based formula
,Page 3 of 119
C
In patients with dehydration, what happens to serum proteins and electrolytes?
A. They are increased due to increased urinary output
B. They are decreased due to hemodilution
C. They are increased due to hemoconcentration
D. They are decreased due to poor nutritional status
C
Which of the following methods is used most commonly to obtain placement for long-term
enteral nutrition support?
A. Gastrostomy
B. Orogastric
C. Nasogastric
D. Jejunostomy
A
Which of the following actions is most appropriate for improving gastric emptying during
enteral feeding?
A. Change from bolus to continuous feeding.
B. Switch to an enteral formulation with a higher protein content.
C. Switch to an enteral formulation with a higher fat content.
D. Keep the bed in Trendelenburg position (head of bed is lower than feet).
, Page 4 of 119
A
Clinical assessment should include examination of the hair, skin and mouth because they:
A. Only show signs of the most severe nutrient deficiencies
B. Can be examined without embarrassment to the patient
C. Show signs that always indicate specific nutrient deficiencies
D. Are susceptible to nutrient deficiencies because of rapid turnover
D
You are seeing a 45 YO male who needs TPN due to a small bowel obstruction. Using 30
kcal/kg and 1.2-1.5 gm protein/kg, determine which formula will best meet his needs.
Ht 5'11 Wt 195 lb
A. 1000 ml 8.5% amino acids, 1000 ml D30, 520 ml 20% lipid
B. 800 ml 10% amino acids, 800 ml D50, 280 ml 20% lipid
C. 100 ml/hr for 24 hours of solution containing final concentration of 5% protein and 20%
CHO; separately 250 ml 20% lipid is piggybacked over 10 hrs
D. 125 ml/hr for 24 hours of solution containing final concentration of 5% protein and 15%
CHO; separately 500 ml 10% lipid is piggybacked over 10 hrs
C
The ASPEN Critical Illness Guideline states that enteral nutrition should be initiated within
________________ hrs of injury or admission and the feedings advanced to goal over the next
_____________________ hrs.
NTR 604 Midterm Exam 2026-2027 COMPLETE 500
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
NTR 604 Midterm
The definition of chronic disease-related malnutrition refers to patients with which of the
following condition descriptors?
A. Acute illness (e.g. GI bleed in a patient with alcoholism)
B. Low grade inflammatory states (e.g. rheumatoid arthritis or sarcopenic obesity)
C. Weight loss related to persistently poor access to food
D. High grade inflammatory states (e.g. adult respiratory distress syndrome)
B
A positive acute phase reactant that is useful in detecting the presence of active
inflammation is:
A. Cholesterol
B. Prealbumin
C. Albumin
D. C reactive protein
D
,Page 2 of 119
Which of the following electrolyte derangements is commonly seen in a patient with a high
output nasogastric tube?
A. Hypochloremia and hyperkalemia
B. Hyperchloremia and hyperkalemia
C. Hyperchloremia and hypokalemia
D. Hypochloremia and hypokalemia
C
One of the best validated screening indicators for malnutrition risk is what?
A. Patient reports a nonvolitional weight loss of 10% of usual body weight.
B. Patient is 2 days status post laparoscopic cholecystectomy.
C. Patient reports following a low-carbohydrate weight loss diet.
D. Patient reports a recent flu-like febrile illness.
A
A 55-year old critically ill patient has been tolerating a standard 1 kcal/ml feeding formula
well over the past week. She begins having frequent bouts of loose stools. What should be
the clinician's next suggestion?
A. Add pre and probiotics
B. Change to a fiber-supplemented formula
C. Determine the cause of the diarrhea
D. Change to a peptide-based formula
,Page 3 of 119
C
In patients with dehydration, what happens to serum proteins and electrolytes?
A. They are increased due to increased urinary output
B. They are decreased due to hemodilution
C. They are increased due to hemoconcentration
D. They are decreased due to poor nutritional status
C
Which of the following methods is used most commonly to obtain placement for long-term
enteral nutrition support?
A. Gastrostomy
B. Orogastric
C. Nasogastric
D. Jejunostomy
A
Which of the following actions is most appropriate for improving gastric emptying during
enteral feeding?
A. Change from bolus to continuous feeding.
B. Switch to an enteral formulation with a higher protein content.
C. Switch to an enteral formulation with a higher fat content.
D. Keep the bed in Trendelenburg position (head of bed is lower than feet).
, Page 4 of 119
A
Clinical assessment should include examination of the hair, skin and mouth because they:
A. Only show signs of the most severe nutrient deficiencies
B. Can be examined without embarrassment to the patient
C. Show signs that always indicate specific nutrient deficiencies
D. Are susceptible to nutrient deficiencies because of rapid turnover
D
You are seeing a 45 YO male who needs TPN due to a small bowel obstruction. Using 30
kcal/kg and 1.2-1.5 gm protein/kg, determine which formula will best meet his needs.
Ht 5'11 Wt 195 lb
A. 1000 ml 8.5% amino acids, 1000 ml D30, 520 ml 20% lipid
B. 800 ml 10% amino acids, 800 ml D50, 280 ml 20% lipid
C. 100 ml/hr for 24 hours of solution containing final concentration of 5% protein and 20%
CHO; separately 250 ml 20% lipid is piggybacked over 10 hrs
D. 125 ml/hr for 24 hours of solution containing final concentration of 5% protein and 15%
CHO; separately 500 ml 10% lipid is piggybacked over 10 hrs
C
The ASPEN Critical Illness Guideline states that enteral nutrition should be initiated within
________________ hrs of injury or admission and the feedings advanced to goal over the next
_____________________ hrs.
