INTRODUCTION TO CRITICAL CARE NURSING
7E FINAL PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉
9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfe
edingintolerance?. Answer: a. Abdominal distention
◉
10.Approximately5daysafterstartingtubefeedings,apatientdevelopse
xtremediarrhea.Astoolspecimeniscollectedtocheckforwhichpossible
cause?. Answer: a. Clostridium difficile
◉
11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Th
estudentnurselistedpossibleinterventionsforthispatient.Whichinterv
entionneedscorrectionbeforefinalizingtheplanofcare?. Answer: b.
Infuseantibioticsthroughtheintravenousline.
◉
12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloo
dtestasthemostsensitiveindicatorofproteinsynthesisandcatabolism?.
Answer: c. Prealbumin
,◉ 13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepote
ntialforcausingdrug-nutrientreactions?. Answer: d. Phenytoin
◉
14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(
GI)tract?. Answer: d. Without nutritional stimulation, mucosal villi
atrophy.
◉ 15.An important nutritional consideration in the elderly
population is:. Answer: c. potential for drug-nutrient interaction
related to polypharmacy.
◉
16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetin
clude:. Answer: d. weight loss, elevated glucose, and dehydration
◉ 17.In trauma patients ,enteral nutrition via nasogastric tube
feedings into the small bowel is best initiated within what time
frame following the injury?. Answer: a. 24hours
◉
18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiais
inthecriticalcareunitonaventilator.Thenutritionassessmentnotesthat
thepatienthasaproteinandvitamindeficiencyandisunderweight.Whic
,hformulafornutritionalassessmentismostappropriate?. Answer: b.
Fiber-addedformula
◉
19.Selectthephysiologicalreasoningbehindenteraltherapyastheprefer
redsourceofnutritionaltherapy. Answer: d. Gut mucosa is preserved.
◉
20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptiono
fprotein?. Answer: b. The patient with ileitis
◉ 21.Thebestnursingapproachtopreventfeedingtubeobstructionis:.
Answer: b. flushthetubeevery4hourswith20to30mLoftapwater.
◉
22.Patientsexperiencingseverephysiologicalstressincreasetheirnutri
tionalrequirementsto:. Answer: c. 35kcal/kg/day
◉ 23.Malnutritioncontributestoinfectionriskby. Answer: b. impairing
immune function
◉ 24.Apatient,whohasatubefeeding,requiresachestx-
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenurs
e:. Answer: d.
, stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograp
h.
◉
1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Sele
ctallthatapply.). Answer: a.
Assessingfluidvolumestatusandpreventinginfectionareimportantnur
singconsiderations.b.
Fingerstickglucoselevelsareassessedevery6hoursandprn.
d.
Totalparenteralnutrition,withaddedlipids,providesadequatelevelsof
protein,carbohydrates,andfats.
◉
2.Whichintervention(s)is(are)criticalduringintravenouslipidadminis
tration?(Selectallthatapply).. Answer: b.
Changethetubingevery24hours.
d. Monitortriglyceridelevels.
◉ 3.Calorie-densefeedings:(Selectallthatapply.). Answer: a. are most
useful in heart failure and liver disease.
◉ 4.Risksoftotalparenteralnutritioninclude:(Selectallthatapply.).
Answer: b. elevatedbloodsugar.
c. infectionatthecathetersite.
7E FINAL PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉
9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfe
edingintolerance?. Answer: a. Abdominal distention
◉
10.Approximately5daysafterstartingtubefeedings,apatientdevelopse
xtremediarrhea.Astoolspecimeniscollectedtocheckforwhichpossible
cause?. Answer: a. Clostridium difficile
◉
11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Th
estudentnurselistedpossibleinterventionsforthispatient.Whichinterv
entionneedscorrectionbeforefinalizingtheplanofcare?. Answer: b.
Infuseantibioticsthroughtheintravenousline.
◉
12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloo
dtestasthemostsensitiveindicatorofproteinsynthesisandcatabolism?.
Answer: c. Prealbumin
,◉ 13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepote
ntialforcausingdrug-nutrientreactions?. Answer: d. Phenytoin
◉
14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(
GI)tract?. Answer: d. Without nutritional stimulation, mucosal villi
atrophy.
◉ 15.An important nutritional consideration in the elderly
population is:. Answer: c. potential for drug-nutrient interaction
related to polypharmacy.
◉
16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetin
clude:. Answer: d. weight loss, elevated glucose, and dehydration
◉ 17.In trauma patients ,enteral nutrition via nasogastric tube
feedings into the small bowel is best initiated within what time
frame following the injury?. Answer: a. 24hours
◉
18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiais
inthecriticalcareunitonaventilator.Thenutritionassessmentnotesthat
thepatienthasaproteinandvitamindeficiencyandisunderweight.Whic
,hformulafornutritionalassessmentismostappropriate?. Answer: b.
Fiber-addedformula
◉
19.Selectthephysiologicalreasoningbehindenteraltherapyastheprefer
redsourceofnutritionaltherapy. Answer: d. Gut mucosa is preserved.
◉
20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptiono
fprotein?. Answer: b. The patient with ileitis
◉ 21.Thebestnursingapproachtopreventfeedingtubeobstructionis:.
Answer: b. flushthetubeevery4hourswith20to30mLoftapwater.
◉
22.Patientsexperiencingseverephysiologicalstressincreasetheirnutri
tionalrequirementsto:. Answer: c. 35kcal/kg/day
◉ 23.Malnutritioncontributestoinfectionriskby. Answer: b. impairing
immune function
◉ 24.Apatient,whohasatubefeeding,requiresachestx-
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenurs
e:. Answer: d.
, stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograp
h.
◉
1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Sele
ctallthatapply.). Answer: a.
Assessingfluidvolumestatusandpreventinginfectionareimportantnur
singconsiderations.b.
Fingerstickglucoselevelsareassessedevery6hoursandprn.
d.
Totalparenteralnutrition,withaddedlipids,providesadequatelevelsof
protein,carbohydrates,andfats.
◉
2.Whichintervention(s)is(are)criticalduringintravenouslipidadminis
tration?(Selectallthatapply).. Answer: b.
Changethetubingevery24hours.
d. Monitortriglyceridelevels.
◉ 3.Calorie-densefeedings:(Selectallthatapply.). Answer: a. are most
useful in heart failure and liver disease.
◉ 4.Risksoftotalparenteralnutritioninclude:(Selectallthatapply.).
Answer: b. elevatedbloodsugar.
c. infectionatthecathetersite.
