INTRODUCTION TO CRITICAL CARE NURSING
8TH EDITION FINAL PAPER 2026 QUESTIONS
WITH VERIFIED ANSWERS GRADED A+
◉1.Apatientishavingcomplicationsfromabdominalsurgeryandremai
nsNPO.Becauseenteraltubefeedingsarenotpossible,thedecisionistoini
tiateparenteralfeedings.Whatarethemajorcomplicationsforthisthera
py. Answer: b. Fluidandelectrolyteimbalancesandsepsis
◉
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswith
anasogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlya
ssesstubeplacement?. Answer: d. Topreventaspirationofthefeedings
◉
3.Thepatientistostartparenteralnutrition.Thenurseknowstoprepare
whichsiteforcatheterinsertion?. Answer: d. Subclavianvein
◉
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfai
lingaswallowstudy,thepatientisplacedonenteralfeedings.Followingpl
acementofanasogastrictubefortubefeeding,whatisthenextcriticalstep
?. Answer: c. Obtainachestradiograph.
,◉
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestin
ewithcontinuousflowtubefeeding.Thenurseknowsthatthisapproach
waschosenbecause:. Answer: c.
theintestinalmucosanormallyreceivesnutrientsfromthestomachinpe
ristalticwaves
◉
6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.T
henursewouldcarryoutwhichinterventiontominimizeaspirationrisk?.
Answer: Elevatetheheadofthebed30degrees.
◉
7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited
250mLofmilkygreenfluid.Thisisaconcernbecausethismostlikelydemo
nstratesthatthepatienthas:. Answer: d. tube feeding intolerance.
◉
8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmil
kygreenliquid.Thenurseholdsthetubefeeding,whichhadbeeninfusing
at100mL/hr.Thenurseknowsthatthenextactionshouldbe:. Answer: d.
recheck the residual in 2hours
◉
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
8TH EDITION FINAL PAPER 2026 QUESTIONS
WITH VERIFIED ANSWERS GRADED A+
◉1.Apatientishavingcomplicationsfromabdominalsurgeryandremai
nsNPO.Becauseenteraltubefeedingsarenotpossible,thedecisionistoini
tiateparenteralfeedings.Whatarethemajorcomplicationsforthisthera
py. Answer: b. Fluidandelectrolyteimbalancesandsepsis
◉
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswith
anasogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlya
ssesstubeplacement?. Answer: d. Topreventaspirationofthefeedings
◉
3.Thepatientistostartparenteralnutrition.Thenurseknowstoprepare
whichsiteforcatheterinsertion?. Answer: d. Subclavianvein
◉
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfai
lingaswallowstudy,thepatientisplacedonenteralfeedings.Followingpl
acementofanasogastrictubefortubefeeding,whatisthenextcriticalstep
?. Answer: c. Obtainachestradiograph.
,◉
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestin
ewithcontinuousflowtubefeeding.Thenurseknowsthatthisapproach
waschosenbecause:. Answer: c.
theintestinalmucosanormallyreceivesnutrientsfromthestomachinpe
ristalticwaves
◉
6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.T
henursewouldcarryoutwhichinterventiontominimizeaspirationrisk?.
Answer: Elevatetheheadofthebed30degrees.
◉
7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited
250mLofmilkygreenfluid.Thisisaconcernbecausethismostlikelydemo
nstratesthatthepatienthas:. Answer: d. tube feeding intolerance.
◉
8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmil
kygreenliquid.Thenurseholdsthetubefeeding,whichhadbeeninfusing
at100mL/hr.Thenurseknowsthatthenextactionshouldbe:. Answer: d.
recheck the residual in 2hours
◉
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
