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
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
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
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
Food insecurity, takes five medications for cystic fibrosis
5. Which assessment findings would the nurse expect to find in a patient with a
Vitamin A deficiency? Select all that apply. One, some, or all responses may be
correct.
Conjunctival dryness
Petechiae
Follicular hyperkeratosis
Confabulation
Dry, scaly skin
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
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
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
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
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