NUTRITION HEALTH AND WELLNESS EXAM 2
COMPREHENSIVE STUDY GUIDE 2026
PRACTICE QUESTIONS AND ACCURATE
ANSWERS GRADED A+
◉ EN: Elemental formula. Answer: used when there is partial
function of GI tract due to illness or short bowel syndrome
◉ EN: modular formula. Answer: used for an add in supplement
◉ EN: specialty formula. Answer: used for patients with disorders
◉ EN administration methods. Answer: -head of bed is raised to 30-
45 degrees to help reduce aspiration
-placement of feeding tube should be check before feeds by checking
apirating gastric contents in a syringe and testing pH levels.
Contents should be between levels of 1-4.
◉ gastric residual volume. Answer: the volume of formula and GI
secretions remaining in the stomach after a previous feeding
-checked Q4H - first 48 hrs for all patients and critical
-routinely Q6-8hr for noncritical patients
, -250-500mL notify physician
◉ Phenytoin and Theophylline. Answer: medication interactions
with tube feedings. May decrease or increase effects.
*stop feeding 2 hours before administration and for 2 hours after
medication is recieved
◉ Most common complication of EN is. Answer: diarrhea
-decrease infusion rate if this occurs
◉ Prevention of food poisoning for EN patients. Answer: -frequently
washing hands before, during, and after handling tube
-refrigerate unused portion for up to 24 hr
-change ET tube/equipment Q24H
◉ Transition to tube feeding to regular feeding. Answer: -stop
feeding 1 hour before and after meals
-full liquid diet initially follow by purred to soft diet
Weaning occurs as oral intake increases:
-decrease tube feeding vol. until 6 meals/day are eaten
-oral intake is 500-750kcal/day
-cyclic feeding at nighttime
Discontinue tube feeding:
COMPREHENSIVE STUDY GUIDE 2026
PRACTICE QUESTIONS AND ACCURATE
ANSWERS GRADED A+
◉ EN: Elemental formula. Answer: used when there is partial
function of GI tract due to illness or short bowel syndrome
◉ EN: modular formula. Answer: used for an add in supplement
◉ EN: specialty formula. Answer: used for patients with disorders
◉ EN administration methods. Answer: -head of bed is raised to 30-
45 degrees to help reduce aspiration
-placement of feeding tube should be check before feeds by checking
apirating gastric contents in a syringe and testing pH levels.
Contents should be between levels of 1-4.
◉ gastric residual volume. Answer: the volume of formula and GI
secretions remaining in the stomach after a previous feeding
-checked Q4H - first 48 hrs for all patients and critical
-routinely Q6-8hr for noncritical patients
, -250-500mL notify physician
◉ Phenytoin and Theophylline. Answer: medication interactions
with tube feedings. May decrease or increase effects.
*stop feeding 2 hours before administration and for 2 hours after
medication is recieved
◉ Most common complication of EN is. Answer: diarrhea
-decrease infusion rate if this occurs
◉ Prevention of food poisoning for EN patients. Answer: -frequently
washing hands before, during, and after handling tube
-refrigerate unused portion for up to 24 hr
-change ET tube/equipment Q24H
◉ Transition to tube feeding to regular feeding. Answer: -stop
feeding 1 hour before and after meals
-full liquid diet initially follow by purred to soft diet
Weaning occurs as oral intake increases:
-decrease tube feeding vol. until 6 meals/day are eaten
-oral intake is 500-750kcal/day
-cyclic feeding at nighttime
Discontinue tube feeding:
