CRITICAL CARE NURSING 7TH
EDITION (2025) LATEST EXAM
VERSION With Expected real and
comprehensive Questions and
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,- correct ans:Chapter06:NutritionalTherapy
b. Fluidandelectrolyteimbalancesandsepsis - correct
ans:1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO.Becauseenteraltubefeeding
sarenotpossible,thedecisionistoinitiateparenteralfeedings.Whatarethemajorcomplicationsforthistherapy
d. Topreventaspirationofthefeedings - correct
ans:.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanasogastricsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubeplacement?
d. Subclavianvein - correct
ans:3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsiteforcatheterinsertion?
c. Obtainachestradiograph. - correct
ans:4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingaswallowstudy,thepatientis
placedonenteralfeedings.Followingplacementofanasogastrictubefortubefeeding,whatisthenextcriticalste
p?
c. theintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwaves - correct
ans:5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcontinuousflowtubefeedin
g.Thenurseknowsthatthisapproachwaschosenbecause:
Elevatetheheadofthebed30degrees. - correct
ans:6.Apatientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenursewouldcarryoutwhichinte
rventiontominimizeaspirationrisk?
d. tube feeding intolerance. - correct
ans:7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mLofmilkygreenfluid.Thisisac
oncernbecausethismostlikelydemonstratesthatthepatienthas:
d. recheck the residual in 2hours - correct
ans:8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygreenliquid.Thenurseholdsthe
tubefeeding,whichhadbeeninfusingat100mL/hr.Thenurseknowsthatthenextactionshouldbe:
,a. Abdominal distention - correct
ans:9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingintolerance?
a. Clostridium difficile - correct
ans:10.Approximately5daysafterstartingtubefeedings,apatientdevelopsextremediarrhea.Astoolspecimen
iscollectedtocheckforwhichpossiblecause?
b. Infuseantibioticsthroughtheintravenousline. - correct
ans:11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestudentnurselistedpossibleinter
ventionsforthispatient.Whichinterventionneedscorrectionbeforefinalizingtheplanofcare?
c. Prealbumin - correct
ans:12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodtestasthemostsensitiveindicato
rofproteinsynthesisandcatabolism?
d. Phenytoin - correct ans:13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug-
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingdrug-
nutrientreactions?
d. Without nutritional stimulation, mucosal villi atrophy. - correct
ans:14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)tract?
c. potential for drug-nutrient interaction related to polypharmacy. - correct ans:15.An important
nutritional consideration in the elderly population is:
d. weight loss, elevated glucose, and dehydration - correct
ans:16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclude:
a. 24hours - correct ans:17.In trauma patients ,enteral nutrition via nasogastric tube feedings into the
small bowel is best initiated within what time frame following the injury?
b. Fiber-addedformula - correct
ans:18.Apatientwithahistoryofemphysema,diabetes,andhyperlipidemiaisinthecriticalcareunitonaventilat
, or.Thenutritionassessmentnotesthatthepatienthasaproteinandvitamindeficiencyandisunderweight.Whic
hformulafornutritionalassessmentismostappropriate?
d. Gut mucosa is preserved. - correct
ans:19.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferredsourceofnutritionaltherapy
b. The patient with ileitis - correct
ans:20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofprotein?
b. flushthetubeevery4hourswith20to30mLoftapwater. - correct
ans:21.Thebestnursingapproachtopreventfeedingtubeobstructionis:
c. 35kcal/kg/day - correct
ans:22.Patientsexperiencingseverephysiologicalstressincreasetheirnutritionalrequirementsto:
b. impairing immune function - correct ans:23.Malnutritioncontributestoinfectionriskby
d. stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograph. - correct
ans:24.Apatient,whohasatubefeeding,requiresachestx-
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenurse:
a. Assessingfluidvolumestatusandpreventinginfectionareimportantnursingconsiderations.b.
Fingerstickglucoselevelsareassessedevery6hoursandprn.
d. Totalparenteralnutrition,withaddedlipids,providesadequatelevelsofprotein,carbohydrates,andfats. -
correct ans:1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Selectallthatapply.)
b. Changethetubingevery24hours.
d. Monitortriglyceridelevels. - correct
ans:2.Whichintervention(s)is(are)criticalduringintravenouslipidadministration?(Selectallthatapply).
a. are most useful in heart failure and liver disease. - correct ans:3.Calorie-densefeedings:
(Selectallthatapply.)