CNSC Exam || Graded A+ Already.
First Line Therapy for Hyperkalemia correct answers calcium gluconate
Total Body Water Composition correct answers 2/3 Intracellular, 1/3 Extracellular (1/4
intravascular, 3/4 Interstitial)
% Body weight water (male/female) correct answers 60% Male/50% Female
Respiratory Quotient Definition correct answers Ratio of CO2 production to O2 consumption
Hang time for blenderized/reconstituted formula correct answers 4 hours
How often should micro-nutrient assessment be completed in the long-term PN patient? correct
answers every 6 months
Closed system hang time correct answers 24-48 hrs
Open System hang time (home vs hospital) correct answers Home - 12 hours Hospital - 8 hours
Max Daily Dose of ILE correct answers 2.5 g/kg/d
Minimum ILE to prevent EFAD in infants correct answers 0.5-1 g/kg/day
pH of dextrose solutions correct answers acidic 3.5-6.5
What factors increase calcium-phosphorus precipitation? correct answers Warmer temperature
Lower amino acid amounts
Use of calcium chloride
Filter size for 2-in-1 forumlations correct answers 0.22 micro meter
What is the smallest pore size you can use for TNA? correct answers 1.22 micro meter
What is the size of fat particles? correct answers 0.1-1 micro meter
What is Glycerol? correct answers A sugar alcohol that provides 4.3 kcal/kg; a component of one
SCAPN for peripheral use
Amino acid to nitrogen conversion correct answers 6.25 g amino acid = 1 g nitrogen
Which two commercially available AA solutions contain phosphate? correct answers FreeAmine
III; Heptamine (10 mmoll/L)
Max infusion rate for ILE infusion correct answers 0.11 g/kg/h
, Preferred forms of calcium and magnesium correct answers calcium gluconate and magnesium
sulfate
ASPEN recommended changes to trace elements in TPN correct answers Decreased Copper
(0.3->0.5 mg/d)
Decrease manganese to 55 mcg/d
Increase selenium (60-100 mcg/d)
Eliminate chromium or max 1 mcg/d
Keep Copper contamination < 0.1 mg/d Cu and 40 mcg/d Mn
Carnitine correct answers a nonessential, nonprotein amino acid made in the body from lysine
that helps transport fatty acids across the mitochondrial membrane
Iron recommendation for pre-term infants correct answers 2-4 mg/kg/d
Max Osmolality for Infant Formula correct answers 460 mOsm/kg
Max GIR for term infant correct answers 14-18 mg/kg/min
Cysteine dose for neonatal TPN correct answers 30-40 mg/g of AA
Selenium recommendation for term infant PN correct answers 2 mg/kg/d
Beneficence correct answers The fundamental obligation of a healthcare professional to seek the
good of the patient above all other priorities
Autonomy correct answers The individual's right to self-determination in healthcare decision
making; the predominant value in American bioethics and law
Patient-self Determination Act correct answers A federal law passed in 1990 that requires
hospitals and other health care providers to provide written information to patients regarding
their rights under state law to make medical decisions and execute advance directives.
Justice correct answers Fairness; in healthcare, justice involves the equitable treatment of
clinically similar patients with a sole focus on clinically relevant factors
Deontology correct answers ethics of duty, rightness or wrongness depends on the intentions of
the agent, not on the consequences
Ex. ANH must be provided to all patients including those who are potentially in PVS
Utilitarianism correct answers idea that consequences, not intentions determine ethical valence
Ex. decisions that maximize good most amount of people are the most ethical
Virtue ethics correct answers ethical system that emphasizes moral character and development of
the virtues as a basis for moral action
First Line Therapy for Hyperkalemia correct answers calcium gluconate
Total Body Water Composition correct answers 2/3 Intracellular, 1/3 Extracellular (1/4
intravascular, 3/4 Interstitial)
% Body weight water (male/female) correct answers 60% Male/50% Female
Respiratory Quotient Definition correct answers Ratio of CO2 production to O2 consumption
Hang time for blenderized/reconstituted formula correct answers 4 hours
How often should micro-nutrient assessment be completed in the long-term PN patient? correct
answers every 6 months
Closed system hang time correct answers 24-48 hrs
Open System hang time (home vs hospital) correct answers Home - 12 hours Hospital - 8 hours
Max Daily Dose of ILE correct answers 2.5 g/kg/d
Minimum ILE to prevent EFAD in infants correct answers 0.5-1 g/kg/day
pH of dextrose solutions correct answers acidic 3.5-6.5
What factors increase calcium-phosphorus precipitation? correct answers Warmer temperature
Lower amino acid amounts
Use of calcium chloride
Filter size for 2-in-1 forumlations correct answers 0.22 micro meter
What is the smallest pore size you can use for TNA? correct answers 1.22 micro meter
What is the size of fat particles? correct answers 0.1-1 micro meter
What is Glycerol? correct answers A sugar alcohol that provides 4.3 kcal/kg; a component of one
SCAPN for peripheral use
Amino acid to nitrogen conversion correct answers 6.25 g amino acid = 1 g nitrogen
Which two commercially available AA solutions contain phosphate? correct answers FreeAmine
III; Heptamine (10 mmoll/L)
Max infusion rate for ILE infusion correct answers 0.11 g/kg/h
, Preferred forms of calcium and magnesium correct answers calcium gluconate and magnesium
sulfate
ASPEN recommended changes to trace elements in TPN correct answers Decreased Copper
(0.3->0.5 mg/d)
Decrease manganese to 55 mcg/d
Increase selenium (60-100 mcg/d)
Eliminate chromium or max 1 mcg/d
Keep Copper contamination < 0.1 mg/d Cu and 40 mcg/d Mn
Carnitine correct answers a nonessential, nonprotein amino acid made in the body from lysine
that helps transport fatty acids across the mitochondrial membrane
Iron recommendation for pre-term infants correct answers 2-4 mg/kg/d
Max Osmolality for Infant Formula correct answers 460 mOsm/kg
Max GIR for term infant correct answers 14-18 mg/kg/min
Cysteine dose for neonatal TPN correct answers 30-40 mg/g of AA
Selenium recommendation for term infant PN correct answers 2 mg/kg/d
Beneficence correct answers The fundamental obligation of a healthcare professional to seek the
good of the patient above all other priorities
Autonomy correct answers The individual's right to self-determination in healthcare decision
making; the predominant value in American bioethics and law
Patient-self Determination Act correct answers A federal law passed in 1990 that requires
hospitals and other health care providers to provide written information to patients regarding
their rights under state law to make medical decisions and execute advance directives.
Justice correct answers Fairness; in healthcare, justice involves the equitable treatment of
clinically similar patients with a sole focus on clinically relevant factors
Deontology correct answers ethics of duty, rightness or wrongness depends on the intentions of
the agent, not on the consequences
Ex. ANH must be provided to all patients including those who are potentially in PVS
Utilitarianism correct answers idea that consequences, not intentions determine ethical valence
Ex. decisions that maximize good most amount of people are the most ethical
Virtue ethics correct answers ethical system that emphasizes moral character and development of
the virtues as a basis for moral action
