Parenteral Nutrition Practice Questions
for Exam, Questions and answers,
2022/2023. 100% verified.
Identify if the following patients should receive PARENTERAL nutrition. (*Select all that apply*)
*A.* A previously healthy patient with dysphagia after a stroke who is expected to be eating regular
foods in four days.
*B.* A patient with dysphagia from Parkinson's disease and the dysphagia is not expected to resolve.
*C.* Pregnant patient with hyperemesis gravidum expected to resolve in 3-4 days.
*D.* Patient with colorectal cancer and a small bowel obstruction.
*E.* Premature neonate born at 24 weeks.
*F.* A patient who specified "no artificial feeding" to her medical power of attorney. - *D.* Patient with
colorectal cancer and a small bowel obstruction.
*E.* Premature neonate born at 24 weeks.
The pharmacist in Central Pharmacy calls you to state that Multitrace®-5 is in shortage and none can be
obtained from the hospital wholesaler. The hospital is now substituting with MTE-4. Which trace
element made need to be added to this patient's nutritional plan because it is missing from MTE-4?
*A.* Copper
*B.* Iodide
*C.* Molybdenum
*D.* Selenium - *D.* Selenium
A national shortage of intravenous lipids occurs. AB is switched to a 2-in-1 TPN formulation and will now
receive lipids three times a week as a separate infusion. Select the correct statement comparing to a 2-
in-1 instead of 3-in-1 TPN bag. A 2-in-1 TPN compared to a 3-in-1 TPN will result in DECREASED:
*A.* Vein irritation from the TPN
*B.* Nursing time to administer TPN
*C.* Risk of catheter occlusion
, *D.* Medication compatibilities - *C.* Risk of catheter occlusion
Two weeks after starting TPN, AB has increasing LFTs. Her doctors notes gallstones on an abdominal
ultrasound. Select the BEST recommendation to address this complication:
*A.* Change to a cycled infusion
*B.* Increase the infusion rate
*C.* Decrease the total kilocalories
*D.* Start enteral feeds at a low rate - *D.* Start enteral feeds at a low rate
Which of the following monitoring parameters for patient newly starting PN is CORRECT? (*Select ALL
that apply.*)
*A.* Weights should be checked daily.
*B.* In's and out's should be checked daily.
*C.* Prealbumin should be checked weekly.
*D.* Blood sugars only need to be checked if the patient is diabetic.
*E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a
regular diet.
*F.* LFTs should be checked 2-3 times per week. - *A.* Weights should be checked daily.
*B.* In's and out's should be checked daily.
*E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a
regular diet.
*F.* LFTs should be checked 2-3 times per week.
AB is on Day 3 of TPN. After one week, she should have her protein in his nutrition care plan DECREASED
if:
*A.* Her BUN increases
*B.* She has a +3.3 nitrogen balance
*C.* Her prealbumin is increasing
*D.* Her albumin is staying the same - *A.* Her BUN increases
for Exam, Questions and answers,
2022/2023. 100% verified.
Identify if the following patients should receive PARENTERAL nutrition. (*Select all that apply*)
*A.* A previously healthy patient with dysphagia after a stroke who is expected to be eating regular
foods in four days.
*B.* A patient with dysphagia from Parkinson's disease and the dysphagia is not expected to resolve.
*C.* Pregnant patient with hyperemesis gravidum expected to resolve in 3-4 days.
*D.* Patient with colorectal cancer and a small bowel obstruction.
*E.* Premature neonate born at 24 weeks.
*F.* A patient who specified "no artificial feeding" to her medical power of attorney. - *D.* Patient with
colorectal cancer and a small bowel obstruction.
*E.* Premature neonate born at 24 weeks.
The pharmacist in Central Pharmacy calls you to state that Multitrace®-5 is in shortage and none can be
obtained from the hospital wholesaler. The hospital is now substituting with MTE-4. Which trace
element made need to be added to this patient's nutritional plan because it is missing from MTE-4?
*A.* Copper
*B.* Iodide
*C.* Molybdenum
*D.* Selenium - *D.* Selenium
A national shortage of intravenous lipids occurs. AB is switched to a 2-in-1 TPN formulation and will now
receive lipids three times a week as a separate infusion. Select the correct statement comparing to a 2-
in-1 instead of 3-in-1 TPN bag. A 2-in-1 TPN compared to a 3-in-1 TPN will result in DECREASED:
*A.* Vein irritation from the TPN
*B.* Nursing time to administer TPN
*C.* Risk of catheter occlusion
, *D.* Medication compatibilities - *C.* Risk of catheter occlusion
Two weeks after starting TPN, AB has increasing LFTs. Her doctors notes gallstones on an abdominal
ultrasound. Select the BEST recommendation to address this complication:
*A.* Change to a cycled infusion
*B.* Increase the infusion rate
*C.* Decrease the total kilocalories
*D.* Start enteral feeds at a low rate - *D.* Start enteral feeds at a low rate
Which of the following monitoring parameters for patient newly starting PN is CORRECT? (*Select ALL
that apply.*)
*A.* Weights should be checked daily.
*B.* In's and out's should be checked daily.
*C.* Prealbumin should be checked weekly.
*D.* Blood sugars only need to be checked if the patient is diabetic.
*E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a
regular diet.
*F.* LFTs should be checked 2-3 times per week. - *A.* Weights should be checked daily.
*B.* In's and out's should be checked daily.
*E.* Caloric intake needs to be assessed daily, even if the patient is transitioning to enteral feeds or a
regular diet.
*F.* LFTs should be checked 2-3 times per week.
AB is on Day 3 of TPN. After one week, she should have her protein in his nutrition care plan DECREASED
if:
*A.* Her BUN increases
*B.* She has a +3.3 nitrogen balance
*C.* Her prealbumin is increasing
*D.* Her albumin is staying the same - *A.* Her BUN increases
