ASPEN Practice Test
Question: 1Which of the following acute changes in the serum chemistry profile would
be expected in a patient who is experiencing tumor lysis syndrome(TLS)?
1: Hypercalcemia and hypomagnesemia2: Hyperkalemia and hyperphosphatemia3:
Hypernatremia and hypermagnesemia4: Hypocalcemia and hyperphosphatemia -
ANSWER2
A patient with acute respiratory distress syndrome (ARDS) receiving enteral nutrition will
benefit most from
1: supplemental arginine.2: formulas containing omega-6 fatty acids.3: formulas
containing omega-3 fatty acids.4: avoidance of overfeeding. - ANSWER4
Which of the following methods to determine energy expenditure incorporates body
surface area?
1: Harris-Benedict Equation2: Ireton-Jones Equation3: Mifflin-St. Jeor Equation4:
Swinamer Equation - ANSWER4
The clinical presentation of refeeding syndrome includes all of the following EXCEPT
1: respiratory failure.2: seizures.3: cardiac arrythmias.4: dehydration. - ANSWER4
The acute phase response has what effect on serum iron and ferritin levels?
1: Increases serum iron levels and increases serum ferritin levels2: Increases serum
iron levels and decreases serum ferritin levels3: Decreases serum iron levels and
decreases serum ferritin levels4: Decreases serum iron levels and increases serum
ferritin levels - ANSWER4
Which of the following interventions may assist with the appropriate placement of a
nasogastric feeding tube in an alert patient?
1: Administer IV metoclopramide2: Keep patient NPO during insertion3: Have the
patient flex his head slightly forward4: Place the patient supine for tube insertion -
ANSWER3
Which of the following is associated with adaptation to starvation?
1: Increased glycogenesis2: Increased lipid oxidation3: Decreased gluconeogenesis4:
Increased glucose oxidation - ANSWER2
Which of the following medications is most likely to contribute to hyponatremia in an
older adult?
1: Furosemide2: Digoxin3: Omeprazole4: Ciprofloxacin - ANSWER1
Which of the following describes an optimal method of preparing and administering
medications via an enteral feeding tube?
, 1: Crush tablets and add them directly into the enteral formula2: Administer liquid
formulations undiluted to minimize fluid overload3: Crush individual tablets and mix with
water prior to separate administration4: Add crushed tablets to liquid medications and
administer the mixture all together - ANSWER3
Which of the following children is at greatest risk for iron deficiency anemia?
1: 3 month-old term infant exclusively fed human milk2: 4 month corrected gestational
age, former preemie on a transitional formula3: 10 month-old switched from formula to
whole milk4: 17 month-old \"picky eater\" - ANSWER3
A 24-year-old, 10 week pregnant woman presented with persistent nausea and vomiting
for the past 6 weeks associated with a 10% weight loss. Her symptoms were refractory
to a 48 hour trial of anti-emetics and IV fluids. Given mother's nutritional status, decision
was made to initiate nutrition support. What vitamin should be supplemented in this
patient before providing nutrition support?
1: Vitamin B122: Thiamin3: Vitamin E4: Vitamin C - ANSWER2
What risk is associated with the abrupt cessation of a parenteral nutrition solution?
1: Hypokalemia2: Hypoglycemia3: Hypervolemia4: Hypomagnesemia - ANSWER2
Which of the following is not a common change in the body composition of healthy older
adults?
1: Increased body water2: Decreased bone mineral mass3: Decreased lean body
mass4: Redistributed fatty tissue - ANSWER1
When is it most appropriate to start PN infusion in a patient with a new central venous
catheter inserted at the bedside without fluoroscopy?
1: Immediately2: After auscultating for catheter tip placement3: After chest X-ray
confirms correct placement of catheter tip4: After ensuring there were no complications
with insertion - ANSWER3
Indirect calorimetry (IC) calculates
1: total energy expenditure.2: nitrogen balance.3: heat released from the subject.4:
resting energy expenditure. - ANSWER4
When administering multiple medications via enteral feeding tubes, medications should
be
1: administered separately, followed by a 15-30 mL water flush.2: mixed together in a
30 mL slurry and administered together.3: delivered in liquid form without water
flushes.4: mixed directly into the feeding formulations for administration. - ANSWER1
Which intervention assists with maintaining feeding tube patency in the adult patient?
1: Administer medications through feeding tube with 5 mL of water2: Use a 20mL or
smaller syringe to flush small-bore feeding tubes3: Flush feeding tube with 30 mL of
water every 4 hours during continuous feeding4: Change feeding tube every 72 hours -
ANSWER3
Question: 1Which of the following acute changes in the serum chemistry profile would
be expected in a patient who is experiencing tumor lysis syndrome(TLS)?
1: Hypercalcemia and hypomagnesemia2: Hyperkalemia and hyperphosphatemia3:
Hypernatremia and hypermagnesemia4: Hypocalcemia and hyperphosphatemia -
ANSWER2
A patient with acute respiratory distress syndrome (ARDS) receiving enteral nutrition will
benefit most from
1: supplemental arginine.2: formulas containing omega-6 fatty acids.3: formulas
containing omega-3 fatty acids.4: avoidance of overfeeding. - ANSWER4
Which of the following methods to determine energy expenditure incorporates body
surface area?
1: Harris-Benedict Equation2: Ireton-Jones Equation3: Mifflin-St. Jeor Equation4:
Swinamer Equation - ANSWER4
The clinical presentation of refeeding syndrome includes all of the following EXCEPT
1: respiratory failure.2: seizures.3: cardiac arrythmias.4: dehydration. - ANSWER4
The acute phase response has what effect on serum iron and ferritin levels?
1: Increases serum iron levels and increases serum ferritin levels2: Increases serum
iron levels and decreases serum ferritin levels3: Decreases serum iron levels and
decreases serum ferritin levels4: Decreases serum iron levels and increases serum
ferritin levels - ANSWER4
Which of the following interventions may assist with the appropriate placement of a
nasogastric feeding tube in an alert patient?
1: Administer IV metoclopramide2: Keep patient NPO during insertion3: Have the
patient flex his head slightly forward4: Place the patient supine for tube insertion -
ANSWER3
Which of the following is associated with adaptation to starvation?
1: Increased glycogenesis2: Increased lipid oxidation3: Decreased gluconeogenesis4:
Increased glucose oxidation - ANSWER2
Which of the following medications is most likely to contribute to hyponatremia in an
older adult?
1: Furosemide2: Digoxin3: Omeprazole4: Ciprofloxacin - ANSWER1
Which of the following describes an optimal method of preparing and administering
medications via an enteral feeding tube?
, 1: Crush tablets and add them directly into the enteral formula2: Administer liquid
formulations undiluted to minimize fluid overload3: Crush individual tablets and mix with
water prior to separate administration4: Add crushed tablets to liquid medications and
administer the mixture all together - ANSWER3
Which of the following children is at greatest risk for iron deficiency anemia?
1: 3 month-old term infant exclusively fed human milk2: 4 month corrected gestational
age, former preemie on a transitional formula3: 10 month-old switched from formula to
whole milk4: 17 month-old \"picky eater\" - ANSWER3
A 24-year-old, 10 week pregnant woman presented with persistent nausea and vomiting
for the past 6 weeks associated with a 10% weight loss. Her symptoms were refractory
to a 48 hour trial of anti-emetics and IV fluids. Given mother's nutritional status, decision
was made to initiate nutrition support. What vitamin should be supplemented in this
patient before providing nutrition support?
1: Vitamin B122: Thiamin3: Vitamin E4: Vitamin C - ANSWER2
What risk is associated with the abrupt cessation of a parenteral nutrition solution?
1: Hypokalemia2: Hypoglycemia3: Hypervolemia4: Hypomagnesemia - ANSWER2
Which of the following is not a common change in the body composition of healthy older
adults?
1: Increased body water2: Decreased bone mineral mass3: Decreased lean body
mass4: Redistributed fatty tissue - ANSWER1
When is it most appropriate to start PN infusion in a patient with a new central venous
catheter inserted at the bedside without fluoroscopy?
1: Immediately2: After auscultating for catheter tip placement3: After chest X-ray
confirms correct placement of catheter tip4: After ensuring there were no complications
with insertion - ANSWER3
Indirect calorimetry (IC) calculates
1: total energy expenditure.2: nitrogen balance.3: heat released from the subject.4:
resting energy expenditure. - ANSWER4
When administering multiple medications via enteral feeding tubes, medications should
be
1: administered separately, followed by a 15-30 mL water flush.2: mixed together in a
30 mL slurry and administered together.3: delivered in liquid form without water
flushes.4: mixed directly into the feeding formulations for administration. - ANSWER1
Which intervention assists with maintaining feeding tube patency in the adult patient?
1: Administer medications through feeding tube with 5 mL of water2: Use a 20mL or
smaller syringe to flush small-bore feeding tubes3: Flush feeding tube with 30 mL of
water every 4 hours during continuous feeding4: Change feeding tube every 72 hours -
ANSWER3
