TEST B ANK INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITIO N WITH CORRECT QUESTIO N AND ANSWER S 2024 -2025 PASS A+ 5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcontinuousflowtubefeeding.Th
enurseknowsthatthisapproachwaschosenbecause: - correct answerc. theintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwavesCorrect answer6.Ap atientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenursewouldcarryoutwhichi
nterventiontominimizeaspirationrisk? - correct answerElevatetheheadofthebed30degrees.Correct answer7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mLofmi lkygreenfluid.Thisis
aconcernbecausethismostlikelydemonstratesthatthepatienthas: - correct answerd. tube feeding intolerance.Correct answer8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygreenliquid.Thenurseholdst
hetubefeeding,whichhadbeeni nfusingat100mL/hr.Thenurseknowsthatthenextactionshouldbe: - correct answerd. recheck the residual in 2hoursCorrect answer9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingintolerance? - correct answera. Abdominal distentionCorrect answer1 0.Approximately5daysafterstartingtubefeedings,apatientdevelopsextremediarrhea.Astoolspecim
eniscollectedtocheckforwhichpossiblecause? - correct answera. Clostridium difficileCorrect answer11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestu dentnurselistedpossibleint
erventionsforthispatient.Whichinterventionneedscorrectionbeforefinalizingtheplanofcare? - correct answerb. Infuseantibioticsthroughtheintravenousline.Correct answer12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodte stasthemostsensitiveindic
atorofproteinsynthesisandcatabolism? - correct answerc. PrealbuminCorrect answer13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug -
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingdrug -
nutrien treactions? - correct answerd. PhenytoinCorrect answer14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)tract? - correct answerd. Without nutritional stimulation, mucosal villi atrophy.Correct answer15.An important nutritional consideratio n in the elderly population is: - correct answerc. potential for drug -nutrient interaction related to polypharmacy.Correct answer16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclude: - correct answerd. weight loss, elevated glucose, and de hydrationCorrect answer17.In trauma patients ,enteral nutrition via nasogastric tube feedings into the small bowel is best initiated within what time frame following the injury? - correct answera. 24hoursCorrect answer18.Apatientwithahistoryofemphysema,dia betes,andhyperlipidemiaisinthecriticalcareunitonaventi
lator.Thenutritionassessmentnotesthatthepatienthasaproteinandvitamindeficiencyandisunderweight.Whi
chformulafornutritionalassessmentismostappropriate? - correct answerb. Fiber -addedformulaCorrect answer1 9.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferredsourceofnutritionaltherap
y - correct answerd. Gut mucosa is preserved.Correct answer20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofprotein? - correct answerb. The patient with ileitisCorrect answer21.Thebestnursingapproachtopreventfeedingtubeobstructionis: - correct answerb. flushthetubeevery4hourswith20to30mLoftapwater.Correct answer22.Patientsexperiencingseverephysiologicalstressincreasetheirnutritionalrequirementsto: - correct answerc. 35kcal/kg/dayCorrect answer23.Malnutritioncontributestoinfectionriskby - correct answerb. impairing immune functionCorrect answer24.Apatient,whohasatubefeeding,requiresachestx -
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenur se: - correct answerd. stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograph.Correct answer1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Selectallthatapply.) - correct answera. Assessingfluidvolumestatusandpreventinginfectionareimportantnursingconsiderations.b. Fingerstickglucoselevelsareassessedevery6hoursandprn. d. Totalparenteralnutrition,withaddedlipids,providesadequatelevelsofprotein,carbohydrates,andfats.Correc
t answer2.Whichintervention(s)is(are)criticalduringintravenouslipidadministration?(Selectallthatapply). - correct answerb. Changethetubingevery24hours. d. Monitortriglyceridelevels.Correct answer3.Calorie -densefeedings:(Selectallthatapply.) - correct answera. are most useful in heart failure and liver disease.Correct answer4.Risksoftotalparenteralnutritioninclude:(Selectallthatapply.) - correct answerb. elevatedbloodsugar. c. infectionatthecathetersite. d. volumeoverload.Correct answer5.Whichofthefollowingstatementsistrueaboutinsulinandparenteralnutrition?(Selectallthatapply.) - correct answera. Amountofparenteralinsulinisadjustedbasedontheprevious24 -hourlaboratoryvalues. b. Insulinmaybeaddedtoaparenteralnutritionsolution. c. Subcutaneousinsulinisusedonaslidingscaleduringparenteralnutrition.Correct answerThecorrectorderofactionsforapatientstartingenteralnutritionwithafeedingtubeis:__ - correct answerA.Initiatetubefeeding. B.Insertfeedingtube. C.Flushtubetoverifypatency. D.Ob tainchestradiograph. E.Assessresiduals. ANS: B,D,C,A,ECorrect answer1.Apatienthascoronaryarterybypassgraftsurgeryandistransportedtothesurgicalintensivecareunitat
noon.Heisplacedonmechanicalventilation.Interprethisinitialarterialbloodgaslevels: pH7.31 PaCO248mmHg Bicarbonate22mEq/L PaO2115mmHg O2saturation99% - correct answerd. Uncompensated respiratory acidosis; hyperoxygenatedCorrect answer2.Thephysicianordersthefollowingmechanicalventilationsettingsforapatientwhoweighs75kg.Thepa
tientsspontaneousrespiratoryrateis22breaths/min.Whatarterialbloodgasabnormalitymayoccurifthepatien
tcontinuestobetachypneicattheseventila torsettings? Settings: Tidalvolume:600mL(8mLperkg)
enurseknowsthatthisapproachwaschosenbecause: - correct answerc. theintestinalmucosanormallyreceivesnutrientsfromthestomachinperistalticwavesCorrect answer6.Ap atientisbeingfedthroughanasogastrictubeplacedinhisstomach.Thenursewouldcarryoutwhichi
nterventiontominimizeaspirationrisk? - correct answerElevatetheheadofthebed30degrees.Correct answer7.Apatientwhoisreceivingcontinuousenteralfeedingshasjustvomited250mLofmi lkygreenfluid.Thisis
aconcernbecausethismostlikelydemonstratesthatthepatienthas: - correct answerd. tube feeding intolerance.Correct answer8.Apatientisreceivingenteralfeedingsandhasjustvomited250mLofmilkygreenliquid.Thenurseholdst
hetubefeeding,whichhadbeeni nfusingat100mL/hr.Thenurseknowsthatthenextactionshouldbe: - correct answerd. recheck the residual in 2hoursCorrect answer9.Inadditiontoresidualstomachvolume,whatotherevidencesuggestsfeedingintolerance? - correct answera. Abdominal distentionCorrect answer1 0.Approximately5daysafterstartingtubefeedings,apatientdevelopsextremediarrhea.Astoolspecim
eniscollectedtocheckforwhichpossiblecause? - correct answera. Clostridium difficileCorrect answer11.Apatientwithacutepancreatitisisstartedonparenteralnutrition.Thestu dentnurselistedpossibleint
erventionsforthispatient.Whichinterventionneedscorrectionbeforefinalizingtheplanofcare? - correct answerb. Infuseantibioticsthroughtheintravenousline.Correct answer12.Inevaluatingapatientsnutrition,thenursewouldmonitorwhichbloodte stasthemostsensitiveindic
atorofproteinsynthesisandcatabolism? - correct answerc. PrealbuminCorrect answer13.Apatientisreceivingenteraltubefeedingsandhasdevelopeddrug -
nutrientinteractions.Thenurserecognizeswhichdrugashavingthepotentialforcausingdrug -
nutrien treactions? - correct answerd. PhenytoinCorrect answer14.Whichstatementistrueaboutnormalfunctionofthegastrointestinal(GI)tract? - correct answerd. Without nutritional stimulation, mucosal villi atrophy.Correct answer15.An important nutritional consideratio n in the elderly population is: - correct answerc. potential for drug -nutrient interaction related to polypharmacy.Correct answer16.Objectivedatadesignatingthatthenutritiongoalsarenotbeingmetinclude: - correct answerd. weight loss, elevated glucose, and de hydrationCorrect answer17.In trauma patients ,enteral nutrition via nasogastric tube feedings into the small bowel is best initiated within what time frame following the injury? - correct answera. 24hoursCorrect answer18.Apatientwithahistoryofemphysema,dia betes,andhyperlipidemiaisinthecriticalcareunitonaventi
lator.Thenutritionassessmentnotesthatthepatienthasaproteinandvitamindeficiencyandisunderweight.Whi
chformulafornutritionalassessmentismostappropriate? - correct answerb. Fiber -addedformulaCorrect answer1 9.Selectthephysiologicalreasoningbehindenteraltherapyasthepreferredsourceofnutritionaltherap
y - correct answerd. Gut mucosa is preserved.Correct answer20.Thenurseidentifieswhichpatientatgreatestriskformalabsorptionofprotein? - correct answerb. The patient with ileitisCorrect answer21.Thebestnursingapproachtopreventfeedingtubeobstructionis: - correct answerb. flushthetubeevery4hourswith20to30mLoftapwater.Correct answer22.Patientsexperiencingseverephysiologicalstressincreasetheirnutritionalrequirementsto: - correct answerc. 35kcal/kg/dayCorrect answer23.Malnutritioncontributestoinfectionriskby - correct answerb. impairing immune functionCorrect answer24.Apatient,whohasatubefeeding,requiresachestx -
raystudyforevaluationofacough.Toreducetheriskofaspiration,thenur se: - correct answerd. stopsfeedings10to15minutesbeforeplacingflattoobtaintheradiograph.Correct answer1.Whichstatement(s)abouttotalparenteralnutritionis(are)true?(Selectallthatapply.) - correct answera. Assessingfluidvolumestatusandpreventinginfectionareimportantnursingconsiderations.b. Fingerstickglucoselevelsareassessedevery6hoursandprn. d. Totalparenteralnutrition,withaddedlipids,providesadequatelevelsofprotein,carbohydrates,andfats.Correc
t answer2.Whichintervention(s)is(are)criticalduringintravenouslipidadministration?(Selectallthatapply). - correct answerb. Changethetubingevery24hours. d. Monitortriglyceridelevels.Correct answer3.Calorie -densefeedings:(Selectallthatapply.) - correct answera. are most useful in heart failure and liver disease.Correct answer4.Risksoftotalparenteralnutritioninclude:(Selectallthatapply.) - correct answerb. elevatedbloodsugar. c. infectionatthecathetersite. d. volumeoverload.Correct answer5.Whichofthefollowingstatementsistrueaboutinsulinandparenteralnutrition?(Selectallthatapply.) - correct answera. Amountofparenteralinsulinisadjustedbasedontheprevious24 -hourlaboratoryvalues. b. Insulinmaybeaddedtoaparenteralnutritionsolution. c. Subcutaneousinsulinisusedonaslidingscaleduringparenteralnutrition.Correct answerThecorrectorderofactionsforapatientstartingenteralnutritionwithafeedingtubeis:__ - correct answerA.Initiatetubefeeding. B.Insertfeedingtube. C.Flushtubetoverifypatency. D.Ob tainchestradiograph. E.Assessresiduals. ANS: B,D,C,A,ECorrect answer1.Apatienthascoronaryarterybypassgraftsurgeryandistransportedtothesurgicalintensivecareunitat
noon.Heisplacedonmechanicalventilation.Interprethisinitialarterialbloodgaslevels: pH7.31 PaCO248mmHg Bicarbonate22mEq/L PaO2115mmHg O2saturation99% - correct answerd. Uncompensated respiratory acidosis; hyperoxygenatedCorrect answer2.Thephysicianordersthefollowingmechanicalventilationsettingsforapatientwhoweighs75kg.Thepa
tientsspontaneousrespiratoryrateis22breaths/min.Whatarterialbloodgasabnormalitymayoccurifthepatien
tcontinuestobetachypneicattheseventila torsettings? Settings: Tidalvolume:600mL(8mLperkg)
