3/4/25, 7:56 PM D440 NUT 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!! Flashcard…
D440 NUT 2025 Actual exam (Testing Real Exam
Questions)and verified Answers ( 100% accurate)
GET IT RIGHT!!
Save
Terms in this set (101)
- assess pt for clinical manesfestations of fluid and
Role of RN (Registered electrolyte disturbance
Nurse) -determine if ordered IV therapy is appropriate
- choose appropriate catheters/ infusion devices
-administer IV fluids and meds to stable pts
-adjust the flow rate for stable pts according to HCP
orders
Role of LPN/LVN
-Insert IV catheters
-monitor clinical manisfestations of adverse
reactions to IV fluids or meds
-Measure and record oral intake and output
Role of Unlicensed -report swelling or redness at the IV site
Assistive Personnel (UAP) -report pt complaints of discomfort at IV site to the
RN
-MNT will depend on pt nutrition status when they
arrive, the metabolic results of condition, the pt
ability to eat food
General Dietary -routine IV fluids are used to supply hydration needs
Management and electrolytes but CANT sustain energy and
nutrient balance. PT would need 10x the amount.
-for pt only recieving IV fluids, they should return to
regular eating and maintain as tolerated
used to evaluate fluid balance whereby intake and
intake and output (I&O)
output are measured and documented
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 1/47
,3/4/25, 7:56 PM D440 NUT 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!! Flashcard…
3 METHODS OF -regular, enteral, parenteral nutrition
NUTRITIONAL SUPPORT
Indications:
-impaired nutrient INGESTION (inadequate
eating/malnutrition)
-wasting
-GI is functioning
-allows gut preservation (the gut is functioning
normal and we want to prevent it from declining)
-prevents atrophy of the stomach
TYPES:
-NG TUBES: less than 4 weeks (ends in stomach)
-duodenal/jujenum (ends there)
-PEG and PEJ (nurse don't put this in) (long term)
Administration types: cyclic, intermittent, bolus,
continuous
enteral nutrition
Aspiration precautions: sit HOB 30-45 Degrees
before and after feedings
Immediate measures to take: NEX, make a mark
Verify placement via chest XR before administration
Conditions that require it:
-dysphasia, conditions preventing oral nutrition,
coma, hyperemesis gravidarum, severe anorexia
nervousa, malnutrition
Nurse considerations: s/s diarrhea, vomiting,
abdominal distention, overall gastric motility
-you can give meds through the NG and PEG tubes
you are going to crush them, make sure to flush with
water (document intake)
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 2/47
,3/4/25, 7:56 PM D440 NUT 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!! Flashcard…
administration of nutrients intravenously
TYPES: Peripheral (PICC into arm into vena cava..
some nurses can insert this) , central line
(TPN...inserted by surgeon)
Indications:
-GI incompetence
-critical illness
-last resort
Nurse considerations:
-If bag goes dry and need a refill, without pt special
prescribed formula, you will need to give 10- 20% of
Parenteral Nutrition Dextrose until it arrives to prevent a
HYPOGLYCEMIC CRISIS
-formula can consist of eggs for fat so need to do a
comprehensive allergy assessment just in case
they're allergic
-monitor their blood glucose
COMPLICATIONS:
-Pneumothorax.. still do chest XR
-air embolism
-aspiration- stop feeding when laying flat, raise the
HOB
-hyper/hypoglycemia
-infection r/t IV
LOOK AT CH 70 SAUNDERS
Ch 22 Williams textbook
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 3/47
, 3/4/25, 7:56 PM D440 NUT 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!! Flashcard…
a condition that makes it impossible for babies to
metabolize certain proteins
-S/S: CNS damage, mental retardation, decreased
melanin
PKU (phenylketonuria)
- formulas that are safe for an infant with PKU is:
lofenalac, phenex
-foods to avoid: high protein foods like meat, fish,
poultry, dairy, soy, legumes (dried beans), eggs, nuts
-S/S: 3 Ps: polydipsia, polyphasia, polyuria
-wt loss
-warm and dry skin
-dehydration (weak pulse, decreased skin turgor)
-fruity breath odor
Type 1 diabetes mellitus/
-diabetes caused by a total lack of insulin
DIABETES GENERAL
production; usually develops in childhood, and
patients require insulin replacement therapy to
control the disorder
-calorie count to consider
-they do have diet restrictions but they can eat like
normal
-low BG is when it drops below target level
S/S: nausea, dizziness, seizures if severe
-15 grams of fast-acting carbohydrates (simple
sugar)
-Repeat in 15 minutes if blood glucose is <60 mg/DL
or still symptomatic
15/15 rule -Follow with snack that contains complex
carbohydrates
FOODS:
-6-7 hard candies (life savers)
-8 oz of milk (15 g of carbs)
-4 oz of regular not DIET soda
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 4/47
D440 NUT 2025 Actual exam (Testing Real Exam
Questions)and verified Answers ( 100% accurate)
GET IT RIGHT!!
Save
Terms in this set (101)
- assess pt for clinical manesfestations of fluid and
Role of RN (Registered electrolyte disturbance
Nurse) -determine if ordered IV therapy is appropriate
- choose appropriate catheters/ infusion devices
-administer IV fluids and meds to stable pts
-adjust the flow rate for stable pts according to HCP
orders
Role of LPN/LVN
-Insert IV catheters
-monitor clinical manisfestations of adverse
reactions to IV fluids or meds
-Measure and record oral intake and output
Role of Unlicensed -report swelling or redness at the IV site
Assistive Personnel (UAP) -report pt complaints of discomfort at IV site to the
RN
-MNT will depend on pt nutrition status when they
arrive, the metabolic results of condition, the pt
ability to eat food
General Dietary -routine IV fluids are used to supply hydration needs
Management and electrolytes but CANT sustain energy and
nutrient balance. PT would need 10x the amount.
-for pt only recieving IV fluids, they should return to
regular eating and maintain as tolerated
used to evaluate fluid balance whereby intake and
intake and output (I&O)
output are measured and documented
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 1/47
,3/4/25, 7:56 PM D440 NUT 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!! Flashcard…
3 METHODS OF -regular, enteral, parenteral nutrition
NUTRITIONAL SUPPORT
Indications:
-impaired nutrient INGESTION (inadequate
eating/malnutrition)
-wasting
-GI is functioning
-allows gut preservation (the gut is functioning
normal and we want to prevent it from declining)
-prevents atrophy of the stomach
TYPES:
-NG TUBES: less than 4 weeks (ends in stomach)
-duodenal/jujenum (ends there)
-PEG and PEJ (nurse don't put this in) (long term)
Administration types: cyclic, intermittent, bolus,
continuous
enteral nutrition
Aspiration precautions: sit HOB 30-45 Degrees
before and after feedings
Immediate measures to take: NEX, make a mark
Verify placement via chest XR before administration
Conditions that require it:
-dysphasia, conditions preventing oral nutrition,
coma, hyperemesis gravidarum, severe anorexia
nervousa, malnutrition
Nurse considerations: s/s diarrhea, vomiting,
abdominal distention, overall gastric motility
-you can give meds through the NG and PEG tubes
you are going to crush them, make sure to flush with
water (document intake)
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 2/47
,3/4/25, 7:56 PM D440 NUT 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!! Flashcard…
administration of nutrients intravenously
TYPES: Peripheral (PICC into arm into vena cava..
some nurses can insert this) , central line
(TPN...inserted by surgeon)
Indications:
-GI incompetence
-critical illness
-last resort
Nurse considerations:
-If bag goes dry and need a refill, without pt special
prescribed formula, you will need to give 10- 20% of
Parenteral Nutrition Dextrose until it arrives to prevent a
HYPOGLYCEMIC CRISIS
-formula can consist of eggs for fat so need to do a
comprehensive allergy assessment just in case
they're allergic
-monitor their blood glucose
COMPLICATIONS:
-Pneumothorax.. still do chest XR
-air embolism
-aspiration- stop feeding when laying flat, raise the
HOB
-hyper/hypoglycemia
-infection r/t IV
LOOK AT CH 70 SAUNDERS
Ch 22 Williams textbook
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 3/47
, 3/4/25, 7:56 PM D440 NUT 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!! Flashcard…
a condition that makes it impossible for babies to
metabolize certain proteins
-S/S: CNS damage, mental retardation, decreased
melanin
PKU (phenylketonuria)
- formulas that are safe for an infant with PKU is:
lofenalac, phenex
-foods to avoid: high protein foods like meat, fish,
poultry, dairy, soy, legumes (dried beans), eggs, nuts
-S/S: 3 Ps: polydipsia, polyphasia, polyuria
-wt loss
-warm and dry skin
-dehydration (weak pulse, decreased skin turgor)
-fruity breath odor
Type 1 diabetes mellitus/
-diabetes caused by a total lack of insulin
DIABETES GENERAL
production; usually develops in childhood, and
patients require insulin replacement therapy to
control the disorder
-calorie count to consider
-they do have diet restrictions but they can eat like
normal
-low BG is when it drops below target level
S/S: nausea, dizziness, seizures if severe
-15 grams of fast-acting carbohydrates (simple
sugar)
-Repeat in 15 minutes if blood glucose is <60 mg/DL
or still symptomatic
15/15 rule -Follow with snack that contains complex
carbohydrates
FOODS:
-6-7 hard candies (life savers)
-8 oz of milk (15 g of carbs)
-4 oz of regular not DIET soda
https://quizlet.com/1013861287/d440-nut-2025-actual-exam-testing-real-exam-questionsand-verified-answers-100-accurate-get-it-right-flash-car… 4/47
