www.stuvia.com/user/BRAINSCAPE1
PHRM 864 Exam 3 Exam Questions
and Answers A+ Graded (2025)
dry weight = ___ weight = ___ weight - CORRECT ANSWER-admit
actual
IBW male equation - CORRECT ANSWER-50kg + (2.3 x # of in over 60)
IBW female equation - CORRECT ANSWER-45kg + (2.3 x # of in over 60)
nutrition body weight (NBW) equation - CORRECT ANSWER-IBW + 0.25(wt-IBW)
When is NBW used? - CORRECT ANSWER-if ABW is *greater than or equal to
130%* of IBW
when should all hospitalized patients be screened for nutrition risk? - CORRECT
ANSWER-within 48 hours
Nutrition Screening - CORRECT ANSWER-NUTRIC
Nutritional Risk Score (NRS-2002)
NUTRIC high risk score - CORRECT ANSWER-6-10 (or 5-9)
NUTRIC low risk score - CORRECT ANSWER-0-5 (or 0-4)
Calorie Requirements: Non-stressed/non-depleted - CORRECT ANSWER-20-25
*kcal*/kg/day
Calorie Requirements: Trauma/Stress/Surgery/Burns - CORRECT ANSWER-25-30
*kcal*/kg/day
, www.stuvia.com/user/BRAINSCAPE1
Indirect calorimetry provides energy expenditure (REE/RQ) at - CORRECT
ANSWER-one point in time
Total energy expenditure (TEE) equation - CORRECT ANSWER-TEE= REE x 1.2
RQ equation - CORRECT ANSWER-VCO2/VO2
RQ goal - CORRECT ANSWER-0.85-0.95
monitored weekly
Components of Nutritional Assessment - CORRECT ANSWER-risk factors for
malnutrition
patient h/o
anthropometrics
classifications of malnutrition
nitrogen balance
Components of Nutritional Assessment: Risk factors for Malnutrition - CORRECT
ANSWER-underweight (20% < IBW)
*NPO > 7 days*
alcohol/substance abuse
*involuntary weight loss > 10% in 6 months*
gut malfunction
mechanical ventialtion
Components of Nutritional Assessment: Patient h/o - CORRECT ANSWER-dietary
(wt., vomit, conditions, etc)
medical (PMH or surgical)
meds
Components of Nutritional Assessment: Anthropometrics - CORRECT ANSWER-
protein and muscle status
How is protein and muscle status measured? - CORRECT ANSWER-transthyretin
(prealbumin)
transthyretin (prealbumin) goal - CORRECT ANSWER-15-40 mg/dL
, www.stuvia.com/user/BRAINSCAPE1
What assess the accuracy of prealbumin? What is the desired goal? - CORRECT
ANSWER-C-reactive protein (CRP)
want to be < 1 mg/dL
inflammation causes __ prealbumin and ___ CRP - CORRECT ANSWER-
decreased
increased
malnutrition causes __ prealbumin and ___ CRP - CORRECT ANSWER-decreased
normal
Components of Nutritional Assessment: Classifications of Malnutrition -
CORRECT ANSWER-protein-calorie malnutrion (Marasmus)
protein malnutrion (kwashiorkor)
mixed
Components of Nutritional Assessment: Classifications of Malnutrition- Protein-
Calorie Malnutrition (Marasmus) - CORRECT ANSWER-decreased *total* intake
*wasting* of skeletal muscle and SQ fat
need vit B + supplements
Components of Nutritional Assessment: Classifications of Malnutrition- Protein
Malnutrition (Kwashiorkor) - CORRECT ANSWER-*normal* calorie level and
*decreased* protein
trauma/burn pts
give carbs and proteins
Components of Nutritional Assessment: Classifications of Malnutrition- Mixed -
CORRECT ANSWER-decrease protein
poor wound healing
immunocompromised
Components of Nutritional Assessment: Nitrogen Balance and goal - CORRECT
ANSWER-measurement of urea N (UUN)
goal *+3 to +5*
, www.stuvia.com/user/BRAINSCAPE1
Nitrogen Balance formula - CORRECT ANSWER-(24h protein intake *g*/6.25) -
(24hr UUN + 4g)
Protein Requirements: Maintenance - CORRECT ANSWER-0.8-1 g/kg/day
Protein Requirements: Mild to Mod. Stress - CORRECT ANSWER-1-1.5 g/kg/day
Protein Requirements: Mod. to Severe (ICU, trauma, etc.) - CORRECT ANSWER-
1.5-2 g/kg/day
Non-protein Calorie (NPC) Distribution - CORRECT ANSWER-70% (dextrose)/30%
(fat)
100/0 possibly for sepsis or blood infections
Parenteral Nutrition - CORRECT ANSWER-process of supplying nutrients via IV
delivery
Parenteral Nutrition Indications - CORRECT ANSWER-NPO course > 7 days
ileus
bowel resection
malabsorptive
intractable vomiting/diarrhea
fistula
IBD
hypermesis gravidum
bone marrow transplant
Parenteral Nutrition Routes of Administration - CORRECT ANSWER-peripheral
central
Parenteral Nutrition Routes of Administration: Peripheral - CORRECT ANSWER-
final dextrose conc should be < 900 mOsm/L
hypertonic solutions
1 g protein = ___ kcal - CORRECT ANSWER-4
1 g dextrose = ____ kcal - CORRECT ANSWER-3.4
PHRM 864 Exam 3 Exam Questions
and Answers A+ Graded (2025)
dry weight = ___ weight = ___ weight - CORRECT ANSWER-admit
actual
IBW male equation - CORRECT ANSWER-50kg + (2.3 x # of in over 60)
IBW female equation - CORRECT ANSWER-45kg + (2.3 x # of in over 60)
nutrition body weight (NBW) equation - CORRECT ANSWER-IBW + 0.25(wt-IBW)
When is NBW used? - CORRECT ANSWER-if ABW is *greater than or equal to
130%* of IBW
when should all hospitalized patients be screened for nutrition risk? - CORRECT
ANSWER-within 48 hours
Nutrition Screening - CORRECT ANSWER-NUTRIC
Nutritional Risk Score (NRS-2002)
NUTRIC high risk score - CORRECT ANSWER-6-10 (or 5-9)
NUTRIC low risk score - CORRECT ANSWER-0-5 (or 0-4)
Calorie Requirements: Non-stressed/non-depleted - CORRECT ANSWER-20-25
*kcal*/kg/day
Calorie Requirements: Trauma/Stress/Surgery/Burns - CORRECT ANSWER-25-30
*kcal*/kg/day
, www.stuvia.com/user/BRAINSCAPE1
Indirect calorimetry provides energy expenditure (REE/RQ) at - CORRECT
ANSWER-one point in time
Total energy expenditure (TEE) equation - CORRECT ANSWER-TEE= REE x 1.2
RQ equation - CORRECT ANSWER-VCO2/VO2
RQ goal - CORRECT ANSWER-0.85-0.95
monitored weekly
Components of Nutritional Assessment - CORRECT ANSWER-risk factors for
malnutrition
patient h/o
anthropometrics
classifications of malnutrition
nitrogen balance
Components of Nutritional Assessment: Risk factors for Malnutrition - CORRECT
ANSWER-underweight (20% < IBW)
*NPO > 7 days*
alcohol/substance abuse
*involuntary weight loss > 10% in 6 months*
gut malfunction
mechanical ventialtion
Components of Nutritional Assessment: Patient h/o - CORRECT ANSWER-dietary
(wt., vomit, conditions, etc)
medical (PMH or surgical)
meds
Components of Nutritional Assessment: Anthropometrics - CORRECT ANSWER-
protein and muscle status
How is protein and muscle status measured? - CORRECT ANSWER-transthyretin
(prealbumin)
transthyretin (prealbumin) goal - CORRECT ANSWER-15-40 mg/dL
, www.stuvia.com/user/BRAINSCAPE1
What assess the accuracy of prealbumin? What is the desired goal? - CORRECT
ANSWER-C-reactive protein (CRP)
want to be < 1 mg/dL
inflammation causes __ prealbumin and ___ CRP - CORRECT ANSWER-
decreased
increased
malnutrition causes __ prealbumin and ___ CRP - CORRECT ANSWER-decreased
normal
Components of Nutritional Assessment: Classifications of Malnutrition -
CORRECT ANSWER-protein-calorie malnutrion (Marasmus)
protein malnutrion (kwashiorkor)
mixed
Components of Nutritional Assessment: Classifications of Malnutrition- Protein-
Calorie Malnutrition (Marasmus) - CORRECT ANSWER-decreased *total* intake
*wasting* of skeletal muscle and SQ fat
need vit B + supplements
Components of Nutritional Assessment: Classifications of Malnutrition- Protein
Malnutrition (Kwashiorkor) - CORRECT ANSWER-*normal* calorie level and
*decreased* protein
trauma/burn pts
give carbs and proteins
Components of Nutritional Assessment: Classifications of Malnutrition- Mixed -
CORRECT ANSWER-decrease protein
poor wound healing
immunocompromised
Components of Nutritional Assessment: Nitrogen Balance and goal - CORRECT
ANSWER-measurement of urea N (UUN)
goal *+3 to +5*
, www.stuvia.com/user/BRAINSCAPE1
Nitrogen Balance formula - CORRECT ANSWER-(24h protein intake *g*/6.25) -
(24hr UUN + 4g)
Protein Requirements: Maintenance - CORRECT ANSWER-0.8-1 g/kg/day
Protein Requirements: Mild to Mod. Stress - CORRECT ANSWER-1-1.5 g/kg/day
Protein Requirements: Mod. to Severe (ICU, trauma, etc.) - CORRECT ANSWER-
1.5-2 g/kg/day
Non-protein Calorie (NPC) Distribution - CORRECT ANSWER-70% (dextrose)/30%
(fat)
100/0 possibly for sepsis or blood infections
Parenteral Nutrition - CORRECT ANSWER-process of supplying nutrients via IV
delivery
Parenteral Nutrition Indications - CORRECT ANSWER-NPO course > 7 days
ileus
bowel resection
malabsorptive
intractable vomiting/diarrhea
fistula
IBD
hypermesis gravidum
bone marrow transplant
Parenteral Nutrition Routes of Administration - CORRECT ANSWER-peripheral
central
Parenteral Nutrition Routes of Administration: Peripheral - CORRECT ANSWER-
final dextrose conc should be < 900 mOsm/L
hypertonic solutions
1 g protein = ___ kcal - CORRECT ANSWER-4
1 g dextrose = ____ kcal - CORRECT ANSWER-3.4
