Page 1 of 119
NTR 604 MIDTERM & final EXAM ALL 480
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
NTR 604 Midterm
The ASPEN Critical Illness Guideline states that enteral nutrition should be initiated within
________________ hrs of injury or admission and the feedings advanced to goal over the next
_____________________ hrs.
A. 12-24 hrs; 24-48 hrs
B. 24-48 hrs; 48-72 hrs
C. 48-72 hrs; 48-72 hrs
D. 48-72 hrs; 24-48 hrs
B
Diarrhea in critically ill patients is always a result of enteral nutrition (EN). True or False
False
Which of the following techniques is NOT recommended to reduce aspiration in tube fed
patients?
A. Monitor for dysphagia.
B. Elevate HOB (head of bed) to 30-45 degrees.
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, Page 2 of 119
C. Administer a hypertonic formula.
D. Check for abdominal distention every 4 hours.
C
A patient is admitted to the medical intensive care unit (ICU) for sepsis and now requires the
use of continuous intravenous (IV) insulin infusion for hyperglycemia management. What is
the appropriate target glucose range for this patient?
A. 115 - 135 mg/dl
B. 140 - 180 mg/dl
C. 80 - 110 mg/dl
D. 185 - 210 mg/dl
B
The definition of chronic disease-related malnutrition refers to patients with which of the
following condition descriptors?
A. Acute illness (e.g. GI bleed in a patient with alcoholism)
B. Low grade inflammatory states (e.g. rheumatoid arthritis or sarcopenic obesity)
C. Weight loss related to persistently poor access to food
D. High grade inflammatory states (e.g. adult respiratory distress syndrome)
B
2
, Page 3 of 119
A positive acute phase reactant that is useful in detecting the presence of active
inflammation is:
A. Cholesterol
B. Prealbumin
C. Albumin
D. C reactive protein
D
Which of the following electrolyte derangements is commonly seen in a patient with a high
output nasogastric tube?
A. Hypochloremia and hyperkalemia
B. Hyperchloremia and hyperkalemia
C. Hyperchloremia and hypokalemia
D. Hypochloremia and hypokalemia
C
One of the best validated screening indicators for malnutrition risk is what?
A. Patient reports a nonvolitional weight loss of 10% of usual body weight.
B. Patient is 2 days status post laparoscopic cholecystectomy.
C. Patient reports following a low-carbohydrate weight loss diet.
D. Patient reports a recent flu-like febrile illness.
A
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, Page 4 of 119
A 55-year old critically ill patient has been tolerating a standard 1 kcal/ml feeding formula
well over the past week. She begins having frequent bouts of loose stools. What should be
the clinician's next suggestion?
A. Add pre and probiotics
B. Change to a fiber-supplemented formula
C. Determine the cause of the diarrhea
D. Change to a peptide-based formula
C
Q; Which of the following methods is used most commonly to obtain placement for long-term
enteral nutrition support?
A. Gastrostomy
B. Orogastric
C. Nasogastric
D. Jejunostomy
A
Which of the following actions is most appropriate for improving gastric emptying during
enteral feeding?
A. Change from bolus to continuous feeding.
B. Switch to an enteral formulation with a higher protein content.
4
NTR 604 MIDTERM & final EXAM ALL 480
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
NTR 604 Midterm
The ASPEN Critical Illness Guideline states that enteral nutrition should be initiated within
________________ hrs of injury or admission and the feedings advanced to goal over the next
_____________________ hrs.
A. 12-24 hrs; 24-48 hrs
B. 24-48 hrs; 48-72 hrs
C. 48-72 hrs; 48-72 hrs
D. 48-72 hrs; 24-48 hrs
B
Diarrhea in critically ill patients is always a result of enteral nutrition (EN). True or False
False
Which of the following techniques is NOT recommended to reduce aspiration in tube fed
patients?
A. Monitor for dysphagia.
B. Elevate HOB (head of bed) to 30-45 degrees.
1
, Page 2 of 119
C. Administer a hypertonic formula.
D. Check for abdominal distention every 4 hours.
C
A patient is admitted to the medical intensive care unit (ICU) for sepsis and now requires the
use of continuous intravenous (IV) insulin infusion for hyperglycemia management. What is
the appropriate target glucose range for this patient?
A. 115 - 135 mg/dl
B. 140 - 180 mg/dl
C. 80 - 110 mg/dl
D. 185 - 210 mg/dl
B
The definition of chronic disease-related malnutrition refers to patients with which of the
following condition descriptors?
A. Acute illness (e.g. GI bleed in a patient with alcoholism)
B. Low grade inflammatory states (e.g. rheumatoid arthritis or sarcopenic obesity)
C. Weight loss related to persistently poor access to food
D. High grade inflammatory states (e.g. adult respiratory distress syndrome)
B
2
, Page 3 of 119
A positive acute phase reactant that is useful in detecting the presence of active
inflammation is:
A. Cholesterol
B. Prealbumin
C. Albumin
D. C reactive protein
D
Which of the following electrolyte derangements is commonly seen in a patient with a high
output nasogastric tube?
A. Hypochloremia and hyperkalemia
B. Hyperchloremia and hyperkalemia
C. Hyperchloremia and hypokalemia
D. Hypochloremia and hypokalemia
C
One of the best validated screening indicators for malnutrition risk is what?
A. Patient reports a nonvolitional weight loss of 10% of usual body weight.
B. Patient is 2 days status post laparoscopic cholecystectomy.
C. Patient reports following a low-carbohydrate weight loss diet.
D. Patient reports a recent flu-like febrile illness.
A
3
, Page 4 of 119
A 55-year old critically ill patient has been tolerating a standard 1 kcal/ml feeding formula
well over the past week. She begins having frequent bouts of loose stools. What should be
the clinician's next suggestion?
A. Add pre and probiotics
B. Change to a fiber-supplemented formula
C. Determine the cause of the diarrhea
D. Change to a peptide-based formula
C
Q; Which of the following methods is used most commonly to obtain placement for long-term
enteral nutrition support?
A. Gastrostomy
B. Orogastric
C. Nasogastric
D. Jejunostomy
A
Which of the following actions is most appropriate for improving gastric emptying during
enteral feeding?
A. Change from bolus to continuous feeding.
B. Switch to an enteral formulation with a higher protein content.
4
