CNSC EXAM 2026 WITH 100% ACCURATE
ANSWERS
1. What is the primary purpose of the Plan/Do/Study/Act (PDSA) cycle?
benchmarking tool for standardizing days of TPN therapy to
compare institutions
quality improvement problem-solving model
medical nutrition protocol
tool for measuring hand grip strength among institutions
2. Which of the following enteral feeding schedules should be
recommended to patients and their families when preparing for home
enteral nutrition?
Schedule feedings outside of normal meal times
Schedule feedings during meal times
A schedule that allows for integration of feeding into the
patient’s and family’s lifestyle
3. What is the maximum glucose infusion rate (GIR) recommended for a
term infant on parenteral nutrition?
8-12 mg/kg/min
14-18 mg/kg/min
4-8 mg/kg/min
18-22 mg/kg/min
4. Which of the following best reflects the use of artificial nutrition and
hydration (ANH) in patients with a Do Not Resuscitate (DNR) status?
,The provision of ANH to a patient with a DNR status is based on
, individual state laws
ANH cannot be withheld or withdrawn in a patient with a DNR
order, even if all agree that ANH is no longer meeting the
desired goal
The DNR status is a contraindication to the provision of ANH
The DNR status should not preclude the initiation of ANH if the
indications exist
5. Discuss why iron deficiency is a concern for patients on long-term
parenteral nutrition.
Iron deficiency is a concern because parenteral nutrition may
not provide sufficient iron, leading to anemia and other
complications.
Iron deficiency is unrelated to parenteral nutrition.
Patients on parenteral nutrition do not require iron
supplementation.
Iron is always adequately supplied in parenteral nutrition, so
deficiency is not a concern.
6. Medicare approved indications for home parenteral nutrition (HPN)
include which of the following?
End-stage renal disease (ESRD)
Supplement to enteral nutrition
Delayed gastric emptying
Long-term loss of gastrointestinal function
7. Supplementation with which of the following nutrients is routinely
restricted during the early stages following hematopoietic stem cell
translation (HSCT)?
, Vit B12
Sodium
Folate
Iron
8. The Mini Nutritional Assessment has been validated for use in:
elderly populations
children
obese adults
hospitalized patient
9. Describe the components typically involved in the referral process to a
home infusion company for nutritional therapy.
The referral process is limited to equipment delivery and patient
support groups.
The referral process includes dietary consultations and patient
education only.
The referral process typically includes scheduling formula
delivery, adding equipment and supplies delivery, and infusion
nursing care.
The referral process involves only patient support groups and
nursing care.
10. If an infant on parenteral nutrition is receiving 0.4 g/kg/day of lipid
injectable emulsion, what adjustment should be made to meet the
minimum requirement to prevent essential fatty acid deficiency?
Increase to 1.1 g/kg/day
Decrease to 0.2 g/kg/day
ANSWERS
1. What is the primary purpose of the Plan/Do/Study/Act (PDSA) cycle?
benchmarking tool for standardizing days of TPN therapy to
compare institutions
quality improvement problem-solving model
medical nutrition protocol
tool for measuring hand grip strength among institutions
2. Which of the following enteral feeding schedules should be
recommended to patients and their families when preparing for home
enteral nutrition?
Schedule feedings outside of normal meal times
Schedule feedings during meal times
A schedule that allows for integration of feeding into the
patient’s and family’s lifestyle
3. What is the maximum glucose infusion rate (GIR) recommended for a
term infant on parenteral nutrition?
8-12 mg/kg/min
14-18 mg/kg/min
4-8 mg/kg/min
18-22 mg/kg/min
4. Which of the following best reflects the use of artificial nutrition and
hydration (ANH) in patients with a Do Not Resuscitate (DNR) status?
,The provision of ANH to a patient with a DNR status is based on
, individual state laws
ANH cannot be withheld or withdrawn in a patient with a DNR
order, even if all agree that ANH is no longer meeting the
desired goal
The DNR status is a contraindication to the provision of ANH
The DNR status should not preclude the initiation of ANH if the
indications exist
5. Discuss why iron deficiency is a concern for patients on long-term
parenteral nutrition.
Iron deficiency is a concern because parenteral nutrition may
not provide sufficient iron, leading to anemia and other
complications.
Iron deficiency is unrelated to parenteral nutrition.
Patients on parenteral nutrition do not require iron
supplementation.
Iron is always adequately supplied in parenteral nutrition, so
deficiency is not a concern.
6. Medicare approved indications for home parenteral nutrition (HPN)
include which of the following?
End-stage renal disease (ESRD)
Supplement to enteral nutrition
Delayed gastric emptying
Long-term loss of gastrointestinal function
7. Supplementation with which of the following nutrients is routinely
restricted during the early stages following hematopoietic stem cell
translation (HSCT)?
, Vit B12
Sodium
Folate
Iron
8. The Mini Nutritional Assessment has been validated for use in:
elderly populations
children
obese adults
hospitalized patient
9. Describe the components typically involved in the referral process to a
home infusion company for nutritional therapy.
The referral process is limited to equipment delivery and patient
support groups.
The referral process includes dietary consultations and patient
education only.
The referral process typically includes scheduling formula
delivery, adding equipment and supplies delivery, and infusion
nursing care.
The referral process involves only patient support groups and
nursing care.
10. If an infant on parenteral nutrition is receiving 0.4 g/kg/day of lipid
injectable emulsion, what adjustment should be made to meet the
minimum requirement to prevent essential fatty acid deficiency?
Increase to 1.1 g/kg/day
Decrease to 0.2 g/kg/day
