BSN 445 Week 3 Sherpath ACTUAL UPDATED QUESTIONS AND CORRECT
ANSWERS
1. A patient in the critical care unit is experiencing stress Liver
and malnutrition and requires a significant amount of
glucose to be released into the bloodstream. Which
organ would the nurse expect to provide this glucose?
Lungs
Intestines
Pancreas
Liver
2. In which way are proteins responsible for preservation Development of antibodies
of immune function within the body?
Development of antibodies
Production of albumin
Regulation of blood neutrality
Transportation of albumin
3. Which change would the nurse expect to see in the Breakdown of fatty acids
body during a period of metabolic stress?
Decreased production of glucose
Increased production of insulin
Breakdown of fatty acids
Excretion of triglycerides
,4. Which patient is at the highest risk for malnutrition? Food insecurity, takes five medications for cystic fibrosis
Food insecurity, takes five medications for cystic
fibrosis
History of hypertension requiring a low-salt diet
Admitted to critical care 3 days ago after a motor
vehicle accident
History of chronic obstructive pulmonary disorder
5. Which assessment findings would the nurse expect to Conjunctival dryness
find in a patient with a Vitamin A deficiency? Select all Follicular hyperkeratosis
that apply. One, some, or all responses may be correct.
Dry, scaly skin
Conjunctival dryness
Petechiae
Follicular hyperkeratosis
Confabulation
Dry, scaly skin
6. The dietician would like to determine a patient’s Indirect calorimetry
nutritional requirements. Which method would be most
accurate? Indirect calorimetry is the most accurate method for determining caloric needs.
Harris-Benedict formula Formulas only provide estimates.
Ireton-Jones calculation
Indirect calorimetry
Frankenfield equation
7. Which intervention best prevents nutrition-related Early enteral nutritional
septic complications in critically ill patients?
Early enteral nutritional
Malnutrition assessment
Indirect calorimetry
Volume resuscitation
8. Which hormone is released during a hypermetabolic Epinephrine
state? Select all that apply. One, some, or all responses Glucagon
may be correct. Adrenocorticotropic hormone
Cortisol
Epinephrine Aldosterone
Glucagon
Adrenocorticotropic hormone
Cortisol
Aldosterone
9. Which assessment finding would the nurse expect to Energy intake < 75% of requirement for > 1 month
find in a patient with severe malnutrition in the context of Measurably reduced grip strength
chronic illness? Select all that apply. One, some, or all
responses may be correct.
Energy intake < 75% of requirement for > 1 month
Mild body fat loss
Moderate fluid accumulation
6% weight loss over 3 months
Measurably reduced grip strength
, 10. When evaluating a patient for response to nutrition Patient dietary preferences
support, the nurse will exclude which type of
assessment?
Patient dietary preferences
Anthropometric measurements
Biochemical evaluation
Physical examination
11. Which laboratory value will assist the nurse with Blood urea nitrogen
evaluating a patient’s adequacy of renal function to Creatinine
handle nutrition support? Select all that apply. One,
some, or all responses may be correct.
Blood urea nitrogen
Serum levels of electrolyte
Blood glucose
Creatinine
Serum triglyceride concentration
12. Which practical challenge is associated with Ability to providing well-controlled nutrition interventions in research trials
developing an evidence base for clinical nutrition
practice?
Simplicity of variables on meaningful nutrition
outcomes
Overabundance of high-quality evidence to support
recommendations
Similarities that naturally occur in the patient
population
Ability to providing well-controlled nutrition
interventions in research trials
1. Which clinical manifestation indicates that dumping Tachycardia
syndrome is occurring? Select all that apply. One, some, Weakness
or all responses may be correct. Abdominal cramping
Constipation
Tachycardia
Weakness
Abdominal cramping
Altered mental status
2. Which action would the nurse take when preparing to Ensure adequate perfusion has been achieved.
begin enteral nutrition for a patient with hypovolemic
shock?
Ensure adequate perfusion has been achieved.
Obtain informed consent from the family.
Administer prokinetic agents.
Monitor gastric residual volume.
ANSWERS
1. A patient in the critical care unit is experiencing stress Liver
and malnutrition and requires a significant amount of
glucose to be released into the bloodstream. Which
organ would the nurse expect to provide this glucose?
Lungs
Intestines
Pancreas
Liver
2. In which way are proteins responsible for preservation Development of antibodies
of immune function within the body?
Development of antibodies
Production of albumin
Regulation of blood neutrality
Transportation of albumin
3. Which change would the nurse expect to see in the Breakdown of fatty acids
body during a period of metabolic stress?
Decreased production of glucose
Increased production of insulin
Breakdown of fatty acids
Excretion of triglycerides
,4. Which patient is at the highest risk for malnutrition? Food insecurity, takes five medications for cystic fibrosis
Food insecurity, takes five medications for cystic
fibrosis
History of hypertension requiring a low-salt diet
Admitted to critical care 3 days ago after a motor
vehicle accident
History of chronic obstructive pulmonary disorder
5. Which assessment findings would the nurse expect to Conjunctival dryness
find in a patient with a Vitamin A deficiency? Select all Follicular hyperkeratosis
that apply. One, some, or all responses may be correct.
Dry, scaly skin
Conjunctival dryness
Petechiae
Follicular hyperkeratosis
Confabulation
Dry, scaly skin
6. The dietician would like to determine a patient’s Indirect calorimetry
nutritional requirements. Which method would be most
accurate? Indirect calorimetry is the most accurate method for determining caloric needs.
Harris-Benedict formula Formulas only provide estimates.
Ireton-Jones calculation
Indirect calorimetry
Frankenfield equation
7. Which intervention best prevents nutrition-related Early enteral nutritional
septic complications in critically ill patients?
Early enteral nutritional
Malnutrition assessment
Indirect calorimetry
Volume resuscitation
8. Which hormone is released during a hypermetabolic Epinephrine
state? Select all that apply. One, some, or all responses Glucagon
may be correct. Adrenocorticotropic hormone
Cortisol
Epinephrine Aldosterone
Glucagon
Adrenocorticotropic hormone
Cortisol
Aldosterone
9. Which assessment finding would the nurse expect to Energy intake < 75% of requirement for > 1 month
find in a patient with severe malnutrition in the context of Measurably reduced grip strength
chronic illness? Select all that apply. One, some, or all
responses may be correct.
Energy intake < 75% of requirement for > 1 month
Mild body fat loss
Moderate fluid accumulation
6% weight loss over 3 months
Measurably reduced grip strength
, 10. When evaluating a patient for response to nutrition Patient dietary preferences
support, the nurse will exclude which type of
assessment?
Patient dietary preferences
Anthropometric measurements
Biochemical evaluation
Physical examination
11. Which laboratory value will assist the nurse with Blood urea nitrogen
evaluating a patient’s adequacy of renal function to Creatinine
handle nutrition support? Select all that apply. One,
some, or all responses may be correct.
Blood urea nitrogen
Serum levels of electrolyte
Blood glucose
Creatinine
Serum triglyceride concentration
12. Which practical challenge is associated with Ability to providing well-controlled nutrition interventions in research trials
developing an evidence base for clinical nutrition
practice?
Simplicity of variables on meaningful nutrition
outcomes
Overabundance of high-quality evidence to support
recommendations
Similarities that naturally occur in the patient
population
Ability to providing well-controlled nutrition
interventions in research trials
1. Which clinical manifestation indicates that dumping Tachycardia
syndrome is occurring? Select all that apply. One, some, Weakness
or all responses may be correct. Abdominal cramping
Constipation
Tachycardia
Weakness
Abdominal cramping
Altered mental status
2. Which action would the nurse take when preparing to Ensure adequate perfusion has been achieved.
begin enteral nutrition for a patient with hypovolemic
shock?
Ensure adequate perfusion has been achieved.
Obtain informed consent from the family.
Administer prokinetic agents.
Monitor gastric residual volume.
