CNSC Exam Review IIA – Complete Question Bank
with Verified Detailed Answers (100% Correct, A+
Graded Study Guide)
Introduction:
This document provides a comprehensive review for the Certified
Nutrition Support Clinician (CNSC) Exam – Section IIA, featuring
verified and detailed multiple-choice questions with correct answers
and explanations. It thoroughly covers clinical nutrition topics such
as parenteral and enteral nutrition, metabolic responses to critical
illness, renal and hepatic nutrition therapy, and ethical aspects of
artificial nutrition and hydration. Ideal for dietitians, nutrition
support specialists, and healthcare professionals preparing for the
CNSC certification exam.
Exam Questions and Answers
A 24-year-old woman is in the 10th week of her pregnancy. She has
persistent nausea and vomiting for the past 6 weeks that has been
associated with a 10% weight loss. Her nausea and vomiting is
refractory to a 48 hour trial of anti-emetics and IV fluids. The
decision to provide nutritional support is made to minimize further
deterioration of the mother's nutritional status and possible
negative effects on the fetus. What vitamin should be supplemented
in this patient before providing nutrition support?
1: B12
2: Thiamin
,3: Vitamin E
4: Vitamin C --- correct answer ---2: Thiamin
A 24-year-old woman is in the 10th week of her pregnancy. She has
persistent nausea and vomiting for the past 6 weeks that has been
associated with a 10% weight loss. Her nausea and vomiting is
refractory to a 48 hour trial of anti-emetics and IV fluids. The
decision to provide nutritional support is made to minimize further
deterioration of the mother's nutritional status and possible
negative effects on the fetus. What is the most appropriate initial
nutrition therapy to implement?
1: Peripheral parenteral nutrition
2: Enteral nutrition via nasoenteric feeding tube
3: Total parenteral nutrition
4: Continue supportive care and reassess in 48 hours --- correct
answer ---2: Enteral nutrition via nasoenteric feeding tube
A 14-year-old with a 4-month history of intentional weight loss of
15% of her usual weight and a BMI less than the 5th percentile is
diagnosed with anorexia nervosa. She is admitted to the hospital
for medical stabilization and is unwilling to consume enough food
to meet her nutritional needs. A 24-hour calorie count reveals that
the patient is consuming a very restricted diet averaging 850
,calories daily. Which of the following is the most appropriate
nutrition intervention at this time?
1: Peripheral parenteral nutrition
2: High calorie diet with a calorie count
3: Structured meal plan with supplemental enteral feedings
4: Total parenteral nutrition --- correct answer ---3: Structured
meal plan with supplemental enteral feedings
A critically ill hyperglycemic patient receiving continuous enteral
nutrition with a history of insulin dependent diabetes should ideally
be placed on
1: basal/bolus subcutaneous insulin.
2: oral glucose-lowering agents given via the feeding tube.
3: continuous IV insulin infusion.
4: correction (sliding scale) subcutaneous insulin. --- correct
answer ---In the critical care setting, continuous intravenous
insulin infusion has been shown to be the best method for achieving
glycemic targets and allows for off cycles during the 24-hour period
when enteral feeding is held or discontinued.
, Human immunodeficiency virus (HIV) associated lipodystrophy
syndrome is most commonly associated with which of the following
class of agents used to treat HIV infection
1: integrase strand transfer inhibitors (INSTIs).
2: non-nucleoside reverse transcriptase inhibitors (NNRTIs).
3: nucleoside reverse transcriptase inhibitors (NRTIs).
4: protease inhibitors (PIs). --- correct answer ---3: nucleoside
reverse transcriptase inhibitors (NRTIs).
What is the most appropriate feeding strategy for a morbidly obese
trauma patient?
1: High protein, hypocaloric feeding
2: High protein, hypercaloric feeding
3: Low protein, hypocaloric feeding
4: Low protein, hypercaloric feeding --- correct answer ---1: High
protein, hypocaloric feeding
Zinc supplementation should be provided to patients:
1: with chronic wounds.
2: with unexplained skin rashes and alopecia.
with Verified Detailed Answers (100% Correct, A+
Graded Study Guide)
Introduction:
This document provides a comprehensive review for the Certified
Nutrition Support Clinician (CNSC) Exam – Section IIA, featuring
verified and detailed multiple-choice questions with correct answers
and explanations. It thoroughly covers clinical nutrition topics such
as parenteral and enteral nutrition, metabolic responses to critical
illness, renal and hepatic nutrition therapy, and ethical aspects of
artificial nutrition and hydration. Ideal for dietitians, nutrition
support specialists, and healthcare professionals preparing for the
CNSC certification exam.
Exam Questions and Answers
A 24-year-old woman is in the 10th week of her pregnancy. She has
persistent nausea and vomiting for the past 6 weeks that has been
associated with a 10% weight loss. Her nausea and vomiting is
refractory to a 48 hour trial of anti-emetics and IV fluids. The
decision to provide nutritional support is made to minimize further
deterioration of the mother's nutritional status and possible
negative effects on the fetus. What vitamin should be supplemented
in this patient before providing nutrition support?
1: B12
2: Thiamin
,3: Vitamin E
4: Vitamin C --- correct answer ---2: Thiamin
A 24-year-old woman is in the 10th week of her pregnancy. She has
persistent nausea and vomiting for the past 6 weeks that has been
associated with a 10% weight loss. Her nausea and vomiting is
refractory to a 48 hour trial of anti-emetics and IV fluids. The
decision to provide nutritional support is made to minimize further
deterioration of the mother's nutritional status and possible
negative effects on the fetus. What is the most appropriate initial
nutrition therapy to implement?
1: Peripheral parenteral nutrition
2: Enteral nutrition via nasoenteric feeding tube
3: Total parenteral nutrition
4: Continue supportive care and reassess in 48 hours --- correct
answer ---2: Enteral nutrition via nasoenteric feeding tube
A 14-year-old with a 4-month history of intentional weight loss of
15% of her usual weight and a BMI less than the 5th percentile is
diagnosed with anorexia nervosa. She is admitted to the hospital
for medical stabilization and is unwilling to consume enough food
to meet her nutritional needs. A 24-hour calorie count reveals that
the patient is consuming a very restricted diet averaging 850
,calories daily. Which of the following is the most appropriate
nutrition intervention at this time?
1: Peripheral parenteral nutrition
2: High calorie diet with a calorie count
3: Structured meal plan with supplemental enteral feedings
4: Total parenteral nutrition --- correct answer ---3: Structured
meal plan with supplemental enteral feedings
A critically ill hyperglycemic patient receiving continuous enteral
nutrition with a history of insulin dependent diabetes should ideally
be placed on
1: basal/bolus subcutaneous insulin.
2: oral glucose-lowering agents given via the feeding tube.
3: continuous IV insulin infusion.
4: correction (sliding scale) subcutaneous insulin. --- correct
answer ---In the critical care setting, continuous intravenous
insulin infusion has been shown to be the best method for achieving
glycemic targets and allows for off cycles during the 24-hour period
when enteral feeding is held or discontinued.
, Human immunodeficiency virus (HIV) associated lipodystrophy
syndrome is most commonly associated with which of the following
class of agents used to treat HIV infection
1: integrase strand transfer inhibitors (INSTIs).
2: non-nucleoside reverse transcriptase inhibitors (NNRTIs).
3: nucleoside reverse transcriptase inhibitors (NRTIs).
4: protease inhibitors (PIs). --- correct answer ---3: nucleoside
reverse transcriptase inhibitors (NRTIs).
What is the most appropriate feeding strategy for a morbidly obese
trauma patient?
1: High protein, hypocaloric feeding
2: High protein, hypercaloric feeding
3: Low protein, hypocaloric feeding
4: Low protein, hypercaloric feeding --- correct answer ---1: High
protein, hypocaloric feeding
Zinc supplementation should be provided to patients:
1: with chronic wounds.
2: with unexplained skin rashes and alopecia.
