Certified Nutrition Support Clinician® (CNSC®) Tests Bundle Set

What is enteral nutrition? CORRECT ANSWER provision of nutrients into GI tract through tube or catheter when oral intake is inadequate (may include formulas as oral supplements or meal replacements) Small bowel motility returns before gastric or colonic motility; allows early enteral feeding W...

- Developed in the late 1960s - Major advancement in providing nutrition to patients with nonfunctioning GI tract - stimulated by the observation that nutritional status played an important role in how patients recovered post-operatively CORRECT ANSWER Development of Parenteral Nutrition Not fu...

Copper deficiency is associated with 1: leukocytosis. 2: macrocytic anemia. 3: microcytic hypochromic anemia. 4: erythrocytosis. CORRECT ANSWER 3: microcytic hypochromic anemia. Patients on long-term parenteral nutrition have developed anemia, leukopenia, neutropenia and skeletal abnormalit...

Which of the following children is at greatest risk for iron deficiency anemia? 1: 3 month-old term infant exclusively fed human milk 2: 4 month corrected gestational age, former preemie on a transitional formula 3: 10 month-old switched from formula to whole milk 4: 17 month-old "picky eater...

In an intensive care setting, which of the following complications associated with malnutrition is most likely to occur as a result of the failure to begin nutrition support early in the treatment regimen? CORRECT ANSWER Increased serum levels of protein-bound drugs Which of the following is the ...

NGT size CORRECT ANSWER 8 - 16 french 36 inches Nasoenteric tube size CORRECT ANSWER 8 - 12 french Duodenal: 43 inches Jejunal: 60 inches Gastrostomy tube size CORRECT ANSWER 12 - 28 french G-J tube size CORRECT ANSWER 6 - 12 french Most common complication s/p enterostomy tube placem...

First Line Therapy for Hyperkalemia CORRECT ANSWER calcium gluconate Total Body Water Composition CORRECT ANSWER 2/3 Intracellular, 1/3 Extracellular (1/4 intravascular, 3/4 Interstitial) % Body weight water (male/female) CORRECT ANSWER 60% Male/50% Female Respiratory Quotient Definition CO...

In an intensive care setting, which of the following complications associated with malnutrition is most likely to occur as a result of the failure to begin nutrition support early in the treatment regimen? CORRECT ANSWER Increased serum levels of protein-bound drugs Which of the following is the ...

Microcytic hypochromic anemia is a result of a deficiency in... CORRECT ANSWER Iron or Copper Macrocytic anemia results from a deficiency of... CORRECT ANSWER B12 or Folate Consequences of long-term parenteral nutrition CORRECT ANSWER Anemia Leukopenia Neutropenia Skeletal abnormalities ...

most significant challenge evidenced based practice faces CORRECT ANSWER time constraints do not allow clinicians to effectively search for evidence affordable care act of 2010 CORRECT ANSWER government legislation which mandated the creation of national quality strategy food and drug act of 1...

Half life of albumin and pre-albumin CORRECT ANSWER Albumin: 14-20 days Prealbumin: 2-3 days List negative acute phase proteins CORRECT ANSWER Prealbumin Albumin Transferrin Retinol-binding protein (decreased in inflammation) List positive acute-phase proteins CORRECT ANSWER Cytokines ...

D5W (5% dextrose) CORRECT ANSWER Dextrose - 50 Sodium - 0 Chloride - 0 Tonicity - Hypotonic Free water - 1000 0.45% NaCl (1/2 NS) CORRECT ANSWER Dextrose - 0 Sodium - 77 Chloride - 77 Tonicity - Hypotonic Free water - 500 0.9% NaCl (normal saline) CORRECT ANSWER Dextrose - 0 Sodium ...

What effect does fiber have on GI transit time? a. Dietary fiber results in delayed gastric emptying b. The effects of fiber in the upper GI tract do not differ from the effects of fiber in the colon c. Fiber in the distal ileum increases gastric emptying d. Consumption of insoluble fiber and ...

EN major benefits CORRECT ANSWER -maintains functional integrity of gut -nutrients undergo first pass metabolism which helps promote efficient nutrient utilization -presence of nutrients in small intestine maintains normal gallbladder function (reduces risk of cholecystitis) -helps prevent bacte...

Once the Enteral formula is opened, how long may it be stored in a refrigerator? a. up to 24 hours b. up to 36 hours c. up to 48 hours d. up to 72 hours CORRECT ANSWER c. up to 48 hours Which of the following is not an accepted means for estimating daily fluid requirements in enterall...

xCurrent recommendations regarding safe administration of lipid injectable emulsion (ILE) include CORRECT ANSWER 1: ILE hang time up to 24 hours when included as part of a total nutrient admixture (TNA). 2: ILE hang time up to 24 hours when administered as an infusion separate from PN (2 in 1 PN). ...

Which of the following is true regarding complications associated with enteral feedings? a. bacterial contamination may originate from the patient's throat, lung, and stomach b. length of enteral product hang time is not correlated with bacterial contamination c. open systems typically hav...

Spironolactone CORRECT ANSWER Potassium sparing diuretic. Treatment for hyperaldosteronism. Can cause increased serum potassium, hyponatremia, hypermagnesemia. Propanolol CORRECT ANSWER Beta-blocker, can cause hyperkalemia. Kayexalate CORRECT ANSWER Given in the presence of hyperkalemia. Binds...

Which of the following children is at greatest risk for iron deficiency anemia? 1: 3 month-old term infant exclusively fed human milk 2: 4 month corrected gestational age, former preemie on a transitional formula 3: 10 month-old switched from formula to whole milk 4: 17 month-old "picky ea...

An 85 year old nursing home resident was transferred to the hospital with anorexia, malnutrition, and probable aspiration pneumonia. On admission, his WBC was 14K, creatinine was 1.3. Which of the following nutrition plans would be most appropriate for this patient? a. start the patient on a regu...

What amount of retinol is equivalent to 24mcg of beta-carotene from food? A) 2mcg; B) 4mcg; C)2mg; D) 1mg CORRECT ANSWER A) 2mcg. One mcg retinol has the vitamin A activity of 12mcg beta-carotene Which of the following nutrients does NOT engage in conversion of homocysteine to methionine? A) Chol...

Which of the following additives has the greatest risk over time of destabilizing the intravenous fat emulsion (IVFE) in a total nutrient admixture (TNA)? a. sodium chloride b. calcium acetate c. iron dextran d. potassium phosphate CORRECT ANSWER c. iron dextran Which of the following ...

Which of the following is at greatest risk for iron deficiency anemia? a. 4-month old exclusively breast fed tern infant b. 4 month corrected gestational age, former preemie on transitional formula c. 10 month-old switched from formula to whole milk d. 17 month old picky eater CORRECT AN...

a prego pt is admitted with hyperemesis gravidarium. What is an indication for TPN? CORRECT ANSWER Intolerance of EN trial and supportive care Rapid administration of IV kphos can lead to CORRECT ANSWER thrombophlebitis What is the MC complication of PN? CORRECT ANSWER hyperglycemia What ad...

What is the largest component of total energy expenditure (TEE)? CORRECT ANSWER RMR What is the most commonly used method for assessing energy expenditure? CORRECT ANSWER Predictive equations Which parameter is measured when using indirect calorimetry? CORRECT ANSWER Gas exchange You are de...