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NTR 604 ASPEN EXAM QUESTIONS WITH COMPLETE ANSWERS
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NTR 604 ASPEN EXAM QUESTIONS WITH COMPLETE ANSWERS
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NTR 604 ASPEN EXAM QUESTIONSWITH COMPLETE ANSWERS
The strategy of restricted fluid intake may decrease the number of days that patients
may require mechanical ventilation for which disease? - Answer-ARDS
What should not be supplemented via EN to patients in pulmonary failure? - Answer-
glutamine may potentially harm patients with pulmonary failure
What is true about the mechanisms that promote weight loss and malnutrition in
patients with cancer? - Answer-Tumor-induced altered metabolism has been associated
with increased energy expenditure
Inadequate nutriente intake and increased cytokine production can lead to weight loss
Some cancer patients demonstrate increased glucose turnover compared with non-
tumor bearing patients with simple starvation
EN is appropriate for which of the following cancer patients? - Answer-A moderately
malnourished patient with head and neck caner and dysphagia.
*not indicated for patients who aren't malnourished or do not have a functioning GI Tract
What is true regarding a patient newly diagnosed with pancreatic cancer awaiting
chemotherapy? - Answer-A NTR Assessment should be preformed
*remember EN nor PN is indicated in patients undergoing treatment unless they are
malnourished
What metabolic alteration is most commonly observed in Acute Kidney Injury? -
Answer-Metabolic acidosis- develops from organic and inorganic acid accumulation.
serum potassium concentrations increase as obligate renal clearance is reduced
What parenteral amino acid preparation is most appropriate for a dialysis dependent
patient with renal failure. - Answer-mixtures of essential and nonessential amino acids
since both are lost via dialysis. ability to synthesize nonessential amino acids is reduced
in patients with acute renal insufficiency
What is a measurement of body iron stores? - Answer-ferritin- a serum protein that
binds iron and serves as a reliable indicator of total iron stores
What percentage of instilled dextrose is typically absorbed from the peritoneal dialysate
with 6 hour dwell time? - Answer-approx. 75-80% is absorbed. this dextrose is a
significant source of energy
, Which of the following is a contraindication for organ transplantation? - Answer-A
significant active infection such as pneumonia is likely to worsen after transplantation
after immunosuppression is initiated
Which immunosuppressive agent is nephrotoxic and can cause hyperkalemia,
hypomagnesemia, and hyperglycemia? - Answer-Tacrolimus
Which best describes nutrient requirements during acute post transplant phase? -
Answer-Moderate energy high protein.
moderate energy is indicated unless sepsis occurs
What should be apart of the Nutrition Care Plan for a patient during and acute rejection
episode that is being treated with high dose corticosteroids? - Answer-Provide
increased amounts of dietary protein and monitor for signs of hyperglycemia
Corticosteroids accelerate the rate of protein catabolism therefore adequate protein
needs to provided.
What is most strongly correlated with improved mortality in TBI? - Answer-Early
initiation of nutrition
Which mediations are commonly used in TBI and associated with reduction in
measured energy expenditure? - Answer-Propranolol
Pentobarbital
Rocuronium
Metabolic changes during SCIs depend on the level of cord injury and the extent of the
injuries. Which of the following statements is true? - Answer-Energy expenditure
following SCI has been repeatedly reported to be almost 48% lower than following TBI.
Generally 20-23kcal/kg
Modified BMI of 18 to 22 is considered healthy
What is the best currently known nutrition intervention to minimize negative outcomes
associated with sarcopenia - Answer-Protein adequacy is the most important nutrition
related factor in preserving lean body mass
What is a reasonable justification to initiate enteral nutrition in an individual with
advanced dementia? - Answer-A specific and limited goal
What nutrition support intervention has demonstrated the best outcome in frail,
community-dwelling older adults in post operative orthopedic surgery populations? -
Answer-Oral nutritional supplements have demonstrated the best outcome
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