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NTR 604 EN/PN, Malnutrition Exam Questions with Complete Answers
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NTR 604 EN/PN, Malnutrition Exam Questions with Complete Answers
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NTR 604 EN/PN, Malnutrition ExamQuestions with Complete Answers
Albumin is neither sensitive to, nor specific for, acute protein malnutrition or the
response to nutrition therapy. The lifetime time of albumin is approximately 21 days.
During a critical illness, factors that alter serum albumin include the following: The
acute-phase response, hydration, disease state, clinical condition, and leakage of
albumin from intravascular to extravascular spaces. - Answer-True
A male patient is admitted to the ICU with pneumonia and the following signs and
symptoms: prealbumin 8.0 (normal 16-40 mg/dl), BMI 18, past medical history indicated
extensive bowel resection 6 months previously as a result of cancer diagnosis with
extremely poor intake over the past 2 weeks. Usual body weight 195 lb (before
resection), current weight 172. The most appropriate nutrition diagnosis would be: -
Answer-Malnutrition
If a nutrition risk is identified and inflammation is not present, what type of malnutrition is
being experienced? - Answer-starvation-related malnutrition
If a nutrition risk is identified and inflammation is present to a mild to moderate degree,
what type of malnutrition is being experienced? - Answer-chronic disease-related
malnutrition
What if there is a marked inflammatory response? - Answer-acute disease or injury-
related malnutrition
list the ASPEN/AND diagnostic criteria of adult malnutrition (6) - Answer-insufficient
energy intake
weight loss
decreased muscle mass
decreased body fat
fluid accumulation
decreased grip strength
if someone has acute illness/energy, what would be evidence that they are dealing with
non-severe/moderate malnutrition?
what about severe? - Answer-<75% of EER for >7days
</equal to 50% EER for >7 days
if someone has chronic illness, what would be evidence that they are dealing with non-
severe/moderate malnutrition?
, what about severe? - Answer-</equal to 75% of EER for >/equal to 1 month
same as above
if someone has social/environmental, what would be evidence that they are dealing with
non-severe/moderate malnutrition?
what about severe? - Answer-<75% of EER for >/equal to 3 months
</equal to 50% of EER for >/equal to 1 month
All patients who are defined as malnourished by ASPEN/AND criteria suffer from an
inflammatory response. - Answer-false
The definition of chronic disease-related malnutrition refers to patients with which of the
following condition descriptors?
A. High grade inflammatory states (e.g. adult respiratory distress syndrome)
B. Low grade inflammatory states (e.g. rheumatoid arthritis or sarcopenic obesity)
C. Weight loss related to persistently poor access to food
D. Acute illness (e.g. GI bleed in a patient with alcoholism) - Answer-B. Low grade
inflammatory states (e.g. rheumatoid arthritis or sarcopenic obesity)
One of the best validated screening indicators for malnutrition risk is what?
A. Patient is 2 days status post laparoscopic cholecystectomy.
B. Patient reports a nonvolitional weight loss of 10% of usual body weight.
C. Patient reports a recent flu-like febrile illness.
D. Patient reports following a low-carbohydrate weight loss diet. - Answer-B. Patient
reports a nonvolitional weight loss of 10% of usual body weight.
Which of the following approaches to enteral feeding would you recommend for a
ventilator dependent, critically ill patient with delayed gastric emptying?
A. Change to intermittent feeding schedule
B. Change to an elemental formula
C. Use continuous tubefeeding, consider prokinetic medication
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