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Nutritional Support Quiz

Total questions: 20

Worksheet time: 7mins

Name
Class
Date
1.

A patient who has difficulty swallowing and is unable to eat normally due to a stroke requires nutritional support. Which of the following methods of nutrition should be considered first?

a)

Total parenteral nutrition (TPN)

b)

Enteral nutrition via a nasogastric (NG) tube

c)

Oral supplementation with protein drinks

d)

Intravenous glucose infusion

2.

A patient is recovering from major surgery and is unable to tolerate oral intake for an extended period. The healthcare team decides to initiate nutritional support via a feeding tube. What is the most common type of enteral nutrition for short-term use?

a)

Gastrostomy tube

b)

Nasogastric (NG) tube

c)

Percutaneous endoscopic gastrostomy (PEG) tube

d)

Jejunostomy tube

3.

A patient with severe gastrointestinal dysfunction is unable to use their digestive system. They are ordered parenteral nutrition. Which of the following is the primary method for providing parenteral nutrition?

a)

Intravenous (IV) infusion of amino acids and lipids

b)

Enteral feeding through a nasogastric tube

c)

Nasal feeding using a special catheter

d)

Oral intake of clear liquids

4.

A patient who has undergone a major abdominal surgery is unable to tolerate enteral nutrition. The doctor recommends parenteral nutrition. What is the key concern when administering parenteral nutrition?

a)

Risk of aspiration

b)

Risk of infection from catheter insertion

c)

Need for a feeding tube placement

d)

Lack of absorption of fat-soluble vitamins

5.

A patient has been diagnosed with pancreatitis and cannot digest food through the gastrointestinal tract. The doctor recommends using enteral nutrition via a jejunostomy tube. What is the primary reason for this choice?

a)

Jejunostomy tubes are easier to place

b)

It allows bypassing the stomach to reduce stimulation

c)

It is the most cost-effective method

d)

It provides a longer duration of use than a nasogastric tube

6.

A critically ill patient requires total parenteral nutrition (TPN) to meet their nutritional needs. Which of the following complications is the most common when administering TPN?

a)

Hyperglycemia

b)

Electrolyte imbalance

c)

Pneumothorax

d)

Infection at the catheter site

7.

A patient with an ileus and severe malnutrition needs nutritional support. What is the best choice for short-term nutritional therapy?

a)

TPN through a central line

b)

NG tube for enteral feeding

c)

TPN via a peripheral IV

d)

Oral high-calorie supplements

8.

A patient undergoing chemotherapy is experiencing severe nausea and vomiting and is unable to take food by mouth. The doctor orders enteral nutrition. What is the best choice for the method of delivery?

a)

Nasogastric (NG) tube

b)

Total parenteral nutrition (TPN)

c)

Jejunostomy tube

d)

Intravenous glucose infusion

9.

A patient has a functional but non-working gastrointestinal system due to an intestinal obstruction. What form of nutritional support is most appropriate for this patient?

a)

Enteral feeding through a nasogastric tube

b)

Total parenteral nutrition (TPN) via central venous access

c)

Intravenous hydration only

d)

Oral feeding with fiber-rich foods

10.

A patient has been on enteral nutrition via an NG tube for a few days and begins to experience signs of aspiration pneumonia. What is the most appropriate next step?

a)

Switch to parenteral nutrition

b)

Elevate the head of the bed and change the feeding regimen

c)

Continue NG feeding at the same rate

d)

Increase the calorie content of the enteral formula

11.

A patient is admitted with severe malnutrition and gastrointestinal dysfunction that prevents any oral intake. The healthcare provider suggests a long-term feeding tube placement. What type of enteral nutrition is most suitable for long-term use?

a)

Nasogastric (NG) tube

b)

Jejunostomy tube

c)

Percutaneous endoscopic gastrostomy (PEG) tube

d)

Nasoduodenal tube

12.

A patient requires total parenteral nutrition (TPN) due to severe short bowel syndrome. The doctor orders TPN through a central venous catheter. What is the primary reason for using a central line in this case?

a)

It prevents the patient from needing surgery

b)

It allows for the infusion of a larger volume of nutrition

c)

It prevents complications related to fluid retention

d)

It enables long-term use of TPN

13.

A patient is receiving parenteral nutrition and is experiencing an increase in blood glucose levels. Which of the following should be considered for management?

a)

Increase the rate of lipid infusion

b)

Decrease the rate of glucose infusion

c)

Start oral glucose supplements

d)

Change the parenteral nutrition formula to a lower-protein one

14.

A patient who has undergone bariatric surgery requires enteral nutrition due to difficulty consuming sufficient calories. Which of the following enteral feeding methods would be most appropriate for this patient?

a)

Nasogastric (NG) tube

b)

Percutaneous endoscopic gastrostomy (PEG) tube

c)

Total parenteral nutrition (TPN)

d)

Intravenous lipid infusion

15.

A patient with severe burns requires nutritional support. Which of the following methods would provide the best nutritional support while avoiding complications from gastrointestinal motility issues?

a)

Total parenteral nutrition (TPN)

b)

Jejunostomy tube feeding

c)

Nasogastric tube feeding

d)

Oral high-protein supplements

16.

A patient on enteral nutrition through an NG tube is experiencing significant discomfort and has been unable to tolerate the formula. What is the first action the nurse should take?

a)

Increase the flow rate of the formula

b)

Switch to parenteral nutrition

c)

Check the tube placement and assess for complications

d)

Add more fiber to the formula

17.

A patient with liver cirrhosis is receiving parenteral nutrition. Which of the following is a key nutritional concern for this patient?

a)

High blood sugar levels

b)

Risk of hyperlipidemia

c)

High sodium retention

d)

Risk of vitamin and mineral deficiencies

18.

A critically ill patient is receiving TPN through a central venous catheter. The nurse notices redness and swelling around the catheter insertion site. What is the most likely cause of this complication?

a)

Allergic reaction to the parenteral nutrition formula

b)

Infection at the catheter site

c)

Accidental dislodgement of the catheter

d)

Increased osmolarity of the TPN solution

19.

A patient with a short-term need for enteral nutrition requires feeding via a nasogastric tube. The healthcare provider recommends continuous feeding at a slow rate. What is the most important reason for using continuous feeding in this patient?

a)

To prevent aspiration risk

b)

To allow for higher volumes of formula

c)

To ensure the patient receives a high-calorie intake

d)

To prevent overfeeding and gastrointestinal discomfort

20.

A patient with diabetes requires parenteral nutrition. Which component of the parenteral nutrition formula needs close monitoring to avoid complications?

a)

Carbohydrate content

b)

Protein content

c)

Sodium content

d)

Vitamin content