Critical Care
In critically ill patients, what is the recommended range for maintaining serum glucose?
a.120 to 150 mg/dl
b.150 to 200 mg/dl
c.80 to 110 mg/dl
d.140 to 180 mg/dl
d.140 to 180 mg/dl
How would a pressure ulcer be classified if it involves a partial-thickness skin loss involving the epidermis and dermis, presenting as an abrasion or shallow crater?
a.Stage 1
b.Stage 2
c.Stage 3
d.Stage 4
b.Stage 2
What is the preferred additive for thickening liquids?
a.Dry milk powder
b.Xanthan gum
c.Tapioca
d.Mashed potatoes
b.Xanthan gum
Which of the following is not true of pulse oximetry?
a.It gives information on lung volume.
b.It is a pulmonary function test.
c.It uses light waves to measure oxygen saturation of arterial blood.
d.It measures the ability of the respiratory system to exchange O2 and CO2.
a.It gives information on lung volume.
Low albumin in a critically ill patient is caused by
a.inadequate protein intake.
b.illness, injury, and inflammation.
c.inadequate calorie intake.
d.inadequate fluid intake.
b.illness, injury, and inflammation.
Which hormone promotes the synthesis of acute-phase proteins?
a.Glucagon
b.Cortisol
c.Epinephrine
d.ACTH
b.Cortisol
Which of the following can result from achlorhydria associated with aging?
a.Decreased calcium and nonheme iron absorption
b.Diminished absorption of vitamin B12
c.Decreased absorption of carbohydrates
d.Increased intestinal transit time
b.Diminished absorption of vitamin B12
Which of the following foods is easiest to swallow for patients experiencing difficulty swallowing?
a.Thin liquids
b.Room temperature cream soups
c.Lukewarm cooked cereals diluted with milk
d.Cool, soft textured foods with sauce or gravy
d.Cool, soft textured foods with sauce or gravy
What term refers to rapid breathing?
a.Dyspnea
b.Hemoptysis
c.Tachypnea
d.Aspiration
c.Tachypnea
In surgical patients, what factor is the strongest predictor of postoperative mortality?
a.Extent of the primary disease and operation performed
b.Nutritional status
c.BMI
d.Age
a.Extent of the primary disease and operation performed
The Omnibus Reconciliation Act (OBRA)
Select one:
a.is aimed at assisted living facilities.
b.pays for dietitian consults for those older than 65 years of age.
c.is reform legislation aimed at improving skilled nursing care.
d.is reform legislation aimed at congregate meal sites.
d.is reform legislation aimed at congregate meal sites.
Which of the following can occur with impaired swallowing?
a.Aspiration pneumonia
b.Hemiparesis
c.Dysgeusia
d.Demyelination
a.Aspiration pneumonia
What pulmonary condition is a common complication of critical illness?
a.Cor pulmonale
b.Emphysema
c.Pneumonia
d.Acute respiratory distress syndrome
d.Acute respiratory distress syndrome
The adequacy of energy and protein intake after burn injury is best evaluated by
a.monitoring weight.
b.using indirect calorimetry.
c.monitoring wound healing and graft take.
d.monitoring albumin level.
c.monitoring wound healing and graft take.
Nutrition screening using the BMI as an indicator
Select one:
a.is the best indicator for those 85 years of age and older.
b.may not be accurate because of body composition changes in elderly adults.
c.is better than using mid-arm muscle circumference.
d.is not part of the Mini Nutritional Assessment (MNA).
b.may not be accurate because of body composition changes in elderly adults.
Damage to which of the following cranial nerves will likely affect the ability to eat food?
a.Olfactory (I) nerve
b.Abducens (VI) nerve
c.Glossopharyngeal (IX) nerve
d.Vagus (X) nerve
c.Glossopharyngeal (IX) nerve
Question 1
Answer saved
Points out of 1.00
All of the following are specific issues with intubated patients receiving nutrition support except
a.hemodynamic instability
b.EN and mechanical ventilation cannot occur at the same time, so continuous feeding is compromised
c.many patients require high dose narcotics, paralytics, or sedatives which impair gastric motility
d.prone position may exacerbate EN tolerance
b.EN and mechanical ventilation cannot occur at the same time, so continuous feeding is compromised
What are interleukin-1, interleukin-6, and tumor necrosis factor examples of?
a.Catecholamines
b.Acute phase proteins
c.Cytokines
d.Antiinflammatory proteins
c.Cytokines
Which of the following statements about elderly adults is false?
a.Among the oldest old, there are more women than men.
b.More elderly men than women are married.
c.Most elderly live in nursing homes.
d.The life expectancy of older adults is greater than it was 100 years ago.
c.Most elderly live in nursing homes.
The Frazier free water protocol is used for patients with
a.Wernicke-Korsakoff syndrome.
b.brain trauma.
c.multiple sclerosis.
d.dysphagia.
d.dysphagia.
What is the effect of pulmonary disease on a patient’s energy requirements?
a.Decreased need for energy because of loss of lean body mass
b.Increased need for energy because of increased work of breathing
c.Decreased need for energy because of a lack of physical activity
d.Decreased need for energy because of starvation
b.Increased need for energy because of increased work of breathing
Which of the following theories of aging is an accumulated damage theory?
a.Rate of living theory
b.Pacemaker theory
c.Immune system theory
d.Cross-link theory
d.Cross-link theory