1.
When
should a tube feeding be recommended?
When a person
has an inadequate oral nutrient intake for 2 - 4 days.
When a person
has severe diarrhea.
When GI tract
works, but patient cannot meet nutrient needs orally.
When a person
has severe acute pancreatitis.
When a person has severe dysphagia.

2.
How
do enteral and parenteral nutrition differ?
Enteral is
administered via a vein; parenteral via the ilium.
Enteral is
administered via a blood vessel; parenteral via the mouth .
Parenteral
is administered via GI tract; enteral via a site outside the GI tract.
Enteral is
administered via the GI tract; parenteral via a site outside the GI
tract.
Enteral is administered via the stomach; parenteral via the small
intestine.

3 .
Which
of the following are contra-indications for tube feedings?
Hypomotility of the small intestine.
Functioning GI tract, but patient cannot meet nutritional needs orally.
Severe Dysphagia.
Low output GI fistulas.
Protein energy malnutrition.

4 .
When
is a tube feeding not warranted?
When the person is in shock.
When aggressive nutritional therapy is not appropriate.
When the person cannot meet nutritional needs orally.
When the person has severe dysphagia.
When the person
is comatose and has a functioning GI tract.
First and second selections only.

5.
What
is/are the location(s) for transnasal tube feedings?
Jejunum.
Duodenum.
Stomach.
Esophagus.
Ileum.
First three
selections.

6 .
When
should a feeding ostomy be considered?
When a tube can't be passed
through the nose.
When there is a blockage in the esophagus.
When long term tube feeding is required.
When short-term TF is required.
When a patient requests an ostomy.
First three
selections only.

7 .
What
is/are the location(s) for tube feeding ostomies?
Esophagus.
Jejunum.
Stomach.
Duodenum.
Ileum.
First three
selections.

8.
Complications
of a TF into the stomach include:
Regurgitation.
Aspiration pneumonia.
Ulcer.
Gastric atrophy.
Edema.
First two
selections only.

9.
Complications
of tube feedings into the intestines include:
Diarrhea.
Dehydration.
High blood pressure.
Constipation.
Jaundice.
First two
selections only.

10.
What diameter tube should be used for a tube feeding?
The smallest
diameter through which the formula barely moves.
The smallest
diameter through with the enteral formula freely flows.
A medium
diameter.
The largest possible diameter .

11.
What is/are the basic enteral formula type(s)?
Intact.
Modular.
Hydrolyzed.
Dehydrated.
Freeze-dried.
First three
selections.

12.
A
polymeric formula is used when the person cannot digest intact nutrients
adequately or when a small absorptive area is available
True.
False.

13.
A modular formula is used when the person has specific nutrient needs
that need to be individualized
True.
False.

14.
A monomeric formula is used when the person is able to digest and absorb
adequately
True.
False .

15.
Which of the following enteral formula has little residue?
Modular.
Hydrolyzed.
Polymeric.
Fiber supplemented.

16.
What are the benefits of enteral formulas with fiber?
Fiber provides
fuel to the cells of the colon lining.
Fiber helps
maintain normal bowel function.
Fiber prevents
clogging of a feeding tube.
Fiber aids in the absorption of minerals.
First twoselections.

17.
How many kcals/ml do most intact enteral formulas contain?
7 kcalories per mL.
5 kcalorie per mL.
2 kcalories per mL.
1 kcalorie per mL.
3 kcalories per mL.

18.
One milliliter is equal to . . .
10 cc.
5cc.
1 cc.
4cc.
100 cc.

19.
Which formula can be beneficial for trauma patients?
Fiber-containing
formulas.
Low protein
formulas.
Glutamine-supplemented
formulas.
Carbohydrate-controlled formulas.

20.
Which formula can be beneficial for patients with compromised pulmonary
function?
Fiber-containing
formulas.
Low protein
formulas.
Glutamine-supplemented
formulas.
Carbohydrate-controlled formulas .

21.
What is the approximate osmolality of body fluid?
500 mOsm.
400 mOsm.
100 mOsm.
300 mOsm.
200 mOsm.

22.
What is/are the potential side effect(s) of hypertonic enteral formulas?
Nausea.
Diarrhea.
Cramping.
Vomiting.
All of the above.

23.
How can side effects of hypertonic enteral formulas be prevented?
Concentrate
the enteral formula.
Dilute the
hypertonic enteral formula to prevent complications.
Stop the
tube feeding immediately.
Admister the hypertonic enteral formula slowly so GI tract can adapt.
First two
selections only.

24.
How do you determine calorie and protein needs for the TF patient?
Give more
calories and protein than a non-TF patient.
Give more
calories but less protein than a non-TF patient.
Give less
calories and protein than a non-TF patient.
Calculate the nutritional needs as you would for any other patient.

25.
What volume of a standard enteral formula would a patient requiring
2800 kilocalories need?
1000
mL.
2800 mL.
5600 mL.
6000 mL.
5300 mL.

26.
If the patient requires 100-120 g of protein/day and the enteral fromula
contains 44 g protein/L, will the patient meet the protein needs in
the required volume of formula?
Yes.
No.

27.
If the enteral formula contains 100% of RDA for vitamins and minerals
in 1500 ml formula, will this patient meet vitamin and mineral needs
in the required volume of formula?
Yes.
No .

28.
What is the fluid requirement for a patient whose UBW is 65 kg? (ml/kg
method)
1225 mL/d.
1275 mL/d.
2275 mL/d.
1257 mL/d.
3275 mL/d.

29.
How much additional water would a patient with UBW of 65 kg need, if
2400 ml of a standard formula (85% free water) were administered daily?
235 mL.
275 mL.
155 mL.
125 mL.

30.
What is the "obligatory fluid output"?
The minimum
urine output necessary to excrete wastes.
The maximum
urine output possible per day.
The maximum
urine output necessary to excrete wastes.
The minimum urine output possible per day.

31.
What is the RSL of 2000 ml of an enteral formula with 37.5g protein/L,
22mEq sodium/L, 26 mEq potassium/L, and 52 mEq chloride/L. (Assume formula
is for an adult.)
488 mOsm.
142.75 mOsm.
635 mOsm.
317.5 mOsm.

32.
What is the desired urine output of a person on the formula in question
#31?
214 - 428 mL.
1270 - 1587.5 mL.
635 mL.
952.5-1270 mL.

33.
What is/are the method/s of tube feeding administration?
Bolus.
Continuous drip.
Intermittent drip.
Permanent.
First two selections.

34.
How much formula can be given in one bolus feeding?
100 - 150
mL.
200 - 250
mL.
150 - 200
mL.
250 - 300 mL.

35.
What is residual volume and what is considered excessive residual volume?
Formula left
in the stomach; 20 - 50 ml is considered excessive.
Formula left
in the ilium; 50 ml is considered excessive.
Formula left
in the small intestine; > 100 - 150 ml is considered excessive.
Formula left in the stomach; > 100 - 150 ml is considered excessive.

36.
Tube feeding should be started at_______mL/h, then gradually increased
by_______mL/h every 8-12 h as tolerated until final volume is reached.
50; 25.
25; 50.
100; 50.
50; 50.

37.
If a patient's enteral volume requirement is 2400 ml, what will the
final rate be?
125 mL/h.
100 mL/h.
50 mL/h.
75 mL/h.

38.
Is it always necessary to dilute a formula when it is first introduced?
Yes.
No.

39.
What are the five signs of intolerance to a tube feeding?
Nausea, diarrhea,
cramping, constipation, dehydration.
Nausea, diarrhea,
cramping, constipation, heartburn.
Nausea, diarrhea, cramping, vomiting, dehydration.

40.
Blenderized formulas and opened canned formulas should be used within
_______ hours of preparation or opening.
6 hours.
12 hours.
24 hours.
32 hours.

41.
Can fresh formula be added to formula left in a tube feeding bag?
Yes.
No.

42.
A patient's _______ should be elevated at least ________ degrees for
continuous drip and bolus feedings that ________.
Head; 30;
directly enter the intestine.
Head; 30;
directly enter the stomach.
Stomach;
30; directly enter the intestine.
Head; 45; directly enter the stomach.

43.
What are concerns of drug aministration via feeding tubes?
Feeding tube
getting clogged with the drug.
Drug nutrient
interactions.
Feeding tube
hindering drug absorption.
Dilution of
the enteral formula by the drug.
increasing
the blood concentration of the drug.
First two selections.

44.
What medication is most commonly associated with diarrhea among tube-fed
patients?
Diuretics.
Anti-inflammatory
drugs.
Antibiotics.
Chemotherapy.

45.
How is hydration monitored in a patient on tube feeding ?
Hydration
is monitored by daily weights.
Hydration
is monitored by serum hematocrit.
Hydration
is monitored by BUN.
Hydration
is monitored by electrolytes.
First three answers.

46.
How are adequacy of energy and protein monitored in a patient on tube
feeding?
Daily body
weight, body mass index for protein.
BUN for energy,
elecrolyte for protein.
Serum albumin
for energy; hematocrit for protein.
Daily body weight for energy; prealbumin/albumin for protein.