Total Nutritional TherapyAssessment Test
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TNT Pre-Test

Test your knowledge of clinical nutrition! Please complete the nine questions below.

1.The caloric requirements for different clinical situations are listed below. Please select the INCORRECT one.
A.Basal requirement = 25 kcal/kg body weight
B.Non-stressed (ambulatory) = 30 kcal/kg body weight
C.Mild stress (malnourished) = 35-40 kcal/kg body weight
D.Severe injury or sepsis = up to 80 kcal/kg body weight
2.For a severely stressed patient in the ICU, without renal and hepatic failure, the best protein recommendation would be
A.0.1 - 0.4 g/kg body weight
B.0.5 - 1.0 g/kg body weight
C.1.1 - 1.3 g/kg body weight
D.1.4 - 2.0 g/kg body weight
E.2.5 g/kg body weight
3.For an adult, the typical daily electrolyte requirements are all of the following, EXCEPT
A.Sodium = 60 - 125 mEq/day
B.Potassium = 260 - 280 mEq/day
C.Calcium = 4.5 - 9.0 mEq/day
D.Magnesium = 8 - 24 mEq/day
E.Phosphate = 10 - 60 mEq/day
4.Carbohydrate functions in nutrition as a source of non-protein calories. Which of these alternatives is NOT CORRECT?
A.Monohydrous dextrose provides 3.4 kcal/kg.
B.The provision of carbohydrate increases gluconeogenesis.
C.Carbohydrate has a nitrogen-sparing effect that reduces catabolizing protein for energy.
D.Glucose is primarily utilized in peripheral tissues.
E.Glucose metabolism requires insulin.
5.Parenteral nutrition may be useful for patients with which of the following diagnoses?
A.Short bowel syndrome
B.Congenital malabsorption syndromes, including cystic fibrosis
C.Bowel obstruction
D.Some neoplastic diseases
E.All of the above
6.Mechanical complications of parenteral nutrition include all of the following EXCEPT
A.Thrombosis
B.Air embolism
C.Dehydration
D.Infusion device failure
E.Catheter breakage
7.Non-protein calories in parenteral nutrition solutions are usually provided as
A.Anhydrous dextrose
B.Monohydrous dextrose
C.Essential fatty acids
D.Crystalline amino acids
E.B and C
8.The phrase, "3 in 1" as related to parenteral nutrition solutions relates most closely to
A.Parenteral nutrition solutions providing 3 liters of volume per day.
B.Parenteral nutrition orders written for 3 days at a time.
C.Parenteral nutrition solutions providing mixtures of carbohydrate, protein, and lipid.
D.Parenteral nutrition solutions providing 3 kcal/mL solution.
E.None of the above.
9.Carbohydrate calories may be calculated by
A.Utilization of the Harris-Benedict equation only.
B.Stress factor added to basal requirements.
C.Utilization of the Henderson-Hasselbach equation.
D.None of the above.
E.All of the above except A.
 
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