CGRN GI Nutrition and Therapeutic Diets 2

Question 1

Which statement about probiotics in GI nursing is most accurate?

Accepted Answer

Probiotics have strong evidence for preventing C. difficile-associated diarrhea

Answer

Evidence supports probiotic use (especially Saccharomyces boulardii and Lactobacillus) for reducing antibiotic-associated and C. difficile diarrhea.

Question 2

A patient with celiac disease must strictly avoid which protein?

Accepted Answer

Gluten

Answer

Gluten, found in wheat, barley, and rye, triggers the autoimmune response that damages intestinal villi in celiac disease.

Question 3

Short bowel syndrome most commonly results in malabsorption of which nutrient class?

Accepted Answer

Fat-soluble vitamins and long-chain fatty acids

Answer

Fat absorption requires adequate small bowel surface area; short bowel syndrome leads to fat and fat-soluble vitamin malabsorption.

Question 4

Which finding best indicates refeeding syndrome in a malnourished patient starting nutritional support?

Accepted Answer

Hypophosphatemia

Answer

Refeeding syndrome is characterized by dangerous hypophosphatemia as phosphate shifts into cells during carbohydrate metabolism.

Question 5

A patient with pancreatitis who is transitioning from NPO to oral feeds should begin with which diet?

Accepted Answer

Low-fat, low-fiber soft diet

Answer

A low-fat, low-fiber soft diet minimizes pancreatic stimulation during the recovery phase of acute pancreatitis.

CGRN - Certified Gastroenterology Registered Nurse Practice Test