CN Clinical Procedures & Protocols 2

Question 1

During a nutrition-focused physical exam, temporal wasting and loss of subcutaneous fat at the triceps most directly support a diagnosis of what condition?

Accepted Answer

Malnutrition

Answer

Muscle wasting and subcutaneous fat loss are core physical criteria for diagnosing malnutrition under ASPEN/AND guidelines.

Question 2

A patient beginning enteral nutrition after prolonged starvation develops hypophosphatemia on day 2. What protocol-driven step should have been taken to prevent this?

Accepted Answer

Start feeds at a reduced rate with electrolyte monitoring and thiamine

Answer

Refeeding syndrome prevention requires slow initiation of nutrition, thiamine supplementation, and close electrolyte monitoring and repletion.

Question 3

Which measurement is required to calculate a patient's body mass index during a clinical nutrition assessment?

Accepted Answer

Height and weight

Answer

BMI is calculated as weight in kilograms divided by height in meters squared.

Question 4

Before starting a tube feeding through a newly placed nasogastric tube, the gold-standard method to confirm tube placement is:

Accepted Answer

Radiographic (X-ray) confirmation

Answer

X-ray visualization of the tube tip is the gold standard for confirming nasogastric tube placement before feeding.

Question 5

A nutritionist measuring mid-upper arm circumference (MUAC) should position the tape at which anatomical location?

Accepted Answer

Midpoint between the acromion process and olecranon process

Answer

MUAC is measured at the midpoint between the acromion (shoulder) and olecranon (elbow) landmarks on a relaxed arm.

(CN) Certified Nutritionist Practice Test

(CN) Certified Nutritionist Practice Test

CN Clinical Procedures & Protocols 2