CN Clinical Procedures & Protocols 3

Question 1

A hospitalized patient on continuous enteral feeding requires water flushes primarily to:

Accepted Answer

Maintain tube patency and meet hydration needs

Answer

Routine water flushes prevent tube clogging and contribute to the patient's daily fluid requirements.

Question 2

When calculating estimated energy needs with the Mifflin-St Jeor equation, which variables are required?

Accepted Answer

Weight, height, age, and sex

Answer

Mifflin-St Jeor estimates resting metabolic rate from weight, height, age, and sex before applying activity or stress factors.

Question 3

A patient receiving parenteral nutrition should have blood glucose monitored regularly primarily because PN solutions:

Accepted Answer

Contain high concentrations of dextrose that can cause hyperglycemia

Answer

The dextrose load in parenteral nutrition frequently causes hyperglycemia, which worsens infection risk and outcomes.

Question 4

Which screening tool is specifically validated to identify malnutrition risk in adults aged 65 and older?

Accepted Answer

Mini Nutritional Assessment (MNA)

Answer

The MNA was developed and validated for nutritional risk screening in older adults.

Question 5

To minimize aspiration risk during gastric enteral feeding, standard protocol is to keep the head of the bed elevated at least:

Accepted Answer

30 to 45 degrees

Answer

Elevating the head of the bed 30-45 degrees during and after feeding reduces reflux and aspiration risk.

(CN) Certified Nutritionist Practice Test