Practice Test Geeks(CSP) Certified Specialist in Pediatric Nutrition Practice Test
← All CSP Flashcard Decks

CSP Enteral & Parenteral Nutrition Support Flashcards

6 cards from real CSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 CSP Enteral & Parenteral Nutrition Support flashcards as text

  1. When calculating protein requirements for a critically ill pediatric patient on PN, which goal is appropriate according to ASPEN/SCCM guidelines?

    Answer: 1.5–3.0 g/kg/day depending on age and degree of stress

    ASPEN/SCCM guidelines recommend 1.5–3.0 g/kg/day of protein in critically ill children to counteract catabolism, varying by age and clinical condition.

  2. What is the appropriate osmolality threshold for peripheral IV administration of PN in pediatric patients to minimize thrombophlebitis?

    Answer: Less than 900 mOsm/L

    PN solutions with osmolality below approximately 900 mOsm/L are generally considered safe for peripheral administration to reduce vein irritation and thrombophlebitis.

  3. A 6-month-old on continuous nasogastric tube feeding develops diarrhea and abdominal distension. Which intervention should be assessed first?

    Answer: Evaluate formula concentration, rate, and contamination, and consider reducing infusion rate

    Diarrhea and distension during tube feeding first require systematic evaluation of formula concentration, infusion rate, and hygienic preparation to identify a correctable cause.

  4. Which trace element supplementation is especially critical in pediatric patients with high-output ostomy losses on long-term PN?

    Answer: Zinc

    Zinc is lost in large amounts through ostomy output, and deficiency leads to impaired wound healing and immune function, making supplementation critical in these patients.

  5. In a child receiving PN, which laboratory value is most useful for monitoring adequacy of nitrogen balance?

    Answer: Blood urea nitrogen (BUN)

    BUN reflects protein catabolism and nitrogen balance; rising BUN may indicate excess protein or inadequate non-protein calories, while low BUN may suggest insufficient protein intake.

  6. Which approach best prevents formula displacement and aspiration during continuous gastric tube feeding in a hospitalized pediatric patient?

    Answer: Elevating head of bed 30–45 degrees and verifying tube placement regularly

    Keeping the head of bed elevated 30–45 degrees and routinely confirming tube placement are standard practices to minimize aspiration risk during enteral feeds.