FREE NSC Clinical Knowledge Questions and Answers

Question 1

Which of the following clinical factors in an acute care hospital is LEAST likely to be a sign of a patient who is nutritionally at risk?

Accepted Answer

Intentional weight loss of 15% over a 6-month period in an obese individual

Answer

Extensive resection of the colon due to cancer

Answer

5% unplanned weight loss in a 1-month period

Answer

Inadequate nutrition for 10 days

Question 2

In an ICU situation, which of the following anthropometric techniques is LEAST helpful for assessing nutrition?

Accepted Answer

Triceps skinfold

Answer

Comparing actual weight to either ideal weight or usual weight

Answer

Body mass index

Answer

Estimating idea body weight using height and Hamwi equation

Question 3

Scaly, dry skin may be an indicator of malnutrition when conducting a physical examination that focuses on nutrition.

Accepted Answer

Essential fatty acid deficiency

Answer

Vitamin A toxicity

Answer

Protein deficiency

Answer

Cholesterol deficieny

Question 4

Which of the following drugs has the lowest potential to make you gain weight?

Accepted Answer

Wellbutrin

Answer

Elavil

Answer

Paxil

Answer

Prozaac

Question 5

The LEAST reliable marker to utilize when determining malnutrition in a critically unwell patient would be

Accepted Answer

Serum albumin of 2.5 g/dL

Answer

Unplanned weight loss of 8% in a 4-month period

Answer

Body mass index of 16 kg/m2

Answer

Poor wound healing

Question 6

Which of the following instruments is most useful for evaluating a patient who has both ascites and chronic liver disease?

Accepted Answer

Subjective Global Assessment

Answer

Nitrogen Balance

Answer

Weight for height

Answer

Albumin and Prealbumin

Question 7

What weight should an obese patient with chronic renal disease use when performing calculations?

Accepted Answer

Adjusted dry weight

Answer

Dry weight

Answer

Actual weight

Answer

Ideal weight

Question 8

The patient is taking Zerit, an anti-HIV medication. This medication could lead to

Accepted Answer

Lipodystrophy

Answer

AIDS wasting syndrome

Answer

Malnutrition

Answer

Metabolic syndrome

Question 9

Which of the following best sums up when an enteral feeding regimen should be started for a patient who has had a traumatic brain injury?

Accepted Answer

Within 24 hours

Answer

Within 48 hours

Answer

Once bowel sounds are distinctly heard

Answer

As soon as a nasogastric tube cab be placed

Question 10

In the early postburn phase, what is a tolerable protein level for a patient with a 50% TBSA?

Accepted Answer

2.0-2.5 grams per kg

Answer

1.0-1.2 grams per kg

Answer

1.2-1.5 grams per kg

Answer

1.5-2.0 grams per kg