LPN Therapeutic Diets and Enteral Feedings 3

Question 1

A patient with dysphagia is ordered a pureed diet. Which food item is appropriate to serve?

Accepted Answer

Mashed potatoes without lumps

Answer

Scrambled eggs with toast

Answer

Soft-cooked green beans

Answer

Diced canned peaches

Question 2

The LPN is preparing to administer enteral formula through a PEG tube. Which action helps prevent microbial contamination?

Accepted Answer

Change the feeding bag and tubing every 24 hours per facility policy

Answer

Hang the formula bag for up to 24 hours

Answer

Refrigerate unopened cans at room temperature

Answer

Reuse the feeding bag after rinsing with water

Question 3

A patient with heart failure is prescribed a 2-gram sodium diet. The LPN understands this restriction primarily helps by:

Accepted Answer

Decreasing fluid retention and edema

Answer

Reducing blood glucose levels

Answer

Improving serum potassium levels

Answer

Lowering LDL cholesterol

Question 4

Which position should a patient be maintained in during and after bolus tube feedings to prevent aspiration?

Accepted Answer

Head of bed elevated 30–45 degrees for at least 30–60 minutes after feeding

Answer

Supine (flat)

Answer

Left lateral (Sims) position

Answer

Trendelenburg position

Question 5

A patient is prescribed a high-fiber diet. Which instruction should the LPN include in the teaching?

Accepted Answer

Gradually increase fiber intake and drink adequate fluids daily

Answer

Limit fluid intake to 1000 mL per day

Answer

Eat only raw vegetables and avoid cooked foods

Answer

Avoid whole grains and legumes

Question 6

Which finding in a patient receiving enteral nutrition requires IMMEDIATE reporting to the charge nurse?

Accepted Answer

Abdominal distension with absent bowel sounds

Answer

Mild thirst between feedings

Answer

Feeding rate running 5 mL/hr behind schedule

Answer

Formula at room temperature

Question 7

A patient with Type 2 diabetes is counseled about carbohydrate counting. The LPN explains that one carbohydrate serving equals:

Accepted Answer

15 grams of carbohydrate

Answer

5 grams of carbohydrate

Answer

30 grams of carbohydrate

Answer

50 grams of carbohydrate