NMBI Nutrition and Fluid Balance 3

Question 1

When performing a nutritional assessment, which tool specifically incorporates unplanned weight loss, BMI, and acute disease effect?

Accepted Answer

MUST (Malnutrition Universal Screening Tool)

Answer

Glasgow Coma Scale

Answer

Norton Scale

Answer

Waterlow Score

Question 2

A patient with dysphagia is at risk of aspiration. Which diet texture modification is recommended by the International Dysphagia Diet Standardisation Initiative (IDDSI) for those with severe swallowing difficulty?

Accepted Answer

Liquidised (Level 4)

Answer

Regular diet

Answer

Minced and moist

Answer

Mildly thick (Level 2)

Question 3

Which type of intravenous fluid is considered ISOTONIC and is most commonly used for fluid replacement in dehydrated patients?

Accepted Answer

0.9% Sodium Chloride (Normal Saline)

Answer

5% Dextrose

Answer

3% Sodium Chloride

Answer

0.45% Sodium Chloride

Question 4

A nurse is caring for a patient with heart failure. Which fluid balance parameter is MOST important to monitor daily?

Accepted Answer

Body weight

Answer

Skin turgor

Answer

Urine colour

Answer

Respiratory rate

Question 5

Total parenteral nutrition (TPN) is typically administered via which access route?

Accepted Answer

Central venous catheter

Answer

Peripheral cannula

Answer

Nasogastric tube

Answer

Urinary catheter

Question 6

Which organ is primarily responsible for regulating water balance through antidiuretic hormone (ADH)?

Accepted Answer

Kidney

Answer

Liver

Answer

Lungs

Answer

Spleen

Question 7

A patient is prescribed oral nutritional supplements (ONS) in addition to meals. When should these be offered to maximise nutritional benefit?

Accepted Answer

Between meals or after meals

Answer

Immediately before meals

Answer

During meals as a drink

Answer

Only at night