RNC-NIC Nutrition Management 2

Question 1

A 28-week preterm infant on parenteral nutrition develops hypertriglyceridemia. Which intervention is most appropriate?

Accepted Answer

Decrease the lipid infusion rate or hold lipids

Answer

Hypertriglyceridemia in preterm infants on PN requires reducing or temporarily holding the lipid infusion until triglyceride levels normalize.

Question 2

Which amino acid becomes conditionally essential in the stressed or preterm neonate?

Accepted Answer

Glutamine

Answer

Glutamine is conditionally essential in preterm and critically ill neonates because immature or stressed gut mucosa cannot synthesize adequate amounts.

Question 3

A term neonate with a congenital heart defect requires high-calorie feeding. What is the most appropriate method to increase caloric density of breast milk?

Accepted Answer

Fortify with human milk fortifier

Answer

Human milk fortifier adds protein, calories, calcium, and phosphorus while preserving the benefits of breast milk for high-risk neonates.

Question 4

When assessing tolerance to enteral feeds in a VLBW infant, which finding is LEAST concerning?

Accepted Answer

Gastric residual equal to one feeding volume

Answer

A gastric residual equal to one feeding volume is generally acceptable in VLBW infants and does not alone indicate feed intolerance.

Question 5

A 30-week infant receiving total parenteral nutrition is at risk for metabolic bone disease. Which two minerals are most critical to optimize?

Accepted Answer

Calcium and phosphorus

Answer

Calcium and phosphorus are the primary minerals required for bone mineralization, and preterm infants have limited stores of both.

(RNC-NIC) Registered Nurse Certified in Neonatal Intensive Care Practice Test

(RNC-NIC) Registered Nurse Certified in Neonatal Intensive Care Practice Test

RNC-NIC Nutrition Management 2