SNLE Nutrition and Diet Therapy 2

Question 1

A patient diagnosed with celiac disease must strictly avoid which dietary protein?

Accepted Answer

Gluten

Answer

Casein

Answer

Albumin

Answer

Globulin

Question 2

Which type of enteral feeding formula is most appropriate for a patient with poorly controlled diabetes mellitus?

Accepted Answer

Diabetic-specific formula with reduced carbohydrate content

Answer

High-carbohydrate standard formula

Answer

High-protein formula without carbohydrate modification

Answer

Elemental formula with simple sugars

Question 3

A patient receiving total parenteral nutrition (TPN) develops sudden diaphoresis, tremor, and confusion. What is the nurse's priority action?

Accepted Answer

Check the blood glucose level

Answer

Immediately stop the TPN infusion

Answer

Administer an insulin bolus

Answer

Notify the physician first

Question 4

Which dietary modification is most appropriate for a patient with hepatic encephalopathy?

Accepted Answer

Moderate protein restriction with emphasis on branched-chain amino acids

Answer

High-protein diet to support liver regeneration

Answer

High-fat diet to spare protein

Answer

Sodium supplementation to maintain osmolarity

Question 5

A patient recovering from gastric bypass surgery experiences flushing, tachycardia, and diarrhea shortly after eating. The nurse should advise the patient to:

Accepted Answer

Eat small, frequent meals and avoid simple sugars

Answer

Drink large amounts of fluids during meals to dilute food

Answer

Eat large, infrequent meals to reduce meal frequency

Answer

Increase dietary fiber intake significantly

Question 6

At what gastric residual volume should a nurse typically pause nasogastric tube feeding and notify the physician?

Accepted Answer

More than 200–250 mL

Answer

More than 50 mL

Answer

More than 100 mL

Answer

More than 500 mL

Question 7

Which electrolyte disturbance is most characteristic of refeeding syndrome when nutrition is reintroduced to a severely malnourished patient?

Accepted Answer

Hypophosphatemia

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hypercalcemia