Question 1

What mineral plays a very important role in oxygen transport?

Accepted Answer

A) Calcium 
B) Iron 
C) Zinc 
D) Magnesium 
A) Calcium 
B) Iron 
C) Zinc 
D) Magnesium B

Question 2

What is nitrogen balance useful in determining?

Accepted Answer

A) The adequacy of protein intake 
B) The adequacy of carbohydrate intake 
C) The need for vitamin supplementation 
D) Fluid and electrolyte balance 
A) The adequacy of protein intake 
B) The adequacy of carbohydrate intake 
C) The need for vitamin supplementation 
D) Fluid and electrolyte balance A

Question 3

Which of the following is an indicator of the energy requirements of the patient?

Accepted Answer

A) PaO₂ to PaO₂ ratio 
B) Minute ventilation 
C) Oxygen uptake per minute 
D) Vital capacity 
A) PaO₂ to PaO₂ ratio 
B) Minute ventilation 
C) Oxygen uptake per minute 
D) Vital capacity C

Question 4

Which of the following is a pulmonary effect of starvation?

Accepted Answer

A) Increased diffusing capacity of the lung for carbon monoxide (DLCO) 
B) Increased forced expiratory volume in 1 second (FEV1) 
C) Increased risk of pneumonia 
D) Increased functional residual capacity (FR
C)  
A) Increased diffusing capacity of the lung for carbon monoxide (DLCO) 
B) Increased forced expiratory volume in 1 second (FEV1) 
C) Increased risk of pneumonia 
D) Increased functional residual capacity (FR
C)

Question 5

What method of nutritional delivery is considered the least efficient?

Accepted Answer

A) By mouth 
B) By nasogastric tube 
C) By arterial line 
D) By IV line 
A) By mouth 
B) By nasogastric tube 
C) By arterial line 
D) By IV line

Question 6

Measuring the patient's energy expenditure with the use of oxygen consumption is referred to as _____ calorimetry.

Accepted Answer

A) direct 
B) indirect 
C) simple 
D) complex 
A) direct 
B) indirect 
C) simple 
D) complex

Question 7

Which of the following is true about anaerobic metabolism?
1)It can cause metabolic acidosis.
2)It results in excess lactate production.
3)It results in excess production of carbon dioxide.
4)It is a very inefficient method of producing ATP.

Accepted Answer

A) 1, 2, 3 
B) 1, 3 
C) 2, 4 
D) 1, 2, 3, 4 
A) 1, 2, 3 
B) 1, 3 
C) 2, 4 
D) 1, 2, 3, 4

Question 8

What gas is required for optimum production of adenosine triphosphate (ATP)?

Accepted Answer

A) Argon 
B) Carbon dioxide 
C) Nitrous oxide 
D) Oxygen 
A) Argon 
B) Carbon dioxide 
C) Nitrous oxide 
D) Oxygen

Question 9

Which of the following might indicate poor nutritional status?

Accepted Answer

A) Low BMI 
B) Positive nitrogen balance 
C) Positive response to skin antigen testing 
D) High serum albumin level 
A) Low BMI 
B) Positive nitrogen balance 
C) Positive response to skin antigen testing 
D) High serum albumin level

Question 10

Which of the following are associated with increased metabolism?
1)Severe burns
2)Severe infection
3)Multiple traumas
4)Hyperthyroidism

Accepted Answer

A) 1, 2, 3 
B) 1, 3 
C) 2, 4 
D) 1, 2, 3, 4 
A) 1, 2, 3 
B) 1, 3 
C) 2, 4 
D) 1, 2, 3, 4

Question 11

What dietary adjustment might be best for patients with more severe chronic obstructive pulmonary disease (COPD)?

Accepted Answer

A) Increased carbohydrates 
B) Increased fats 
C) Increased proteins 
D) Increased salt intake 
A) Increased carbohydrates 
B) Increased fats 
C) Increased proteins 
D) Increased salt intake

Question 12

Which of the following is not associated with a high-fat diet?

Accepted Answer

A) Increased risk of heart disease 
B) Decreased tissue oxygenation 
C) Decreased DLCO 
D) Increased carbon dioxide production 
A) Increased risk of heart disease 
B) Decreased tissue oxygenation 
C) Decreased DLCO 
D) Increased carbon dioxide production

Question 13

What element must be stored in sufficient quantities to meet the metabolic demands of the diaphragm?

Accepted Answer

A) Arginine 
B) Glycogen 
C) 2,3-DPG (diphosphoglycerate) 
D) Fat 
A) Arginine 
B) Glycogen 
C) 2,3-DPG (diphosphoglycerate) 
D) Fat

Question 14

What test is most useful for screening a patient for protein malnutrition?

Accepted Answer

A) Serum albumin level 
B) Triceps skinfold 
C) Creatinine-height index 
D) BMI 
A) Serum albumin level 
B) Triceps skinfold 
C) Creatinine-height index 
D) BMI

Question 15

What is the RQ value of a patient eating a pure carbohydrate diet?

Accepted Answer

A) 0.60 
B) 0.70 
C) 0.85 
D) 1.00 
A) 0.60 
B) 0.70 
C) 0.85 
D) 1.00

Question 16

Which of the following findings during inspection would suggest that the patient is malnourished?

Accepted Answer

A) Generalized obesity 
B) Use of accessory muscles 
C) Presence of wheezes 
D) Weak cough 
A) Generalized obesity 
B) Use of accessory muscles 
C) Presence of wheezes 
D) Weak cough

Question 17

Which of the following may be more difficult with a high-carbohydrate diet?

Accepted Answer

A) Oxygenation 
B) Cellular gas exchange 
C) Oxygen transport 
D) Weaning from mechanical ventilation 
A) Oxygenation 
B) Cellular gas exchange 
C) Oxygen transport 
D) Weaning from mechanical ventilation

Question 18

Which of the following might hinder attempts at nutritional repletion in patients with respiratory disease?
1)The use of bronchodilators
2)Simple oxygen therapy
3)Intubation
4)Deep breathing and cough exercises

Accepted Answer

A) 1, 2, 3 
B) 1, 3 
C) 2, 4 
D) 1, 2, 3, 4 
A) 1, 2, 3 
B) 1, 3 
C) 2, 4 
D) 1, 2, 3, 4

Question 19

Of which of the following components should the majority of dietary intake be made up?

Accepted Answer

A) Fat 
B) Carbohydrate 
C) Protein 
D) None of the above 
A) Fat 
B) Carbohydrate 
C) Protein 
D) None of the above

Question 20

How does the cachectic patient appear physically?

Accepted Answer

A) Central obesity only 
B) Very thin and malnourished 
C) Edematous around the face 
D) Very short of breath 
A) Central obesity only 
B) Very thin and malnourished 
C) Edematous around the face 
D) Very short of breath

Exam 18: Nutrition Assessment

What mineral plays a very important role in oxygen transport?

What is nitrogen balance useful in determining?

Which of the following is an indicator of the energy requirements of the patient?

Which of the following is a pulmonary effect of starvation?

What method of nutritional delivery is considered the least efficient?

Measuring the patient's energy expenditure with the use of oxygen consumption is referred to as _____ calorimetry.

Which of the following is true about anaerobic metabolism? 1)It can cause metabolic acidosis. 2)It results in excess lactate production. 3)It results in excess production of carbon dioxide. 4)It is a very inefficient method of producing ATP.

What gas is required for optimum production of adenosine triphosphate (ATP)?

Which of the following might indicate poor nutritional status?

Which of the following are associated with increased metabolism? 1)Severe burns 2)Severe infection 3)Multiple traumas 4)Hyperthyroidism

What dietary adjustment might be best for patients with more severe chronic obstructive pulmonary disease (COPD)?

Which of the following is not associated with a high-fat diet?

What element must be stored in sufficient quantities to meet the metabolic demands of the diaphragm?

What test is most useful for screening a patient for protein malnutrition?

What is the RQ value of a patient eating a pure carbohydrate diet?

Which of the following findings during inspection would suggest that the patient is malnourished?

Which of the following may be more difficult with a high-carbohydrate diet?

Which of the following might hinder attempts at nutritional repletion in patients with respiratory disease? 1)The use of bronchodilators 2)Simple oxygen therapy 3)Intubation 4)Deep breathing and cough exercises

Of which of the following components should the majority of dietary intake be made up?

How does the cachectic patient appear physically?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters