Question 1

Which of the following nutritional indicators is not an indication of poor nutritional status in an older person?

Accepted Answer

A)  Albumin of <3.5 g/dl 
B)  Body mass index of 24 
C)  Total cholesterol <150 mg/dl 
D)  Loss of 5-10% body weight in 180 days 
A)  Albumin of <3.5 g/dl 
B)  Body mass index of 24 
C)  Total cholesterol <150 mg/dl 
D)  Loss of 5-10% body weight in 180 days B

Question 2

What is the name of the federal program that allots a month supply of food stamps to eligible participants?

Accepted Answer

A)  Meals on Wheels 
B)  Food Assistance 
C)  Second Harvest 
D)  Supplemental Nutrition Assistance Program (SNAP) 
A)  Meals on Wheels 
B)  Food Assistance 
C)  Second Harvest 
D)  Supplemental Nutrition Assistance Program (SNAP) D

Question 3

Patients at risk of Refeeding Syndrome include those with:

Accepted Answer

A)  No food intake for more than 10 days 
B)  Chronic malnutrition 
C)  Dysphagia 
D)  All of the above 
A)  No food intake for more than 10 days 
B)  Chronic malnutrition 
C)  Dysphagia 
D)  All of the above D

Question 4

Which lab test is most indicative that a patient has refeeding syndrome?

Accepted Answer

A)  A serum albumin level of 3.0 g/dL 
B)  Hemoglobin of 10.0 g/dL 
C)  Prealbumin level of 17 mg/dL 
D)  Serum phosphate level of less than 0.6 mmol/L 
A)  A serum albumin level of 3.0 g/dL 
B)  Hemoglobin of 10.0 g/dL 
C)  Prealbumin level of 17 mg/dL 
D)  Serum phosphate level of less than 0.6 mmol/L

Question 5

The use of feeding gastrostomy tubes at the end of life in Alzheimer's disease patients has been associated with:

Accepted Answer

A)  Prolongation of life 
B)  Aspirational pneumonia 
C)  Increase in decubitus ulcer rate 
D)  Reversal of any clinical signs of failure to thrive 
A)  Prolongation of life 
B)  Aspirational pneumonia 
C)  Increase in decubitus ulcer rate 
D)  Reversal of any clinical signs of failure to thrive

Question 6

Which of the following is not considered a benefit of high protein supplements added to diets of hospitalized older adults?

Accepted Answer

A)  Improved grip strength 
B)  Increased weight 
C)  Overall increased intake of food 
D)  Reduced readmissions to the hospital 
A)  Improved grip strength 
B)  Increased weight 
C)  Overall increased intake of food 
D)  Reduced readmissions to the hospital

Question 7

A key issue that needs to be addressed to families and patients with Alzheimer's disease about the use of feeding tubes is that a feeding tube:

Accepted Answer

A)  Decreases the risk of aspirational pneumonia 
B)  Does not improve nutritional status or quality of life 
C)  Is a simple bedside procedure to place the tube and has minimal complications 
D)  Is an irreversible process once the patient is started on feedings 
A)  Decreases the risk of aspirational pneumonia 
B)  Does not improve nutritional status or quality of life 
C)  Is a simple bedside procedure to place the tube and has minimal complications 
D)  Is an irreversible process once the patient is started on feedings

Question 8

Which of the following is a major indicator of protein-energy malnutrition?

Accepted Answer

A)  Total cholesterol less than 200 mg/dl with LDL <100 
B)  Intentional weight loss of 25 pounds in 2 years 
C)  Mid-arm circumference less than 16 inches 
D)  Unintentional low body weight less than 10% of average for height and age 
A)  Total cholesterol less than 200 mg/dl with LDL <100 
B)  Intentional weight loss of 25 pounds in 2 years 
C)  Mid-arm circumference less than 16 inches 
D)  Unintentional low body weight less than 10% of average for height and age

Question 9

An 87-year-old female previously independent comes to the ER with 2 days of difficulty swallowing,productive cough,and dyspnea.History includes hypertension and atrial fibrillation.She has a low-grade fever and increased blood pressure.Physical examination and chest radiography are consistent with consolidation in left lower lobe.On bedside testing,she immediately sputters and coughs after drinking a small amount of water from a cup.There are no other neurological signs.Labs: Mild dehydration and WBC increased.MRI reveals a new small brain-stem infarction and mild generalized cerebral atrophy.Treatment for aspiration pneumonia is instituted.Five days later a speech therapy consult was ordered to evaluate swallowing.No improvement has been noted and formal evaluation shows aspiration with most consistencies of food and liquid.Which of the following is the best recommendation?

Accepted Answer

A)  Careful oral feeding 
B)  Hospice 
C)  Gastrostomy feeding 
D)  Nasogastric feeding 
A)  Careful oral feeding 
B)  Hospice 
C)  Gastrostomy feeding 
D)  Nasogastric feeding

Question 10

Feedings via PEG tube can safely begin hours after PEG tube placement,barring any contraindications.

Accepted Answer

A)  2 hours 
B)  6 hours 
C)  24 hours 
D)  48 hours 
A)  2 hours 
B)  6 hours 
C)  24 hours 
D)  48 hours

Which of the following nutritional indicators is not an indication of poor nutritional status in an older person?

What is the name of the federal program that allots a month supply of food stamps to eligible participants?

Patients at risk of Refeeding Syndrome include those with:

Which lab test is most indicative that a patient has refeeding syndrome?

The use of feeding gastrostomy tubes at the end of life in Alzheimer's disease patients has been associated with:

Which of the following is not considered a benefit of high protein supplements added to diets of hospitalized older adults?

A key issue that needs to be addressed to families and patients with Alzheimer's disease about the use of feeding tubes is that a feeding tube:

Which of the following is a major indicator of protein-energy malnutrition?

Feedings via PEG tube can safely begin hours after PEG tube placement,barring any contraindications.

Changes With Aging

Health Promotion

Exercise in Older Adults

Comprehensive Geriatric Assessment

Symptoms and Syndromes

Skin and Lymphatic Disorders

Head, neck, and Face Disorders

Chest Disorders

Peripheral Vascular Disorders

Abdominal Disorders

Urological and Gynecological Disorders

Musculoskeletal Disorders

Central and Peripheral Nervous System Disorders

Endocrine, metabolic, and Nutritional Disorders

Hematological and Immune System Disorders

Psychological Disorders

Chronic Illness and the Advanced Practice Registered Nurse Aprn

Palliative Care and End-Of-Life Care

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Exam 17: Nutritional Support in the Older Adult

Which of the following nutritional indicators is not an indication of poor nutritional status in an older person?

What is the name of the federal program that allots a month supply of food stamps to eligible participants?

Patients at risk of Refeeding Syndrome include those with:

Which lab test is most indicative that a patient has refeeding syndrome?

The use of feeding gastrostomy tubes at the end of life in Alzheimer's disease patients has been associated with:

Which of the following is not considered a benefit of high protein supplements added to diets of hospitalized older adults?

A key issue that needs to be addressed to families and patients with Alzheimer's disease about the use of feeding tubes is that a feeding tube:

Which of the following is a major indicator of protein-energy malnutrition?

Feedings via PEG tube can safely begin hours after PEG tube placement,barring any contraindications.

Changes With Aging

Health Promotion

Exercise in Older Adults

Comprehensive Geriatric Assessment

Symptoms and Syndromes

Skin and Lymphatic Disorders

Head, neck, and Face Disorders

Chest Disorders

Peripheral Vascular Disorders

Abdominal Disorders

Urological and Gynecological Disorders

Musculoskeletal Disorders

Central and Peripheral Nervous System Disorders

Endocrine, metabolic, and Nutritional Disorders

Hematological and Immune System Disorders

Psychological Disorders

Chronic Illness and the Advanced Practice Registered Nurse Aprn

Palliative Care and End-Of-Life Care

Filters