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CNSC Practice Exam Questions and Answers 100% Solved | Graded A+

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CNSC Practice Exam Questions and Answers 100% Solved | Graded A+ In an intensive care setting, which of the following complications associated with malnutrition is most likely to occur as a result of the failure to begin nutrition support early in the treatment regimen? - Increased serum level...

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  • October 10, 2024
  • 166
  • 2024/2025
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CNSC Practice Exam Questions and

Answers 100% Solved | Graded A+


In an intensive care setting, which of the following complications associated

with malnutrition is most likely to occur as a result of the failure to begin

nutrition support early in the treatment regimen? - ✔✔Increased serum

levels of protein-bound drugs

Which of the following is the inpatient glycemic target for critically ill

patients?



1: 80-110 mg/dL

2: 140-180 mg/dL

3: 181-210 mg/dL

4: 211-240 mg/dL - ✔✔2: 140-180 mg/dL



Targets <110mg/dL are not recommended

Under conditions of sepsis and stress, which of the following metabolic

alterations are most likely to occur?

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.


1: Increased glucose production and increased glucose uptake

2: Increased glucose production and decreased glucose uptake

3: Decreased glucose production and decreased glucose uptake

4: Decreased glucose production and increased glucose uptake - ✔✔2:

Increased glucose production and decreased glucose uptake



Stress hormones induce insulin resistance and hyperglycemia is commonly

observed with nutrition support. It is recommended that glucose levels be

adequately controlled to avoid polyuria and electrolyte disturbances.

Which of the following immunomodulating nutrients may be harmful in

patients with severe sepsis?



1: Arginine

2: Selenium

3: Nucleic acids

4: Omega-3 fatty acids - ✔✔1: Arginine

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

Nitric oxide can be detrimental by leading to coagulation abnormalities and

altered hemodynamic status. In this case, arginine could be considered

harmful. Because of these effects, there is still much debate over the value

of arginine in nutrition support for critically ill patients.

Which of the following best describes enteral glutamine supplementation in

the critically ill patient not in multi organ failure?



1: Enteral glutamine decreases mortality

2: Enteral glutamine decreases ventilator days

3: Enteral glutamine decreases hospital length of stay

4: Enteral glutamine decreases nosocomial infections - ✔✔4: Enteral

glutamine decreases nosocomial infections

Which of the following are counter-regulatory hormones responsible for the

hypercatabolism observed in critically ill trauma patients?



1: Glycogen, insulin, norepinephrine

2: Glucagon, epinephrine, cortisol

3: Glycerol, serotonin, thymoglobulin

4: Glycerin, leptin, adenosine - ✔✔2: Glucagon, epinephrine, cortisol

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

In patients with burns, providing caloric support above energy expenditure

has been found to



1: significantly decrease hospital length of stay.

2: improve wound healing and graft success.

3: decrease fat accumulation and steatosis.

4: have no effect on preservation of lean body mass. - ✔✔4: have no

effect on preservation of lean body mass.



Although patients with burns have increased needs, feeding in excess of

energy expenditure may cause hyperglycemia, hepatic steatosis, and

prolonged ventilator dependence. One study of critically ill burn patients

showed that caloric delivery beyond 1.2 x measured resting energy

expenditure did not conserve lean body mass but was associated with

increased fat mass accumulation.

In pulmonary insufficiency, excessive calorie administration may cause

increased blood pCO2 resulting in



1: metabolic acidosis.

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