ASPEN Practice Test Questions with

ASPEN Practice Test Questions with Complete Solutions (Latest 2025) Medicare approved indications for home parenteral nutrition include which of the following?

• supplement to enteral nutrition
• end-stage renal disease
• long-term loss of gastrointestinal function
• delayed gastric emptying - Correct Answers ✅c. long-

term loss of gastrointestinal function Which of the following is true concerning manganese and patients on long-term parenteral nutrition?

• manganese deficiency occurs in patients on PN for greater

than 1 year

• hypermanganesemia has been reported only in patients

with cholestasis

• manganese in commercial trace element preparations

may result in hypermanganesemia

• the best indicator of manganese status is serum

manganese - Correct Answers ✅c. manganese in commercial trace element preparations may result in hypermanganesemia Which of the following are most likely to result in malnutrition of mild to moderate inflammatory response?

• anorexia nervosa
• cancer 1 / 4

ASPEN Practice Test Questions with Complete Solutions (Latest 2025)

• closed head injury
• sepsis - Correct Answers ✅b. cancer

In patients with severe acute pancreatitis enteral nutrition has been documented to provide the following benefits over

parenteral nutrition EXCEPT:

• decreased infection rate
• decreased hospital length of stay
• decreased pain
• decreased mortality - Correct Answers ✅c. decreased

pain

Indirect calorimetry calculates:

• total energy expenditure
• nitrogen balance
• heat released from the subject
• resting energy expenditure - Correct Answers ✅d.

resting energy expenditure A seven month-old infant fed reconstituted infant formula and other age-appropriate complementary foods may be at risk of over-supplementation with which of the following?

• Vitamin A
• Fluoride 2 / 4

ASPEN Practice Test Questions with Complete Solutions (Latest 2025)

• Vitamin E
• Iron - Correct Answers ✅b. Fluoride

Zinc supplementation should be considered for patients:

• with chronic wounds
• with unexplained skin rashes and alopecia
• who are elderly
• who have below normal zinc levels - Correct Answers

✅b. with unexplained skin rashes and alopecia A long term parenteral nutrition patient begins to experience Parkinson-like symptoms. Which trace element toxicity is most likely to present with these symptoms?

• manganese
• copper
• zinc
• selenium - Correct Answers ✅a. manganese

How much fluid per day is required to maintain fluid balance in an average healthy adult?

• 10-21 ml/kg/day
• 25-35 ml/kg/day
• 45-55 ml/kg/day
• 60-70 ml/kg/day - Correct Answers ✅b. 25-35 ml/kg/day 3 / 4

ASPEN Practice Test Questions with Complete Solutions (Latest 2025) In the first 1-3 months after a bone marrow transplant the

nutritional needs of a patient are best met with:

• 20-25 kcal/kg daily with >/=1.5 g protein per kg body

weight

• 20-25 kcal/kg daily with 80% of total calories from

carbohydrate

• 30-35 kcal/kg daily with >/=1.5 g protein per kg body

weight

• 30-35 kcal/kg daily with 80% of total calories from

carbohydrate - Correct Answers ✅c. 30-35 kcal/kg daily with >/=1.5 g protein per kg body weight A patient has an advanced directive stating a desire to forego medical technology, including nutrition and hydration, in order to prolong life. The patient is now in an irreversible vegetative state. In deciding whether to continue nutrition and hydration by medical means, the patient's surrogate

decision-maker must:

• consult with a lawyer regarding physician orders for life-

sustaining treatment

• have a psychiatric evaluation in order to be declared

competent to make decisions in the patient's care

• honor the patient's expressed wish to withdraw nutrition

and hydration by medical means

• decide, based upon own values, whether or not to

withdraw the patient's nutrition and hydration by medical

• / 4