MNT II Midterm Review Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) Which one of these routes of parenteral access is considered long term? PICC line inserted into the basilic vein with the tip terminating at the junction of the right atrium and the superior vena cava Tunneled Hickman catheter inserted in the right chest with the tip terminating in the superior vena cava Non-tunneled catheter inserted into the brachiocephalic vein with the tip terminating in the subclavian vein Femoral catheter inserted in the left femoral vein with the tip terminating in the inferior vena cava - Correct Answers ✅Tunneled Hickman catheter inserted in the right chest with the tip terminating in the superior vena cava Why might the clinical team decide to withhold lipids from a patient receiving PN? The patient is receiving propofol, the patient has hypercholesterolemia, the patient has fatty acid deficiency, or the patient has hyperglycemia - Correct Answers ✅The patient is receiving propofol What form of iron is approved for use in PN? Iron sucrose, ferric carboxymaltose, iron dextran, or ferrous fumarate. - Correct Answers ✅iron dextran For patients with a fasting blood glucose of > 200 mg/dL, it is recommended that carbohydrate infusion be limited to no more than _______ grams of dextrose on the first day of PN. - Correct Answers ✅100 1 / 3
MNT II Midterm Review Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) How can the clinician modify the PN regimen in the setting of PN-associated liver disease? increase calories, increase ILE dose to 2g/kg/day, use cyclical infusion, or provide a double dose of multivitamins. - Correct Answers ✅Use cyclical infusion
The most common metabolic complication of PN is:
hypervolemia, hyperglycemia, electrolyte abnormalities, or EFA deficiency. - Correct Answers ✅hyperglycemia Prevention and management of hyperglycemia during PN
therapy may be achieved through: modifying the
macronutrient composition, withholding lipids, administering insulin, or modifying the macronutrient composition and administering insulin. - Correct Answers ✅modifying the macronutrient composition and administering insulin
Parenteral solutions provide: 4 kcal/g of dextrose, 4 kcal/g of
protein, 9 kcal/g of ILE
- kcal/g of dextrose, 4 kcal/g of protein, 1.1 kcal/mL of 10%
ILE 3.4 kcal/g of dextrose, 4 kcal/g of protein, 2 kcal/mL of 20%
ILE 2 / 3
MNT II Midterm Review Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) 3.4 kcal/g of dextrose, 4 kcal/g of protein, 4.3 kcal/g of ILE - Correct Answers ✅3.4 kcal/g of dextrose, 4 kcal/g of protein, 2 kcal/mL of 20% ILE When initiating PN, severe electrolyte imbalances may be a
sign of: bloodstream infection, hypovolemia, hyperglycemia,
or refeeding syndrome - Correct Answers ✅refeeding syndrome
Peripheral PN would be appropriate for: Patients requiring
very concentrated PN formula Patients on a fluid restriction Patients who will be on long-term PN Patients who will be on short-term PN - Correct Answers ✅Patients who will be on short-term PN
Protein intake during critical illness: should only be restricted
during renal or hepatic insufficiency, ranges between 0.8 and 1.2g/kg/day, can exceed 5.5g/kg/day in burn patients, can range between 1.2 and 2g/kg/day - Correct Answers ✅Can range between 1.2 and 2g/kg day What type of enteral formula should be used in critically ill patients in respiratory failure? - Correct Answers ✅fluid- restricted, energy dense formula
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