Enteral Nutrition Post-Test

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Post-test on enteral nutrition

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Wessam

Egypt

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Enteral Nutrition Post-Test


Froggy Jumps Enteral Nutrition Post-TestOnline version Post-test on enteral nutrition by Wessam 1 Enteral Nutrition post test. A patient has severe dysphagia after an ischemic stroke but a normal, working GI tract. What is the most appropriate feeding route? a Oral diet as usual b Enteral (tube) feeding c Parenteral (IV) nutrition 2 A patient presents with a complete small bowel obstruction confirmed on imaging. The team asks whether enteral feeding can begin today. What is the correct response? a No — complete obstruction is an absolute contraindication to enteral feeding b Yes, but only jejunal feeding c Yes, start at a low rate 3 A patient is expected to require tube feeding for approximately 8 weeks after major head and neck surgery. Which access is most appropriate long-term compared with a nasogastric tube? a No tube, oral only b PEG (percutaneous endoscopic gastrostomy) c Continue NGT indefinitely 4 A patient with severe gastroparesis has recurrent aspiration on gastric (stomach) feeding. Which access route would most directly address this problem? a NGT at a faster rate b PEG with larger boluses c PEJ / jejunostomy, bypassing the stomach 5 A nurse is about to crush a sustained-release tablet to give via NGT. As the pharmacist consulted, what should you advise? a Proceed — crushing is always safe b Do not crush; request an alternative formulation or check if it can be given whole in a different way c Double the dose to compensate 6 A feeding tube shows increasing resistance during flushing after several medications were given in sequence. What most likely caused this, and what should be reinforced going forward? a Normal wear — no action needed b The formula is expired c Inadequate flushing between medications — flush 15–30 mL water before/between/after each drug 7 A patient is due for chest physiotherapy immediately after a large bolus feed. What adjustment best reduces aspiration risk? a Reschedule therapy to before the bolus or mid-way through a continuous feed, and keep HOB elevated b Proceed exactly as scheduled c Give the bolus faster to finish sooner 8 A tube-fed patient develops abdominal distension and a high gastric residual volume during a therapy session. What does this most likely represent, and what is the first action? a Signs of improved GI motility b Normal digestion — continue as planned c Feed intolerance — pause the feed and reassess (rate, position, bowel sounds) 9 A malnourished patient with a history of chronic alcohol use restarts enteral feeding after several days of minimal intake. On day 2, which electrolyte pattern should you be watching most closely for? a Falling phosphate, potassium, and magnesium (refeeding syndrome) b Rising sodium only c Rising phosphate and potassium 10 During a feeding session, a patient suddenly coughs, desaturates, and formula-coloured secretions are seen in the mouth. What is your immediate first action? a Continue feeding and monitor b Stop the feed, sit the patient up, support airway/breathing, and escalate immediately c Increase the feed rate to finish quickly 11 A patient with hepatic encephalopathy continues to worsen despite optimised medical therapy while on a standard polymeric formula. Which formula category is most likely to be considered next? a Elemental formula b Renal formula c Hepatic formula (enriched with branched-chain amino acids)

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Enteral Nutrition Post-Test

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Enteral Nutrition Post-TestOnline version

by Wessam

Enteral Nutrition post test. A patient has severe dysphagia after an ischemic stroke but a normal, working GI tract. What is the most appropriate feeding route?

A patient presents with a complete small bowel obstruction confirmed on imaging. The team asks whether enteral feeding can begin today. What is the correct response?

A patient is expected to require tube feeding for approximately 8 weeks after major head and neck surgery. Which access is most appropriate long-term compared with a nasogastric tube?

A patient with severe gastroparesis has recurrent aspiration on gastric (stomach) feeding. Which access route would most directly address this problem?

A nurse is about to crush a sustained-release tablet to give via NGT. As the pharmacist consulted, what should you advise?

A feeding tube shows increasing resistance during flushing after several medications were given in sequence. What most likely caused this, and what should be reinforced going forward?

A patient is due for chest physiotherapy immediately after a large bolus feed. What adjustment best reduces aspiration risk?

A tube-fed patient develops abdominal distension and a high gastric residual volume during a therapy session. What does this most likely represent, and what is the first action?

A malnourished patient with a history of chronic alcohol use restarts enteral feeding after several days of minimal intake. On day 2, which electrolyte pattern should you be watching most closely for?

During a feeding session, a patient suddenly coughs, desaturates, and formula-coloured secretions are seen in the mouth. What is your immediate first action?

A patient with hepatic encephalopathy continues to worsen despite optimised medical therapy while on a standard polymeric formula. Which formula category is most likely to be considered next?