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CNSC : NBNSC Certified Nutrition Support Clinician Exam

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Question: 1053
Which of the following is a fat-soluble vitamin that acts as an antioxidant, protecting cells from damage caused by free radicals?
Vitamin A
amin C amin K
er: B
nation: Vitamin E is a fat-soluble vitamin that acts as an antioxidant, protecting cells from da by free radicals. It helps maintain the integrity of cell membranes and is involved in immun
on, DNA repair, and other vital processes.
ion: 1054
ent with celiac disease is advised to follow a gluten-free diet. Which of the following grains nsumption?
eat ley
inoa er: D
nation: Quinoa is safe for consumption in a gluten-free diet for individuals with celiac diseas n-free grain that can be used as a substitute for wheat, barley, and rye, which contain gluten.
ion: 1055
Vit
Vit Answ
Expla mage
caused e
functi
Quest
A pati is safe
for co
Wh
Bar
Rye
Qu
Answ
Expla e. It is
a glute
Quest
When examining the ethical considerations in nutrition support therapy, which scenario best illustrates a conflict between beneficence and autonomy?
A patient declines enteral nutrition despite a recommendation from the healthcare team.
A patient receives parenteral nutrition without informed consent.
A healthcare provider prescribes a nutrition regimen based on personal bias.
A family insists on aggressive nutrition support for a terminally ill patient. Answer: D
Explanation: This scenario illustrates a conflict between beneficence (acting in the patient's best interest) and autonomy (respecting the patient's wishes), especially when the patient's quality of life is at stake.
Question: 1056
During discharge planning, a nutrition support clinician is preparing a patient for home enteral nutrition. What is the most crucial aspect of education to ensure the patient can manage their therapy safely?
Recognizing signs of potential complications
hniques for administering feeds
derstanding the nutritional content of their formula er: A
nation: Educating the patient on recognizing signs of potential complications ensures they ca intervention and manage their home enteral nutrition safely.
ion: 1057
luating a patient’s dietary intake, which assessment tool is most effective for identifying nutrient deficiencies over a long-term period?
hour dietary recall
od frequency questionnaire history
ect observation er: B
nation: A food frequency questionnaire provides a broader view of long-term dietary patterns ial micronutrient deficiencies compared to short-term recalls.
ion: 1058
Tec
Un
Answ
Expla n seek
timely
Quest
In eva micro
24-
Fo
Diet
Dir Answ
Expla and
potent
Quest
Which of the following best describes the role of ethics in the provision of nutrition support therapy?
Ethics is irrelevant in clinical practice as all decisions are based on science
Ethical considerations guide the decision-making process to balance patient needs and clinical judgment
Ethics only applies to end-of-life decisions in nutrition support
Ethical principles can be ignored if they conflict with clinical protocols Answer: B
Explanation: Ethical considerations are integral to guiding decision-making in nutrition support therapy, ensuring that patient needs are balanced with clinical judgment.
Question: 1059
You are tasked with updating the nutrition support guidelines for patients with liver disease. What should be the primary focus when revising these guidelines based on emerging evidence?
Ensuring that the guidelines are strictly followed without exception
miting the guidelines to only the most severe cases of liver disease egrating new research findings while considering individual patient needs
er: D
nation: Integrating new research while considering individual patient needs allows for a more alized and effective approach to nutrition support.
ion: 1060
of the following is a potential complication of excessive protein intake in patients with omised kidney function?
potension pernatremia
rsening of renal function percalcemia
er: C
nation: Worsening of renal function is a potential complication of excessive protein intake in
with compromised kidney function. High protein intake can increase the workload on the kidneys tentially worsen renal function in individuals with existing kidney disease. Protein intake ne
efully monitored and tailored to the individual's renal function to prevent further kidney dam
Li
Int Answ
Expla person
Quest
Which compr
Hy
Hy
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Answ Expla
patients
and po eds to
be car age.
Question: 1061
In a scenario where a patient on parenteral nutrition presents with elevated liver enzymes, what adjustment in the nutritional support plan might be necessary to improve liver function and tolerance?
Increase lipid infusion rate
Decrease carbohydrate concentration
Change to a higher-protein formula
Add supplemental vitamins
Answer: B
Explanation: Decreasing carbohydrate concentration may help reduce the risk of hepatic steatosis and improve liver function in patients receiving long-term parenteral nutrition.
Question: 1062
Which of the following is an appropriate indication for the use of a peripherally inserted central catheter (PICC) for nutrition support?
ients with severe malabsorption
ients with a history of central line-associated bloodstream infections (CLABSIs) ients with adequate peripheral venous access
er: B
nation: A peripherally inserted central catheter (PICC) is commonly used for long-term nutrit in patients with severe malabsorption. It provides a more secure and stable access point for
ring parenteral nutrition compared to peripheral venous access. Short-term nutrition support ed through peripheral venous access, and patients with a history of central line-associated tream infections (CLABSIs) may require alternative access options.
ion: 1063
ent with a history of diabetes and renal failure is receiving nutritional support. Which electro nce should be monitored closely in this scenario?
pocalcemia perkalemia ponatremia pomagnesemia
er: B
nation: Patients with renal failure are at high risk for hyperkalemia due to impaired potassiu
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