Module test Please provide some personal information before proceeding with this Module Test. This information is required for creating your certificate and will also assist us in evaluating the website. Each of the Managed Clinical Networks (MCNs) in Scotland will be given the names of those who have been awarded Module Test Certificates within their areas. We do not collect or share information on the number of times a person attempts the Test, or where a certificate is not awarded.Name* First Last Email* Do you live / work in Scotland?* Yes No Are you:* Employed by NHS Employed by Local Authority/Private/Voluntary sector A student A Carer or other Do you work in a:* Hospital Community Name of service (eg ESD, GP surgery): Enter your service nameWard no. / name:* You work in:*Nursing / residential homeHome care / communityPrivate hospitalCharitable organisationChoose your work environmentIs this ward a Stroke Unit?* Yes No Hospital name* Name of institution:* Enter the name of your institutionTown / City:* Enter the town / city where you workNHS Board*Ayrshire and ArranBordersDumfries and GallowayFifeForth ValleyGrampianGreater Glasgow and ClydeHighlandLanarkshireLothianOrkneyShetlandTaysideWestern IslesEnglandWalesIrelandNorthern IrelandCanadaUSAAustraliaNew ZealandOtherSelect your NHS BoardYou are an AHP student a Medical student a Nursing student Carer* Carer Person who has had a stroke Your profession*Academic researcherAdministratorDoctorDietitianHealth Care AssistantOccupational TherapistOrthoptistPhysiotherapistRegistered NurseSocial WorkerSocial Care WorkerSpeech and Language TherapistTherapy AssistantOtherSelect your professionProfession (other)* AfC Band*Band 2Band 3Band 4Band 5Band 6Band 7Band 8AfC not applicableSelect your AfC bandUniversity / College*Aberdeen UniversityDundee UniversityEdinburgh UniversityEdinburgh Napier UniversityGlasgow UniversityGlasgow Caledonian UniversityQueen Margaret UniversityRobert Gordon UniversityStirling UniversityUniversity of the West of ScotlandOtherSelect your University / CollegeCountry*EnglandWalesNorthern IrelandIrelandCanadaUSAAustraliaNew ZealandOtherSelect your countryThis is the module test for 'Feeding, hydration and nutrition following stroke'. It is strongly recommended that you work though the learning materials of the module prior to commencing this test. By going straight to the test you may miss out on valuable learning contained within the module. The answers to all the test questions are contained within the module. This information may have been provided in the 'Additional Information' boxes on some of the pages. There are 20 questions and you must answer all of these correctly to obtain a certificate of completion. You should allow approximately 20 minutes to complete this test. Nutrition, hydration and swallowing issues following stroke: Module test – Part 1. Q. Screening for risk of malnutrition on admission to hospital is mandatory in Scotland.* True False Part 1. Answer. Unfortunately, you have answered part 1 incorrectly. Revise the learning materials for Nutrition, hydration and swallowing issuesfollowing stroke.Part 1. Answer. Well done, Screening for nutritional risk on admission to hospital is mandatory in Scotland. Nutrition, hydration and swallowing issues following stroke: Module test – Part 2. Q. Which of the following are used to determine nutritional risk? Select all that apply:* Select All A. BMI B. Weight change in the last 3–6 months C. Low albumin D. Poor fruit and vegetable intake E. Acute disease effect score Part 2. Answer. Unfortunately, you have answered part 2 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 2. Answer. Well done, BMI and weight change in the last 3-6 months are used to determine nutritional risk. Nutrition, hydration and swallowing issues following stroke: Module test – Part 3. Q. A patient will always cough if aspiration occurs. (N.B. Patients can be at risk of silent aspiration when it is not obvious from bedside assessment).* True False Part 3. Answer. Unfortunately, you have answered part 3 incorrectly. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 3. Answer. Well done, this statement is false. Nutrition, hydration and swallowing issues following stroke: Module test – Part 4. Q. Select all that apply: Nasogastric feeding:* Select All A. can be used for any patient B. should only be considered if the patient reports feeling hungry in the first 24 hours after acute stroke C. should be considered within 24 hours of acute stroke if the patient is unable is unable to have oral diet or fluids D. is the best option for long term use E. needs the tube to be sutured in place Part 4. Answer. Unfortunately, you have answered part 4 incorrectly. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 4. Answer. Well done, C. should be considered within 24 hours of acute stroke if the patient is unable is unable to have oral diet or fluids Nutrition, hydration and swallowing following stroke: Module test – Part 5. Q. NG tube feeding is NOT appropriate for which of the following presentations: select all that apply* Select All A. severe facial trauma B. receiving care to support comfort and quality of life whilst nearing end of life C. uncontrolled vomiting which is unresponsive to anti-emetics D. diabetes Part 5. Answer. Unfortunately, you have answered part 5 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 5. Answer. Well done, the correct answers are A, B and C. Nutrition, hydration and swallowing issues following stroke: Module test – Part 6. Q. If a patient is receiving enteral feeding as a result of severe dysphagia where they are recommended Nil orally, they will always: Select all that apply* Select All A. Put on weight B. Be unable to eat anything orally C. Be able to have their favourite food liquidised and put through the tube D. Require regular oral care E. Be able to have fizzy drinks to moisten their mouth Part 6. Answer. Unfortunately, you have answered part 6 incorrectly or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 6. Answer. Well done, if a patient is being artificially fed as a result of severe dysphagia, they will always require regular oral care even if they are nil by mouth. Nutrition, hydration and swallowing issues following stroke: Module test – Part 7. Q. A pH reading of 3.0 taken from the aspirate means that a naso-gastric feed can commence.* True False Part 7. Answer. Unfortunately, you have answered part 7 incorrectly. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 7. Answer. Well done, this statement is true. Nutrition, hydration and swallowing issues following stroke: Module test – Part 8. Q. Which of the following are symptoms of dehydration? Select all that apply.* Select All A. Headache B. Concentrated urine C. Thirst D. Rash on lower limbs E. Confusion Part 8. Answer. Unfortunately, you have answered part 8 incorrectly or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 8. Answer. Well done, the correct answers are A, B, C and E. Nutrition, hydration and swallowing issues following stroke: Module test – Part 9. Q. Following admission, which of the following is important to address to prevent dehydration in stroke patients? Select all that apply* Select All A. referral for gastrostomy B. Leaving several bottles of juice at the bedside C. determine the optimal route for provision for fluids D. decide which thickener to use E. ensure a straw is provided with all drinks Part 9. Answer. Unfortunately, you have answered part 9 incorrectly or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 9. Answer. Well done, following admission it is important to prevent dehydration in stroke patients by determining the optimal route for provision for fluids. Nutrition, hydration and swallowing issues following stroke: Module test – Part 10. Q. Which of the following are true? (Select all that apply.) Poor oral hygiene can result in:* A. aspiration pneumonia B. pulmonary oedema C. halitosis D. irritable bowel syndrome E. dental caries Part 10. Answer. Unfortunately, you have answered part 10 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 10. Answer. Well done, poor oral hygiene can result in aspiration pneumonia, halitosis and dental caries. Nutrition, hydration and swallowing issues following stroke: Module test – Part 11. Q. Which of the following are true? (Select all that apply.) Regular oral hygiene is important to:* A. prevent infection B. build up oral muscle tone C. maintain an intact, well hydrated oral mucosa D. detect oral conditions which require specific referral E. reduce gastric discomfort Part 11. Answer. Unfortunately, you have answered part 11 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 11. Answer. Well done, regular oral hygiene is important to prevent infection, maintain an intact, well hydrated oral mucosa and detect oral conditions which require specific referral. Nutrition, hydration and swallowing issues following stroke: Module test – Part 12. Q. When cleaning a denture plate you should: select all that apply* A. soak the denture overnight B. use unperfumed soap or toothpaste C. use a lemon and glycerine solution to keep it tasting fresh D. fill the sink with water in case you drop it whilst cleaning it E. fill the denture pot with cold water and let the food debris naturally fall off Part 12. Answer. Unfortunately, you have answered part 12 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 12. Answer. Well done, when cleaning a denture plate you should use unperfumed soap or toothpaste and fill the sink with water in case you drop it whilst cleaning it. Nutrition, hydration and swallowing issues following stroke: Module test – Part 13. Q. You can assist a patient who has difficulty controlling their saliva e.g. hypersalivation by: (Select all that apply)* Select All A. Adding citrus juices to their drinks B. Providing regular oral suction for severe cases if it does not cause distress C. Encouraging them to chew gum throughout the day D. Ask the physio for advice regarding their posture E. A. Discussing with the medical staff if suitable for medication which reduces saliva production, such as hyoscine Part 13. Answer. Unfortunately, you have answered part 13 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 13. Answer. Well done, you can assist a patient who has difficulty controlling their saliva e.g. hypersalivation by providing regular oral suction and asking the physio for advice regarding their posture. Certain medications can also help reduce the production of saliva, but they are not appropriate for every patient and medical staff should be consulted. Nutrition, hydration and swallowing issues following stroke: Module test – Part 14. Q. Level 5 food texture on the IDDSI framework means that:* All food must be liquidised The food should be soft and bite sized D. Only thickened fluids are to be administered The food should be minced and mashed in texture E. All food textures are suitable Part 14. Answer. Unfortunately, you have answered part 14 incorrectly. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 14. Answer. Well done, the food should be minced and mashed. Nutrition, hydration and swallowing issues following stroke: Module test – Part 15. Q. Which of these facts are true about thickened fluids: (Select all that apply)* Select All A. Thickener can only be added to cold drinks B. Thickener is high in calories and is a food supplement C. Thickener should be added and be left to set for 30 minutes D. Thickener should be carefully measured using the instructions on the packaging to ensure the correct consistency of fluids is achieved E. You should monitor the patient’s fluid intake whilst they are on thickened fluids to ensure they are sufficiently hydrated. Part 15. Answer. Unfortunately, you have answered part 15 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 15. Answer. Well done, statements D and E are both true. Nutrition, hydration and swallowing issues following stroke: Module test – Part 16. Q. Which of the following should have a positive impact on the mealtime experience for patients with swallowing problems:* Select All A. Using the mealtime as a conversation session to get to know the patient B. Giving all patients with swallowing problems thickened fluids C. Allowing patients a choice of meals and ensuring that they know what meal it is when it is served D. Ensure the patient’s mouth is clean and moist and that any dentures are comfortably fitted E. A doctor carrying out a ward round so that they can see the patient eating Part 16. Answer. Unfortunately, you have answered part 16 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 16. Answer. Well done, . Patients should have a choice about which meal they would like to eat and if assistance is required, they may need a reminder of what food dish is being served. A clean, moist mouth and comfortably fitted dentures are important for an optimal mealtime experience. Nutrition, hydration and swallowing issues following stroke: Module test – Part 17. Q. If a person with a swallowing problem eats very slowly you should:* Select All A. Try using a syringe to direct drinks into the back of the mouth B. Help to speed up the meal by taking over feeding, giving larger mouthfuls C. Provide wide straws to help them drink faster and encourage good lip seal D. Allow them to eat at their own pace offering assistance if they would like E. Tell them what time mealtime ends, to try to hurry them along Part 17. Answer. Unfortunately, you have answered part 17 incorrectly. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 17. Answer. Well done, . if a person with a swallowing problem eats very slowly ,you should allow them to eat at their own pace offering assistance if they would like. Nutrition, hydration and swallowing issues following stroke: Module test – Part 18. Q. A patient with severe dysphagia is refusing to accept any form of tube feeding and demands to eat and drink against advice. Your first step would be:* A. Presume that this patient is incapable of making a good decision and request the medical staff sign an adults with incapacity form to allow you to proceed with the current plan B. Check what information the patient has been given and make sure it has been understood. C. Ask the patient’s family to persuade the patient to accept tube feeding D. Compromise by offering the patient some ice cream as it melts into a liquid Part 18. Answer. Unfortunately, you have answered part 18 incorrectly. Revise the learning materials for Nutrition, hydration and swallowing following stroke.Part 18. Answer. Well done, your first step would be to check what information the patient has been given and make sure it has been understood. Nutrition, hydration and swallowing following stroke: Module test – Part 19. Q. Why would you use a shared decision making approach in relation to decisions about nutrition/hydration option?: select all that apply* A. To ensure the patient’s rights and preferences are at the centre of the decision being made B. So that nobody has to take responsibility if something goes wrong C. To ensure the patient, family and carers fully understand the risks and benefits of a given intervention D. It allows the multi-disciplinary team to make the decisions for the patients, so that nobody else needs to be concerned Part 19. Answer. Unfortunately, you have answered part 19 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 19. Answer. Well done, the correct answers are A & C are correct. Nutrition, hydration and swallowing issues following stroke: Module test – Part 20. Q. Which of the following would offer fortification and supplementation to a diet: (select all that apply)* Select All A. Adding calories and protein to existing meals B. Providing extra snacks C. Thickening drinks D. Drinking herbal tea E. Providing oral nutritional supplements Part 20. Answer. Unfortunately, you have answered part 20 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Nutrition, hydration and swallowing issues following stroke.Part 20. Answer. Well done, adding calories and protein to existing meals, providing extra snacks and providing oral nutritional supplements all offer fortification and supplementation to a diet. Back to: 03: Feeding, hydration and nutrition following stroke module home page Advancing Modules Page last reviewed: 17 Feb 2020
