Upgrade to remove ads
Only $35.99/year

Domain II questions from inman

Terms in this set (467)

In community surveys, a frequent symptom of malnutrition is:
a. scurvy
b. rickets
c. low serum albumin
d. low hemoglobin
D - low hemoglobin
Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoporosis
c. obesity
d. hypertension
A - osteomalacia
what is included in the study of demographics?
I. age of individuals
II. population statistics
III. sex of individuals
IV. socioeconomic factors

a. I only
b. all of the above
c. II, III
d. I, II, III
D - I, II, III
Athletes should receive...
a. salt pills only during the summer months
b. extra protein
c. carbohydrate loading two weeks prior to an event
d. water during an event to replace lost fluids
D - water during an event to replace lost fluids
How many grams of protein would you receive on a 1500 calorie diet which is 20% protein?
a. 70
b. 75
c. 64
d. 300
B - 75
A patient is on a high protein, low carbohydrate diet. What advice should you offer?

a. increase fluid intake
b. decrease the intake of complex carbohydrates
c. decrease fluid intake
d. decrease the intake of saturated fats
A - increase fluid intake
Nutritional prescription for a patient with cardiac cachexia includes:
a. <1 liter fluid, low sodium
b. low sodium, low saturated fat, low cholesterol, high calorie
c. restricted calorie, 0.8 protein/kg, fluid restriction
d. normal protein, follow DASH
B - low sodium, low saturated fat, low cholesterol, high calorie
Which infant is at the greatest risk?

a. 20lb, hemoglobin 10
b. 22lb, hemoglobin 10.5
c. 19lb, hemoglobin 11
d. 30lb, hemoglobin 9
D - 30lb, hemoglobin 9
a. 20lb, hemoglobin 10
b. 22lb, hemoglobin 10.5
c. 19lb, hemoglobin 11
d. 30lb, hemoglobin 9

Which of the infants in the above question have a normal hemoglobin?

a. a, b, d
b. b, d
c. c, d
d. a, b, c
D - a, b, c
An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. Why is he on a 500mg sodium diet?

a. secondary renal failure
b. hypoaldosteronism
c. hypoalbuminemia
d. hyperammonemia
C - hypoalbuminemia
An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. Why is he on a 500mg sodium diet?

Which of the following should the patient in the above question have for lunch?

a. 4 ounces cottage cheese
b. 1 ounce cheddar cheese
c. 1 ounce roast beef
d. 1 ounce cold cuts
C - 1 ounce roast beef
Which of the following should be included in the diet for celiac disease?

I. decrease intake of eggs
II. use potato and rice flour
III. MVI vitamin B12 and iron
IV. Low calorie, high fat, high protein

a. II, III
b. II, IV
c. I, II, IV
d. II, IV
A - II, III
Who is most at risk for gestational diabetes?

a. BMI <30
b. age <25, overweight
c. BMI >30, history of GDM
d. conception within 10 months of last pregnancy
C - BMI >30, history of GDM
A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning
c. iron overload
d. vitamin A toxicity
B - lead poisoning
How many calories are in 300ml of a 5% dextrose solution
a. 51
b. 60
c. 15
d. 200
A - 51
A single 19 year old female is 6 months pregnant. She has not gained any weight and has not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important recommendation for her?
a. see a physician immediately
b. apply for WIC immediately
c. join a teenage pregnancy support group
d. begin taking iron supplements
A - see a physician immediately
A female, 5'7" tall, weighs 115 lbs. Six months ago she weighed 130 lbs. What is her percent of ideal body weight
a. 85%
b. 83%
c. 81%
d. 87%
A - 85%
A vegan is allergic to milk. Which nutrients would you expect might be deficient in her intake?
a. protein, calories
b. vitamin B12, D
c. vitamin C, calcium
d. vitamin A, D
B - vitamin B12, D
A patient with Crohn's disease needs the following diet:
I. high fat, high calorie, high protein
II. low fat only with steatorrhea, vitamin C, B12
III. calories according to current BMI, high protein
IV. high residue, low fat, fat soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B12

a. I
b. II, III
c. III, IV
d. V
B - II, III
Which of the following diets is appropriate for reactive hypoglycemia

a. reduce intake of concentrated carbohydrates, 5-6 small meals
b. increased complex carbohydrate, low fat, high protein
c. decreased complex carbohydrate, low fat
d. high protein, high fat, high carbohydrate
A - reduce intake of concentrated carbohydrates, 5-6 small meals
Which patient has marasmus?

Patient A - Male
Serum albumin 3.5
Transferrin 275
Triceps skinfold 3
MAMC 15
TLC -----

Patient B - female
Serum albumin 2.6
Transferrin 125
Triceps skinfold 16.8
MAMC 24.1
TLC 1000

Patient C - male
Serum albumin 4.0
Transferrin 450
Triceps skinfold 17
MAMC 28.1
TLC 3500

a. A
b. B
c. C
d. A, B
A - A
When assessing nutritional status, which would be the most beneficial?
a. 24 hour recall, history of weight changes
b. medical history, diet order, socioeconomic status
c. clinical observation, weight status, cultural habits
d. diet intake info, clinical data, laboratory data
D - diet intake info, clinical data, laboratory data
The first function of the public health nutritionist is:
a. assess the needs of the community
b. counsel patients with special dietary needs
c. write pamphlets for educational purpose
d. expand the role of dietitians
A - assess the needs of the community
What nutrients most affect the renal solute load?
a. protein and carbohydrate
b. sodium and carbohydrate
c. protein and sodium
d. sodium and fat
C - protein and sodium
The elderly need how many ml per KG?
a. 35 - 40
b. 45
c. 25 - 30
d. 25
C - 25 - 30
According to the Diabetic Exchange Lists, when substituting 2% milk for fat-free milk, you must omit how many fat exchanges?
a. 1/2
b. 1
c. 1 1/2
d. 2
B - 1
If a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how much weight will he lost in one week
a. 0.5 kg
b. 1.0 kg
c. 1.5 kg
d. 2.0 kg
B - 1.0 kg
For which of the following diseases is diet therapy the primary treatment?
a. peptic ulcer
b. diabetes
c. wilson's disease
d. galactosemia
D - galactosemia
Which of the following best reflects protein status?
a. serum albumin
b. serum transferrin
c. retinol-binding protein
d. prealbumin
D - prealbumin
Following a Billroth II, steatorrhea often results. What is the likely cause?

a. bacterial overgrowth in the remaining loop
b. lack of pancreatic secretion due to less duodenal hormone secretion
c. a diet restricting simple carbohydrates
d. rapid absorption of simple carbohydrates
B - lack of pancreatic secretion due to less duodenal hormone secretion
Meats cured with whey won't be tolerated by someone with:
I. lactose intolerance
II. diabetes
III. post-gastrectomy of 3 months
IV. duodenectomy

a. I, II, III
b. II, III, IV
c. I
d. I, III, IV
C - I
Chemically defined formulas are used for:

a. short bowel syndrome
b. post chemotherapy treatment
c. hypermetabolism
d. galactosemia
A - short bowel syndrome
A PEG feeding would be useful in a patient with:

a. head or neck cancer, who will not be able to eat normally for weeks
b. short bowel syndrome
c. duodenal ulcers
d. pancreatitis
A - head or neck cancer, who will not be able to eat normally for weeks
A patient with hepatitis needs a high protein intake. Besides helping the liver to regenerate, what other purpose is served?

a. it helps increase iron absorption
b. it restores glycogen reserves
c. it helps prevent a fatty liver
d. it helps prevent necrosis of the liver
C - it helps prevent a fatty liver
The additive influence of foods are constituents which when eaten have a beneficial effect on health refers to:

a. nutraceuticals
b. food synergy
c. positive corollaries
d. medical foods
B - food synergy
Which foods are most likely to cause an allergic reaction?

a. shellfish, peanuts, wheat
b. wheat, chocolate, rice
c. citrus fruits, milk, corn
d. chocolate, milk, corn
A - shellfish, peanuts, wheat
Which set of conditions is most commonly seen in American children?

a. obesity, dental caries, anemia
b. hypertension, dental caries, rickets
c. hyperkinesis, anemia, dental caries
A - obesity, dental caries, anemia
A 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. One third of the carbohydrate grams is met with 1/2 cup orange juice, i cup milk, and:

a. 1 slice toast
b. 2 slices toast
c. 2 slices toast and 1/2 cup oatmeal
d. 1/2 slice toast
B - 2 slices toast
Which of the following is a medium fat protein?

a. peanut butter
b. tuna fish packed in water
c. corned beef
d. chicken without skin
C - corned beef
Which government agency would you contact regarding food distribution?

a. USDA
b. FDA
c. HHS
d. FTC
A - USDA
Which has the greatest effect on the renal solute load?

a. potassium
b. sodium
c. glucose
d. protein
D - protein
Which is not a fiber in the diet?
a. cellulose
b. hemicellulose
c. amylose
d. pectin
C - amylose
What is the diet for hypertension?

a. low sodium
b. low sodium, high potassium
c. low sodium, high calcium
d. low sodium, high potassium, high calcium
A -low sodium
The NHANES study looks at which parameters?
a. nutritional
b. nutritional, biochemical
c. nutritional, biochemical
d. nutritional, clinical, biochemical
D - nutritional, clinical, biochemical
What is a major reason for constipation in the elderly?
a. a diet low in high residue foods
b. a diet high in low reside foods
c. decreased gastric motility
d. lack of physical exercise
C - decreased gastric motility
the program that provides nutrition education training to teachers and food service personnel is the:

a. TEFAP
b. CACFP
c. EFNEP
d. NETP
D - NETP
A 6'2" male, large frame, 230lbs with type II diabetes should:

a. gain 5lb to be at a desirable body weight
b. lose 20lb slowly following balanced diet
c. lose 20lb in 4 weeks on a 800 calorie diet
d. lose 10lb slowly by following a balanced diet
B - lose 20lb slowly following balanced diet
A patient with chronic pancreatitis should consume oral pancreatic enzymes:
a. with large meals and fatty foods
b. only if steatorrhea increases
c. with all meals and snacks
d. only if consuming a high fat, low protein diet
C - with all meals and snacks
If a patient is about to be discharged when you receive the discharge diet order, you should...
a. give him something to take home
b. there is not enough time so forget it
c. enroll him in the outpatient clinic and schedule an appointment
d. teach him what you can in the time you have now
C - enroll him in the outpatient clinic and schedule an appointment
Following a cholecystectomy, bile is produced by the:
a. pancreas
b. liver
c. spleen
d. portal vein
B - liver
How many calories are in 1.5 liters of a 25% dextrose solution?

a. 850
b. 1275
c. 1000
d. 1500
B - 1275
Research suggests that in order to guard against cancer you should ingest:
a. carotene and vitamin C
b. vitamins C and B12
c. protein and vitamin A
d. vitamins E and K
A - carotene and vitamin C
Which of the following may be the cause of loose stools in a tube fed patient?

I. feeding was administered at too rapid a rate
II. the osmolality of the feeding was too low
III. the patient is constipated
IV. an inadequate amount of intestinal surface area

a. I
b. I, II
c. II, III
d. I, IV
D - I, IV
An elevated T4 indicates:

a. galactosemia
b. hypothyroidism
c. hyperthyroidism
d. ketonuria
C - hyperthyroidism
Before discontinuing a parenteral feeding, provide enteral support to prevent:

a. development of fatty liver
b. ketoacidosis
c. hypogylcemia
d. hepatic encephalopathy
C - hypogylcemia
An example of a positive nutrition care outcome is:

a. increased intake of foods high in iron and vitamin C
b. increase in the number of participants in a weight management class
c. increase in physician referrals to the outpatient department
d. decrease in the number of complaints regarding low sodium meals
A - increased intake of foods high in iron and vitamin C
Iron deficiency anemia has the following characteristics:

a. large cells laden with hemoglobin, hypochromic, microcytic
b. small, pale cells, hypochromic, microcytic
c. large cells laden with hemoglobin, macrocytic, megaloblastic
B - small, pale cells, hypochromic, microcytic
Which hormone moves milk through the mammary ducts?
a. prolactin
b. progesterone
c. estrogen
d. oxytocin
D - oxytocin
Which anthropometric measurements are useful in assessing adults?

a. triceps skinfold, head circumference, arm muscle circumference
b. head circumference, arm muscle circumference, height, weight
c. serum albumin, triceps skinfold
d. triceps skinfold, arm muscle circumference, height, weight
D - triceps skinfold, arm muscle circumference, height, weight
Which is a measure of somatic protein?
a. serum albumin
b. serum transferrin
c. mid-arm muscle circumference
d. triceps skinfold
C - mid-arm muscle circumference
Muscle mass is determined using the:
a. triceps skinfold and arm circumference
b. skinfold caliper
c. BEE
d. urinary creatinine measurement
A - triceps skinfold and arm circumference
Gastric irritants include:
a. black pepper, chili powder, caffeine, alcohol, cocoa
b. seeds, nuts, chili powder, black pepper, alcohol
c. caffeine, black pepper, nuts, alcohol
d. orange juice, black pepper, chili powder, alcohol
A - black pepper, chili powder, caffeine, alcohol, cocoa
Good advice for a patient with a hiatal hernia is to:
a. increase intake of complex carbohydrates
b. lower the fat content of the diet
c. don't eat before bed
d. avoid coffee
C - don't eat before bed
The dumping syndrome:
I. follows a gastrectomy
II. is secondary to carbohydrate overload
III. draws fluid into the intestine
IV. needs a high carbohydrate diet

a. I, III, IV
b. II, III, IV
c. I
d. I, II, III
D - I, II, III
Nutritional therapy for hepatitis includes:

a. high protein, high carbohydrate, moderate fat, high calories
b. high protein, low carbohydrate, low fat, moderate calories
c. low protein, high carbohydrate, low fat, high calories
d. low protein, high carbohydrate, low fat, low calories
A - high protein, high carbohydrate, moderate fat, high calories
Esophageal varices may be caused by:
a. portal hypotension
b. portal hypertension
c. a high fiber diet
d. a high fiber, high residue diet
B - portal hypertension
The diet for hepatic coma is low in protein due to:
a. low ammonia levels
b. high cholesterol levels
c. high ammonia levels
d. high LDL
C - high ammonia levels
In cystic fibrosis, the most impaired nutrient is:

a. protein
b. disaccharides
c. electrolytes
d. fat
D - fat
Hormones that control blood pressure and blood components are produced in:
a. the heart
b. the liver
c. the kidneys
d. the lungs
C - the kidneys
An acid ash would be created by ingesting:

a. corn, cranberries
b. milk
c. vegetables
d. fruits
A - corn, cranberries
Symptoms of nephrosis include:

a. dehydration, hypocholesterolemia
b. albuminuria, hypercholesterolemia
c. edema, hypochelesterolemia
d. hypotension, hyperalbuminemia
B - albuminuria, hypercholesterolemia
The catecholamines released during stress cause:
a. hypertension
b. hyperglycemia
c. diuresis
d. elevated BUN
B - hyperglycemia
Which is a part of the nutritional therapy for IDDM in a lean person?
a. time meals
b. decrease caloric intake
c. it is not crucial to maintain consistency of calories if average intake is low
A - time meals
Increased serum uric acid levels may lead to:

a. galactosemia
b. glycogen storage disease
c. gout
d. PKU
C - gout
The diet for galactosemia should exclude:

a. high fat foods
b. high cholesterol foods
c. organ meats, MSG
d. simple carbohydrates
C - organ meats, MSG
The ketogenic diet is used to help treat:
a. cystic fibrosis
b. seizures
c. chronic renal failure
d. hypotension
B - seizures
Immediately following a severe burn, nutritional therapy should include:

a. high calories
b. high protein
c. high calories, vitamins, minerals
d. fluid and electrolyte replacement
D - fluid and electrolyte replacement
The theory of obesity that refers to receptors in the hypothalamus is the:
a. lipostatic theory
b. set point theory
c. glucostatic theory
d. glucose-obese theory
C - glucostatic theory
Closed enteral nutrition systems can hang for:
a. 12 hours
b. 24-48 hours
c. 12-24 hours
d. unlimited because the container is closed
B - 24-48 hours
A fecal excretion of __grams of fat/24 hours is considered fat malabsorption
a. less than 1
b. more than 7
c. 3-5
d. 2-4
B - more than 7
Iatrogenic malnutrition is:

a. vitamin and mineral malabsorption
b. protein malabsorption
c. protein, calorie malnutrition
d. kwashiorkor
C - protein, calorie malnutrition
What are the similarities between WIC and SNAP?
I. regulated by USDA
II. have at risk criteria
III. have income criteria
IV. a health exam is required

a. I, II, III, IV
b. I, II, III
c. II, III, IV
d. I, III
D - I, III
A 60kg female receives 2700 calories on PN. The calorie to nitrogen ratio is 150:1. How many grams of nitrogen is she getting?
a. 14
b. 16
c. 18
d. 20
C - 18
What type of food would you feed to a patient who has the athetoid form of cerebral palsey?

a. milk-based products
b. finger foods like a hot dog in a roll
c. milk-free products
d. galactose-free foods
B - finger foods like a hot dog in a roll
Osteoporosis is most likely to occur in:
a. the physically active adult
b. a non-smoker
c. a black female
d. a white female
D - a white female
Which is a quick diet assessment tool for a large group?
a. food frequency lists
b. diet history forms
c. weighing food samples and recording intake
d. food records
A - food frequency lists
Compared to human milk, commercially prepared infant fomula is:

a. similar in nutrient content
b. equivalent to human milk in nutrient content and antibodies
c. higher in protein and iron but lacks antibodies
d. lower in protein and iron and lacks antibodies
C - higher in protein and iron but lacks antibodies
Which of the following is not associated with anorexia nervosa?

a. food aversions
b. distorted body image
c. schizophrenia
d. constant concern about weight status
C - schizophrenia
What is the appropriate advice for a person with anorexia nervosa?

a. offer a wide variety of foods and frequent feedings
b. offer liquids high in calories and protein
c. offer nasogastric feedings
d. regular mealtimes, and a varied moderate intake
D - regular mealtimes, and a varied moderate intake
A female who eats a wide variety of foods and take supplemental iron and birth control pills may be:
a. marginally deficient in folic acid
b. low in calcium
c. low in vitamin A
d. low in zinc
A - marginally deficient in folic acid
The immobilized state can lead to low levels of:

a. albumin and calcium
b. albumin and sodium
c. calcium and potassium
d. potassium and zinc
A - albumin and calcium
A man with a peptic ulcer should consume
a. milk every two hours
b. a bland diet
c. a balanced diet he can tolerate
d. a low roughage diet
C - a balanced diet he can tolerate
Which nutrient may be absorbed during peritoneal dialysis and continuous renal replacement therapy, thus requiring a modification of his diet?

a. carbohydrate
b. protein
c. fat-soluble vitamins
d. water-soluble vitamins
A - carbohydrate
An infant formula for lactose intolerance might include:

I. whey, coconut oil
II. casein hydrolysate, corn oil, glucose
III. soy protein, corn syrup solids
IV. sodium caseinate, hydrolyzed cornstarch

a. I, II, III
b. II, III
c. II
d. I, III
B - II, III
A patient with the nephrotic syndrome will likely exhibit:

a. hypercholesterolemia, hypoalbuminemia, edema
b. hypertension, hypocholesterolemia
c. hypotension, azotemia
d. malnutrition, hyperalbuminemia
A - hypercholesterolemia, hypoalbuminemia, edema
A nephrotic syndrome patient should receive how many grams of protein per KG?
a. 0.5 - 0.6
b. 0.6 - 0.8
c. 0.8 - 1.0
d. 1.0 - 1.4
C - 0.8 - 1.0
Fiber, like that found in oats, beans and bran cereals, results in:
a. increased water absorption from the intestine
b. binding of bile acids
c. decreased sodium excretion in the stool
d. small, compact stools
A - increased water absorption from the intestine
A patient suffering from bulimia may have all of the following symptoms except:
a. a sore throat
b. dental problems
c. extreme weight loss
d. rectal bleeding
C - extreme weight loss
Research on the effects of a low sugar, low artificial flavor diet on hyperkinesis has shown that:

a. it works in two out of three patients
b. it has not been scientifically proven effective
c. it has never been tested on humans
d. it has been proven effective
B - it has not been scientifically proven effective
Which of the following is not a sign of marasmus?
a. severe protein and calorie wasting
b. weight loss
c. edema
d. low anthropometric measurements
C - edema
Urea excretion is related to ___, while creatinine excretion is related to ____.
a. muscle mass, protein intake
b. protein intake, muscle mass
c. protein intake, adipose reserves
d. protein intake, calcium intake
B - protein intake, muscle mass
When conducting a physical assessment of a patient, which method is used to estimate fat stores?
a. inspection
b. palpation
c. pallor
d. auscultation
A - inspection
Which statement applies to nutritional screening?
a. only a physician makes the referral
b. only a dietitian makes the referral
c. it is exclusively done by nursing
d. all health team members can participate according to policy
D - all health team members can participate according to policy
A sandwich with two pieces of white bread and two ounces of turkey provides how many calories?
a. 250
b. 145
c. 198
d. 290
A - 250
Current research on the relationship between cancer and diet includes all of the following except...
a. cancer is associated with the intake of vitamin A
b. it is related to demographic factors
c. it is related to epidemiologic data
d. it is associated with ascorbic acid
B - it is related to demographic factors
Two liters of a 5% dextrose solution provides how many calories?
a. 170
b. 340
c. 212
d. 195
B - 340
When instructing a patient on diet therapy needing during intake of a monoamine oxidase inhibitor, which would not be included?
a. milk, cottage cheese, yogurt
b. yogurt, ricotta cheese
c. swiss cheese, yogurt
d. cheddar cheese, swiss cheese
D - cheddar cheese, swiss cheese
Catecholamines have what physiological effect?
a. induce diuresis
b. cause hypoglycemia
c. cause sodium retention
d. cause potassium retention
C - cause sodium retention
A patient with dehydration exhibits the symptoms of:
a. high blood pressure, dizziness
b. sunken eyes, decreased renal function, increased tachycardia
c. decreased BUN, decreased serum creatinine
d. low blood pressure, low serum sodium
B - sunken eyes, decreased renal function, increased tachycardia
Why would a man who eats very little protein have an albumin of 5.5g/dl
a. carbohydrate keeps albumin levels elevated
b. he is dehydrated
c. serum albumin falls quickly with protein deprivation
d. it is a sign of protein malnutrition
B - he is dehydrated
The diet for stomatitis is:
a. low fat, high carb, normal protein
b avoid spices, very hot, very cold, sour, tart foods
c. high protein, high carbohydrate
d. liquids, mostly carbohydrates
B - avoid spices, very hot, very cold, sour, tart foods
The BMI for a woman who is 5'7" tall and weighs 148lb. Indicates:
a. underweight
b. normal weight
c. overweight
d. obese
B - normal weight
Which of the following is not a guideline for Medicaid?
I. low income
II. over the age of 60 only
III. nutritional need

a. I
b. II, III
c. II
d. III
B - II, III
Which survey is repeated every few years?
a. NHANES
b. WHO
c. Ten State
d. FAO
A - NHANES
The healthy people 2020 goals are an outgrowth of a report by:
a. ADA
b. surgeon general, under HHS
c. WHO
d. FAO
B - surgeon general, under HHS
An example of a "healthy people 2020" goal is:
a. a decrease in saturated fat consumption
b. an increase in iron intake
c. promote healthy behaviors across every stage of life
d. an increase in the intake of complex carbohydrates
C - promote healthy behaviors across every stage of life
When a starved patient begins to eat, they might expect:
a. constipation
b. increased workload on the heart
c. lethargy
d. diarrhea
B - increased workload on the heart
Which of the following would be classified as NB in the NCP?
a hypermetabolism
b. inadequate enteral intake
c. impaired ability to prepare foods
d. excessive protein intkae
C - impaired ability to prepare foods
The immediate post-stress release of glucagon:
a. increases glucose uptake into cells
b. increases glucose release into the blood stream
c. increases insulin release
d. increases fluid and sodium excretion
B - increases glucose release into the blood stream
Which of the following is the appropraite diet for peritoneal dialysis?
a. 0.8 grams protein, 35 cals/kg
b. 2.0 grams protein, 30 cals/kg
c. 1.3 grams protein, 35 cals/kg
d. 1.0 grams protein, 35 cals/kg
C - 1.3 grams protein, 35 cals/kg
Which program provides food to needy individuals and families?
a. food banks
b. SNAP
c. CACFP
d. WIC
A - food banks
Which formula is high in protein, low in potassium and phosphorus?
a. nepro
b. osmolite
c. sustacal
d. jevity
A - nepro
What is the goal of the dietary guidelines?
a. prevention of chronic disease
b. provide standards for SNAP allocation
c. provide standards for WIC
d. provide standards for EFNEP
A - prevention of chronic disease
If an IDDM tells you she eats meals on an irregular schedule, you
should:
a. obtain more information about her usual eating habits
b. explain that insulin therapy is related to intake
c. do nothing if blood sugar levels are okay
d. ask her to complete a detailed food record
B - explain that insulin therapy is related to intake
The allowance for SNAP is based on:
a. the average cost of food used by a family of the same size
b. the USDA Thrifty Food Program
c. Data from the Congregate Meal Program
d. the cost of the MyPlate components
B - the USDA Thrifty Food Program
A single man with two daughters, ages 10 and 11, is looking for aid. Which program might approve assistance?
a. WIC
b. Food Stamps
c. Child Care Food Program
d. Headstart
B - Food Stamps
Why is an affluent couple (the man with diabetes, 67 years old and the wife with a broken arm, 50 years of age) not eligible for Meals on Wheels?
a. she is too young
b. they are affluent
c. this program does not cater to special diets
d. they can leave the house
D - they can leave the house
Which is permitted on a diet which excludes gluten?
a. rye
b. corn
c. barley
d. wheat bread
B - corn
Nutritional advice to a parent with a child with autism spectrum disorder should include:
a. oral supplements between meals
b. high sodium, high fiber foods
c. normal intake based on age
d. low fiber, high calories
C - normal intake based on age
Where can a pregnant teen learn to cook?
a. EFNEP
b. child nutrition services
c. UNICEF
d. WIC
A - EFNEP
Which of the following tube feeding ingredients might precipitate an allergic reaction in a child with a milk allergy?
a. hydrolyzed maltodextrin
b. modified starch
c. casein
d. carrageenan
C - casein
How can you enhance usage of commodity foods from a food donation program?
a. teach food donation staff how to use the items
b. make a poster on usage
c. give each participant recipes using the food items
d. calculate the amounts of nutrients provided in the donated foods
C - give each participant recipes using the food items
A poor, healthy 19 year old mother is unsure how to feed her 4 year old child. Which program may offer her the most help?
a. EFNEP
b. WIC
c. HHS
d. CACFP
A - EFNEP
An athlete weighs more than the average person of his height. What should you do first?
a. put him on a slow weight reduction diet
b. examine other anthropometric measurements
c. have him increase his exercise
d. suggest he drink more water
B - examine other anthropometric measurements
Which of the following affects bioelectrical impedance analysis?
a. adipose stores
b. muscle mass
c. water
d. protein stores
C - water
Which is the most appropriate bedtime snack for a diabetic on NPH insulin
a. apple juice and crackers
b. graham cracker and diet soda
c. fresh fruit and crackers
d. cheese and crackers
D - cheese and crackers
What can be done to lower the respiratory quotient of a tube fed pulmonary patient?

a. add MCT oil to decrease energy required for growth
b. change the type of fat to improve oxygen exchange
c. add carbohydrate to decrease the respiratory quotient
d. add a fat emulsion to replace some of the carbohydrate
D - add a fat emulsion to replace some of the carbohydrate
Which correlates best with energy intake?
a. lean body mass
b. triceps skinfold
c. body mass index
d. body weight
D - body weight
Which of the following most affects osmolarity?
a. protein
b. sugar
c. electrolytes
d. fat
C - electrolytes
Which fiber is insoluble in water?
a. pectin
b. sugar
c. electrolytes
d. fat
C - electrolytes
An infant wants a bottle at bedtime. You should counsel the parents to:
a. give the bottle only at bedtime
b. give the bottle only if the baby insists
c. only give milk in the bottle
d. only give water in the bottle
D - only give water in the bottle
A diabetic wants to exchange his bedtime snack of 8 ounces whole milk. What do you suggest?

a. 1oz cheese and 1/2 cup orange juice
b. 2 graham crackers and 1/2 cup orange juice
c. 1 ounce cheese
d. 2 ounces cheese
A - 1oz cheese and 1/2 cup orange juice
Which of the following may result in hypoalbuminemia?

a. amino acid supplementation prior to surgery
b. a high protein diet with inadequate water
c. providing only a 5% dextrose in water solution after stress
d. giving a trauma patient enteral feeding only
C - providing only a 5% dextrose in water solution after stress
A mother with 2 daughters, ages 8 and 11, does not earn enough money to feed her family. Which program would you suggest?
a. WIC
b. SNAP
c. Child and Adult Care Food Program
d. Medicaid
B - SNAP
Which drink would a Mormon choose?
a. cola
b. 7-up
c. tea
d. coffee
B - 7-up
What section of the intestine is more likely to be involved in Crohn's disease?
a. ileum
b. jejunum
c. duodenum
d. appendix
A - ileum
Which of the following would be classified as NC in the NCP?
a. inadequate vitamin intake
b. limited access to food
c. swallowing difficulty
d. inappropriate intake of food fats
C - swallowing difficulty
An infants failure to thrive can be seen in:
a. their behavior
b. comparison with growth charts
c. weight for height
d. height for age
B - comparison with growth charts
Which of the following has the fewest calories?
a. plain hamburger on a bun
b. chefs salad with dressing
c. green salad with Thousand Island dressing, and shredded cheese
d. fried fish sandwich
A - plain hamburger on a bun
Which of the following indicates protein calorie malnutrition?
a. a creatinine height index of 93%
b. height for weight ratio of 89%
c. triceps skinfold and arm muscle circumference of 79%
d. serum albumin of 4.5; transferrin of 410
C - triceps skinfold and arm muscle circumference of 79%
A child with AIDS needs a high calorie and _____ intake.
a. megadose vitamins
b. high protein
c. low fat
d. low residue
B - high protein
An appropriate measurement for iron status in a local community is:
a. serum iron
b. transferrin
c. TIBC
d. hematocrit
D - hematocrit
Which of the following may help decrease cavities?
a. raisins
b. carrots
c. cheese
d. yogurt
C - cheese
Which test helps you determine if a diabetic has been following his diet?
a. blood glucose
b. urine ketones
c. glycosylated hemoglobin
d. urine sugar
C - glycosylated hemoglobin
You discover an incorrect diet order entered in the patient's chart.
a. chart the order as incorrect
b. file the order because it was written by a physician
c. discuss the order with the physician and make suggestions
d. change the order in the chart
C - discuss the order with the physician and make suggestions
What is the best therapy for weight loss?
a. reducing 500 calories per day, and exercise
b. support groups, exercise, diet control
c. exercise, diet, behavior modification
d. exercise and diet control
C - exercise, diet, behavior modification
Which is most associated with the incidence of type 2 diabetes?
a. sugar intake
b. protein intake
c. overweight
d. salt
C - overweight
According to the ADA exchange lists, what is the nutrient content of the following...
1 cup raspberries, 1/2 cup cereal, 1 cup 1% milk, 1 tsp margarine, black coffee, 1 slice toast, 1 egg...

a. 397 kcal, 12 pro, 61 CHO, 6.5 fat
b. 346kcal, 12 pro, 52 CHO, 9 fat
c. 365 kcal, 21 pro, 57 CHO, 14 fat
d. 327 kcal, 13 pro, 58 CHO, 10 fat
C - 365 kcal, 21 pro, 57 CHO, 14 fat
St. John's wort has which effect of Coumadin?
a. decreases drug metabolism and decreases its effect
b. increases drug metabolism and decreases its effect
c. decreases drug metabolism and increases its effect
d. increases drug metabolism and increases its effect
B - increases drug metabolism and decreases its effect
Which bacteria may cause gastric ulcers
a. salmonella
b. streptococcus aureus
c. Helicobacter pylori
d. clostridium perfringens
C - Helicobacter pylori
The appropriate diet therapy following a Billroth II is:
a. high carbohydrate, low fat, high protein
b. high fat, high protein, high carbohydrate
c. decrease simple carbohydrates, high protein, moderate fat, B12 supplements
d. low fat, low protein, high carbohydrate
C - decrease simple carbohydrates, high protein, moderate fat, B12 supplements
Which of the following diseases may lead to anemia
a. myocardial infarction
b. galactosemia
c. renal failure
d diabetes mellitus
C - renal failure
To learn about prenatal problems in the community, go to:
a. center for disease control
b. WIC
c. NHANES
d. FDA
B - WIC
Which best applies to nutritional screening?
a. HIPAA standards must be followed
b. It should include nutritional parameters are identified
c. If is done after nutritional problems are identified
d. it is only done on at risk patients
B - It should include nutritional parameters are identified
Which of the following can be offered to a patient when his diet prescription is moved from NDD level 3 to level 2?
a. soft pancake
b. bread pudding
c. rice pudding
d. saltine crackers
A - soft pancake
A pork chop is which type of protein exchange?
a. high fat protein
b. medium fat protein
c. medium fat protein plus one fat exchange
d. lean protein
D - lean protein
What should most be encouraged in a Headstart program?
a. nutrition activities related to food
b. participation for at least one year
c. class instructions
d. healthy snacks
A - nutrition activities related to food
Medicaid benefits apply to:
a. healthy adults
b. a 60 year old female
c. those at nutritional risk
d. low income individuals
D - low income individuals
The symbol U on the food label indicates:
a. it is treated with ultraviolet light
b. it is treated with radiation
c. vitamin retention has be retained during processing
d. it is a kosher designation
D - it is a kosher designation
Congregate meals and home delivered meals fall under:
a. WIC
b. EFNEP
c. older americans act nutrition program title III
d. medicare
C - older americans act nutrition program title III
Which is most characteristic of marasmus?
a. serum albumin of 2.5 g/dl
b. edema
c. severe fat and muscle wasting
d. decreased lymphocytes
C - severe fat and muscle wasting
The stasis of pancreatic juice and bile could result in:
I. autodigestion
II. fat malabsorption
III. obstructive jaundice

a. I and II
b. I and III
c. II and III
d. I, II, and III
D - I, II, and III
A side effect of antidepressants is:
a. chronic diarrhea
b. muscle wasting
c. excess weight gain
d. nausea and vomiting
C - excess weight gain
Which would you recommend to a mexican american on a low fat diet?
a. low fat cottage cheese
b. skim milk
c. beans and rice
d. low fat yogurt
C - beans and rice
Hypertension will decrease with a decrease in:
a. fiber
b. alcohol
c. potassium
d. calcium
B - alcohol
What medication is affected by serum sodium levels?
a. lithium carbonate
b. mallril
c. valproate
d. tetracycline
A - lithium carbonate
A child has been measured several times before the age of two years. results of the measurements were not accurate because the child was measured:
a. first thing in the morning
b. standing up
c. after breakfast
d. with light clothing
B - standing up
Which of the following is not a governmental agency?
a. health and human services
b. food and drug administration
c. food and nutrition board
d. american heart association
D - american heart association
Low levels of folate, pyridoxine, and cyanocobalamin are associated with:
a. glycogen storage disease
b. homocystinurias
c. phenylketonuria
d. galactosemia
B - homocystinurias
A patient with low hemoglobin and low MCV might have:
a. microcytic anemia
b. macrocytic anemia
c. magaloblastic anemia
d. normochromic anemia
A - microcytic anemia
According to the Food Lists for Diabetes Exchanges, 2T peanut butter is equivalent to:
a. 2 high fat proteins
b. 1 high fat protein
c. 2 fats
d. 1 high fat protein plus 2 fats
A - 2 high fat proteins
After a gastrectomy, the diet order should indicate a decrease in:
a. disaccharides
b. fats
c. protein
d. complex carbohydrates
A - disaccharides
Children and adolescents need what level of physical activity?
a. 60 min every day
b. 30 minutes every day
c. 60 minutes at least 3 days each week
d. 90 minutes at least three days each week
A - 60 min every day
Which of the following provides 45g of CHO?
a. one cup pasta
b. one cup black beans
c. 1 1/2 cups blueberries
d. 2 small tortillas
A - one cup pasta
The Prader Willi syndrome is associated with...
a. hyperactivity
b. deficiency of gucose-6-phosphatase
c. macrocytic anemia
d. obesity
D - obesity
Which of the following is permitted on a diet restricting tyramine?
a. hard cheese like cheddar or swiss
b. uncured cheese like cottage and ricotta
c. pickled or smoked foods
d. tofu
B - uncured cheese like cottage and ricotta
What does a fecal fat of 12 gram indicate?
a. severe fat malabsorption
b. normal fat absorption
c. high normal fat absorption
d. nothing
A - severe fat malabsorption
If a patient cannot metabolize urea properly, what will accumulate in his blood?
a. uric acid
b. ammonia
c. protein
d. glucose
B - ammonia
A patient with cystic fibrosis, who is non-compliance with their nutritional prescription, may present with:
a. hypernatremia
b. hyponatremia
c. hypokalemia
d. hyperkalemia
B - hyponatremia
Who is the most appropriate candidate for parenteral nutrition?
a. a 12 year old girl coming in for an appendectomy
b. a middle aged woman who will begin chemotherapy
c. an elderly lady with emphysema
d. a young man going in for gallbladder surgery
B - a middle aged woman who will begin chemotherapy
An example of a primary prevention program for a local community would be:
a. low sodium cooking classes for hypertensive patients
b. have local farmers bring fresh fruits and vegetables into schools
c. at health fairs, refer high risk individuals to appropriate programs
d.education programs for those recently diagnosed with diabetes
B - have local farmers bring fresh fruits and vegetables into schools
WIC encourages women with babies to:
a. formula feed
b. breast feed
c. food solid foods early
d. feed a mixture of formula and solid foods early
B - breast feed
In reviewing the patient's medical record, you note a hemoglobin of 10 g/dl and an MCV of 110 cu mm. You should document:
a. anemia due to intrinsic factor
b. anemia without nutritional implications
c. anemia with larger than normal erythrocytes
d. that the iron content of the diet should be increased
C - anemia with larger than normal erythrocytes
For which disease would a low sodium diet be recommended?
a. ascites
b. esophageal varices
c. pancreatitis
d. appendicitis
A - ascites
A patient needs a 2000 calorie, 2 gram sodium feeding. Which formula is best?

a. formula 1: 1kcal/cc, 2g Na/L

b. formula 2: 1.5kcal/cc, 2g Na/L

c. formula 3: 2kcal.cc, 1g Na/L

d. formula 4: 1kcal/cc, 1g Na/L
D - formula 4: 1kcal/cc, 1g Na/L
A 75 year old female with adequate income would benefit from:
a. SNAP
b. Congregate Meals
c. EFNEP
d. WIC
B - Congregate Meals
Which can be included in a meal for gluten-induced enteropathy?
a. spaghetti and tomato sauce
b. cheese and crackers
c. potatoes with butter
d. oatmeal with sugar
C - potatoes with butter
Phytochemicals, which may influence the development of tumors, are found in:
a. fruits, vegetables, grains
b. lean poultry and fish
c. low fat dairy products
d. polyunsaturated fats
A - fruits, vegetables, grains
A patient with hyperphosphatemia, hyperkalemia, and hypermagnesemia may have:
a. renal disease
b. re-feeding syndrome
c. pancreatic disease
d. liver disease
A - renal disease
Which supplements are recommended with hemodialysis?
a. vitamins C, B6, folate, B12
b. vitamins A, D, E, K
c. thiamin, riboflavin, vitamin C
d. thiamin, folate, vitamins E and C
A - vitamins C, B6, folate, B12
A person with the dumping syndrome cannot handle:
a. complex carbohydrates
b. polysaccharides
c. disaccharides
d. amino acids
C - disaccharides
What is the appropriate diet for heart failure?
a. low potassium
b. low calcium
c. low sodium
d. low fat
C - low sodium
How many calories are provided in 1.5 liters of D25W?
a. 1275
b. 2275
c. 1500
d. 2000
A - 1275
A homeless patient who is deficient in all nutrients is to be discharged. What organization may help?
a. WIC
b. EFNEP
c. a local social services organization
d. a shelter for the homeless
C - a local social services organization
Why might a child with PKU have an increased incidence of dental caries?
a. phenylalanine is not converted to tyrosine
b. the diet is high in carbohydrates, low in protein
c. pyruvate is not converted to alanine
d. the diet is devoid of protein
B - the diet is high in carbohydrates, low in protein
Trauma can place the patient in:
a. an anabolic state
b. a hypermetabolic state
c. a hypothermic state
d. a hypometabolic state
B - a hypermetabolic state
A patient who had an ileal resection is placed on a tube feeding and begins to have diarrhea. This may be due to:
a. use of a hypertonic formula
b. use of an isotonic formula
c. blockage of the GI tract
d. lactose intolerance
A - use of a hypertonic formula
Which is restricted in a diet for hepatic encephalopathy?
a. protein, sodium, fluid
b. protein, fluid, calories
c. calories, protein, fat
d. sodium, fat, calories
A - protein, sodium, fluid
How many non-protein calories are provided by 2 liters of a 7% Aminosyn and 1 liter of 10% dextrose in water?
a. 340
b. 390
c. 170
d. 255
A - 340
When should you provide nutrition counseling to an AIDS patient?
a. when nausea and vomiting become problems
b. immediately upon diagnosis
c. when diarrhea occurs
d. no counseling is needed
B - immediately upon diagnosis
Medicare is for:
a. the elderly
b. the financially needy
c. those at nutritional risk
d. those with medical needs
A - the elderly
What best measures excess calorie reserves?
a. weight
b. creatinine
c. triceps skinfold
d. arm circumference
C - triceps skinfold
Why might a patient with ascites be dehydrated?

a. fluid has moved to interstitial spaces
b. fluid has moved to intravascular spaces
c. fluid has moved to vascular spaces
d. fluid has moved to the lung
A - fluid has moved to interstitial spaces
Which of the following is equivalent to a lean protein exchange?
a. 1/4 cup low fat cottage cheese
b. 2 T grated parmesan cheese
c. 1 ounce mozzarella cheese
d. 1 ounce swiss cheese
A - 1/4 cup low fat cottage cheese
Which is a common complication of AIDS?
a. constipation
b. diarrhea
c. hypoglycemia
d. hyperkalemia
B - diarrhea
A post-surgical patient with prolonged ileus should be treated with:
a. a high fiber diet
b. enteral nutrition with added fiber
c. enteral nutrition
d. parenteral nutrition
D - parenteral nutrition
A common result of treating an AIDS patient with zidovudine is?
a. diarrhea
b. constipation
c. macrocytic anemia
d. hypokalemia
C - macrocytic anemia
A 140lb female on dialysis should have how many grams of protein?

a. 38-55
b. 58-63
c. 70-89
d. 30-38
C - 70-89
An obese person with Type 2 diabetes should:
a. time meals
b. decrease the frequency of feedings
c. achieve DBW
d. increase the frequency of feedings
C - achieve DBW (desired body weight)
A tube fed patient receiving bolus feedings develops a distended abdomen. What should you recommend?
a. change the tube feeding to isotonic, lactose-free
b. decrease the osmolality of the feeding
c. decrease the amount of water flush
d. decrease the rate
D - decrease the rate
Which food is highest in fiber?
a. cooked dried beans
b. a tomato
c. wheat bread
d. lettuce
A - cooked dried beans
Which of the following is lowest in fat?
a. hamburger
b. salami
c. goat cheese
d. Canadian bacon
D - Canadian bacon
Which is true with osteoporosis?
a. it is more common in men than in women
b. it is treated with 500mg calcium per day
c. it is common in those 65 years of age and older
d. weight bearing exercise exacerbates the problem
C - it is common in those 65 years of age and older
The maximum hang time for open enteral systems is:
a. 2 hours
b. 4 hours
c. 6 hours
d. 8 hours
B - 4 hours
What is a guide for calculating water needs with tube feedings?
a. 1cc water/ 0.5 calories
b. 1cc water/ 1.0 calories
c. 1cc water/ 2.0 calories
d. 1cc water/ 3.0 calories
B - 1cc water/ 1.0 calories
Following a colectomy, the absorption of which of the following would be of the most concer?
a. vitmains D and E
b. water and sodium
c. B vitamins
d. vitamin C
B - water and sodium
According to the diabetic exchange lists, which of the following is equivalent to one medium fat protein?
a. 4 ounces tofu
b. 2 ounces pork
c. 2 eggs
d. 2 T peanut butter
A - 4 ounces tofu
A long term care patient has normal intestinal function but cannot eat. What tube feeding should you provide?
a. high protein, high calorie formula
b. isotonic, polymeric formula
c. elemental formula
d. low fiber, low fat formula
B - isotonic, polymeric formula
Which food should someone on an MAOI not eat?
a. cottage cheese
b. herbal tea
c. pepperoni
d. butter
C - pepperoni
If you have a lactose intolerance, which food could you most likely tolerate?
a. whole milk
b. skim milk
c. ice cream
d. yogurt
D - yogurt
The normal range for hemoglobin A1C is:
a. 1-2%
b. 4-6%
c. 10-12%
d. 35-40%
B - 4-6%
If a diabetic patient reduces his calorie intake from 2300 to 1800 calories per day, how much will he lose in one month?
a. 4 pounds
b. 6 pounds
c. 2 pounds
d. 8 pounds
A - 4 pounds
A spastic quadriplegic requires:
a. lower energy intake
b. fewer calories
c. increased fluid and fiber, acid ash diet
d. lower energy intake, acid ash diet
B - fewer calories
An athlete complains of weakness, rapid weight gain and muscle spasms. What may be the cause?

a. lack of adequate rest
b. too much exercise
c. carbohydrate loading
d. not enough iron
C - carbohydrate loading
Who is most at risk from protein calorie malnutrition?
a. a cancer patient on chemotherapy
b. a patient with gastric ulcers
c. a patient with Crohns disease
d. a patient with megaloblastic anemia
A - a cancer patient on chemotherapy
Patients with decubitus ulcers will likely demonstrate low:
a. serum sodium
b. serum albumin
c. serum potassium
d. serum glucose
B - serum albumin
NHANES III increased the number of participants in which age group?
a. infant and children
b. the elderly
c. adolescents
d. pregnant women and infants
B - the elderly
Which type of anemia is likely to be seen in a patient with arthritis?
a. Microcytic, hypochromic
b. anemia secondary to chronic disease
c. macrocytic
d. megaloblastic
B - anemia secondary to chronic disease
A TPN solution is to be delivered at 50ml per hour at 3/4 strength. What is the appropriate order?
a. 900ml formula, 300ml water
b. 600ml formula, 600ml water
c. 800ml formula, 400ml water
d. 300ml formula, 900ml water
A - 900ml formula, 300ml water
Determine the calorie contribution of carbohydrate from the following parenteral formula. The amounts stated are given per liter.

300ml 60% dextrose; 500ml 10% amino acids; 200ml 20% lipid;

Total nutrient mixture administered at 65 ml/hour for 24 hours

a. 393 calories per day
b. 1550 calories per day
c. 955 calories per day
d. 1572 calories per day
C - 955 calories per day

(300ml x 0.6 = 180
180/1000ml = 18%
18% of total volume 1,560 = 280g
280g x 3.4 = 955)
300ml 60% dextrose; 500ml 10% amino acids; 200ml 20% lipid; The amounts stated are given per liter.

Total nutrient mixture administered at 65 ml/hour for 24 hours

Using the above formula, determine the calories coming from lipids per day

a. 519
b. 561
c. 577
d.624
D - 624
(total volume @65ml/hr = 1.56 L. Multiply the calories in 200ml by 1.56 ---> 400 x 1.56 = 624)

since the 200ml is the based off 1 liter volume
300ml 60% dextrose; 500ml 10% amino acids; 200ml 20% lipid; The amounts stated are given per liter.

Total nutrient mixture administered at 65 ml/hour for 24 hours

Using the above formula, determine the protein intake per day in grams

a. 78
b. 80
c. 84
d. 86
A - 78

500ml x 10% = 50g
50g/1000ml = 0.05%
0.05% x total volume of 1560 = 78g
How much free water is in 1.5 liters of an enteral feeding that has 1.5 calories per cc?

a. 1155 cc
b. 1057 cc
c. 926 cc
d. 901 cc
A - 1155 cc
(a. 1 kcal/cc formulas are 80-86% water; 1.5 cals/cc are 76-78% water; 2 kcal/cc formulas are 69-71% water)
A patient receives 4 ounces whole milk and 6 graham crackers as a snack. Which of the following substitutes would lower the glycemic index?
a. skim milk in place of whole milk
b. fruit juice in place of whole milk
c. 12 saltines in place of 6 graham crackers
d. 1 T peanut butter in place of 3 graham crackers
D - 1 T peanut butter in place of 3 graham crackers
Which will cause the most delay in gastric emptying?
a. lean baked meat
b. broiled cod
c. shrimp
d. corned beef
D - corned beef
If a patient's GFR is <50 ml/min, what should their protein intake be (in g/kg)
a. 1
b. 0.6 - 0.8
c. 0.55 - 0.6
d. 0.2 - 0.4
B - 0.6 - 0.8
A 2 year old child with iron-deficiency anemia has anorexia, vomiting, weight loss and restless. Look for:
a. excessive milk and fruit juice intake
b. excessive vitamin C and D intake
c. asthma and respiratory distress
d. pica and lead poisoning
D - pica and lead poisoning
A program that links sources of unused, cooked and fresh foods with social service agencies that serve the hungry is the:
a. PPFP
b. USDA
c. CACFP
d. TEFAP
A - PPFP
A man with HIV disease presents with the following data. What should be your primary concern as his dietitian?

Height: 5' 10"
Weight: 115lb
Hematocrit: 35%
MCV: 103 fl
BUN: 11 mg/dl
Serum albumin: 2.8 g/dl
CD4: 280
Total lymphocytes: 1200/cubic mm

a. anemia
b. weight
c. renal failure
d. protein deficiency
B - weight
An example of a tertiary prevention program is:
a. at the workplace, coordinate walking groups at lunchtime
b. exercise classes in a cardiac rehabilitation program
c. cooking classes for heart-healthy eating
d. workplace screening for hypertension
B - exercise classes in a cardiac rehabilitation program
A side effect of the herb yohimbe is:
a. lowering of blood pressure
b. elevated blood pressure
c. hyperglycemia
d. hypoglycemia
B - elevated blood pressure
Which program teaches good nutrition practices and provides foods with certain nutrients?
a. EFNEP
b. FFVP
c. WIC
d. CACFP
C - WIC
A PN patient is receiving 45 calories/kg. What may be the result?
a. hypocalcemia
b. hyperkalemia
c. hypokalemia
d. hyperphosphatemia
C - hypokalemia
A tube fed patient develops diarrhea. What is the most likely cause?
a. medications
b. the osmolality is too low
c. the strength is too weak
d. it is being given at an improper rate
A - medications
A male patient has hypertension, high cholesterol, diabetes, and is 55 pounds above his desirable body weight. What do you recommend?
a. low sodium
b. low carbohydrates
c. low calories
d. low fat
C - low calories
A patient with liver disease needs adjustments in the intake of:
a. protein, fat, and sodium
b. protein, fluids, sodium
c. protein, calories, sodium
d. fluids, calories, fat
B - protein, fluids, sodium
The most useful data in evaluating the nutritional status of children is:
a. sex and age
b. iron and vitamin intake
c. energy intake and health history
d. height and weight
C - energy intake and health history
The dietary intake component of NHANES is:
a. WWEIA
b. BRFSS
c. Ten State Nutrition Survey
d. PNSS
A - WWEIA
Goals for a community nutrition program should be based on:
a. the dietary guidelines for amaericans
b. the Nutrition Screening Initiative
c. the Healthy People report
d. the NHANES III report
A - the dietary guidelines for amaericans
Cystic fibrosis patients may present with:
a. hypernatremia
b. hyperglycemia
c. hyponatremia
d. hyperkalemia
C - hyponatremia
Memory loss may be associated with a deficiency of:
a. riboflavin
b. thiamin
c. protein
d. electrolytes
B - thiamin
Which of the following would lower serum cholesterol levels?
a. dried beans
b. green beans
c. yellow beans
d. summer squash
A - dried beans
In a PN mixture, what volume of the amino acid solutions listed would come closest to providing 185 calories?
a. 1000ml of 8.5% AA
b. 850ml of 5.5% AA
c. 500ml of 7.0% AA
d. 500ml of 10% AA
B - 850ml of 5.5% AA
Enteral feeding products that contain protein in the form of small peptides and amino acids may be recommended for patients who have:
a. short bowel syndrome
b. undergone a gastrectomy
c. undergone a colectomy
d. undergone a cholecystectomy
A - short bowel syndrome
Which diet follows the AHA recommendations for healthy hearts?

a. 25-30% calories from fat, <10% saturated fats, <200mg cholesterol
b. </=35% calories from fat, <2g sodium, <200mg cholesterol
c. 25-30% calories from fat, <10% saturated fats, <200mg cholesterol, 5-10% MUFA, 20% PUFA
d. </=35% calories from fat, <7% saturated fats, 5-10% PUFA, up to 20% MUFA, <200mg cholesterol
D - </=35% calories from fat, <7% saturated fats, 5-10% PUFA, up to 20% MUFA, <200mg cholesterol
A renal patient has come for dialysis on Monday morning with a serum sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine 8.0, and a 4KG weight gain since his last dialysis on Friday morning. His laboratory indicators were in acceptable ranges on Friday afternoon. What would you expect happened over the weekend?

a. consumed too little sodium, too much water, too little protein

b. consumed too little sodium, not enough eater, too much protein

c. consumed too much sodium, too much water, too much protein

d. consumed too much sodium, too little water, too little protein
C - consumed too much sodium, too much water, too much protein
A renal patient has come for dialysis on Monday morning with a serum sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine 8.0, and a 4KG weight gain since his last dialysis on Friday morning. His laboratory indicators were in acceptable ranges on Friday afternoon. What would you expect happened over the weekend?

Looking at the above question, what else would you expect to see?
a. increased bicarbonate, increased potassium, decreased phosphorus

b. decreased bicarbonate, increased potassium, increased phosphorus

c. decreased bicarbonate, decreased potassium, increased phosphorus

d. increased bicarbonate, increased potassium, increased phosphorus
B - decreased bicarbonate, increased potassium, increased phosphorus
A renal patient has come for dialysis on Monday morning with a serum sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine 8.0, and a 4KG weight gain since his last dialysis on Friday morning. His laboratory indicators were in acceptable ranges on Friday afternoon.

What would the lab values above have likely reflected if the patient had been nauseated and had averaged only 400 calories from primarily starchy foods over the weekend?

a. little or no rise in potassium, BUN/creatinine ratio <10

b. increased phosphorous, BUN/creatinine ratio >15

c. typical rise in potassium, BUN/creatinine ratio >15

d. Metabolic alkalosis, BUN/creatinine ratio <10
A - little or no rise in potassium, BUN/creatinine ratio <10
A nutrition surveillance program is designed primarily to:

a. confirm results of annual nutritional surveys

b. identify the nutritional needs of the population

c. indicate the number of people at increased risk for medical conditions

d. indicate the causes underlying the nutrition problems identified
B - identify the nutritional needs of the population
A standing height should first be obtained when an infant is how many months old?
a. 18
b. 20
c. 22
d. 24
D - 24
Which nutrient would most effectively reduce starvation ketosis?

a. corn oil
b. MCT oil
c. glucose
d. essential amino acids
C - glucose
An albumin of 5.0mg/dl in a patient who has consumed very few calories and limited fluids for several weeks is likely due to:

a. increased liver production of albumin in response to poor intake
b. an increase in albumin due to dehydration
c. decreased intake of protein
d. retention of albumin due to the low caloric intake
B - an increase in albumin due to dehydration
Macrocytic, pernicious anemia resembles the anemia due to a deficiency of:
a. folic acid
b. iron
c. megaloblastic cells
d. pyridoxine
A - folic acid
A PN regimen that contains 1L of D50W and 1L of 7% Aminosyn provides how many non-protein calories.

a. 300
b. 1400
c. 1700
d. 2000
C - 1700
Who has the greatest water, protein, and calorie needs per unit of body weight?
a. a 6 month old infant
b. a 50 year old female
c. a 16 year old male
d. a 25 year old male
A - a 6 month old infant
The theory that a person must perceive the severity of a condition, and that making a change may help him prevent the condition from occurring is the:

a. stages of change model
b. diffusion of innovation model
c. theory of planned behavior
d. health belief model
D - health belief model
A patient with a redundant ileum may develop a deficiency of:
a. fat-soluble vitamins
b. folic acid
c. vitamin B12
d. vitamin K
C - vitamin B12
An example of an educational objective for a low fat cooking class given at a seniors center would be to:

a. appreciate the importance of lowering fat intake
b. understand the relationship between fat intake and heart disease
c. name two ways to decrease fat intake at breakfast
d. consider ways decrease their risk of heart disease
C - name two ways to decrease fat intake at breakfast
What would a vegan not eat?
a. coleslaw made with oil and vinegar
b. congealed fruit salad
c. salad with tofu dressing
d. peanut butter
B - congealed fruit salad
Which contains more total dietary fiber?
a. 1/2 cup raw spinach
b. 1oz raisin bran cereal
c. 1 slice whole wheat bread
d. 2 T peanut butter
B - 1oz raisin bran cereal
What change should be made in the following menu if it is to be served to Seventh Day Adventists? tomato juice, cottage cheese fruit plate or egg salad sandwich, milk, coffee, tea

a. offer fortified soy milk
b. offer decaffeinated beverages
c. off tofu as an alternative to cottage cheese
d. offer a meat analog as an alternative to egg salad
B - offer decaffeinated beverages
The best way to counsel a patient with anorexia nervosa is to:

a. recommend that the patient increase food intake and attend weekly counseling sessions

b. emphasize the health benefits associated with increased intake

c. maintain a constant regimen to decrease inappropriate choices

d. remain flexible to help the patient set realistic goals
B - emphasize the health benefits associated with increased intake
Programs that focus on providing fresh fruits and vegetables are:

a. TANF and ASP
b. FFVP and SFNP
c. TEFAP and NETP
d. DHHS and SBP
B - FFVP and SFNP
Which of the following would likely have a very low albumin a few days after admission to an acute care hospital?

a. a patient with anorexia nervosa
b. a patient with a 30% full thickness burn
c. a patient with newly diagnosed colon cancer
d. a patient with COPD
B - a patient with a 30% full thickness burn
When measuring a child's somatic protein mass, use the BMI and:
a. upper arm muscle area
b. triceps skinfold
c. mid-arm muscle circumference
d. knee to height ratio
A - upper arm muscle area
An AIDS patient should select the following fresh fruit:

a. grapes, orange
b. orange, banana, pineapple
c. apple, grapes, peach
d. grapes, pear
B - orange, banana, pineapple
Asian, Hispanic, and Native Americans have the following in common:

a. they consume few green vegetables
b. they consume significant amounts of dairy products
c. they consume little milk
d. they consume few root vegetables
C - they consume little milk
Your patient is on Coumadin. Which foods would you make sure to consistently include in their diet?

a. orange, peaches
b. sweet potatoes
c. beef, lamb
d. spinach, collard greens
D - spinach, collard greens
The first step in implementation of a community based program is:
a. obtain support from staff members
b. prepare a realistic budget based on goals and objectives
c. obtain administrative support
d. reach out to the target population
C - obtain administrative support
Funding for public health programs comes primarily from:
a. foundation grants
b. general revenue
c. charitable organizations
d. public/private partnerships
B - general revenue
In acute hepatitis, you would likely see:
a. decreases in SGOT, increase in SGPT
b. increase in both SGOT and SGPT
c. decrease in both SGOT and SGPT
d. increase in SGOT and decrease in SGPT
B - increase in both SGOT and SGPT
In severe cirrhosis with ascites, diet therapy should be:
a. restrict sodium
b. restrict CHO and fat
c. restrict protein and sodium
d. restrict fat
A - restrict sodium
An AIDS patient's temperature has risen to 102 degrees. his BMR has increased:
a. 24%
b. 36%
c. 12%
d. 5%
A - 24%
How much additional water would a 65kg patient need when receiving 2400ml of a standard formula, 85% free water, was given daily>

a. 125ml
b. 235ml
c. 155ml
d. 270ml
B - 235ml
An athlete needs 4000 calories. The cornflakes nutrient label says that one serving provides 25% of the RDA for CHO. How many servings of cornflakes does he need to get his 25%?

a. one
b. two
c. three
d. four
B - two
The steps in planning community based nutrition programs are:

a. goals, develop mission statement, objectives
b. develop measurable goals, develop mission statement

c. develop mission statement, goals and measurable objectives

d. goals, objectives, develop mission statement
C - develop mission statement, goals and measurable objectives
What elements of the diet vary the most in hepatic disease?

a. fat, carbohydrate, potassium
b. sodium, fluid, protein
c. sodium, potassium, protein
d. fat, sodium, potassium
B - sodium, fluid, protein
What is the most effective tool for providing nutrition education to the community
a. the RDIs
b. the Healthy People 2020 report
c. the MyPlate Food Guidance System
d. The Healthy Eating Index
C - the MyPlate Food Guidance System
What should a Jewish patient include in his diet to increase the intake of zinc?
a. fresh green vegetables
b. pork
c. turkey
d. wheat bread
C - turkey
A 7 year old on a ketogenic diet requires 1500 calories, which is the appropriate order?

a. 145g fat, 25g protein, 25g carbohydrate

b. 95g fat, 40g protein, 25g carbohydrate

c. 102g fat, 56g protein, 12g carbohydrate

d. 75g fat, 32g protein, 43g carbohydrate
A - 145g fat, 25g protein, 25g carbohydrate
A new patient with a BMI of 32 and HTN comes to you for counseling. What is you first recommendation?
a. achieve DBW
b. maintain weight and exercise
c. reduce sodium intake
d. reduce sodium, reduce fluid, reduce caloric intake
C - reduce sodium intake
A female has a 36" waist and a 40" hip measurement. She is at risk for:
a. nothing
b. cancer
c. heart disease
d. malnutrition
C - heart disease
A vegan with macrocytic anemia needs which of the following?
a. iron-rich foods
b. fortified soy milk
c. eggs, wheat bread
d. meat, green vegetables
B - fortified soy milk
A patient with a GFR of 20ml/min should receive how many grams of protein/kg
a. 1.1
b. 0.8
c. 0.6
d 0.2
C - 0.6
A patient is recovering from an ileocecal resection, where 100cm was removed. What are your recommendations?
a. oral vitamin B12, increase fluids
b. parenteral vitamin B12, increase fluids, increase protein
c. decrease fluids, increase protein, parenteral B12
d. decrease protein, decrease fluids, oral B12
B - parenteral vitamin B12, increase fluids, increase protein
A patient on Lithium carbonate decreases his sodium intake to 2 grams/day. The effect will be:
a. decreased activity of the drug
b. enhanced activity of the drug
c. no change in drug activity
d. reduced response to the drug
B - enhanced activity of the drug
In the Dietary Guidelines, what represents the fat included?
a. 20-35 calories, <10% saturated fat
b. 30% calories, <6% saturated fat
c. 35% calories, <15% saturated fat
d. 35% calories, <10% saturated fat
A - 20-35 calories, <10% saturated fat
Which of the following would likely be a cause of marasmus?
a. leaving a patient for two weeks on D5W
b. chemotherapy
c. following a 20 gram protein diet for two months
d. antibiotic therapy
B - chemotherapy
Following resection of the small intestine, patients initially receive:
a. parenteral nutrition
b. elemental formula through an enteral feeding
c. predigested nutrients through a gastrostomy tube
d. lactose-free, low osmolar, jejunal feeding
A -parenteral nutrition
A tube feeding ran from 7PM till 6AM, providing 1800 calories, at 1.6 calories/cc how many cc/hour were given
a. 100
b. 125
c. 210
d. 65
A - 100
A patient on parenteral support develops sepsis. What is the likely cause?
a. lack of immune-enhancing nutrients
b. poor care of the entry site
c. related to the condition that created the need for parenteral support
d. bacterial translocation
D - bacterial translocation
A sedated patient received 25cc of Propofol per hour. How many calories will he receive from the medication daily?
a. 500
b. 660
c. 720
d. 785
B - 660
A patient receives an enteral feeding providing 1 cal/ml from 8PM until 9AM. What rate is needed to provide 1200 calories in 24 hours?
a. 75ml/hr
b. 79ml/hr
c. 87ml/hr
d. 92ml/hr
D - 92ml/hr

This question doesn't make sense with the answers. A 1kcal/ml formula needing to provide 1200kcal/24 hours should be 1200kcal/24hours....in this case the answer reflects doing 1200kcal/13 hours of the tube feeding being run
A critically ill patient will likely need hospitalization for many days. When should the discharge plan begin?
a. as soon as it is known when the patient is being discharged
b. once the patient is stable
c. on the first day of admission
d. at least two days prior to discharge
C - on the first day of admission
What is not a likely cause of failure to thrive in a child?
a. a vegetarian diet
b. a chronic illness
c. parenteral food restrictions due to them being overly concerned with obesity
d. lack of fiber in the diet
A - a vegetarian diet
A child with PKU can eat:
a. spaghetti with tomato sauce
b. vanilla ice cream
c. carrots and celery sticks
d. aspartame-sweetened gelatin
C - carrots and celery sticks
Children with a high risk for food allergies should initially avoid:
a. peanut butter and milk
b. eggs and strawberries
c. oats and fish
d. citrus fruits and chocolate
A - peanut butter and milk
Which of the following would be classified as NI in the NCP?
a. not ready for diet change
b. altered GI function
c. involuntary weight loss
d. increased energy expenditure
D - increased energy expenditure
Which of the following would be appropriate for a hemodialysis patient?
a. 2 eggs, 2 ounces chicken, 3 ounces beef, 1/2 cup milk

b. 1 egg, 2 ounces chicken, 3 slices bread, 3 ounces beef

c. 2 eggs, 3 ounces chicken, 3 ounces beef, 1 cup milk

d. 1 egg, 3 ounces chicken, 2 cups milk, 5 slices bread
D - 1 egg, 3 ounces chicken, 2 cups milk, 5 slices bread
Who resolves differences in bills from the House and the Senate?
a. house committee
b. senate committee
c. committee on resolutions
d. joint conference committee of the house and senate
D - joint conference committee of the house and senate
Which bill requests government funding?
a. budget bill
b. markup bill
c. appropriations bill
d. spending grant bill
C - appropriations bill
Infuse a peripheral solution at a maximum rate of how many mOsm/L?
a. 300
b. 800
c. 1400
d. 2000
B - 800
A father needs help feeding his children, ages 6 and 8, which are the best options:
a. WIC and TANF
b. Head Start and SNAP
c. SNAP and School lunch
d. Commodity Foods and WIC
C - SNAP and School lunch
What would be an expected outcome of WIC?
a. Fewer women breast feed
b. fewer babies, better birth control
c. low income women have better knowledge concerning nutrition
d. less anemia, increased HG and HT levels in women
D - less anemia, increased HG and HT levels in women
The main reason why commodity foods obtained from a USDA program may not be brought to a Kosher facility is:
a. because meat cannot be served with diary products at the same meal
b. kosher foods are not allowed to be mixed with non-kosher foods
c. Jewish dietary practices are lacto-ovovegetarian
d. Jewish dietary practices are lactovegetarian
B - kosher foods are not allowed to be mixed with non-kosher foods
What is the administration rate of enteral feeding if the patient is receiving 1800 ml of a 1cal/ml solution daily?
a. 65ml/hour
b. 75 ml/hour
c. 87 ml/hour
d. 92ml/hour
B - 75 ml/hour
The immune system reacts to foods that are normally harmless. This is:

a. food intoxication
b. an inflammatory response
c. an immunoglobulin E (IgE) mediated reaction
d. food intolerance
C - an immunoglobulin E (IgE) mediated reaction
Which level of HgA1c suggests good compliance with dietary recommendations in a diabetic?
a. 6.8 mg/dl
b. 3.0 mg/dl
c. 8.8 mg/dl
d. 9.2 mg/dl
A - 6.8 mg/dl
What do these values represent... 2.5 mg/dl serum phosphorus level and 1.3 mEq/L serum magnesium level?
a. hypophosphatemia, hypomagnesemia
b. hyperphosphatermia, hypomagnesemia
c. hyperphosphatemia, hyponatremia
d. hyperkalemia, hypermagnesemia
A - hypophosphatemia, hypomagnesemia
A concern with parenteral feeding is:
a. hypokalemia
b. hypercalcemia
c. hyponatremia
d. hypernatremia
A - hypokalemia
An infant requires 340 calories/24 hours. How many ounces of formula should be given every 6 hours?
a. 2oz
b. 3oz
c. 3.5oz
d. 4.25oz
D - 4.25oz

20kcal per oz in a standard formula
340/20 = 17
17/Q6 = 4.25 ounces each feed
Which assessment tool might be given to clients prior to screening at a congregate meal site?
a. PEACH survey
b. DETERMINE checklist
c. NSI Level I screen
d. NSI level II screen
B - DETERMINE checklist
A Crohn's patient who was previously well-nourished has a fever and ileus 7 days NPO. Which feeding method should you recommend?
a. central venous hyperalimentation
b. full liquids
c. peripheral IV infusion
d. half-strength tube feeding
C - peripheral IV infusion
An annual audit shows that you have successfully met the indicator "95% of high risk patients are assessed within 24 hours of admission". The next step is to:

a) establish a new indicator
b) report the successful completion of intervention
c) evaluate the need to continue monitoring the indicator
d) evaluate the need to revise the standard of care
C - evaluate the need to continue monitoring the indicator
A nephrotic syndrome patient with edema has a declining serum albumin level. A contributing factor would be:
a. diversion of protein to intracellular spaces
b. decreased synthesis by the liver due to catabolic state
c. a decreased appetite and less food consumption
d. a loss of protein in the urine
D - a loss of protein in the urine
Which best determines whether or not to intervene with a new patient?
a. the patient's current medical diagnosis
b. the patient's nutritional status history
c. a request by the patient's family
d. nutrition screening results
D - nutrition screening results
Which outcome would justify continuing a WIC program?
a. the number of participants enrolled increased
b the infant morbidity rate decreased
c. maternal weight gains during pregnancy increased
d. the number of diverse cultures participating increased
B - the infant morbidity rate decreased
A patient with severe acute pancreatitis experiences nausea and vomiting and requires 2500 calories/day. Which of the following would you recommend?

a. 3000cc of a 1cal/cc tube feeding through the jejunum

b. 1500cc of a 2cal/cc nasogastric tube feeding

c. 1000 cc of D50W, 1000cc of 7% amino acids, 650cc of 20% lipids

d. 1000cc of D50W, 1000cc of 7% amino acids, 500cc of 10% lipids
D - 1000cc of D50W, 1000cc of 7% amino acids, 500cc of 10% lipids

1000 cc D50W = 500g = 20% = 1700kcal
1000 cc 75 AA = 70g = 280kcal
500cc 10% lipid (1.1) = 550kcal

total volume: 2500
Roman Catholic dietary laws state that fish is:
a. to be served every friday all year
b. to be served on Ash Wednesday and Good Frirday
c. to be served on Ash Wednesday and Friday during Lent
d. no longer required on Fridays
C - to be served on Ash Wednesday and Friday during Lent
Tube-fed patients should have gastric residuals checked:
a. once a day until volume goals have been met
b. 2 hours after feeding begins
c. every 4 hours during the first 48 hours of feeding
d. only if abdomen becomes distended
C - every 4 hours during the first 48 hours of feeding
Which condition benefits from the use of indirect calorimetry?
a. post-gastrectomy
b. patient receiving chemotherapy
c. patient with third degree burns
d. post-surgical patient
C - patient with third degree burns
A Rabbi is admitted to the hospital. What question might he ask the Dietitian?
a. what time are meals served
b. who cooks the food?
c. what is the mixture of foods in combination dishes
d. where will i eat?
C - what is the mixture of foods in combination dishes
In most patients, a normal gastric residual volume would be:
a. less than 100ml
b. less than 200ml
c. less than 200ml??
d. less than 250ml
D - less than 250ml
A patient on parenteral nutrition is to be transitioned to enteral feeding. He should receive:
a. half-strength enteral feeding initially
b. half-strength, then 3/4 strength enteral feeding
c. half-strength enteral feeding with a low osmolality
d. full strength enteral feeding at a low rate
D - full strength enteral feeding at a low rate
A patient with low hemoglobin, low hematocrit, high MCV has:
a. microcytic anemia from lack of folate or B12
b. macrocytic anemia from lack of folate or B12
c. microcytic anemia from lack of iron
d. macrocytic anemia from lack of iron
B - macrocytic anemia from lack of folate or B12
What is the best practical way to measure energy balance?
a. evaluate weight gain and weight loss
b. utilize food intake records
c. use activity factors
d. calculate the number of calories consumed
A - evaluate weight gain and weight loss
Which supplements are recommended with peritoneal dialysis?
a. same as those for hemodialysis
b. only the water-soluble vitamins
c. same as those for hemodialysis plus thiamin
d. only iron and folate
C - same as those for hemodialysis plus thiamin
Patients with cardiac cachexia on a loop diuretic should be evaluated for:
a. riboflavin status
b. acidosis
c. thiamin status
d. alkalosis
C - thiamin status
An appropriate menu for a Kosher meal is:
a. macaroni and cheese, green beans
b. roast beef, potato, vegetable, cream soup
c. veal parmesan, noodles, green beans
d. crabmeat salad, lettuce, milk
A - macaroni and cheese, green beans
A Hispanic woman needs more calcium in her diet. What do you recommend?
a. milk
b. plantains
c. avocados
d. pinto beans
D - pinto beans
Which of the following would lacto-ovo-vegetarian not eat?
a. eggs
b. halibut
c. cheese
d. beans
B - halibut
Which provides the most vitamin A for a mexican?
a. tortillas and refried beans
b. cantaloupe and squash
c. cheese
d. tortillas and milk
B - cantaloupe and squash
Which snack would you not give an infant?
a. yogurt
b. cheese sticks
c. graham crackers
d. grapes
D - grapes
Following an ileal resection, which supplements are recommended?
a. calcium, megnesium, zinc, fat-soluble vitamins
b. water-soluble vitamins, calcium and phosphorus
c. zinc, thiamin, iron
d. fat-soluble vitamins
A - calcium, megnesium, zinc, fat-soluble vitamins
Which supplements are recommended with cirrhosis?
a. B complex, calcium ,zinc, magnesium
b. fat-soluble vitamins and zinc
c. water-soluble vitamins and magnesium
d. chromium, zinc, riboflavin, thiamin
A - B complex, calcium, zinc, magnesium
The nutrition prescription for an infant with phenylketonuria includes:
a. high phenylalanine, low tyrosine
b. low phenylalanine, high tyrosine
c. low phenylalanine, high isoleucine
d. low phenylalanine, high valine
B - low phenylalanine, high tyrosine
An infant with acute diarrhea should receive:
a. glucose and electrolytes only for the first 24 hours
b. a half-strength formula until the diarrhea stops
c. rehydration within 4-6 hours
d. a formula that is low in fiber
C- rehydration within 4-6 hours
A patient requires 1800 calories per day and is restricted to 1500ml fluid. The enteral formula selected has 1.5 cal/cc, 55g protein per liter, and 77% water. How much formula does she need daily?
a. 1500ml
b. 1400ml
c. 1300ml
d. 1200ml
D - 1200ml
What would you first advise a constipated patient to do?
a. take a mild laxative
b. eat less fat
c. increase fluids and fiber intake
d. eat more protein
C - increase fluids and fiber intake
A patient with dysphagia waiting for a swallow test may receive:
a. thick liquids
b. thin liquids
c. peripheral parenteral nutrition
d. parenteral nutrition
A - thick liquids
What diet is typically recommended for a patient who has undergone a gastrectomy?
a. low fiber foods and two glasses of milk each day
b. high fiber foods and restriction of fluids with meals
c. carbohydrate, protein and fat at each meal, and no dairy products
d. carbohydrate, protein and fat at each meal, and restriction of fluids with meals
D - carbohydrate, protein and fat at each meal, and restriction of fluids with meals
A parenteral solution includes 65 grams of protein, 200 grams dextrose and a 20% fat emulsion at 7ml per hour. How many total calories will this provide in a 24 hour period?

a. 1155
b. 1276
c. 1307
d. 1385
B - 1276

65g protein = 260
200g dex = 680kcal
20% fat @7ml/hr = 336kcal
When a patient is receiving an isotonic, polymeric enteral feeding and the medication Propofol, your concern is:

a. not providing adequate protein
b. providing too many calories
c. delivery of excess sodium
d. development of diarrhea
B - providing too many calories
Which of the following items is appropriate for a Muslim diet:

a. sweet and sour pork
b. salad with imitation bacon bits
c. pork-fried rice
d. chicken in wine sauce
B - salad with imitation bacon bits
The medication megestrol acetate may be used to:
a. correct vitamin A deficiency
b. increase appetite
c. initiate weight loss
d. promote sleep
B - increase appetite
What may be lacking in the traditional diet for Asians living in america?
a. iron
b. calcium
c. folic acid
d. thiamin
B - calcium
Maple syrup urine disease and homocystinuria:
a. have non-dietary treatments
b. have protein as the nutrient of concern
c. require a fluids restriction
d. have carbohydrate as the nutrient of concern
B - have protein as the nutrient of concern
A patient comes to you with a diet that you know is not good to follow. What should you do?
a. Tell him its not good
b. explain why its not good
c. tell him to only follow what you have provided
d. let him do as he wishes
B - explain why its not good
Following a Roux-en-Y procedure, assess the need to supplement:

a. folate, vitamin B12, potassium, magnesium
c. fat-soluble vitamins
d. potassium and magnesium
A - folate, vitamin B12, potassium, magnesium
Retrovir (NRTI) can lead to low levels of:

a. vitamin B12, copper, zinc
b. water-soluble vitamins
c. calcium and phosphorous
d. folate, pyridoxine, vitamin C
A - vitamin B12, copper, zinc
Which guideline is used in planning meals for healthy people?

a. EAR
b. UL
c. AI
d. DRI
A - EAR
Which of the following is true about SGOT:

a. it is increased with hepatitis and diabetes
b. it is increased with hepatitis, decreased with diabetes
c. it is decreased in both hepatitis and diabetes
d. it is decreased with hepatitis and increased with diabetes
B - it is increased with hepatitis, decreased with diabetes
What is the best way to increase attendance at a nutrition seminar for dentists?
a. hold it in a location convenient to large numbers of dentists
b. have it held in a medical facility
c. hold it on weekends when their offices are likely closed
d. have it sponsored by a dental organization
D - have it sponsored by a dental organization
After one year, which of the following would justify continuing a monthly heart - healthy eating class?

a. all of the participants attended at least 90% of the classes
b. other community members have inquired about joining the program
c. physicians have begin referring their patients to the class
d. participants report decreased cholesterol levels
D - participants report decreased cholesterol levels
The Dietitians analytical skills are needed most in which component of the NSI?
a. DETERMINE checklist
b. Level I
c. Level II
d. Level III
C - Level II

(screen provides more specific diagnostic info on nutritional status)
What would you suggest to decrease fat intake for a Hispanic patient?
a. change from whole milk to 2% milk
b. change beans from refried to boiled
c. change to low fat yogurt
d. serve low fat cheese
B - change beans from refried to boiled
A patient receives 1800ml of a 1cal/cc formula with 44 grams protein per liter. How much protein will he receive?

a. 44
b. 79
c. 65
d. 88
B - 79
Which test measure somatic protein:

a. prealbumin, albumin
b. creatinine clearance, serum creatinine
c. serum transferrin
d. prealbumin, albumin, transferrin
B - creatinine clearance, serum creatinine
Expected creatinine clearance is estimated from the clients:
a. weight and height
b. TSF, AMC
c. height
d. waist circumference
A - weight and height
How much water does an athlete need if they have lost 2 pounds during a marathon?
a. 8 ounces
b. 16 ounces
c. 24 ounces
d. 32 ounces
D - 32 ounces

(16floz = 1lb)
Which vitamin will interfere with Levodopa?
a. pyridoxine
b. cyanocobalamin
c. thiamin
d. riboflavin
A - pyridoxine

(Levodopa - used as a dopamine replacement agent for the treatment of Parkinson disease)

(Pyridoxine accelerates systemic metabolism of levodopa, thereby decreasing availability of the amino acid to brain parenchyma)