CDR exam study set

A patient on warfarin should avoid: a. black cohosh, ginseng b. thiamin supplements c. simple carbohydrates d. B vitamin supplements

a. black cohosh, ginseng

The flour with the most starch is: a. cake b. whole wheat c. instantized d. durum

a. cake

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

Food service employees should wash their hands for at least: A. 30 sec B. 25 sec C. 20 sec D. 15 sec

C. 20 sec

A cafeteria seats 80 customers. Lunch runs from 11:15 AM to 1:00 PM. Turnover is 2.5 customers/hour. How many can be served during those hours? A. 125 B. 216 C. 350 D. 550

C. 350

Which food is highest in fiber? a. cooked dried beans b. tomato c. wheat bread d. lettuce

a. cooked dried beans

What is the benefit:cost ratio of a program intervention that cost $1,890,000 if the savings as a result of the program were $5.67 million? A. 1:1 B. 2:1 C. 3:1 D. 1:3

C. 3:1

An acid ash would be created by ingesting: a. corn, cranberries b. milk c. vegetables d. fruits

a. corn, cranberries

There are seven foodservice employees in the tray assembly unit. The patient census is 350. If 1 1/2 hours of assembly time is allowed, a feasible productivity goal for the unit is to assemble how many trays per minute? A. 2 B. 3 C. 4 D. 5

C. 4

A baker makes a batch of cookies on 18 minutes. What is the maximum number of batches he can make in 2 hours? A. 4 B. 5 C. 6 D. 7

C. 6

Entree #servings food cost/serving pot roast 70 $1.50 chicken stew 30 $0.75 spaghetti 40 $0.60 If the above entrees had been served on Tuesday, how many servings of spaghetti will you need next Tuesday, if you expect to serve 300 total entrees? A. 150 B. 63 C. 87 D. 101

C. 87

Determine the calorie contribution of carbohydrate from the following parenteral formula. The amounts stated are given per liter. 300ml 60% dextrose; 500ml 10% amino acid; 200ml 20% lipid; Total nutrient mixture administered at 65ml/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

To determine the reading level of a text: a. count the number of words with more than 1 syllable b. count the number of paragraphs c. count the average number of letters in the words d. count the number of sentences in a paragraph

a. count the number of words with more than 1 syllable

After a gastrectomy, the diet order should indicate a decrease in: a. disaccharides b. fats c. protein d. complex carbs

a. disaccharides

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 places d. fluid has moved to the lung

a. fluid has moved to interstitial spaces

To restore hydration during continuous endurance activity of 2 hours, consume: a. fluid, carbohydrate, sodium b. non-CHO electrolyte solutions c. fluids d. fluids and sodium

a. fluid, carbohydrate, sodium

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

A strict Muslim would not consume: a. fruited gelatin, shrimp, ham b. dairy products c. non-carbonated beverages d. eggs, cheese

a. fruited gelatin, shrimp, ham

Which of the following has a slow onset and is anaerobic? A. Staphylococcus aureus B. Clostridium perfringens C. Clostridium botulinum D. Salmonella

C. Clostridium botulinum

In interstate shipping of shellfish is monitored by the: A. USDA B. HHS C. FDA D. FTC

C. FDA

Which group is responsible for nutritional labeling? A. USDA B. US Dept. of Commerce C. FDA D. UPI

C. FDA

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

You are planning a health promotion program for employees. To assess employee's needs, use information from: a. health risk appraisal b. nutrition assessment c. medical records d. interviews

a. health risk appraisal

Nutritional therapy for hepatitis includes: a. high protein, high carb, moderate fat, high cals b. high protein, low carb, low fat, moderate cals c. low protein, high carb, low fat, high cals d. low protein, high carb, low fat, low cals

a. high protein, high carb, moderate fat, high cals

A patient with nephrotic syndrome will likely exhibit: a. hypercholesterolemia, hypoalbuminemia, edema b. hypertension, hypocholesterolemia c. hypotension, azotemia d. malnutrition, hyperalbuminemia

a. hypercholesterolemia, hypoalbuminemia, edema

A patient is on a high protein, low carb diet. What advice should you offer? a. increase fluid intake b. decrease the intake of complex carbs c. decrease fluid intake d. decrease the intake of saturated fats

a. increase fluid intake

What may be asked during an interview? A. Do you own or rent your home? B. Of what country are you a citizen? C. Have you worked at the company under a different name? D. Will you list all organizations, clubs and lodges to which you belong?

C. Have you worked at the company under a different name?

The FDA: I. inspects meat, poultry, fish, eggs II. inspects factories III. enforces the Food, Drug, and Cosmetic act IV. monitors interstate shipping of shellfish A. I, II, III B. III, IV C. II, III, IV D. I, III

C. II, III, IV

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 The NSI Level I is made up of two parts: BMI calculation and a checklist which consists of an initial questionnaire, known as DETERMINE, which has 10 questions referring to various causes of nutritional risk, including food and drink intake, health status, personal autonomy, and socioeconomic situation of the elderly person. The NSI Level II ought to be carried out by a health professional. In this level, other anthropometric measurements are included, the triceps skinfold thickness, the mid-arm circumference (MAC), and the mid-arm muscle circumference (MAMC) There is no NSI level III

A father needs help in feeding his children, ages 6 adn 8. Which are the best options? A. WIC and TANF B. Head Start and Food Stamps C. SNAP and School Lunch D. Community Foods and WIC

C. SNAP and School Lunch

Which of the following is a grade for fresh produce? A. US select B. US Grade A C. US No. 1 D. US Standard

C. US No. 1

Which government agency inspects and grades meats? A. FDA B. DHHS C. USDA D. Department of commerce

C. USDA

To increase potassium intake, consume a snack of: A. cheese and crackers, plums, cranberry juice B. a bagel, milk and an apple C. a grilled cheese and tomato sandwich and strawberries D. tuna salad, a wheat roll, and cola

C. a grilled cheese and tomato sandwich and strawberries

If you were an employee and member of the union, and were involved in initial labor dispute talks, you would be called: A. an arbitrator B. a mediator C. a shop steward D. a union agent

C. a shop steward

You are explaining to a new client how making a few changes in his food choices will benefit his overall health. The learning domain is: A. psychomotor B. cognitive C. affective D. human

C. affective

A serum sodium level of 150 mEq/L may be due to: A. an increase in the intake of sodium-rich foods B. decreased steroid formation C. an increased level of aldosterone D. a decrease in the intake of sodium-rich foods

C. an increased level of aldosterone Aldosterone causes an increase in salt and water reabsorption into the bloodstream from the kidney thereby increasing the blood volume, restoring salt levels and blood pressure.

Which bill requests government funding? A. budget bill B. markup bill C. appropriations bill D. spending grant bill

C. appropriations bill

Cross-sectional studies: A. describe past events and conditions B. are useful in predicting future events C. are a snap-shot look at one point in time D. measure before and after an intervention occurs

C. are a snap-shot look at one point in time

A focus group contributes what data? A. analytical B. experimental C. attitudinal D. objective

C. attitudinal

Which of the following is true regarding flour? A. all-purpose flour is made from soft wheat B. all-purpose flour has more protein than bread flour C. cake flour has the least and the weakest gluten D. cake flour has less starch than bread flour

C. cake flour has the least and the weakest gluten

Which additive improves crispness in vegetables? A. BHA B. BHT C. calcium D. pectin

C. calcium

During an interview, which of the following can you ask? A. do you have a car? B. how will you get to work? C. can you get to work on time without any problem? D. do you own a car?

C. can you get to work on time without any problem?

Results of a patient food satisfaction survey indicate that patients think servings are too large. The Dietitian should first: A conduct a plate-waste survey B. reduce the serving size C. check the serving utensils on the line D. review regulations concerning nutrition requirements

C. check the serving utensils on the line

How does a new supervisor gain respect? A. show employees different ways to do their job B. work with a different employee each day C. communicate regularly with them to keep them informed D. smile a lot

C. communicate regularly with them to keep them informed

A Dietitian ordering canned goods can be assured of a reliable product if they: A. buy directly from the manufacturer B. accept the most reasonable bid C. conduct a can cutting analysis D. buy the same brand, grade, size as the last time

C. conduct a can cutting analysis

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

The MNA and NSI screening tools are designed for use with: a. individuals over 65 years of age b. children ages 2 through 12 c. all adults d. infants and children up to age 10

a. individuals over 65 years of age MNA Mini-Nutritional Assessment NSI Nutrition Screening Initiative

The purpose of an emulsifier in margarine is to: a. keep water and fat from separating b. keep water and fat separated c. sustain the natural flavor of the ingredients d. retain the color

a. keep water and fat from separating

Which of the following food service systems has the lowest labor cost? A. cook freeze B. cook chill C. convenience D. conventional

C. convenience

What is the process by which the water content of a vegetable is replaced by a concentrated salt solution? A. gelling B. osmosis C. diffusion D. retrogradation

C. diffusion

The absence of reinforcement following an undesirable behavior is: A. positive reinforcement B. punishment C. extinction D. avoidance

C. extinction

Ketones are most associated with: A. complex carbohydrates B. simple sugars C. fats D. amino acids

C. fats

The best lab value to use in assessing iron status is: A. hemoglobin B. hematocrit C. ferritin D. serum iron

C. ferritin

Which food items require the highest humidity? A. meat B. dairy C. fruits, vegetables D. poultry

C. fruits, vegetables

Pernicious anemia is likely to occur following a: A. colectomy B. colostomy C. gastrectomy D. esophagostomy

C. gastrectomy Pernicious anemia is a macrocytic anemia that is caused by vitamin B12 deficiency, as a result of intrinsic factor deficiency. Pernicious anemia can also occur after gastric bypass surgery

Apples stored in a controlled environment would: A. ripen quickly B. last one to two years C. have extended life and improved marketing quality D. only be used as processed fruit

C. have extended life and improved marketing quality

Cabbage should be cooked: A. covered B. in a small amount of water C. in a large quantity of water D. covered in a small amount of water

C. in a large quantity of water

In cereal production, enrichment adds: A. vitamin A B. vitamin D C. iron D. iodine

C. iron

A flexible monthly budget would be recommended for a hospital which: A. expects no change in expenses or revenue B. expects to be at 90% occupancy C. is planning to close some of its wings for renovation for three months D. has less than 100 employees

C. is planning to close some of its wings for renovation for three months

A foodservice is being converted from a conventional system to a ready-prepared system. The Dietitian should first consider the adequacy of the: A. steam table space B. dry storage space C. low-temperature storage capacity D. oven capacity

C. low-temperature storage capacity

What is the best way to prevent contamination of food? A. freeze it B. freeze it in sterile packages C. make employees wash hands frequently D. wash countertops regularly with sanitizing agents

C. make employees wash hands frequently

What medication is affected by serum sodium levels? a. lithium carbonate b. mellaril c. valproate d. tetracycline

a. lithium carbonate

A study reported a 10% morbidity rate in infants in the country and a 12% morbidity for infants in the city. This means that: A. 10% of infants died in the country B. more infants died in the city than in the country C. more disease in infants in the city than in the country D. more disease in infants in the country than in the city

C. more disease in infants in the city than in the country

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 patients

C. patient with third degree burns

A Crohn's patient who was previously well-nourished has a fever and ileum 7 days PO. Which feeding method should you recommend? A. central venus hyperalimentation B. full liquid C. peripheral IV infusion D. half-strength tube feeding

C. peripheral IV infusion

A processed food entree includes TVP which is used to: A. add color B. improve taste C. retain water and add protein D. act as an emulsifier

C. retain water and add protein

Psychographic marketing includes the following categories: A. age, gender, race, education B. urban, suburban, cultural values C. social class, lifestyle, motive behind purchases D. income, education

C. social class, lifestyle, motive behind purchases

Which best describes sorbitol and glucose? A. sorbitol is sweeter than glucose B. they each provide 7 cals per gram C. sorbitol is absorbed more slowly D. they both convert into fructose

C. sorbitol is absorbed more slowly

Which data is needed to convert weight into volume? A. mass B. temperature C. specific gravity D. pH

C. specific gravity

Which of the following extinguishers is best to use on a grease fire? A. triangle symbol B. circle symbol C. square symbol D. inverted triangle symbol

C. square symbol

The cleanliness of on-line steam is not an issue when purchasing a: A. convection steamer B. combination oven C. steam-jacketed kettle D. compartment steamer

C. steam-jacketed kettle

A 5 month old is diagnosed with salmonella. What is the likely cause? A. fruit juice B. milk C. table food D. evaporated milk

C. table food

A female who eats a wide variety of foods and takes 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

Equipment purchases depend on: A. the budget B. what the cooks want C. the menu D. the type of facility

C. the menu

Which of the following is a paid employee who represents other union workers? A. a mediator B. the department head C. the shop steward D. the bargaining agent

C. the shop steward

Why do egg whites beat more easily at room temperature? A. the pH is increased B. the protein is denatured C. the surface tension is lower D. the surface tension is higher

C. the surface tension is lower

When you check overrun, you are checking: A. excess stock in the storeroom B. surplus soap and rinse aids in the dish machine C. the wt. of ice cream D. total cost of unexpected meals served

C. the wt. of ice cream

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

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

If energy needs increase, which vitamins are needed in higher amounts? A. A, C, folate B. A, C, thiamin C. thiamin, niacin, riboflavin, pantothenic acid D. pyridoxine, canocobalamin

C. thiamin, niacin, riboflavin, pantothenic acid

The following are required for the conversion of pyruvic acid into active acetate? A. thiamin, NAD, oxaloacetic acid, magnesium B. oxygen, pantothenic acid, vitamin E C. thiamin, niacin, riboflavin, pantothenic acid, magnesium D. pantothenic acid, oxaloacetate, citric acid

C. thiamin, niacin, riboflavin, pantothenic acid, magnesium

Which of the following amino acids is a precursor for serotonin? A. phenylalanine B. methionine C. tryptophan D. tyrosine

C. tryptophan Once serotonin has been produced from tryptophan in the body, it can be converted into another important molecule — melatonin

When substituting butter for lard in pastry: A. use the same amount B. use less C. use more D. use less and decrease the water content

C. use more

The efficiency of a foodservice employee is increased if the work center is designed to allow the employee to: A. sit and reach B. stand and reach C. use two hands D. use zigzag motions

C. use two hands

Which is the best way to maximize meat storage? A. cut the meat into small pieces B. store it in oxygen in packages C. vacuum-packaged in oxygen-impermeable film D. pack it in oxygen-permeable film

C. vacuum-packaged in oxygen-impermeable film

A patient with redundant ileum may develop a deficiency of: A. fat-soluble vitamins B. folic acid C. vitamin B12 D. vitamin K

C. vitamin B12 B12 can only be absorbed at specific receptor sites in the ileum

Within 2-3 hours of continuous exercise at 60-80% of maximum: a. muscle glycogen is depleted b. muscle glycogen is the main energy source c. amino acids begin to contribute a source of energy d. fatty acids are the favored substrates

a. muscle glycogen is depleted

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

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 d. diabetes, obesity, anemia

a. obesity, dental caries, anemia

Which is the least common symptom in the elderly? a. osteomalacia b. osteoporosis c. obesity d. hypertension

a. osteomalacia softening of the bones, typically through a deficiency of vitamin D or calcium.

Which of the following has the fewest calories? a. plain hamburger on a bun b. chefs salad with dressing c. green salad with 1000 island dressing and shredded cheese d. fried fish sandwich

a. plain hamburger on a bun

Which stage of change is represented my this comment: "I asked for the recipe for the vegetable dish." a. preparation b. action c. contemplation d. pre-contemplation

a. preparation

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

Which hormone is involved in developing the placenta? a. progesterone b. estrogen c. lactogen d. testosterone

a. progesterone Progesterone acts to maintain pregnancy by supporting the lining of the uterus (womb), which provides the environment for the fetus and the placenta to grow. Progesteroneprevents the shedding of this lining, since this would result in pregnancy loss.

Which hormone regulates breast milk production? a. prolactin b. progesterone c. estrogen d. oxytocin

a. prolactin

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

Cheilosis, stomatitis and a magenta tongue are signs of: a. riboflavin deficiency b. niacin deficiency c. thiamin deficiency d. biotin deficiency

a. riboflavin deficiency Cheilosis is a condition where the corners of the mouth become inflamed, which can lead to cracking and pain at the corners of the mouth Stomatitis is a condition that causes painful swelling and sores inside the mouth

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

What does a fecal fat of 12 grams indicate? a. severe fat malabsorption b. normal fat absorption c. high normal fat absorption d. nothing

a. severe fat malabsorption

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

If patients in a counseling session become restless, a. shorten the sessions b. use a series of guest speakers c. realize that this is to be expected d. cancel the sessions

a. shorten the sessions

All baking powders contain: a. sodium bicarbonate b. tartrate c. phosphate d. acetate

a. sodium bicarbonate

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

An increased intake of which of the following might be the cause of diarrhea without malabsorption in children? a. sorbitol b. fat c. protein d. fruit

a. sorbitol

The raw food cost of an item is $1.12 per serving. What is the hidden cost? A. $0.10 B. $0.07 C. $0.13 D. $0.11

D. $0.11

What is the labor cost for 4 weeks if you have 5.5 FTEs earning $20/hour? A. $4400 B. $12,000 C. $14,500 D. $17,600

D. $17,600

You find out that next year's budget will change by the following: 10% increase in labor cost 5% increase in food cost 2% increase in overhead What will the total budget be if the following info is from the current year? Labor costs $100,000 Food cost $100,000 Overhead cost $40,000 A. $156800 B. $234800 C. $267000 D. $255800

D. $255800

A food service operates with a 35% food cost. If a menu item has a raw food cost of $1.25, and it takes an employee 45 minutes at $6.00 an hour to prepare, what is the traditional selling price? A. $2.75 B. $3.25 C. $2.50 D. $3.58

D. $3.58

A patient receives 4 oz 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 would you give to a person who is mildly hypokalemic? A. 1 c blueberries B. 1 c cranberries C. 1/2 c applesauce D. 1 piece cantaloupe

D. 1 piece cantaloupe

Using the factor method, determine the selling price using the data below. raw food cost $3.14; prepared food cost $5.21; labor cost $ $3.30; overhead cost $ 1.12; factor 3.37 A. 6.40 B. 7.84 C. 8.10 D. 10.58

D. 10.58

What is the labor turnover rate if 6 employees in a department of 55 were terminated and replaced? A. 12% B. 10% C. 9% D. 11%

D. 11%

How many FTE's can you hire with a weekly budget of $8640 if the salary is $12.00 per hour? A. 10 B. 13 C. 16 D. 18

D. 18

One pound of boneless turkey yields 0.7 lbs cooked turkey. How many pounds must be purchased to yield 21 lbs cooked turkey? A. 18 B. 25 C. 28 D. 30

D. 30

An infant requires 340 calories/24 hours. How many ounces of formula should be given every 6 hours? A. 2 B. 3 C. 3.5 D. 4.25

D. 4.25 Most formulas have 20 kcal/oz of formula

Approximately how many patient trays per minute must a centralized tray assembly unit produce in order to serve 400 patients during 90 minutes? A. 3 B. 3.5 C. 4 D. 4.5

D. 4.5

In dry storage, the humidity should be: A. 20-30% B. 30-40% C. 40-50% D. 50-60%

D. 50-60%

The width of a main kitchen aisle should be: A. 24" B. 36" C. 48" D. 60"

D. 60"

300ml 60% dextrose; 500ml 10% amino acid; 200ml 20% lipid; Total nutrient mixture administered at 65ml/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

How many servings are there in 10 gallons of ice cream using a #16 scoop? A. 320 B. 480 C. 560 D. 640

D. 640

In a normal curve, what % of data falls between +1 and -1 standard deviation? A. 52 B. 93 C. 35 D. 65

D. 65

The formula for producing the active form of vitamin D is: A. a vitamin D3 converting into 7-dehydrocholesterol B. ergosterol converting into calciferol C. cholesterol converting into calciferol D. 7-dehydrocholesterol converting into cholecalciferol

D. 7-dehydrocholesterol converting into cholecalciferol

How much hamburger will it take to make 300 three ounce patties with 20% shrinkage? A. 52 lbs B. 68 lbs C. 90 lbs D. 70 lbs

D. 70 lbs

A patient received an enteral feeding providing 1cal/ml from 8pm until 9am. What rate is needed to provide 1200 calories in 24 hours? A. 75 ml/hour B. 79 ml/hour C. 87 ml/hour D. 92 ml/hour

D. 92 ml/hour

Which of the following directly assists the greatest number of people? a. supplemental nutrition assistance program b. national school lunch program c. child and adult care program d. supplemental nutrition program for women, infants, and children

a. supplemental nutrition assistance program

Which diet follows the AHA recommendations for healthy hearts? A. 25-30% calories from fat, <10% saturated fat, <200mg cholesterol B. < or equal to 35% calories from fat, <2g sodium, <200mg cholesterol C. 25-30% calories from fat, <10% saturated fat, <200mg cholesterol, 5.10% MUFA, 20% PUFA D. < or equal to 35% calories from fat, <7% saturated fat, 5-10% PUFA, up to 20% MUFA, <200mg cholesterol

D. < or equal to 35% calories from fat, <7% saturated fat, 5-10% PUFA, up to 20% MUFA, <200mg cholesterol

Food was help at 70 degrees for a long time in anaerobic conditions. Eight hours after eating it you became ill. What is the culprit? A. Salmonella B. Staphylococcus C. Campylobacter jejuni D. Clostridium perfringens

D. Clostridium perfringens

The interstate shipping of shellfish is monitored by the: A. DHHS B. USDA C. Department of Commerce, Marine Fisheries Service D. FDA

D. FDA

Which organization regulates the irradiation of foods? A. DHHS B. USDA C. Department of Commerce, Marine Fisheries Service D. FDA

D. FDA

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

What law guarantees workers the right to organize and join labor unions? A. Taft Hartley B. Equal Employment Act C. Labor Management Relations Act D. National Labor Relations Act

D. National Labor Relations Act

Medicare is for: a. the elderly b. the financially needy c. those at nutritional risk d. those with medical needs

a. the elderly

Amount of ceruloplasmin is affected by what disease? A. Addison's disease B. Pheochromocytoma C. Cushing's syndrome D. Wilson's disease

D. Wilson's disease Wilson's disease is a rare inherited disorder that causes copper to accumulate in your liver, brain and other vital organs Ceruloplasmin is a glycoprotein that's produced in the liver. It carries or transports the majority of copper in the blood.

A snack food kiosk staffed with a full-time employee would be considered ____ in a college dormitory foodservice. A. a technical core B. an interface C. an input D. a subsystem

D. a subsystem a subsystem is a self-contained system within a larger system

An employee returns to work after recovering from a broken leg, but is still not able to perform essential job functions. You should: A. create a new position that the employee can perform B. transfer the employee to another department C. hire another employee to assist at their job D. ask the employee to provide written recommendations from their physician

D. ask the employee to provide written recommendations from their physician

An example of self-actualization is: A. breathing unassisted B. companionship C. safety D. asking for additional training

D. asking for additional training

Which is the least time efficient way for a Dietitian to evaluate a new piece of equipment for purchase? A. read specifications provided by the manufacturer B. discuss it with other dietitians via telephone C. meed with the other company representatives D. attend food service trade fairs

D. attend food service trade fairs

Glucocorticoids: A. convert glucose into protein B. convert fatty acids into glucose C. convert glucose into fat D. convert protein into glucose

D. convert protein into glucose

If a food service reconstitutes frozen food that is made on site, what type of production system is it? A. conveniences B. conventional C. satellite D. cook-freeze

D. cook-freeze

The Y Theory of management is: A. authoritarian B. autocratic C. based on managing tasks D. democratic

D. democratic

Which is the best way to teach food service workers to prepare a new menu item? A. show a video of the process B. have them prepare it following a recipe C. provide and review detailed written instructions D. demonstrate the process, then watch them prepare it

D. demonstrate the process, then watch them prepare it

The Ouchi Theory Z management theory states that: A. decision-making is a centralized function B. committed employees can exercise self-control C. employee potential is only partially utilized D. employee involvement is the key to productivity

D. employee involvement is the key to productivity Theory Z - (Ouchi) the value of the company is the people (a) everyone who will be affected by a decision is involved in making the decision (consensus decision-making)

Induction heating is: A. fast, even, with an open flame B. fast, uneven, without an open flame C. slow, even, without an open flame D. fast even without an open flame

D. fast even without an open flame

A meal equivalent is determined by: A. total sales received during one week of operation B. average dollars spent per customer per meal C. labor cost divided by the average cost of a typical meal D. food sales divided by the average cost of a typical meal

D. food sales divided by the average cost of a typical meal

Which of the following is true? A. fructose has sucrose B. fructose is less concentrated than glucose C. fructose takes longer to digest than glucose D. fructose is sweeter than glucose

D. fructose is sweeter than glucose

Which piece of food service equipment may be restricted by a local law? A. toaster B. steam-jacketed kettle C. convection oven D. garbage disposal

D. garbage disposal

You want to keep lemon meringue pie at its peak. What should you do? A. add sugar with eggs B. add flour with butter C. keep the pie at room temp D. keep the refrigerated

D. keep the refrigerated

Which of the following menu items generate the most revenue? Menu item- Selling $- Raw food cost- units sold shrimp alfredo- $12.95- $4.05- 75 chicken marsala- $11.50- $3.83- 193 prime rib- $14.95- $4.39- 172 lemon halibut- $13.50- $4.29- 210 A. shrimp alfredo B. chicken marsala C. prime rib D. lemon halibut

D. lemon halibut

What would be an expected outcome of WIC? A. fewer woman 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

Meat loaf has been left out for 5 hours. Should you serve it? A. yes B. yes because bacteria was destroyed during the heating process C. no because of the risk of botulism D. no because of the risk of staphylococcus

D. no because of the risk of staphylococcus

A 2 year old child with iron-deficiency anemia has anorexia, vomiting, weight loss, and restlessness. 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 Pica is a compulsive eating disorder in which people eat nonfood items. Symptoms include: Stomach upset, Stomach pain, Blood in the stool (which may be a sign of an ulcer that developed from eating nonfood items), Bowel problems (such as constipation or diarrhea). These symptoms are the result of the toxic, poisonous, and bacterial content of the nonfood items. Repeatedly eating nonfood items over a period of time can cause lead poisoning, infection, intestinal blockage

Which of the following strategies is most likely to increase revenue Pot roast: low sales, low contribution margin Beef taco: low sales, high contribution margin Barbecued ribs: high sales, low contribution margin Beef stew: high sales, high contribution margin A. replace the beef tacos B. replace the beef stew C. offer pot roast more often D. replace the pot roast

D. replace the pot roast

Unions usually advance employees based on: A. age B. skill C. merit D. seniority

D. seniority

You called a meeting for 9AM. Three out of the five people arrived on time. What is the general guideline for starting meetings? A. wait until all participants have arrived B. wait 10 minutes past the stated starting time C. wait until the most significant members have arrived D. start on time

D. start on time

Meat graded "US Standard" is the grade given at the: A. time of purchase B. time of delivery C. storage facility D. time of slaughter

D. time of slaughter

The main reason for keeping can inventory is: A. to plan next year's budget B. to prevent thievery C. to see how well you are following D. to determine when and how much to reorder

D. to determine when and how much to reorder

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

How many calories are in 1.5 liters of a 25% dextrose solution? a. 850 b. 1275 c. 1000 d. 1500

b. 1275

How many grams of protein are provided in the above solution? a. 15 b. 20 c. 25 d. 30

b. 20

How many mEq of sodium are in 1 gram of sodium? a. 25 b. 43 c. 65 d. 110

b. 43

Which is the primary fuel used by resting muscle and at low intensity exercise? a. glucose b. fatty acids c. branch chain amino acids d. keto-acids

b. fatty acids

A spastic quadriplegic requires: a. lower energy intake b. fewer calories, increased fluid and fiber c. increased fluid and fiber, acid ash diet d. lower energy intake, acid ash diet

b. fewer calories, increased fluid and fiber

The immunosuppressant drug cyclosporine may cause: a. hypokalemia and hypoglycemia b. hyperlipidemia and hyperkalemia c. hypermagnesemia d. hyponatremia

b. hyperlipidemia and hyperkalemia Cyclosporine is used to prevent organ rejection in people who have received a liver, kidney, or heart transplant.

Quickly stopping a 25% dextrose solution leads to: a. hyperglycemia b. hypoglycemia c. hypophosphatemia d. hyperkalemia

b. hypoglycemia

A patient with cystic fibrosis who is non-compliant with their nutritional prescription may present with: a. hypernatremia b. hyponatremia c. hypokalemia d. hyperkalemia

b. hyponatremia

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

Beef bottom round should be cooked: a. at a high temperature for a short time b. in water for an extended time c. in dry heat d. in moist heat for a short time

b. in water for an extended time

St. Johns Wort has which effect on 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 St. John's wort is most commonly used for depression and mood disorders

The immediate post-stress release of glucagon: a. increases glucose uptake into the cells b. increases glucose release into the bloodstream c. increases insulin release d. increases fluid and sodium excretion

b. increases glucose release into the bloodstream

Statistics that let you draw probable conclusions beyond your immediate universe of data, are called: a. descriptive statistics b. inferential statistics c. variable interest statistics d. continuous statistics

b. inferential statistics

A long term care patient has normal intestinal function but cannot eat. What tube feeding should you provide? a. high protein, high cal formula b. isotonic, polymeric formula c. elemental formula c. low fiber, low fat formula

b. isotonic, polymeric formula

Research on the effects of a low sugar, low artificial flavor diet on hyperkinesis has shown that: a. it works in 2 out of 3 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

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 epidemiological data d. it is associated with ascorbic acid

b. it is related to demographic factors

Following a cholecystectomy, bile is produced by the: a. pancreas b. liver c. spleen d. portal vein

b. liver

Patients with early signs of xerophthalmia should consume: a. chicken, fish, summer squash b. liver, milk, eggs c. oatmeal, almonds, berries d. high fiber cereals, salad greens

b. liver, milk, eggs foods high in vitamin A

A 6'2" male, large frame, 230 lbs with type 2 diabetes should: a. gain 5 lbs to be at desirable body weight b. lose 20 lbs slowly with following balanced balanced diet c. lose 20 lbs in 4 weeks on an 800 cal diet d. lose 10 lbs slowly by following a balanced diet

b. lose 20 lbs slowly with following balanced balanced diet

Nutritional prescription for a patient with cardiac cachexia includes: a. <1 L fluid, low sodium b. low sodium, low saturated fat, low cholesterol, high calorie c. restricted calorie, 0.8 g protein/kg, fluid restriction d. normal protein, follow DASH diet

b. low sodium, low saturated fat, low cholesterol, high calorie

Children's diets are found to be low in iron due to emphasis on: a. vegetables b. milk c. fruits d. cereals

b. milk

A fecal excretion of ________ g 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

When counseling a hypertensive patient with limited education, which would be the most appropriate question to ask in assessing her comprehensive level? a. do you enjoy salty foods b. name a food that is high in sodium c. do you have difficulty swallowing or chewing d. how many meals and snacks do you consume each day

b. name a food that is high in sodium

The BMI for a woman who is 5'7" and 148 lbs indicates: a. underweight b. normal weight c. overweight d. obese

b. normal weight

A child is at the 95th percentile BMI for age. He is: a. normal b. obese c. overweight d. tall for his age

b. obese

Nutrition intervention with Alzheimer's disease should include: a. eating with TV on provides stimulation b. offer one food at a time, avoid distractions c. encourage eating meals with others d. several small meals and snacks throughout the day

b. offer one food at a time, avoid distractions

Green beans cooked in tomato sauce turn _____ due to _____. a. bight green; chlorophyllin b. olive green; phenophytin c. brown; carotenoids d. black; anthoxanthins

b. olive green; phenophytin

To determine the effectiveness of a nutrition program to be offered at fitness facilities throughout the city: a. first determine how many locations are willing to offer the program b. pilot test the program in one location c. request a review of the program by local RD's d. offer an incentive for facilities to provide the program

b. pilot test the program in one location

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

Pie crust is moist the day after cooking. Why? a. overcooking of the crust b. retrogradation of filling c. too much egg in the recipe d. inadequate flour

b. retrogradation of filling

The ketogenic diet is used to help treat: a. cystic fibrosis b. seizures c. chronic renal failure d. hypotension

b. seizures

Which best applies to nutritional screening? a. HIPAA standards must be followed b. should include nutritional parameters c. done after nutritional problems are identified d. only done on at risk patients

b. should include nutritional parameters

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 d. small, pale cells, macrocytic, megaloblastic

b. small, pale cells, hypochromic, microcytic

A swallowing test has been ordered for a patient who holds food in his mouth for a long time and is coughing. Which food can he have for dessert? a. ice cream b. smooth pudding c. gelatin d. bread pudding

b. smooth pudding

A statement of affirmation in motivational interviewing would be: a. "taking a walk during your lunch break shows how determined you are" b. "I would like you to try to reduce your portion sizes at dinner" c. "Perhaps eating lunch away from your desk would be helpful" d. "Try to increase your intake of fruits and vegetables"

a. "taking a walk during your lunch break shows how determined you are"

Which of the following provides 45 g of carbs? a. 1 c pasta b. 1 c black beans c. 1 1/2 c blueberries d. 2 small tortillas

a. 1 c pasta

A patient weighing 104kg is placed on a 1.5cal/ml formula with 75% free water, 54 g protein/L. He needs 3000 calories per day. How much formula should he receive daily to meet his needs? a. 2000 ml b. 3000 ml c. 2275 ml d. 2575 ml

a. 2000 ml

BMI for age %iles start at age: a. 24 mo b. 36 mo c. 48 mo d. 5 years

a. 24 mo

A sandwich with 2 pieces of white bread and 2 oz turkey provides how many calories? a. 250 b. 145 c. 198 d. 290

a. 250

How many non protein calories are provided by 2 liters of a 7% Aminosyn solution and 1 liter of 10% dextrose in water? a. 340 b. 390 c. 170 d. 255

a. 340

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

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

Infants should be given solid foods at: a. 4-6 months b. 3-4 months c. 2-4 months d. 6-8 months

a. 4-6 months

When estimating the desirable body weight of a patient who has a below the knee amputation of his right leg, decrease the estimate by: a. 6% b. 8% c. 12% d. 16%

a. 6%

Children and adolescents need what level of physical activity? a. 60 min everyday b. 30 min everyday c. 60 min at least 3 x week d. 90 min at least 3 x week

a. 60 min everyday

300ml 60% dextrose; 500ml 10% amino acid; 200ml 20% lipid; Total nutrient mixture administered at 65ml/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

A female, 5'7" tall, weights 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 low birth weight infant weighs: a. <2,500 g b. between 500-1,500 g c. between 3,000-4,000 g d. between 100-500 g

a. <2,500 g Normal BW: 2500-4000g VLBW: <1500g ELBW: <1000g

If implementing a program costs $3 for each patient and the return is $6 per patient, the cost/benefit ratio is: A. 1:2 B. 2:1 C. 1:1 D. 3:1

A. 1:2

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

The cupcake served to patients have a 75% acceptance rate. In a hospital where 90% of the 425 patients select their own menus, how many cupcakes are needed? A. 24 dozen B. 18 dozen C. 16 dozen D. 12 dozen

A. 24 dozen

How many 4 ounce servings can you get from 1 gallon of ice cream? A. 32 B. 26 C. 22 D. 44

A. 32

The minimum recommended temperature for a chemical sanitizer is: A. 75 F B. 140 F C. 100 F D. 170 F

A. 75 F

Responsibility, recognition by management, and participation in decision-making are all considered true motivators by: A. Herzberg B. Taylor C. Maslow D. Likert

A. Herzberg

French fries made from stored potatoes would have changes in: I. taste. II. appearance III. texture A. I, II, III B. II, III C. I D. I, III

A. I, II, III

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 Prepared and Perishable Food Programs

Which of these work center designs discourages through traffic? A. U-shaped B. back to back parallel C. straight line D. square

A. U-shaped

A Food Service Director uses a 4 month moveable average to determine how many chicken breasts are needed for August given the number served in April, May, June and July. How would they forecast the need for September? A. add August and delete April B. add August C. add August and delete July D. look at last year's September production tally

A. add August and delete April

A client says: "I want to change my eating habits." You ask why. The learning domain is: A. affective B. cognitive C. pyschomotor D. psychosocial

A. affective

Which amino acid is especially glucogenic? A. alanine B. threonine C. valine D. methionine

A. alanine

Which would be a sentinel event? A. an NPO patient receiving a regular tray B. a low sodium patient receiving a regular tray C. a weight reduction patient receiving a regular tray D. a high potassium patient receiving a regular tray

A. an NPO patient receiving a regular tray

The Family and Medical Leave Act guarantees: A. an equivalent position with equal benefits and pay status B. the same position with equal benefits and pay status C. the first open position after you return D. a similar position in a different division

A. an equivalent position with equal benefits and pay status

When goods are received, the delivery slip included is: A. an invoice B. a standing order C. the receiving records D. a purchase requisition

A. an invoice

Formularies are descriptions of: A. approved treatment regimens B. pharmacy drug specifications C. capital budget items D. semi-variable costs

A. approved treatment regimens

Which oil is highest in saturated fat? A. coconut B. palm C. cocoa butter D. butter

A. coconut

A good source of MCT is: A. coconut oil B. vegetable oil C. canola oil D. olive oil

A. coconut oil

The kitchen layout below is characteristic of which foodservice system? Deck ovens / Range / Tilting skillet / Refrigerator / Freezer / Preparation counter / Bulk hot cart / Bulk cold carts A. commissary B. conventional C. ready prepared D. assembly-serve

A. commissary

A strict Muslim would not eat: A. congealed fruit salad B. egg salad C. tuna salad D. citrus fruit salad

A. congealed fruit salad

Macrocytic, pernicious anemia resembles the anemia due to a deficiency of: A. folic acid B. iron C. megaloblastic cells D. pyridoxine

A. folic acid Pernicious anemia is a type of megaloblastic anemia in which the body isn't able to absorb vitamin B12 due to a lack of intrinsic factor in stomach secretions. Intrinsic factor is needed for the body to absorb vitamin B12. It can also be caused by a deficiency of folic acid in the diet

Which item would appear in a capital budget? A. food service equipment B. food cost C. labor cost D. paper supplies

A. food service equipment

Lactic acid is produced through: A. glycolysis B. gluconeogenesis C. glycogenesis D. lactolysis

A. glycolysis the breakdown of glucose by enzymes, releasing energy and pyruvic acid.

If an employee is not performing well, the first thing to do is to check the: A. job description B. job specification C. job analysis D. work schedule

A. job description

Employees of a congregate feeding program serving an Orthodox Jewish community are not allowed to bring food items into the facility. This is related to Jewish dietary laws that state: A. kosher foods should not be allowed to mix with non-kosher foods B. consumption of fruits and vegetables are restricted to the noon meal C. only unleavened bread or matzo products are allowed in a kosher kitchen D. no pork or shellfish are allowed in a kosher kitchen

A. kosher foods should not be allowed to mix with non-kosher foods

Which pasta contains egg? A. noodles B. spaghetti C. macaroni D. linguini

A. noodles

Fats high in monounsaturated fatty acids include: A. olive and canola B. safflower and corn C. coconut and palm D. soy and peanut

A. olive and canola

A serum sodium level of 115 mEq/L may be due to: A. over-hydration B. dehydration C. very high sodium intake D. sodium intake of 5.5 g/day

A. over-hydration

Trypsin and chymotrypsin are: A. pancreatic enzymes that provide proteolytic action B. intestinal enzymes that digest starch C. liver hormones involved in fat digestion D. intestinal enzymes that digest protein

A. pancreatic enzymes that provide proteolytic action

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

inferential statistics are associated with: A. probability B. mean C. mode D. graphs

A. probability

You have been promoted to a top management position. What adjustment in skills is needed? A. technical skills decrease, conceptual skills increase B. conceptual skills decrease, technical and human skills increase C. technical skills increase, conceptual skills decrease D. technical skills decrease, conceptual and human skills increase

A. technical skills decrease, conceptual skills increase

An appropriate purpose of analytical research is to ___________: A. test the hypothesis ...... B. investigate the ....... C. formulate a hypothesis ......... D. distinguish between .........

A. test the hypothesis ......

Cost-effectiveness studies: A. use the results of outcomes research B. evaluate direct, indirect benefit C. compare costs to benefits D. determine whether the goal is worthwhile in terns of its cost

A. use the results of outcomes research

Costs which are proportionately responsive to changes in volume are: A. variable B. sunk C. hidden D. fixed

A. variable

Which of the following responses by a counselor indicates "reflection"? A. "yes, you can do that." B. "you said, 'you want to lose weight?'" C. "Explain what you mean by that, please." D. "I can help you."

B. "you said, 'you want to lose weight?'"

In a hospital with 300 patients, it takes 14 minutes to prepare one meal. How many FTE's are needed per week? A. 12 B. 37 C. 46 D. 10

B. 37

Employees: Work hours/week Dietitian: 40 Nurse: 40 Doctor: 30 Diet aides: 20 Secretary: 20 Clerk: 10 How many FTE's are in the above operation? A. 2.0 B. 4.0 C. 6.0 D. 8.0

B. 4.0

The maximum number of calories per serving in a product labeled "low calorie" is: A. 20 B. 40 C. 60 D. 80

B. 40

Which of the following would be used to analyze tray line accuracy? A. Gantt chart B. Process control chart C. Cause and effect diagram D. Break-even analysis

B. Process control chart

If you worked overtime and did not get paid, which labor law would help your claim? A. The Equal Opportunity Act B. The Fair Labor Standards Act C. The Equal Pay Act D. The Civil Rights Act

B. The Fair Labor Standards Act

Nitrogen equilibrium is associated with: A. a 25 year old pregnant female B. a 25 year old male C. a 15 year old girl D. a 4 year old child

B. a 25 year old male

If you increase the size of the kitchen, what effect with there be on worker efficiency? A. an increase B. a decrease C. no change D. depends on the menu

B. a decrease

If you replace half and half with whipping cream in ice cream, the effects on the ice crystals will be: A. an increase in size because theres less fat B. a decrease in size because theres more fat C. no change D. an increase in size because theres more fat

B. a decrease in size because theres more fat

Carbohydrate, fat, and protein are all converted into: A. pyruvic acid B. acetyl CoA C. oxaloacetic acid D. ketoglutamic acid

B. acetyl CoA

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

In a study of the effects of following low a fat diet on the incidence of breast cancer, women were randomized to follow either their usual dietary pattern, or a low fat diet. The study design is: A. descriptive research B. analytical research C. cross-sectional D. qualitative research

B. analytical research

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

Which type of power is ineffective in motivating behavioral change and may create resistance? A. referent B. coercive C. legitimate D. expert

B. coercive Coercive power is the ability of a manager to force an employee to follow an order by threatening the employee with punishment if the employee does not comply with the order

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

The most important critical control point to monitor in the preparation and service of canned cream soup is the temperature: A. at delivery B. during steam table holding C. of storage D. during end-point cooking

B. during steam table holding

The human relations theory of management stresses: A. tasks, structure and authority B. employee's needs C. direct control by management D. management's needs

B. employee's needs

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

Decreased levels of serotonin are associated with: A. decrease in carbohydrate appetite B. increase in carbohydrate appetite C. decreased sensation of taste D. increased sensation of taste

B. increase in carbohydrate appetite

A Dietitian who is developing policies and procedures for nourishment distribution and service should first: A. evaluate the nourishment distribution schedule B. note how nourishments are being distributed and served C. assign the foodservice supervisor the task of gathering data D. review policies and procedure manuals from other facilities

B. note how nourishments are being distributed and served

If there is no statistical difference between study groups, the hypothesis is: A. negative B. null C. even D. positive

B. null

What change should be made in the following menu if it is to be sent 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. offer tofu as an alternative to cottage cheese D. offer a meat analog as an alternative to egg salad

B. offer decaffeinated beverages

How much water should be available per person per day in a disaster? A. one gallon for two days B. one gallon for a minimum of three days C. one gallon for a minimum of one week D. one gallon for a maximum of two weeks

B. one gallon for a minimum of three days

What is the major reason for installing automated equipment? A. easier to use B. rising labor costs C. easier to clean D. greater flexibility

B. rising labor costs

Fats high in polyunsaturated fatty acids include: A. olive and canola B. safflower and corn C. coconut and palm D. soy and peanut

B. safflower and corn

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

A component of the DRI's is the EAR which is used: A. to assess the nutrient adequacy of an individual B. to assess the nutrient adequacy of a population C. when evidence is not available of a population D. to reduce the risk of adverse health effects from overconsumption

B. to assess the nutrient adequacy of a population

Which amino acids much be present in a parenteral solution? A. valine, leucine, glycine, alanine B. tryptophan, phenylalanine, threonine, isoleucine C. phenylalanine, methionine, arginine, tyrosine D. lysine, glutamic acid, alanine, glycine

B. tryptophan, phenylalanine, threonine, isoleucine

The full function of the gastrointestinal tract is utilized with which type of nutrition support? a. an isotonic, polymeric formula delivered by nasogastric tube b. a BCAA formula delivered by a nasogastric tube c. peripheral parenteral nutrition d. parenteral nutrition

a. an isotonic, polymeric formula delivered by nasogastric tube

Which exhibits a definite positive correlation? a. .05 - .07 b. 1.2 - 1.3 c. 0.8 - 1.0 d. 0.2 - 0.9

c. 0.8 - 1.0

Which of the following most affects osmolarity? a. protein b. sugar c. electrolytes d. fat

c. electrolytes

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

Which is the dependent variable? a. leavening b. storage days c. volume d. oven temperature

c. volume

Which denotes a high correlation? a. 0.2 b. 0.4 c. 0.6 d. 0.8

d. 0.8

A patient needs a 2,000 cal, 2 g sodium feeding. Which formula is best? a. 1 cal/cc, 2 g Na/L b. 1.5 cal/cc, 2 g Na/L c. 2 cal/cc, 1 g Na/L d. 1 cal/cc, 1 g Na/L

d. 1 cal/cc, 1 g Na/L

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 of the following medications is an appetite suppressant? a. prednisone b. dextroamphetamine c. erythromycin d. dronabinol

dextroamphetamine

A provitamin is: A. a nutrient that can be converted into a vitamin B. a vitamin that can be converted into a nutrient C. the endogenous form of a vitamin D. a man-made copy of a vitamin

A. a nutrient that can be converted into a vitamin

The oxidation of fatty acids forms: A. acetyl CoA B. pyruvic acid C. lactic acid D. oxaloacetate

A. acetyl CoA

What causes egg yolk color to change? A. alteration in the feed provided B. storage length C. shell color D. storage conditions

A. alteration in the feed provided

How much fluid is lost through insensible losses? A. 0.5 liters B. 1 liter C. 2liters (avg urine loss per day) D. 3-4 liters

B. 1 liter

A #10 can holds how many cups of product? A. 10 B. 13 C. 12 D. 5

B. 13

Gluconeogenesis is the: A. catabolism of carbohydrate B. creation of glucose from glycerol and amino acids C. breakdown of glycogen releasing glucose D. creation of glycogen

B. creation of glucose from glycerol and amino acids

Pyridoxine acts as a coenzyme in: A. iron transfer B. deamination and transamination C. fat transfer through the lymphatic system D. osmotic pressure of body fluids

B. deamination and transamination

Food iron is reduced in the stomach to the more absorbable form of: A. ferric B. ferrous C. transferrin D. ferritin

B. ferrous

Research has shown that the risk for neural tube defects is lowered by taking supplements of: A. iron B. folic acid C. glutamine D. arginine

B. folic acid

When substituting buttermilk for whole milk in pastry: A. decrease the liquid B. increase the baking soda C. increase the amount of butter D. increase the liquid

B. increase the baking soda

Which of the following inhibits gluconeogenesis? A. glycogen B. insulin C. catecholamines D. glucocorticoids

B. insulin

Which of the following can be reversed with vitamin A? A. xerophthalmia B. nyctalopia C. Wilson's disease D. homocysteinuria

B. nyctalopia (night blindness)

Which would be aid the absorption of an iron supplement? A. cows milk, eggs B. orange juice, hamburger C. milk, eggs, cheese D. dates, eggs

B. orange juice, hamburger

Ascorbic acid aids in healing. Which of the following applies? A. collagen -> hydroxyproline B. proline -> hydroxyproline -> collagen C. hydroxyproline -> proline -> collagen D. hydroxyproline -> collagen

B. proline -> hydroxyproline -> collagen

The end product of aerobic glycolysis is: A. acetyl-CoA B. pyruvic acid C. lactic acid D. glycogen

B. pyruvic acid

Glyconeogenolysis is the: A. catabolism of carbohydrate B. creation of glucose from glycerol and amino acid C. breakdown of glycogen releasing glucose D. creation of glycogen

C. breakdown of glycogen releasing glucose

Which pigment does not change color in an acid or an alkaline solution? A. anthocyanin B. chlorophyll C. carotenoid D. flavones

C. carotenoid

Dietary fat enters the blood as _______ and leaves the liver as _______. A. phospholipids, chylomicrons B. chylomicrons, phospholipids C. chylomicrons, lipoproteins D. lipoproteins, chylomicrons

C. chylomicrons, lipoproteins

Which method of bread-making is not as dependent on the length of time the dough sits to rise? A. straight dough method B. sponge dough method C. continuous method D. prime bake method

C. continuous method

Carbohydrates listed in order of decreasing sweetness are: A. fructose, glucose, sucrose, sorbitol B. sucrose, glucose, fructose, sorbitol C. fructose, sucrose, glucose, sorbitol D. sorbitol, fructose, sucrose, glucose

C. fructose, sucrose, glucose, sorbitol

In the fed state, the brain uses which nutrient as a source of energy? A. fatty acid B. lactic acid C. glucose D. ketone bodies

C. glucose

Ground meat will spoil faster than sliced meat because: A. it has more enzyme activity B. it has more fat C. more surface area is exposed D. it has less fat

C. more surface area is exposed

Which enzymes are involved in protein digestion? A. ptyalin, lipase, sucrase B. amylase, lipase, trypsin C. pepsin, trypsin, chymotrypsin, carboxypeptidase D. trypsin, lipase, amylase

C. pepsin, trypsin, chymotrypsin, carboxypeptidase

Considering the following smoke points of various fats, which would be the best to use for frying? A. 300 F B. 325 F C. 375 F D. 400 F

D. 400 F

Vitamin A is involved in: A. growth and development B. blood clotting C. growth of bones and teeth D. development of tissue and skin

D. development of tissue and skin

Which nutrient is added for flour enrichment? A. vitamin A B. iodine C. fluorine D. iron

D. iron

What does the term "USDA Graded" on meat tell the consumer? A. it assures wholesomeness B. it was free of disease at the time of slaughter C. the meat is fit for human consumption D. it defines quality

D. it defines quality

In starvation, the brain uses which nutrient as a source of energy? A. fatty acid B. lactic acid C. glucose D. ketone bodies

D. ketone bodies

Protein-bound iodine (PBI) measures: A. nutritional status B. toxic levels of iodine C. deficiency of epinephrine D. level of thyroxine being produced

D. level of thyroxine being produced

Which conversion requires glucose-6-phosphatase? A. glucose into liver glycogen B. glucose into pyruvic acid C. pyruvic acid into lactic acid D. liver glycogen into glucose

D. liver glycogen into glucose

Dry heat cookery should be used for which cut of meat? A. shoulder B. neck C. brisket D. near the backbone

D. near the backbone

A patient with metabolic alkalosis would have: A. excess excretion of base thru the kidneys B. retention of base by the lungs C. excretion of base by the lungs D. retention of base by the kidneys

D. retention of base by the kidneys

Fresh meat contamination comes mainly from: A. botulism B. staphylococcus C. clostridium D. salmonella

D. salmonella

An increased plasma pyruvate level is an indication of: A. iron deficiency B. riboflavin deficiency C. excess carbohydrate ingestion D. thiamin deficiency

D. thiamin deficiency

When a white sauce tastes starchy and grainy, the likely cause is: A. too much starch B. improper proportions of ingredients C. starch was added before the fat melted D. uncooked flour

D. uncooked flour

What color do onions turn when cooked in an aluminum pan? A. purple B. blue C. red D. yellow

D. yellow

What should be the final consideration in the make-or-buy decision of a product? A cost analysis B. labor requirements C. storage space availability D. personal relationship with supplier

A cost analysis

The proper portion size of a dessert item is 1/3 cup. Which scoop should you use? A. #12 B. #8 C. #16 D. #10

A. #12

Find the cost per meal if you serve 120,000 meals, spend $46000 in food purchases and $1250 worth of food was removed from the inventory. A. $0.39 B. $0.42 C. $0.37 D. $0.43

A. $0.39

Processed chopped lettuce costs $0.69/lb. Whole-head lettuce costs $16.49/50lb. case. If the head of lettuce can be processed in two hours at $5.25/hour for labor, what is the relative value of processed and head lettuce if the yield is 75%? A. $0.69 processed; $0.72 head lettuce B. $0.69 processed; $0.89 head lettuce C. $0.72 processed; $0.69 head lettuce D. $0.72 processed; $0.89 head lettuce

A. $0.69 processed; $0.72 head lettuce

Using the following information, determine the selling price of the meal used to determine the break-even point. Fixed costs $100, Variable costs per meal $5, Break-even point 20 meals A. $10 B. $15 C. $5 D. $2.50

A. $10 Break even point = fixed cost / (selling price - variable Cost per meal)

Financial data for 1 month is shown. What is the net profit? Cafeteria revenue $119984 Patient meals revenue $146250 Catering sales $1850 Food costs $110234 Labor costs $147446 Other costs $10204 A. $200 B. $10404 C. $167850 D. $268084

A. $200

Your Nutrition Department has 6.5 FTE Dietitians at $20/hour. How much salary is that per week? A. $5200 B. $3960 C. $4850 D. $6550

A. $5200

What is the gross food cost for June using the following information? June 1 inventory $5300 July 1 inventory $2700 Food purchases - month of June $3150 A. $5750 B. $3150 C. $4900 D. $6200

A. $5750

Store frozen fruits and vegetables at: A. 0 to -10'F B. -10 to -20'F C. < 32'F D. 0 to 10'F

A. 0 to -10'F

How many minutes are needed to sanitize dishes when washing by hand using chlorine? A. 1 B. 2 C. 3 D. 4

A. 1

To sanitize, immerse dishes in a chemical solution for _ minute(s): A. 1 B. 2 C. 3 D. 4

A. 1

It takes ___ FTE(s) to fill one 8-hour, 7-day-per-week position. A. 1.4 B. 1.6 C. 1.8 D. 2

A. 1.4

A recipe requires 1.5 pints of cleaned, sliced strawberries. The yield for strawberries is 91%. One cup of clean, sliced strawberries weight 7 oz. At a minimum, how many pound of strawberries needed to be ordered? A. 1.5 B. 1 C. 1.25 D. 2

A. 1.5

A tube feeding ran from 7pm till 7am, providing 1800 kcal, at 1.6 cal/cc, how many cc/hour were given? A. 100 B. 125 C. 210 D. 65

A. 100

You are planning the budget for next year. Labor costs will increase by 10%. Food costs will increase by 5%. Operating costs will increase by 2%. This year, sales totaled $1,000,000. Labor costs were 40% of income, food cost was 405 of income, and operating costs were 20% of income. What is the projected budget? A. 1064000 B. 1640000 C. 1840000 D. 1170000

A. 1064000

How much free water is in 1.5 liters of an enteral feeding that has 1.5 kcal per cc? A. 1155 cc B. 1057 cc C. 926 cc D. 901 cc

A. 1155 cc

How many quarts of batter are needed to make 144 muffins using a #12 scoop? A. 12 B. 16 C. 22 D. 6

A. 12

How many oranges are needed to produce one quart of juice? A. 12 B. 15 C. 18 D. 20

A. 12 ~3 oranges = 1 cup juice

What would be the next number in this list with a moving average of 5? 1400, 1200, 1300, 1250, 1350, 1400, 1425 A. 1345 B. 1275 C. 1434 D. 1405

A. 1345 take the last 5 numbers and find the average of them

Normal saline has ____ mEq sodium/L A. 154 B. 100 C. 50 D. 200

A. 154

An AIDS patient's temperature has risen to 102 degrees. His BMR has increased: A. 24% B. 36% C. 12% D. 5%

A. 24% It is estimated that for every degree Fahrenheit of rise in body temperature, the BMR increases by 7 percent.

Fresh eggs in the shell can be stored in a refrigerator at 40 degrees for: A. 3 weeks B. 2 weeks C. 10 days D. 4-6 days

A. 3 weeks

A $240 income was generated selling 40 pieces of fish with raw food cost fo $2.00 each. What is the % food cost? A. 33% B. 40% C. 20% D. 10%

A. 33%

What is the food cost percentage if the cost of food is $325 and the income is $865? A. 38% B. 36% C. 34% D. 32%

A. 38%

The cafeteria serves lunch from 11AM - 2:30PM with a seat turnover rate of 1.5/hour. They need to seat 250 customers. How many chairs do they need? A. 48 B. 56 C. 72 D. 125

A. 48

What percent of protein and fat converts to glucose? A. 58% protein, 10% fat B. 10% protein, 60% fat C. 30% protein, 30% fat D. 20% protein, 40% fat

A. 58% protein, 10% fat

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

A patient's I/O form indicates the following data. What is his total insensible fluid loss? INPUT: Oral fluids 1800 ml, solid foods 800 ml, metabolic water 250 ml (total 2850 ml) OUTPUT: urine 1900 ml, intestinal 250 ml, lungs and skin 700 (total 2850 ml) A. 700 ml B. 950 ml C. 1900 ml D. 2850 ml

A. 700 ml

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

The level of significance of test results is measured using the p-value. Which of the following represents the most significant factor? A. <0.0002 B. <0.002 C. <0.02 D. <0.20

A. <0.0002

When using the ABC inventory classification system, the tightest controls are needed for the: A. A items B. B items C. C items D. A, B, and C items

A. A items A- precise and exact estimation of inventory value B- an approximate estimation of inventory value C- minimal or no estimation of inventory value

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

Which surveillance system monitors changes in heath risk behaviors over time and can be used to target those most at risk? A. BRFSS B. NHANES C. TANF D. Health and Diet survey

A. BRFSS Behavioral Risk Factor Surveillance System

Which of the following are synthesized by intestinal bacteria? A. Biotin, pantothenic acid, vitamin K B. vitamin E, vitamin K, biotin C. pyridoxine, vitamin E D. ascorbic acid, pyridoxine, vitamin K

A. Biotin, pantothenic acid, vitamin K

Which mineral is involved in blood clotting? A. Calcium B. Phosphorus C. Iron D. Selenium

A. Calcium The coagulation of the blood is initiated by the blood platelets. Calcium ions are required for the promotion or acceleration of blood clotting pathways

Which guideline is used in planning meals for healthy people? A. EAR B. UL C.AI D. DRI

A. EAR

What may cause EKG abnormalities? A. High serum K levels B. low serum K levels C. low serum Na levels D. High serum Na levels

A. High serum K levels (peaks the T-wave) K too high or too low can cause serious heart issues and lead to death

If linoleic acid replaces carbohydrates in the diet: A. LDL decreases, HDL increases B. LDL and HDL decrease C. LDL and HDL increase D. LDL increases, HDL decreases

A. LDL decreases, HDL increases

The dietary intake component of NHANES is: A. WWEIA B. BRFSS C. Ten State Nutrition Survey D. PNSS

A. WWEIA What We Eat in America

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

Who is most at risk from protein calorie malnutrition? A. a cancer patient on chemo B. a patient with gastric ulcers C. a patient with Crohn's disease D. a patient with megaloblastic anemia

A. a cancer patient on chemo

A study design that tracks the occurrence of infections in patients who are at nutritional risk and in the hospital for longer than seven days is: A. a cohort study B. a time series method C. a case control study D. descriptive research

A. a cohort study

The line type of organizational chart shows: A. a direct flow of authority from top to bottom B. authority flows from side to side C. all advisory positions D. informal relationships

A. a direct flow of authority from top to bottom

A scale drawing of an area showing the path of a worker during a process is: A. a flow diagram B. a process chart C. an operation chart D. a cross chart

A. a flow diagram

Quality assurance is: A. a measurement of the quality of care provided to patients B. food service oriented C. control of the distribution and service of food D. control of the budget

A. a measurement of the quality of care provided to patients

A written record of items ordered, with quantities and specifications is: A. a purchase requisition B. a standing order C. an invoice D. a receiving record

A. a purchase requisition

What is not a likely cause of failure to thrive in a child? A. a vegetarian diet B. a chronic illness C. parental food restrictions due to them being overly concerned with obesity D. lack of fiber in the diet

A. a vegetarian diet

An angel food cake is made without cream of tartar. What is the result? A. a yellowy cake B. a bright white cake C. a cake w large volume D. a very tender cake

A. a yellowy cake

Sugar tenderizes a baked good by: A. absorbing some of the water that gluten needs B. increasing the strength of the gluten C. increasing the action of the leavening agent D. starting gluten development

A. absorbing some of the water that gluten needs

What is the product of pyruvate breakdown? A. acetyl CoA B. glycogen C. NADPH D. glucose-6-phosphate

A. acetyl CoA

Iron absorption is enhanced by: A. acidic chyme in the duodenum B. the alkalinity of the duodenum C. oxalates and phytates D.the absence of ascorbic acid

A. acidic chyme in the duodenum

Which enzymes are secreted by the pancreas? A. amylase, lipase, cholesterol esterase, trypsin, chymotrypsin B. sucrose, maltase, lactase, aminopeptidase C. ptyalin D. aminopeptidase, dipeptidase

A. amylase, lipase, cholesterol esterase, trypsin, chymotrypsin

Which of the following stabilizes an egg white foam? A. an acid B. water C. flour D. salt

A. an acid

In humans, vitamin K is affected by: A. anticoagulants and antibiotics B. iodine C. water- soluble D. gluten

A. anticoagulants and antibiotics

What procedure is binding and cannot be changed? A. arbitration B. mediation C. an injunction D. collective bargaining

A. arbitration

Which of the following is a hearing between labor and management during an impasse to aid in settling disputes? A. arbitration B. mediation C. an injunction D. collective bargaining

A. arbitration

The final step in a union dispute is: A. arbitration B. mediation C. injunction D. check-off

A. arbitration The dispute will be decided by one or more persons, which renders the 'arbitration award

A food delivery arrived during trayline service. What should the Dietitian do? A. ask the driver to wait B. ask the driver to verify the shipment and sign the invoice C. direct the available security guard to verify the shipment D. stop the trayline service and receive the delivery

A. ask the driver to wait

The first step in developing a training program is to: A. assess the needs of the group B. review training programs offered in other locations C. provide the trainer with detailed instructions D. estimate approximate length of time needed to complete training

A. assess the needs of the group

The Dietitian finds that the ice cream freezer is not working and everything inside has melted. She decides to throw it all out and substitute another item for dessert. She is demonstrating what type of leadership? A. autocratic B. bureaucratic C. democratic D. participatory

A. autocratic Autocratic leadership, also known as authoritarian leadership, is a leadership style characterized by individual control over all decisions and little input from group members Bureaucratic leadership refers to organizational leadership through a highly formalized set of processes, procedures, and structures. Here, rules, policies, and hierarchies form a clear set of expectations as well as an explicit chain of command

Which of the following foods are safe? A. beef stew at 160' B. potato salad at 75' C. tuna casserole at 100' D. egg salad 80'

A. beef stew at 160'

Examples of moist heat cooking includes: A. braising, stewing B. grilling, frying C. broiling, braising D. steaming, frying

A. braising, stewing

What is the difference between cake flour and bread flour? A. cake flour has less gluten, weaker gluten, less protein B. bread flour has less gluten, weaker gluten, less protein C. cake flour has weaker gluten, but more protein D. bread flour has stronger gluten, but less protein

A. cake flour has less gluten, weaker gluten, less protein

Following an ileal resection, which supplements are recommended? A. calcium, magnesium, zinc, fat-soluble vitamins B. water-soluble vitamins, calcium, and phosphorus C. zinc, thiamin, iron D. fat-soluble vitamins

A. calcium, magnesium, zinc, fat-soluble vitamins Patients have difficulty absorbing fat-soluble vitamins possibly because of the lack of bile salts and loss of absorptive surface

A job description: A. can be used for employee appraisal B. studies and analyzes all aspects of the job C. lists what steps to do and how to do them D. lists time limits on all aspects of the job

A. can be used for employee appraisal

Glycolysis is the: A. catabolism of carbohydrate B. creation of glucose from glycerol and amino acid C. breakdown of glycogen releasing glucose D. creation of glycogen

A. catabolism of carbohydrate

Cholecystokinin causes: A. contraction of the gallbladder B. peristalsis C. secretion of pancreatic juice D. contraction of the liver

A. contraction of the gallbladder

PERT is a tool that will help you: A. control large projects and calculate the time needed to get the job done B. assign workers to various tasks C. determine productivity levels D. determine the average check

A. control large projects and calculate the time needed to get the job done

When preparing a budget, which management function is involved? A. controlling B. organizing C. evaluating D. projecting

A. controlling

Which oven is most energy efficient? A. convection oven B. rotary oven C. deck oven D. microwave oven

A. convection oven

Which system is not labor efficient? A. conventional B. vending C. cafeteria D. assembly serve

A. conventional all preparation done on premises where meals are served,foods are prepared and served the same day (immediate service)

Excess amounts of zinc may lead to a deficiency of: A. copper B. magnesium C. folate D. cobalt

A. copper

Which mineral is absorbed through the intestine and transported with ceruloplasmin in the blood? A. copper B. iodine C. sodium D. calcium

A. copper

The following oils can be winterized: A. corn, soy, cottonseed B. olive, corn, soy C. cottonseed, olive D. olive, corn

A. corn, soy, cottonseed

The primary reason for portion control in food service is: A. cost control B. to standardize serving sizes C. customer satisfaction D. weight reduction diets

A. cost control

Using the scientific approach to management, which of the following would result? A. decreased labor minutes per meal B. decreased labor hours per week C. increased labor minutes per meal D. increased labor hours per week

A. decreased labor minutes per meal

Which of the following may result in metabolic acidosis? A. decreased retention of bicarbonate B. decreased retention of hydrogen C. decreased retention of chloride D. increased retention of bicarbonate

A. decreased retention of bicarbonate

According to HACCP, which would be the recommendation when preparing spaghetti and sauce? A. divide the prepared sauce into several small pans before chilling B. rinse spaghetti in cold water before mixing with sauce C. cook the meat thoroughly before mixing with sauce D. stir occasionally throughout the holding time

A. divide the prepared sauce into several small pans before chilling

How do you determine the average check in the cafeteria? A. divide total sales by the number of customers B. divide entree sales by the number of customers C. divide the number of customers by total sales D. divide the total sales by the cost of an average priced meal

A. divide total sales by the number of customers

Which of the following would lower serum cholesterol levels? A. dried beans B. green beans C. yellow beans D. summer squash

A. dried beans

Which is the best source of emulsification? A. eggs B. milk C. salt D. flour

A. eggs

A facility with a labor turnover rate of 50% also experiences numerous equipment malfunctions, Both problems might be resolved through improved: A. employee training B. repair standards C. equipment quality D. ergonomics

A. employee training

NADPH is: A. essential in the synthesis of fatty acids B. essential in the synthesis of glycogen C. involved in the catabolism of protein D. essential in transamination

A. essential in the synthesis of fatty acids

A Dietitian who wishes to delegate work to a subordinate should first: A. evaluate employee skills and task difficulty B. give the employee the authority to make decisions C. give the employee the information needed to complete the task D. ensure that the employee has the necessary materials and funds

A. evaluate employee skills and task difficulty

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

Fat produces more calories than carbohydrates because: A. fat has more carbon and hydrogen in relation to oxygen B. fat has less carbon and hydrogen in relation to oxygen C. fat is a larger molecule D. fat is a smaller molecule

A. fat has more carbon and hydrogen in relation to oxygen

Food iron is in the _____________ form. A. ferric B. ferritin C. transferrin D. ferrous

A. ferric

If the sole source of protein is gelatin, growth is inhibited because: A. gelatin has no tryptophan and is low in methionine and lysine B. gelatin has no methionine and is low in tryptophan C. gelatin has no lysine or methionine, and is low in tryptophan D. gelatin has no arginine

A. gelatin has no tryptophan and is low in methionine and lysine

Before adding new items to the menu: A. give samples to a few patients and ask for their comments B. ask patients in writing if they would like the new items C. have your managers decide which ones to offer D. ask for employee comments on new suggestions

A. give samples to a few patients and ask for their comments

Which of the following is the most useful for evaluating long-term nutrition in children? A. height for age B. weight for height C. weight for age D. length for weight

A. height for age

A commercial muffin mix is described as a "rich formula", which means it contains: A. high proportions of sugar and shortening B. high-fructose corn syrup instead of crystalline sugar C. high amounts of whey instead of nonfat dry milk solids D. more chemical leavening than is used in a "lean formula"

A. high proportions of sugar and shortening

You recently interviewed a top candidate for an administrative position, and are about to offer him the job. You then learn that he is planning on adopting a child. What should you do? A. hire him B. confront him about the possibility C. do not hire him D. wait two weeks to see if he does adopt the child

A. hire him

A Director from another Department sends you an email regarding construction. this is an example of what kind of communication? A. horizontal B. downward C. straight D. informal

A. horizontal

A concern with parenteral feeding is: A. hypokalemia B. hypercalcemia C. hyponatremia D. Hypernatremia

A. hypokalemia

What do these values represent... 2.5 mg/dl serum phosphorus level and 1.3 mEq/L serum magnesium level? A. hypophosphatemia, hypomagnesemia B. hyperphosphatemia, hypomagnesemia C. hyperphosphatemia, hyponatremia D. hyperkalemia, hypermagnesemia

A. hypophosphatemia, hypomagnesemia

The statement "this further shows daily weighing is an effective weight loss tool" should be placed in which section of the report? A. implications B. results C. analysis D. methodology

A. implications

An employee evaluation should be given: A. in a quiet place with privacy B. in the Diet Office C. at the end of the day D. at the beginning of the day

A. in a quiet place with privacy

Aseptically packaged milk should be stored: A. in dry storage B. in the refrigerator C. in the freezer D. below 40 degrees

A. in dry storage

You will be introducing new methods of production to your staff. The most effective method would be to: A. include them during discussions of proposed methods B. introduce the new method quickly C. let them know it is a better process D. ask employees if they will go along with the decision

A. include them during discussions of proposed methods

Freezing will: A. inhibit bacterial growth B. destroy toxins C. destroy bacteria D. destroy enzymes

A. inhibit bacterial growth

What is the effect of excess caffeine intake? A. insomnia B. nausea C. bloating D. weight gain

A. insomnia

Which is an example of an indirect cost? A. insurance B. travel costs C. food D. china

A. insurance

What is the main purpose of water in the body ? A. it acts as a medium for cell metabolism B. it helps transport calcium through cell membranes C. it maintains electrolyte balance D. to maintain body temp

A. it acts as a medium for cell metabolism

Which menu item generates the highest profit? Lasagna: units sold 1500 selling price $3.00 raw food cost $1.35 prime cost $2.00 Vegetarian chili: units sold 100 selling price $1.25 raw food cost $0.57 prime cost $1.00 Hamburger: units sold 400 selling price $2.00 raw food cost $0.90 prime cost $1.50 Enchilada: units sold 100 selling price $3.00 raw food cost $1.14 prime cost $1.75 A. lasagna B. vegetarian chili C. hamburger D. enchilada

A. lasagna

If broccoli in a vegetable mixture turns olive green during holding, it may be due to: A. lemon juice B. baking soda C. salt D. sugar

A. lemon juice

Sorbitol is: A. less sweet than sucrose and has a lower glycemic index than sucrose B. less sweet than sucrose and has a higher glycemic index than sucrose C. sweeter than sucrose D. sweeter than sucrose has a lower glycemic response than sucrose

A. less sweet than sucrose and has a lower glycemic index than sucrose

The rate of oxidation of which branch-chained amino acid increases significantly during moderate exercise? A. leucine B. phenylalanine C. tyrosine D. threonine

A. leucine

A customer who has eaten lunch in the cafeteria becomes ill one hour after eating a chicken sandwich. What should the Dietitian do first? A. listen carefully, take the complaint seriously and conduct an investigation B. accept responsibility and offer a coupon for a complimentary meal C. report the complaint immediately to the risk-management department D. ask where the person ate the night before and deny and responsibility

A. listen carefully, take the complaint seriously and conduct an investigation

A work schedule: A. lists both tasks and time B. lists only tasks to be performed C. is used for employee appraisal D. studies all aspects of the job

A. lists both tasks and time

A renal patient has come for dialysis on Monday morning with serum sodium of 130 mEq/L, a BUN of 100 mg/dL, creatinine 8.0, and a 4 KG 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? 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 phosphorus, 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

Bile is produced in the ___________ and stored in the ________________. A. liver, gallbladder B. gallbladder, liver C. liver, liver D. gallbladder, gallbladder

A. liver, gallbladder

An appropriate menu for 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

To implement an efficient staffing plan and adhere to budget constraints, the Dietitian can ensure labor costs are controlled by: A. master schedules B. job descriptions C. compensation changes D. cross-training

A. master schedules

Clostridium perfringens is often associated with: A. meat and gravies mixtures in large quantities B. fresh fruits and vegetables C. dairy products held within the danger zone D. uncured cheese

A. meat and gravies mixtures in large quantities

When meat is irradiated, the best flavor comes from: A. meat that has been frozen B. fresh meat C. aged meat D. young meat

A. meat that has been frozen

A tube fed patient develops diarrhea. What is the most likely cause? A. medications B. the osmolality is too low C. the strengths too weak D. it is being given at an improper rate

A. medications

Riboflavin, thiamin, and niacin are all involved in the: A. metabolism of carbohydrates B. metabolism of fat C. metabolism of protein D. production of amino acids

A. metabolism of carbohydrates

Acidic chyme becomes neutralized in the duodenum by: A. mixing with bicarbonate and fluids B. mixing with alkaline intestinal enzymes C. mixing with sodium and potassium D. mixing with bile

A. mixing with bicarbonate and fluids

Where should a class B fire extinguisher be placed? A. near the range B. near the dish machine C. near the freezer D. near the refrigerator

A. near the range

When trying to cut down on the number of employees on a tray assembly line, evaluate the: A. number of work stations B. amount of idle time C. line speed D. capacity

A. number of work stations

A substitute is legally differentiated from another food by: A. nutrient content B. calorie content C. fat content D. color

A. nutrient content

Hospitals use formularies to: A. obtain volume purchasing discounts B. limit the use of certain products C. develop process charts D. organize departments in a concentric pattern

A. obtain volume purchasing discounts

Which oil is highest in monounsaturated fatty acids? A. olive B. canola C. peanut D. sunflower

A. olive

The scientific process by which water makes lettuce crisp is: A. osmotic pressure of water-filled vacuoles B. diffusion C. transamination D. water active diffusion

A. osmotic pressure of water-filled vacuoles

Which has the lowest cholesterol content? A. peanut butter and crackers B. yogurt with fruit C. chocolate cake D. roast beef sandwich

A. peanut butter and crackers

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 fruit and chocolate

A. peanut butter and milk

What method is used when you log in and out movement from the storeroom? A. perpetual inventory B. mini-mix inventory C. physical inventory D. stage three inventory

A. perpetual inventory

Green peas held on the serving line may turn olive green due to: A. pheophytin B. chlorophyllin C. anthoxanthins D. flavones

A. pheophytin

Excess food soil in a dishmachine wash tank will result in foam that interferes with satisfactory dishwashing. The most appropriate corrective action is to: A. pre-rinse dishes before washing B. increase the amount of detergent C. increase water pressure in the wash tank D. drain the wash tank during meals and refill

A. pre-rinse dishes before washing

What is the function of cream tartar in a recipe? A. prevents the Maillard reaction B. enhances the Maillard reaction C. increases the alkalinity allowing for better leavening D. enhances gelation

A. prevents the Maillard reaction The Maillard reaction is also known as nonenzymatic browning

Sugar and salt act as preservatives because they: A. provide unfavorable osmotic pressure B. prevent microbial contact C. disguise flavors D. reduce the alkalinity

A. provide unfavorable osmotic pressure

Which vitamin acts as a coenzyme in transamination? A. pyridoxine B. thiamin C. riboflavin D. vitamin B12

A. pyridoxine

If protein intake is doubled, which nutrient needs to be increased? A. pyridoxine B. folic acid C. niacin D. vitamin C

A. pyridoxine One of the central roles of this vitamin is in protein metabolism where it helps regulate the balance of amino acids in the body. It is also closely involved in hormone production. Pork, poultry, peanuts, beans, cereals, starchy veggies

The main function of glycolysis is to provide: A. pyruvate for the TCA cycle B. lactic acid for energy use by muscles C. muscle and liver glycogen D. a substrate for the Cori cycle

A. pyruvate for the TCA cycle

The profit margin: A. reflects the potion of sales volume remaining after all bills are paid B. labor costs subtracted from total sales C. indirect costs subtracted from total sales D. direct costs subtracted from total sales

A. reflects the portion of sales volume remaining after all bills are paid

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

The amino acid tryptophan can be converted into: A. serotonin B. catecholamines C. phenylalanine D. tyrosine

A. serotonin

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

A hospital cafeteria that currently serves 500 meals at noon must increase service to 800 without adding food production staff. The best action would be: A. simplify the menu B. redesign the kitchen C. rearrange employee work schedules D. replace current equipment with fast-performance equipment

A. simplify the menu

Evaporated milk has: A. slightly more than half of the water removed B. added sugar C. a fat content of 3-6% D. lactose removed

A. slightly more than half of the water removed

Where is lactose absorbed? A. small intestine (villi of langerhan) B. stomach C. pancreas (only hormone release) D. liver

A. small intestine (villi of langerhan)

On your meal rounds you notice that elderly patients are not being fed properly. What is the best solution? A. speak with the director of nursing B. discuss it at a discharge planning meeting C. confer with the Nurse's Aide responsible D. assign your Diet Aide to help feed the patient

A. speak with the director of nursing

When on Dicumarol, avoid increasing your intake of: A. spinach B. beets C. corn D. beef

A. spinach dicumarol is a naturally occurring anticoagulant drug that depletes stores of vitamin K

Which of the following has the quickest onset of food-borne illness? A. staphylococcus aureus B. clostridium botulinum C. clostridium perfringens D. listeria monocytogenes

A. staphylococcus aureus

Goals for a community nutrition program should be based on: A. the Dietary Guidelines for Americans B. the Nutrition Screening Initiative C. the Healthy People report D. the NHANES III report

A. the Dietary Guidelines for Americans

Which law sets the minimum wage? A. the Fair Labor Standards Act B. the National Labor Relations Act C. The Equal Opportunity Act D. The Labor Management Act

A. the Fair Labor Standards Act

What is a formal study to verify that documentation and processes have been followed? A. the audit B. a quality assurance program C. a verification study D. statistical analysis

A. the audit

Large volume purchasing, centralized production, service areas in separate facilities are features of: A. the commissary system B. the ready-prepared system C. the assemble serve system D. the conventional system

A. the commissary system

To determine whether promotional efforts have increased sales in a business, use: A. the experimental design B. an observational study C. a survey D. a segmentation process

A. the experimental design

Productivity is measured by: A. the number of portions served per hour B. the number of employees working each day C. the number of food deliveries D. the inventory

A. the number of portions served per hour

A decision to feed patients in their rooms, rather than in the cafeteria is based on: A. the philosophy of the institution B. the equipment in the kitchen C. the labor availability D. federal regulations

A. the philosophy of the institution

If dishes are not cleaned properly in the dishmachine, the first thing to check is: A. the temperatures of the various cycles B. the number of items being serviced in a short time C. the length of time between a meal and dishwashing D. the number of employees assigned to the process

A. the temperatures of the various cycles

When analyzing correlations, when r= 1 : A. there is a perfect correlation from one to the other B. there is no correlation among data presented C. the data presented move in opposite directions D. there is a weak correlation among data presented

A. there is a perfect correlation from one to the other

If carbohydrate intake is increased, which vitamin needs to be increased? A. thiamin B. niacin C. riboflavin D. pyridoxine

A. thiamin Thiamin is needed to turn glucose and carbohydrates into energy

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

The best use of performance appraisals is: A. to improve performance B. to motivate the employee C. to weed out the employees who perform poorly D. to reward those who do well

A. to improve performance

If linoleic acid replaces saturated fat in the diet: A. total cholesterol including HDL decrease B. HDL increases C. LDL increases D. no change in lipid levels

A. total cholesterol including HDL decrease

The flakiness of pie crust depends on: A. type of fat B. oxidation of fat C. temperature of fat D. oven temperature

A. type of fat

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

The transfer of heat when cooking with an induction burner is the: A. use of electrical magnetic fields to energize the metal cooking surface B. movement of heat through direct contact C. distribution of heat by movement of liquid or vapor D. generation of heat by wave action within an object

A. use of electrical magnetic fields to energize the metal cooking surface

Retrovir (NRTI) can lead to low levels of: A. vitamin b12, copper, zinc B. water soluble vitamins C. calcium and phosphorus D. folate, pyridoxine, vitamin C

A. vitamin b12, copper, zinc Retrovir (zidovudine) Nucleoside reverse transcriptase inhibitors (NRTIs) are one of the seven classes of drugs developed to treat human immunodeficiency virus (HIV) infection. NRTIs were the first drugs developed to manage HIV infection and remain a mainstay of antiretroviral therapy (ART) combinations

The best way to prevent the spread of food-borne illness is to: A. wash hands regularly B. cook all foods thoroughly C. purchase food from trusted vendors D. prepare food shortly before serving

A. wash hands regularly

Dishes are greasy when unloaded from the dishmachine. What should you check first? A. wash temperature B. rinse temperature C. amount of detergent D. amount of rinse agent

A. wash temperature

The end product of cellular oxidation are: A. water, carbon dioxide, energy B. carbon, hydrogen, nitrogen C. indigestible fiber, nitrogen D. monosaccharides, amino acids, energy

A. water, carbon dioxide, energy

Metabolites of the Kreb's cycle are: A. water, energy, carbon dioxide B. energy and pyruvic acid C. electrolytes and water D. lactic acid and glycogen

A. water, energy, carbon dioxide

The best way to monitor an infants failure to thrive is to plot: A. weight for length B. length for age C. weight D. weight for age

A. weight for length

If you are on a low phosphorus diet, what food should you most avoid? A. yogurt B. orange juice C. beef D. bread

A. yogurt

What is the labor cost per meal Total food purchased - $32,123 Total Café Sales - $23,231 Total Labor expenses - $25,790 Meal equivalent factor - $2.15 Total Patient meal severed 1923 A. $1.85 B. $2.03 C. $3.98 D. $4.36

B. $2.03

How much will it cost to prepare these scrambled eggs? Amount to be made: 25 Cost of eggs $0.83 per dozen 2 oz margarine at $2.29 per pound 2 cups milk at $2.50 per gallon A. $1.47 B. $2.35 C. $1.02 D. $1.79

B. $2.35

The hospital budget for the first 6 months is set for an 80% occupancy rate. Budget figures for this level are listed below. The second six months will have an occupancy rate of 60%. What would the food cost budget be for the second six months? Food cost $30000 Labor cost $25000 Operating costs $24000 A. $20000 B. $22500 C. $30000 D. $32000

B. $22500

If a patient's GFR is < 50 ml/minute, what should their protein intake be (in g/KG)? A. 1 B. .6-.8 C .55-.6 D. .2-.4

B. .6-.8

How many meals were served per labor minute if 34 FTE produced 3800 meals in one 40 hour week? A. 2.79 B. 0.05 C. 1.12 D. 0.25

B. 0.05

Which contains more total dietary fiber? A. 0.5 cup raw spinach B. 1 oz raisin bran cereal C. 1 slice whole wheat bread D. 2 T peanut butter

B. 1 oz raisin bran cereal

The school Breakfast and School Lunch programs together provide approximately how much of the RDA's daily requirements? A. 1/3 B. 1/2 C. 1/4 D. 2/3

B. 1/2

The toxic level of vitamin A has been identified as: A. 5,000 IU B. 10,000 IU C. 15,000 IU D. 20,000 IU

B. 10,000 IU

A parenteral solution includes 65g of protein, 200g dextrose, and a 20% fat emulsion at 7 ml per hour. How many total calories will this provide in a 24 hour period? A. 1155 B. 1276 C. 1307 D. 1385

B. 1276

You have invested in new hardware and software that will reduce the labor hours needed to complete a task. What is the payback period? Hardware $3500 Software $2400 Staff instruction $1000 Labor hours saved: 6 per week at $20/hour A. 6 years B. 13 months C. 20 months D. one year

B. 13 months

What is the lowest acceptable holding temperature while serving? A. 120'F B. 140'F C. 160'F D. 180'F

B. 140'F

Chicken has a popularity index of 45%. There are 380 total patients, 85% of whom are eating. How many will choose chicken? A. 202 B. 145 C. 196 D. 154

B. 145

At what temperature should coffee and items such as thin soups be held for serving? A. 140-160'F B. 180-190'F C. 200-212'F D. over 212'F

B. 180-190'F

Previously cooked hazardous food must be reheated to an internal temperature of 165 'F for fifteen seconds within: A. 1 hour B. 2 hours C. 4 hours D. 30 minutes

B. 2 hours

A foodservice uses hamburger patties at an average rate of 6 cases per day. Lead time is 3 days. You want to have a safety supply of 2 cases. You need to order them when the supply drops to ____ cases. A. 18 B. 20 C. 36 D. 45

B. 20

How much additional water would a 65kg patient need when receiving 2400 ml of a standard formula, 85% free water, was given daily? A. 125ml B. 235ml C. 155ml D. 270ml

B. 235ml

A food item provides 45 grams of carbohydrate, 10 grams of protein and 10 grams of fat. What percent of total calories comes from fat? A. 34% B. 29% C. 23% D. 20%

B. 29%

A crate of oranges weighs 45 pounds and holds 128 oranges. How many crates are needed to produce 8 gallons of orange juice? A. 2 B. 3 C. 4 D. 5

B. 3

Forty entrees of fish cost $2.00 per serving. Total sales for the fish came to $240.00. What was the food cost percentage? A. 25% B. 33% C. 50% D. 60%

B. 33%

What temperature range is recommended for a dairy refrigerator? A. 28-32'F B. 36-40'F C. 45-50'F D. 55-60'F

B. 36-40'F

How wide should an aisle be for two people with a mobile cart to move through? A. 40" B. 50" C. 60" D. 72"

B. 50"

Entree #servings food cost/serving pot roast 70 $1.50 chicken stew 30 $0.75 spaghetti 40 $0.60 What is the popularity index for pot roast? A. 40% B. 50% C. 60% D 70%

B. 50%

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

Which of the following types of menus would be most appropriate for a new acute-care facility with an expected length of stay of 2 days? A. static B. 7 day cycle C. 14 day cycle D. 21 day cycle

B. 7 day cycle

What is the administration rate of enteral feeding if the patient is receiving 1800ml of a 1cal/ml solution daily? A. 65 ml/hour B. 75 ml/hour C. 87 ml/hour D. 92 ml/hour

B. 75 ml/hour

The most appropriate temperature for a sanitizing solution is: A. 50 degrees F B. 79 degrees F C. 90 degrees F D. 140 degrees F

B. 79 degrees F

Infuse a peripheral solution at a maximum rate of how many mOsm/L? A. 300 B. 800 C. 1400 D. 2000

B. 800

In a PN mixture, what volume of the amino acid solutions listed would come closest to providing 185 calories? A. 100ml of 8.5% amino acids B. 850ml of 5.5% amino acids C. 500ml of 7.0% amino acids D. 500ml of 10% amino acids

B. 850ml of 5.5% amino acids

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

The use of a sugar substitute is regulated by: A. NIH B. FDA C. WHO D. FTC

B. FDA

Adulterated food is regulated by the... A. HHS B. FDA under the Food, Drug, Cosmetic Act C. Department of Commerce D. USDA

B. FDA under the Food, Drug, Cosmetic Act

Programs that focus on providing fresh fruits and vegetables are: A. TANF and ASP B. FFVP and SFMNP C. TEFAP and NETP D. DHHS and SBP

B. FFVP and SFMNP

being well-treated by supervisors, being given special attention, and the importance of breaks in increasing productivity are all considered motivators by: A. Herzberg B. Mayo C. Maslow D. MacGregor

B. Mayo

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

You are involved in planning a prospectus. This is: A. measuring the size of all food service equipment B. a planning guide for a kitchen C. how to arrange the dairy box D. how to document nutrition care

B. a planning guide for a kitchen

A graphic representation of the separate steps in a procedure using symbols is: A. a flow diagram B. a process chart C. an operations chart D. a cross chart

B. a process chart

Which would be a sentinel event? A. a meat slicer left with the blade unguarded B. a wet floor near the dishmachine C. an unclean can opener D. MSDS sheets not posted

B. a wet floor near the dishmachine

A Dietitian's documents their work on time. This is an example of: A. responsibility B. accountability C. courtesy D. good time management

B. accountability

Which is the best flour to use when making cakes? A. graham flour B. all-purpose flour C. whole wheat flour D. durum wheat flour

B. all-purpose flour

What is the best example of delegation? A. tell the employee what to do B. allow the employee to change procedures to achieve desired outcome C. require the employee to provide daily progress reports D. select an employee who is interested in management

B. allow the employee to change procedures to achieve desired outcome

Which of the following is a digestive enzyme secreted by the pancreas? A. pepsin B. amylase C. lactase D. maltase

B. amylase

Which of the following will stabilize the egg in a recipe? A. a base B. an acid C. sugar D. salt

B. an acid

Which is considered a hazardous situation? A. a gauge on the coffee urn not working B. an employee washing floors during rush hour C. an employee cleaning the grill with steel wool D. an employee leaving the freezer door ajar

B. an employee washing floors during rush hour

What should you do with a new client who sits scowling at you during the session? A. presume she understands what you are saying B. ask her if she is uncomfortable about the session C. recognize that new clients are seldom relaxed D. presume that she just would rather be somewhere else

B. ask her if she is uncomfortable about the session

Which production system has the smallest production area? A. cook-chill B. assembly-serve C. conventional D. commissary-satellite

B. assembly-serve

A muffin has long tunnels from top to bottom. Next time you make this recipe you should: A. add more baking soda B. avoid over mixing the batter C. add less butter D. cook it for a shorter time

B. avoid over mixing the batter

The report presenting the financial condition of an organization as of a particular date is a: A. budget B. balance sheet C. income statement D. funds flow sheet

B. balance sheet

Several patients receiving pureed foods at a long term care facility have developed salmonella infections. The most likely cause is: A. pots and pans were washed and left to air dry B. blender was washed in warm soapy water C. the canned pureed meat was stored at 70 degrees D. the eggs from breakfast were held on the hot line at 165 degrees

B. blender was washed in warm soapy water

Which cooking method would best convert collagen to gelatin in a bottom round roast? A. grilling it to medium rare B. braising C. broiling D. searing

B. braising

Traditional diets of Asian populations in the United States are low in: A. iron B. calcium C. vitamin C D. essential fatty acids

B. calcium

What may be lacking in the traditional diet for Asians living in America? A. iron B. calcium C. folic acid D. thiamin

B. calcium

Which provides the most vitamin A for a Mexican? A. tortillas ans refied beans B. cantaloupe and squash C. cheese D. tortillas and milk

B. cantaloupe and squash

An 8 month old baby contracts botulism. What is the likely cause? A. cereal and evaporated milk B. cereal and honey C. cereal and table food D. cereal and fruit juice

B. cereal and honey

If the chlorine solution in the dishmachine is not working properly, the first action should be: A. change to quaternary ammonia B. check the concentration and temperature of the solution C. use disposable dishes D. change to an iodine solution

B. check the concentration and temperature of the solution

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 20g protein diet for 2 months D. antibiotic therapy

B. chemotherapy

Which minerals are involved in carbohydrate metabolism? A. cobalt, zinc B. chromium, zinc C. copper, chromium D. iron, zinc

B. chromium, zinc

Winterized oil is: A. cloudy when refrigerated B. clear when refrigerated C. cloudy when stored for long periods of time D. clear only if kept at room temperature

B. clear when refrigerated

Which of the following is an outcome indicator? A. inventories are recorded weekly B. clients are satisfied with the meals provided C. assessments are recorded within 24 hours of admission D. diagnoses are recorded within the PES statement

B. clients are satisfied with the meals provided

What method of food service is used when one school delivers meals to another? A. ready-prepared B. commissary-satellite C. assembly serve D. cook-chill

B. commissary-satellite

Before establishing a nutrition consulting business in your community: A. create promotional materials that will describe customer options B. conduct a market analysis C. analyze the success of existing nutrition consulting programs D. discuss the idea of other dietitians in the area

B. conduct a market analysis

You are the Food service Director and have received a note saying that last night's meat delivery had been improperly handled by two employees. Your first action is to: A. contact the delivery driver to see how the meat was delivered B. contact the two employees responsible for handling the meat C. inspect the meat for color and odor D. have the meat cooked immediately

B. contact the two employees responsible for handling the meat

The kitchen layout below is characteristic of which foodservice system? Deck ovens / Range / Tilting skillet / Refrigerator / Freezer / Preparation counter / Meal assembly / Delivery carts A. commissary B. conventional C. ready prepared D. assembly-serve

B. conventional

What is the best way to cook a roast? A. sear the meat first, roast at 400 F B. cook slowly in the oven at 325 F C. cook it at 400 F for 10 min minimum, then at 350 F D. brown the meat, then cook it at 350 F

B. cook slowly in the oven at 325 F

The process of comparing a program's benefits to net savings is called: A. cost-effectiveness analysis B. cost-benefit analysis C. formative evaluation D. program evaluation

B. cost-benefit analysis

when cleaning ____, use chlorine or quaternary ammonia. A. laundry B. countertops C. oven D. floor

B. countertops

The Schilling test detects defects in the absorption of: A. folic acid B. cyanocobalamin C. pyridoxine D. iron

B. cyanocobalamin (B12)

In the alanine cycle, alanine is released from muscle, taken up by the liver, and: A. excreted in the urine B. deaminated to release glucose C. converted into adipose D. oxidized to nitric acid

B. deaminated to release glucose

You are preparing dinner for a 500 bed facility. The menu includes roast beef, mashed potatoes and carrots. Which equipment is best suited for this task? A. a convection oven and a tilted braising pan B. deck ovens and pressure steamers C. a microwave oven and a trunion kettle D. a rotary oven and a steamer

B. deck ovens and pressure steamers

When switching from a conventional to a convection oven, A. increase the temperature by 15 degrees B. decrease the temperature by 25 degrees C. increase the temperature by 12 degrees D. decrease the temperature by 5 degrees

B. decrease the temperature by 25 degrees

A renal patient has come for dialysis on Monday morning with serum sodium of 130 mEq/L, a BUN of 100 mg/dL, creatinine 8.0, and a 4 KG 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

Which is a good method of food handling? A. sanitize raw food before preparation B. defrost frozen food in the refrigerator C. refrigerate raw food at 48'F D. thaw frozen food quickly under running hot water

B. defrost frozen food in the refrigerator

A serum sodium level of 150 mEq/L indicates: A. sepsis B. dehydration C. hypertension D. hyperglycemia

B. dehydration

The purpose of outcomes research is to: A. determine the best approach to solving a problem B. determine the most cost-effective way to solve a problem C. determine the most productive outcomes D. determine the best outcome desired

B. determine the most cost-effective way to solve a problem

Frozen chicken has been thawed in warm water. You should: A. prepare it immediately B. discard it C. refreeze it D. refrigerate it

B. discard it

Beef stew has been unrefrigerated for 4 hours after preparation. What should you do? A. reheat it to 140'F and refrigerate it in a shallow pan B. discard the stew C. reheat it to 165'F and refrigerate it D. refrigerate the stew in shallow pans

B. discard the stew

You are a supervising Dietitian and are very satisfied with one of your Diet Aides who works very hard. One year after hiring her, you realize the information on her application wasn't true. What should you do? A. say nothing and ignore it B. discuss it with her one on one in your office C. inform human resources about the situation D. fire her

B. discuss it with her one on one in your office

Where would this be placed in a research article "most of the changes seen were probably due to...."? A. introduction B. discussion C. results D. summary

B. discussion

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 Yohimbe is a popular herbal supplement marketed to help with erectile dysfunction and improve body composition and weight

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

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 drag

B. enhanced activity of the drug

A natural plant hormone that is used to ripen fruits is: A. methanol B. ethylene C. acetyl acid D. ethanol

B. ethylene Ethylene is an important plant hormone. In bananas and many other fruits, production of ethylene surges when the fruit is ready to ripen

A food service manager who supervises 35 employees has a problem with discipline and increased absenteeism. Why? A. decreased unity among managers B. excessive span of control C. decreased unity of control D. excessive unity of command

B. excessive span of control

An example of a tertiary prevention program is: A. at the workplace, coordinate walking groups at lunch B. exercise classes in a cardiac rehab program C. cooking classes for heart-healthy eating D. workplace screening for hypertension

B. exercise classes in a cardiac rehab program

A patient comes to you with a diet that you know is not good to follow. What should you do? A. tell him it's not good B. explain why it is not good C. tell him to only follow what you have provided D. let him do as he wishes

B. explain why it is not good

In behavior modification, the absence of reinforcement following an undesired behavior is referred to as: A. avoidance learning B. extinction C. negative reinforcement D. negative consequence

B. extinction

Which of the following combines with CoA in 2 carbon fragments to make acetyl CoA to then enter the Kreb's Cycle to make energy? A. lactic acid B. fatty acids C. glucose D. fructose

B. fatty acids

In work simplification, which of the following tools is helpful? A. labor turnover rate B. flow chart C. meals per labor minute D. meals per labor hour

B. flow chart

The food service supervisor should carefully monitor a cook-chill production because of concerns about: A. work simplification techniques B. food safety C. portion control D. product acceptability

B. food safety

Which of the following must be included when preparing a budget? A. controlling expenses B. forecasting revenue C. controlling labor costs D. proper cash control

B. forecasting revenue

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 Macrocytic anemia is caused by a deficiency in B12 or folic acid. Fortified soy milk contains both B12 and folate

Funding for public health programs comes primarily from: A. foundation grants B. general revenue C. charitable organizations D. public/private partnerships

B. general revenue

Five pounds of pressure creates a temperature that is _______ the boiling point of water. A. less than B. greater than C. equal to D. twice

B. greater than

Which of the following has the most bacteria? A. roast chicken B. ground beef C. roast veal D. roast pork

B. ground beef

Which of the following would lacto-ovo-vegetarian not eat? A. eggs B. halibut C. cheese D. beans

B. halibut

Maple syrup urine disease and homocystinuria: A. have non-dietary treatments B. have protein as the nutrient of concern C. require a fluid restriction D. have carbohydrates as the nutrient of concern

B. have protein as the nutrient of concern

A nutrition surveillance program is designed primarily to: A. confirm results of annual nutrition; surveys B. identify the nutritional needs of the patients 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 patients

The citric acid cycle occurs: A. In the cytoplasm of the cell and produces energy as ATP B. in the mitochondria and produces energy as ATP C. In the cytoplasm of the cell and produces pyruvic acid and lactic acid D. in the mitochondria and produces pyruvic acid and lactic acid

B. in the mitochondria and produces energy as ATP

The number of individuals in a population diagnosed w a specific condition during a specified time is the: A. prevalence B. incidence C. rate of the condition D. duration of the condition

B. incidence

In acute hepatitis, you would likely see: A. decrease in SGOT, increase in SGPT B. increase in both SGOT and SGPT C. decrease in both SGOT and SGPT D. increase in SGOT, decrease in SGPT

B. increase in both SGOT and SGPT AST (SGOT) and ALT (SGPT) are certain enzymes that are produced by the liver and its cells. Elevated SGPT and SGOT levels are an indication of liver cell injury or damage

Propionate is used in foods to: A. enhance flavor B. increase shelf life by inhibiting mold C. thicken D. retain color

B. increase shelf life by inhibiting mold

When you request quotations from vendors on specific items by phone or in person, you are utilizing which method of purchasing? A. prime vendor B. informal C. competitive bid D. future contract

B. informal

How can you preserve thiamin when cooking pork? A. use the drippings after the fat has been removed B. insert a meat thermometer and cook it to 145 F in an oven at 325 F C. increase the cooking temp to decrease the cooking time D. add a small quantity of water during cooking

B. insert a meat thermometer and cook it to 145 F in an oven at 325 F

When a manager updates the Director about activities occurring on the patient trayline, he is demonstrating which managerial role? A. informational B. interpersonal C. technical D. decisional

B. interpersonal

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 with both hepatitis and diabetes D. it is decreased with hepatitis and increased with diabetes

B. it is increased with hepatitis, decreased with diabetes The SGOT test is a blood test that's part of a liver profile. It measures one of two liver enzymes, called serum glutamic-oxaloacetic transaminase.

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 dairy products at the same time B. kosher foods are not allowed to be mixed with non-kosher foods C. Jewish dietary practices are lacto-ovo-vegetarian D. Jewish dietary practices are lactovegetarian

B. kosher foods are not allowed to be mixed with non-kosher foods

Which of the following is an example of productivity management? A. labor turnover rate B. labor minutes per day C. food cost percentage D. edible portion cost

B. labor minutes per day

The Cori Cycle converts: A. glucose into galactose B. lactate into pyruvate C. lactic acid into glycogen D. glycogen into glucose

B. lactate into pyruvate

A child is lethargic and irritable w/ diarrhea. The cause may be: A. zinc toxicity B. lead poisoning C. iron overload D. vitamin A toxicity

B. lead poisoning

The nutrition prescription for an infant with PKU 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

Compared to whole milk, breast milk is: A. higher in protein and fat, lower in carbohydrate B. lower in protein, higher in carbohydrate and fat C. lower in protein, carbohydrate and fat D. has the same nutrient composition

B. lower in protein, higher in carbohydrate and fat

Replacing carbohydrate with fat in the diet will: A. Raise the respiratory quotient B. lower the respiratory quotient C. increase the respiratory rate D. spare protein

B. lower the respiratory quotient RQ values for fat, protein, and carbohydrate are 0.7, 0.8, and 1.0, respectively

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 of B12 C. microcytic anemia from lack of iron D. macrocytic anemia from lack on iron

B. macrocytic anemia from lack of folate of B12

Which of the following is most important in determining the space required for a food production unit in a new facility? A. number of hours the foodservice will be operating B. market form of foods purchased C. number of foodservice employees D. length of menu cycle

B. market form of foods purchased

In interpreting statistical data, if half the observations are above the number 8, and half are below the number 8, the number 8 is the: A. mode B. median C. mean D. average

B. median

Acid-base abnormalities in an uncontrolled diabetic are likely due to: A. respiratory alkalosis B. metabolic acidosis C. respiratory acidosis D. metabolic alkalosis

B. metabolic acidosis

Where is the most efficient place to locate the refrigerator and the freezer? A. close to the receiving dock B. near the production area C. close to the serving line D. away from cooked food service

B. near the production area

A patient consumed 12 grams of protein and released 8 grams of nitrogen in the urine. This is: A. nitrogen balance B. negative nitrogen balance C. positive nitrogen balance D. plus 4 nitrogen balance

B. negative nitrogen balance

In the quasi-experimental design "time series", there is: A. a series of control groups B. no control group C. an experimental group D. a placebo group

B. no control group

A 50 bed has limited kitchen space for refrigeration, dry storage and food production. The most appropriate type of menu is: A. restaurant style B. nonselective C. selective D. single-use

B. nonselective

A patient who is iron-deficient should consume ______ with a good iron source. A. apple juice B. orange juice C. milk D. cheese

B. orange juice

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

A patient is recovering from an ileocecal resection, where 100 cm 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

Which of the following kitchen layouts will help prevent other employees from walking through the cook's work area? A. plan each work center with its own supply storage areas B. plan work aisles separate from traffic aisles C. position work centers adjacent to the appropriate point of service D. design aisles wide enough to accommodate both

B. plan work aisles separate from traffic aisles

Management by objectives refers to a management process which employs: A. periodic, preplanned, broad objectives B. precise, measurable objectives C. determination of goals by department superiors D. objectives of instruction set by top management

B. precise, measurable objectives

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. fluid, calories, fat

B. protein, fluids, sodium

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 excessive sodium D. development of diarrhea

B. providing too many calories

The following is an irreversible reaction: A. pyruvic acid into lactic acid B. pyruvic acid into acetyl CoA C. glucose-6-phosphate into nitrogen D. glucose-6-phosphate into pyruvate

B. pyruvic acid into acetyl CoA

If you measure a group before and after a treatment to see whether or not there has been a significant change, the study design is: A. experimental B. quasi-experimental C. descriptive D. qualitative

B. quasi-experimental

The hormone epinephrine: A. lowers BG during catabolic stress B. raises BG during catabolic stress C. is secreted from the pituitary gland D. stimulates glycogen production

B. raises BG during catabolic stress

What would you do if an employee does not wash pots as required? A. fire her B. re-educate her as to proper procedures and provide follow-up C. take the job away from the employee D. discipline the employee

B. re-educate her as to proper procedures and provide follow-up

A blast freezer and rethermalization are part of the: A. commissary system B. ready-prepared system C. assembly service system D. conventional system

B. ready-prepared system

If you are working on a cost benefit analysis you would: A. record the number of patients complaints B. record the number of hours the dietitian spent providing nutrition education C. record the number of patients won were satisfied with the education provided D. keep a record of all who failed to attend

B. record the number of hours the dietitian spent providing nutrition education

Results of a 3-day food record were obtained in June and again 3 months later. What is this called? A. validity B. reliability C. sensitivity D. specificity

B. reliability

If there is an increase in input and output, productivity will: A. increase B. remain constant C. decrease D. modulate

B. remain constant

Six sigma improves quality by: A. reducing waste B. removing defects and their causes C. decreasing labor minutes D. reorganizing workflow

B. removing defects and their causes

If a union member repeatedly arrives late, you should... A. fire him B. report him to management C. say nothing but make a note of it D. forget it

B. report him to management

Patients with decubitus ulcers will likely demonstrate low: A. serum sodium B. serum albumin C. serum potassium D. serum glucose

B. serum albumin

The organizational chart: A. is an organized list of duties B. shows the employee how he fits into the organization C. organizes departmental activities D. is an evaluation tool for productivity

B. shows the employee how he fits into the organization

Lactase is produced in the: A. stomach B. small intestine C. gallbladder D. pancreas

B. small intestine

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

Quality standards for fruits assure you of: A. wholesomeness B. specifications of minimum quality characteristics C. safety from pesticides and residues D. good taste

B. specifications of minimum quality characteristics

Protein digestion begins in the: A. mouth B. stomach C. small intestine D. ileum

B. stomach

Spaghetti sauce prepared on Monday is to be served on Wednesday. What should you recommend to the cook? A. cool the sauce and store it in a deep pan B. store the sauce in shallow pans in the refrigerator C. store the sauce in a deep pan in the refrigerator quickly D. cool completely on the counter, then refrigerate

B. store the sauce in shallow pans in the refrigerator

The National Sanitation Foundation standard for equipment construction that is most related to microbiological food safety requires that: A. outside corners are bull-nosed B. surfaces do not have open seams or cracks C. equipment surfaces are without sharp edges D. bolts are securely fastened

B. surfaces do not have open seams or cracks

The first step in planning a continuing education program is to: A. locate the guest speaker B. survey participants to see what interests them C. survey other groups to see what they are doing D. select a topic that has not been offered lately

B. survey participants to see what interests them

What is fluid seeping from a congealed product called? A. retrogradation B. syneresis C. coagulation D. gelatinization

B. syneresis

You teach food service workers about pot-washing temperatures. How do you know if the workers then follow the rules? A. ask them to repeat the rules B. test the water temperatures at frequent intervals C. ask them to write down the guidelines D. check to see if the pots are clean

B. test the water temperatures at frequent intervals

To find out about the new regulations developed by the FDA you would check: A. the Congressional Record B. the Federal Register C. current newspapers D. the Congressional Index

B. the Federal Register

In a study on custards which would be the dependent variable? A. amount of milk and sugar in the recipe B. the cooked custard C. the oven temperature D. cooking time

B. the cooked custard

What is not shown on an organizational chart? A. relationships of positions to one another B. the degree of authority and informal relationships C. advisory responsibilities D. lines of communication

B. the degree of authority and informal relationships

NHANES III increased the number of participants in which age group? A. infants and children B. the elder C. adolescents D. pregnant women and infants

B. the elder

Which outcome would justify continuing a WIC program? A. the number of participants enrolled increased B. the infant morbidity rate decreases C. maternal weight gains during pregnancy increased D. the number of diverse cultures participating increases

B. the infant morbidity rate decreases

The first control in the receiving process is: A. the invoice B. the purchase order C. the list of items prepared by the vendor D. the receipt of items prepared by the vendor

B. the purchase order

In interpreting correlation data, if the r-value is greater than 1: A. the relationship is strong B. the result is not valid C. the relationship is weak D. it is within 1 standard deviation

B. the result is not valid

Memory loss may be associated with a deficiency of: A. riboflavin B. thiamin C. protein D. electrolytes

B. thiamin

Which hormone greatly influences the BMR? A. the endocrine hormone B. thyroxine C. the growth hormone D. insulin

B. thyroxine Thyroxine is the main hormone produced by the thyroid gland and what controls the body's basal metabolic rate (BMR)

Which of the following should be avoided on a low sodium diet? A. pork loin B. turkey roll C. beef sirloin D. lamb chop

B. turkey roll

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

To decrease sodium intake, substitute: A. carrots for celery B. unsalted margarine for regular margarine C. diet margarine for regular margarine D. carrots for pepper

B. unsalted margarine for regular margarine

If the temperature on the dish machine rinse cycle is 135'F, you should: A. add additional sanitizer B. use paper products until the problem has been resolved C. nothing-that is the proper temperature D. increase the length of the rinse cycle

B. use paper products until the problem has been resolved

When taking an anticoagulant, avoid the following: A. thiamin supplements B. vitamin E supplements above 400 IU per day C. supplements of calcium and vitamin D D. niacin supplements

B. vitamin E supplements above 400 IU per day vitamin E inhibits activation of vitamin K‐dependent clotting factors and platelet aggregation

A man with HIV disease presents with the following data. What should be your primary concern as his Dietitian? Height 5'10" Weight 115lbs Hematocrit 35% BUN 11mg/dl CD4 280 MCV 102fl Serum albumin 2.8g/dl Total lymphocytes 1200/cubic mm A. anemia B. weight C. renal failure D. protein deficiency

B. weight

A performance objective should be based on: A. a review of the literature for the latest research B. what the learner should know or be able to do C. existing standards of practice D. SWOT analysis

B. what the learner should know or be able to do

Which of the following must be reduced before it can be further transported for absorption? A. dipeptides B. whey C. casein hydrosylate D. crystalline amino acids

B. whey

According to Chinese beliefs, foods and herbs that may be used to treat illnesses are grouped as: A. yin (bright, hot) / yang (dark, cold) B. yin (dark, cold) / yang (bright, hot) C. action/maintenance D. harmful /beneficial

B. yin (dark, cold) / yang (bright, hot)

Strict vegans may need supplements of: A. chromium B. zinc C. iron D. thiamin

B. zinc Few plant foods contain high amounts of zinc. Moreover, zinc absorption from some plant foods is limited due to their phytate content.

The employee turnover rate refers to the following: A. total replacement employees divided by average work force B. % of turnover rate divided by number of replacement C. # employees terminated and replaced divided by total number of positions D. # total positions divided abby number part-time employees

C. # employees terminated and replaced divided by total number of positions

An 8 lb. roast beef cost $2.79/lb. The edible portion is 65%. What is the AP price f the roast? A. $21.19 B. $22.00 C. $22.32 D. $23.04

C. $22.32

Using the following data, the average check for September is: Total revenue $909009 Net income 173010 FTEs 27.9 Number of customers 32613 A. $5.30 B. $6.29 C. $27.87 D. $33.04

C. $27.87

A business pays 4% of its income as rent ($1200), 70% towards labor and food costs, and $2500 towards other monthly expenses. How much profit does this business make per month? A. $6000 B. $4200 C. $5300 D. $7200

C. $5300

If you purchase an oven for $10000. It is expected to last for 10 years, after which it can be sold for $3000. What is its depreciation cost each year? A. $2000 B. $1500 C. $700 D. $500

C. $700

A patient with a GFR of 20 ml/min should receive how many grams of protein/kg? A. 1.1 B. 0.8 C. 0.6 D. 0.2

C. 0.6

If the productivity goal for a patient tray assembly unit is 4 trays per minute, the unit should be able to assemble approximately 350 trays in: A. 1 hour B. 1 hour 15 minutes C. 1 hour 30 minutes D. 1 hour 45 minutes

C. 1 hour 30 minutes

The #12 scoop measures: A. 1/4 cup B. 1/2 cup C. 1/3 cup D. 1 cup

C. 1/3 cup

How many actual relief employees are needed to cover 20 full-time employees? A. 12 B. 15 C. 11 D. 8

C. 11

What is the recommended weight gain during pregnancy for a woman with a BMI of 28? A. 25-35 lbs B. 28-40 lbs C. 15-25 lbs D. 11-20 lbs

C. 15-25 lbs

based on an 8 hour day, the number of hours worked was 32,567/year. The total number of hours paid was 36,341/year. Calculate the number of productive FTEs. A. 2.27 B. 17.47 C. 15.66 D. 28.80

C. 15.66 32,567 hours / 52 weeks = 626.29 hours/week 626.29 hours / 5 days = 125.26 hours/day 125.26 hours / 8 hours = 15.66 FTE

A PN regimen that contains 1 L of D50W and 1 L of 7% Aminosyn provides how many non-protein calories? A. 300 B. 1400 C. 1700 D. 2000

C. 1700

If an employee works 5 days each week, how many regular employee can be covered by one relief employee? A. 1 1/2 B. 2 C. 2 1/2 D. 3

C. 2 1/2

Use separate cutting boards for raw chicken and vegetables to avoid illness due to: A. Clostridium botulinum B. Clostridium perfringens C. Salmonella D. Streptococcus

C. Salmonella

Four hours after eating you develop nausea and diarrhea without fever. The cause may be: A. Streptococcus B. Clostridium botulinum C. Staphylococcus aureus D. Clostridium perfringens

C. Staphylococcus aureus

If a female is hired and does not receive the same pay as a male in the same position, she can seek help from: A. The Equal Opportunity Act B. The Fair Labor Standards Act C. The Equal Pay Act D. The Fair Wage Act

C. The Equal Pay Act

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?

The number of work movements between pieces of equipment is indicated on: A. a flow diagram B. a Gantt chart C. a cross chart D. Johari's window

C. a cross chart

Nitrites added to cured meats may cause: A. a slightly salty taste B. a slightly sour taste C. a slightly pink color D. a slightly brown color

C. a slightly pink color

If there is not enough oxaloacetic acid available to the TCA cycle: A. pyruvic acid cannot be converted to acetyl CoA B. glucose-6-phosphate cannot be converted to pyruvic acid C. acetyl CoA coming in from fat cannot be handled properly D. glycogen cannot be converted back to glucose-6-phosphate

C. acetyl CoA coming in from fat cannot be handled properly

If dishes come out of the dishmachine with water spots: A. use more detergent B. add a drying agent to the wash cycle C. add a drying agent to the rinse cycle D. use less detergent

C. add a drying agent to the rinse cycle

Glucocorticoids are: A. thyroid hormones B. pituitary hormones C. adrenal hormones D. parathyroid hormones

C. adrenal hormones

A meat slicer should be cleaned: A. at the end of each day B. at the end of each shift C. after each use D. after each meal

C. after each use

Which is an example of line authority? A. a part time consultant for WIC B. a consulting Dietitian for an outpatient department C. an administrative Dietitian in a 600 bed hospital D. a consulting Dietitian for a nursing home

C. an administrative Dietitian in a 600 bed hospital Line authority is the power given to someone in a supervisory position to mandate actions by subordinates

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

a good source of vitamin A for pre-school children would be: A. grapes B. watermelon C. cantaloupe pieces D. banana

C. cantaloupe pieces

A 5 month old infant has changed from the 65th to 95th percentile weight for height. The RD should first: A. suggest the infant receives more solid foods B. change the feeding formula C. check to see if weights have been plotted properly D. increase the amount of formula provided

C. check to see if weights have been plotted properly

Underwriters Laboratory does which of the following? A. inspects facilities for safety B. inspects facilities for cleanliness C. checks safety of electrical equipment D. inspects gas equipment

C. checks safety of electrical equipment

A renal patient has come for dialysis on Monday morning with serum sodium of 130 mEq/L, a BUN of 100 mg/dL, creatinine 8.0, and a 4 KG 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 water, 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

The management function in which performance is measured and corrective action is taken to ensure accomplishment of an organizational goal is known as: A. planning B. directing C. controlling D. organizing

C. controlling

Methylene is added to some types of coffee to: A. retain the flavor B. retain the color C. decaffeinate it D. destroy the bacteria

C. decaffeinate it

Work simplification studies: A. looks at the job as a whole B. increase worker responsibility C. decrease costs and increases productivity D. increase worker interest in the job

C. decrease costs and increases productivity

When a-linolenic acid is substituted for saturated fatty acids in the diet, the results will be: A. increased HDL, reduced LDL B. decreased triglycerides, lower total cholesterol C. decreased triglycerides, little change in total cholesterol D. lower HDL, increased LDL

C. decreased triglycerides, little change in total cholesterol

If you are comparing your results the prevalence of heart disease in 2 states, the study design is: A. analytical research B. case control research C. descriptive research D. quasi-experimental

C. descriptive research

The food service director who wants to hire a dietitian should first: A. contact local hospitals for possible applicants B. evaluate applicants' resumes looking for proper credentials C. develop a job description and specification for the position D. post a job listing in the local paper

C. develop a job description and specification for the position

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

Which management functions should require the greatest allotment of time by a production manager? A. planning and organizing B. organizing and directing C. directing and controlling D. organizing and controlling

C. directing and controlling

What gives the structure to quick breads? A. flour and milk B. flour and water C. egg and flour D.egg

C. egg and flour

When determining the labor turnover rate in one period look at the number of: A. employees at the beginning of the period and the number of new employees B. employees at the beginning of the period and the number who left C. employees at the beginning of the period and the number of new employees D. the number of employees at the end of the period and the number who left

C. employees at the beginning of the period and the number of new employees

The span of control refers to the number of: A. supervisors B. part-time employees C. employees under the direction of one person D. staff positions

C. employees under the direction of one person

Why are mono and di glycerides added to the shortening used in cakes? A. increase spreadability B. thickeners C. emulsifiers D. coloring agents

C. emulsifiers

The most useful data in evaluating the nutritional status of children is: A. sex and age B. iron and vitamin intake C. energy intake an health history D. height and weight

C. energy intake an health history

A supervising dietitian who wishes to delegate specific responsibilities should first: A. organize a task force B. check the production schedule C. establish expected outcomes D. establish expected time frames to accomplish the tasks

C. establish expected outcomes

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

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

A cake with a fallen center may be the result of: A. too little fat B. too little sugar C. excess sugar and excess fat D. too little baking powder

C. excess sugar and excess fat

What is the first thing you should do if an employee frequently comes to work without the proper uniform? A. fire him B. give him a written warning C. find out why D. give him a warning, and fire him the next time it happens

C. find out why

Exponential smoothing and moving average are forecasting methods that: A. have a linear regression B. have no relationship C. follow an identifiable pattern over time D. do not follow an identifiable pattern over time

C. follow an identifiable pattern over time

Which nutrient would most effectively reduce starvation ketosis? A. corn oil B. MCT oil C. glucose D. essential amino acids

C. glucose

Policies are: A. predetermined goals of management B. statements that provide direction and motivate C. guides that define the scope of permissible activity D. specific tasks to be performed

C. guides that define the scope of permissible activity

What is the best way to assess what a group of students has learned after diet instruction? A. list their skills B. have them explain their skills C. have them demonstrate their skills D. post-test on their skills

C. have them demonstrate their skills

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 PN patient is receiving 45 calories/KG. What may be the result? A. hypocalcemia B. hyperkalemia C. hypokalemia D. hyperphosphatemia

C. hypokalemia

Cystic fibrosis patients may present with: A. hypernatremia B. hyperglycemia C. hyponatremia D. hyperkalemia

C. hyponatremia People with cystic fibrosis are at an increased risk of sodium loss, and therefore hyponatremia, during times of increased sweating or diarrhea. This is due to the defective chloride ion transport channel

If you are concerned that the receiver is not accurately checking incoming stock, you should A. begin purchasing by bid B. use a prime vendor C. implement blind receiving D. conduct random checks of food cases

C. implement blind receiving

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

The kidneys respond to respiratory acidosis by: A. increasing the secretion of magnesium B. exchanging sodium for calcium C. increasing the retention of bicarbonate D. exchanging potassium for hydrogen

C. increasing the retention of bicarbonate

How do you begin an interview with a patient? A. Obtain height and weight B. Get a nutritional history C. introduce yourself and make them comfortable D. give the diet instruction

C. introduce yourself and make them comfortable

Preventing a Listeria monocytogenes outbreak requires special care because: A. it is insensitive to light B. it is sensitive to low temperatures C. it is able to grow at temperatures of 34-113 degrees F D. it is able to grow at temperatures of 140-160 degrees F

C. it is able to grow at temperatures of 34-113 degrees F

Which of the following best describes a cash-flow budget? A. it outlines the assets B. it outlines expenditures and assets C. it is an estimate of income and expenditures over time D. it compares assets to liabilities

C. it is an estimate of income and expenditures over time

All of the following are operational costs except: A. utilities B. cleaning C. labor cost D. laundry service

C. labor cost

A job breakdown: A. can be used for employee appraisal B. studies and analyzes all aspects of the job C. lists what steps to do and how to do them D. lists time limits on all aspects of the job

C. lists what steps to do and how to do them

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

What should you do if you believe theft is occurring in the storeroom? A. install a video cameral B. lock the storeroom C. make everyone sign in and out of the storeroom D. limit access to certain hours of the day

C. make everyone sign in and out of the storeroom

A press conference announcing your new business is: A. advertising B. networking C. media promotion D. personal selling

C. media promotion

What is not found in a standardized recipe? A. seasonings to be included in the recipe B. time and temperature of cooking C. mixing bowls, measuring spoons D. amounts of ingredients to include

C. mixing bowls, measuring spoons

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. understanding 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

You are asked to give an in-service to the staff. What should you do first? A. ask them what they want to learn B. read up on the subject C. observe the staff at work to identify problems D. see what other hospitals are teaching

C. observe the staff at work to identify problems

The first step in implementation of a community based program is: A. obtain support from staff members B. prepare a realistic budget C. obtain administrative support D. reach out to the target population

C. obtain administrative support

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 will be discharges 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

Which hormone regulates calcium levels? A. insulin B. thyroid C. parathyroid D. aldosterone

C. parathyroid

To evaluate quality patient care: A. determine criteria for consultations B. monitor treatment for a nutrition problem C. periodically assess the outcomes of nutrition therapy D. assign individuals responsibility for monitoring activities

C. periodically assess the outcomes of nutrition therapy

Which term relates to scientific management? A. psychological B. intellectual C. physical D. sociological

C. physical

When developing educational plans, when do you plan the evaluation criteria? A. before implementation of the plan B. do it before you plan anything else C. plan eval criteria at each step in the process D. plan it just before you offer the program

C. plan eval criteria at each step in the process

The major function of management is: A. forecasting B. actuating C. planning D. organizing

C. planning

To prevent frozen gravy from separating when thawed: A. reheat slowly, stir constantly B. thaw it before heating and stir constantly C. prepare it with modified starch D. cook it longer before freezing to stabilize the gravy

C. prepare it with modified starch

A tactic that increases the sale of services through publicity is known as: A. pricing B. targeting C. promotion D. segmentation

C. promotion

Publicity is a component of which part of the marketing mix? A. product B. place C. promotion D. price

C. promotion

You are asked to develop quality control guidelines for receiving purchased foods. The most important guideline would be: A. proper counts of the foods received B. proper weights of the food received C. proper temperatures of the food received D. accurate prices on the invoices

C. proper temperatures of the food received

In the Cori Cycle, lactate is converted into: A. ribose B. NADPH C. pyruvate D. acetyl CoA

C. pyruvate

Appearance, taste and texture are considered: A. quantity control B. safety control C. quality control D. production control

C. quality control

Which of the following would reduce direct expenses in a foodservice? A. increase selling prices B. reduce rent C. reduce food costs D. increase part-time labor

C. reduce food costs

A new patient with a BMI of 32 and hypertension comes to you for counseling. What is your 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

What should you do with left over sliced beef from lunch? A. throw it out B. let the meat cool at room temp and then serve it within 2 days C. refrigerate immediately and then serve it within 2 days D. keep it in the warmer until dinner time

C. refrigerate immediately and then serve it within 2 days

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 with 4-6 hours D. a formula that is low in fiber

C. rehydration with 4-6 hours

Illness due to Bacillus cereus is due to contaminated: A. Dairy products B. eggs C. rice products and starchy food D. fruits

C. rice products and starchy food

OSHA requires documentation on the use of the following: A. latex gloves B. respiratory masks C. safety goggles D. hairnets

C. safety goggles

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

Which of the following foods is the best source of omega-3 fatty acids? A. shrimp B. anchovies C. sardines D. olive oil

C. sardines

Which would provide the best source of omega-3 fatty acids? A. walnuts, flaxseed B. tuna, cod C. sardines, herring, mackerel D. canola oil

C. sardines, herring, mackerel

What is the most important reason for a microwave oven in food service? A. saves energy B. saves money C. saves time D. saves cleanup

C. saves time

An employee consistently calls in sick the day before a holiday. His Supervisor should: A. discuss this with other managers B. telephone the employee to verify the illness C. schedule a counseling session with him D. file a letter of concern with the employee relations department

C. schedule a counseling session with him

how do you convince Administration that a former nutrition program should be reinstated? A. show that 95% of patients enjoyed the program B. show that 85% of those who attended came to all sessions C. show that 75% of those who attended had fewer hospital stays D. show that only 10% felt the program was not worthwhile

C. show that 75% of those who attended had fewer hospital stays

The hospital foodservice department has developed several high-quality, sugar-free desserts that are identified as unique to the department. This product represents what type of branding? A. manufacturer B. retail item C. signature D. specific

C. signature

Which foods should be washed just before serving? A. plums and grapes B. peaches and carrots C. strawberries and mushrooms D. apples and celery

C. strawberries and mushrooms

A pan of au gratin potatoes has been cooked to an endpoint temperature of 140'F. Serving is scheduled to begin in 10 minutes. You should: A. delay service until the potatoes are done B. begin service without the potatoes and deliver them when done C. substitute mashed potatoes until the au gratin are done D. complete the cooking process in the hot holding unit

C. substitute mashed potatoes until the au gratin are done

Which recipe ingredient should be adjusted if a cake has a crunchy crust and compact moist texture? A. milk B. flour C. sugar D. baking powder

C. sugar

What can an employer do regarding an employee who wishes to join the union? A. prevent him from going to the union B. talk to him against the union C. tell him about union dues D. tell him he may lose his job if he goes

C. tell him about union dues

What is the most effective tool for providing nutrition education to the community? A. the RDI's B. the Healthy People 2020 report C. the MyPlate Food Guidance System D. the Healthy Eating Index

C. the MyPlate Food Guidance System

A PERT analysis must include: A. the total cost of each activity B. the person responsible for each activity C. the amount of time needed to complete each activity D. only those actions on the critical path

C. the amount of time needed to complete each activity Program Evaluation and Review Technique (PERT) is a method used to examine the tasks in a schedule. It analyzes the time required to complete each task and its associated dependencies to determine the minimum time to complete a project

The best indicator that children applied knowledge from a nutrition education program about vitamin D is: A. their parents know about good sources of vitamin D B. the children can name good sources of vitamin D C. the children request more snacks with vitamin D D. the children know the reasons for including the vitamin D

C. the children request more snacks with vitamin D

Which would be the best tool for rating foods in a pediatric hospital? A. the triangle test B. paired comparison test C. the facial hedonic scale D. the paired preference test

C. the facial hedonic scale

A hospital administrator would be most concerned with: A. the increase in the number of elderly admissions B. the increasing growth of outpatient services C. the increase of patient's length of stay D. the increase in diabetic admissions

C. the increase of patient's length of stay

Which process results in creative, prioritized decision-making? A. a focus group B. the Delphi technique C. the nominal group technique D. operational analysis

C. the nominal group technique nominal group technique - Delbecq (generate innovative, creative ideas) - has authoritative leader, controlled interactions, closely focused goals, rigid enforced procedures, responses strictly controlled by leader - often sit in horseshoe formation; silent generation of ideas by participants - round robin reporting - leader records ideas - group RANKS items in priority order; vote for final decision

The sensitivity of a screening tool evaluates: A. the proportion of non-afflicted individuals identified as non-afflicted B. the consistency or reproducibility of test results C. the proportion of non-afflicted individuals who tested positive D. the amount of variation that occurs randomly within the population

C. the proportion of non-afflicted individuals who tested positive

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 Friday 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

What should a Jewish patient include i his diet in increase the intake of zinc? A. fresh green vegetables B. pork C. turkey D. wheat bread

C. turkey

The dishwasher temperatures are as follows: pre-was 140'F, was 150'F, rinse 200'F. You should: A. turn up the rinse temperature B. turn down the pre-wash temperature C. turn down the rinse temperature D. do nothing, they are fine

C. turn down the rinse temperature Wash: 150-165'F Rinse 180'F

You are conducting a nutrient analysis of a recipe that uses 10 lbs of 80/20 raw ground beef. To best ensure analysis accuracy: A. use data for the "pre-portioned" cooked ground beef B. use data for the "edible portion" weight of the raw ground beef C. use data for the "edible portion" weight of the cooked ground beef D. cooking and draining the ground beef, weighing the fat, then reducing the quality of beef in the recipe by this amount

C. use data for the "edible portion" weight of the cooked ground beef

To increase the number of patrons served in the cafeteria during the lunch meal: A. increase the number of cafeteria employees B. add secondary tray line C. use the scramble system D. add another cashier

C. use the scramble system The "scramble system" was introduced in the 1970s. It was based upon a design that allows customers to move from one station to another without having to pass along the entire serving line.

The colon functions in the absorption of: A. amino acids, fatty acids B. unsaturated fatty acids, electrolytes C. water, salts, vitamin K, thiamin, riboflavin D. glucose and fatty acids

C. water, salts, vitamin K, thiamin, riboflavin

When can a citizen have impact on a bill? A. during debate in the senate B. when the bill goes to committee C. when the bill is in public hearing D. during debate in the House

C. when the bill is in public hearing

Which of the following would be appropriate for a hemodialysis patient on a 60 gram protein diet, with 75% from HBV protein? A. 2 eggs, 2 oz chicken, 3 oz beef, 0.5c milk B. 1 egg, 2 oz chicken, 3 slices bread, 3 oz beef C. 2 eggs, 3 oz chicken, 3 oz beef, 1c milk D. 1 egg, 3 oz chicken, 2c milk, 5 slices bread

D. 1 egg, 3 oz chicken, 2c milk, 5 slices bread

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 1 cal/cc tube feeding through the jejunum B. 1500cc of a 2 cal/cc nasogastric tube feeding C. 1000 cc of D50W, 1000cc of 7% amino acids, 650 cc 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

A patient requires 1800 calories per day and is restricted to 1500ml fluid. The enteral formula selected has 1.5 cal/cc, 55 g protein per liter, and 77% water. How much formula does she need daily? A. 1500 ml B. 1400 ml C. 1300 ml D. 1200 ml

D. 1200 ml

A #12 scoop, was used to serve 600 servings of mashed potatoes instead of a #16 scoop. How many servings were they short? A. 90 B. 25 C. 210 D. 156

D. 156

How many 5 ounce servings will be available from 9 lbs raw meat with a 65% yield? A. 12 B. 14 C. 16 D. 18

D. 18

What is the inventory turnover rate? Net profit $41,137 Cost of goods sold $145,350 Average inventory value $7330 total meals served per day 200 A. 205.68 B. 726.75 C. 5.6 D. 19.83

D. 19.83

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

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 The Health Belief Model is a theoretical model that can be used to guide health promotion and disease prevention programs. It is used to explain and predict individual changes in health behaviors

Which of the following substitutions will most decrease the sodium content of a biscuit? I. low sodium milk for whole milk, II. egg substitute for egg, III. low sodium baking powder for baking powder A. I B. I, II C. all of the above D. I, III

D. I, III

Synergistics is: A. 2 ppl working together B. 2 ppl working in separate areas C. a person working alone D. a group of people working together to solve a problem

D. a group of people working together to solve a problem

A nephrotic syndrome patient with edema has a declining serum albumin level. A contributing factor would be: A. diversion of protein to intracellular space 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 food service system is least likely to have microbial contamination? A. conventional B. cook-chill C. cook-freeze D. assembly serve

D. assembly serve

The kitchen layout below is characteristic of which foodservice system? Refrigerator / Freezer / Steamers / Ovens / Microwave / Meal assembly / Delivery carts A. commissary B. conventional C. ready prepared D. assembly-serve

D. assembly-serve

A foodservice worker confides in you that he has tested HIV positive. What should you do? A. ask him to repot to the health clinic B. instruct him to wear gloves on duty C. reassign him to another area of the kitchen D. assure him that confidentiality will be respected

D. assure him that confidentiality will be respected

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

To ensure that the employee performance appraisal process is objective and fair, the evaluation criteria should: A. be evaluated and adjusted annually B. be developed with input from the employees C. emphasize the employee's best skills D. be clear and reasonable

D. be clear and reasonable

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 fluid 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

What gas is released from a grease fire? A. helium B. hydrogen C. carbon dioxide D. carbon monoxide

D. carbon monoxide

The Dietitian reviewed a monitoring sheet for a dairy refrigerator at 9am on Wednesday. What should the initial action be? Monday 5:30am 36'F 6:00pm 40'F Tuesday 5:30am 38'F 6:00pm 44'F Wednesday 5:30am 48'F A. discard the products immediately B. review the temperatures with the maintenance department C. monitor the temperature every 4 hours D. check the temperature of the products

D. check the temperature of the products

The kitchen floor will be changed. What do you recommend? A. asphalt tiles B. terrazzo C. concrete blocks D. clay tiles

D. clay tiles

What is the first step in the receiving process? A. compare the items received to the invoice B. complete all receiving records C. send items to storage D. compare the purchase order to the invoice

D. compare the purchase order to the invoice

A viscosimeter measures: A. temperature B. pH C. stability D. consistency

D. consistency

The greatest effect on the yield of meat cooked to a uniform internal temperature is produced by the: A. type of oven and source of heat B. weight of the meat and the oven load C. degree of tempering and the grade of the meat D. cooking time and oven temperature

D. cooking time and oven temperature

Which will cause the most delay in gastric emptying? A. lean baked meat B. broiled cod C. shrimp D. corned beef

D. corned beef

Which of the following dishmachine temperatures should be adjusted? Pre-rinse 121'F Wash 145'F Final rinse 205'F A. increase the temperature of the prewash B. increase the temperature of the wash cycle C. decrease the temperature of the wash cycle D. decrease the temperature of the rinse cycle

D. decrease the temperature of the rinse cycle

OSHA's responsibilities do not include: A. establishing minimum safety standards B. inspecting facilities C. examining records of occupational injuries D. developing a better safety program for a facility

D. developing a better safety program for a facility

What is the chemical composition of a class ABC fire extinguisher? A. water under pressure B. carbon dioxide under pressure C. carbon monoxide under pressure D. dry inert chemicals under pressure

D. dry inert chemicals under pressure

Why should a manager not allow employees to wear long jewelry in the kitchen? A. to prevent showing off to other workers B. sanitation considerations C. possible theft D. employee safety and sanitation

D. employee safety and sanitation

Which of the following has the least amount of saturated fat? A. 2% milk B. half and half C. non-dairy creamer D. evaporated skim milk

D. evaporated skim milk

Biotin is considered a coenzyme in the synthesis of: A. protein B. carbohydrate C. glycogen D. fatty acids

D. fatty acids

What can you do if your company denies you the right to organize and form labor union? A. nothing B. quickly form a union C. change jobs D. file a claim with the NLRB

D. file a claim with the NLRB

An edematous person may actually be dehydrated because: A. intravascular fluid is retained B. intravascular fluid is diluted C. fluid is retained intracellularly D. fluid is retained extracellularly

D. fluid is retained extracellularly

If you open sealed bids and place the order with the lowest bid, you are using which buying method? A. informal B. open market C. future contracts D. formal, competitive bid

D. formal, competitive bid

Bacillus cereus intoxication is most likely to occur following consumption of: A. macaroni and cheese B. baked beans C. corn pudding D. fried rice

D. fried rice

HACCP standards would be similar for which of the following foods? A. canned corn and frozen corn B. fresh chicken and frozen chicken C. fresh beef and frozen chicken D. frozen beef and frozen corn

D. frozen beef and frozen corn

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

Which snack would you not give to an infant? A. yogurt B. cheese stick C. graham crackers D. grapes

D. grapes

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 off ices are likely closed D. have it sponsored by a dental organization

D. have it sponsored by a dental organization

Which of the following would be considered by HACCP to be of the most concern: A. storage temperature of canned peaches on a hot day B. holding temperature of canned peaches on individual serving dishes C. frozen ground beef patties help at minus 5 degrees F D. holding temperature of cream of mushroom soup on the serving line

D. holding temperature of cream of mushroom soup on the serving line

When purchasing foodservice equipment, first consider: A. reputation of the vendor B. ease of use C. safety and ease of use D. how it will be used and cost

D. how it will be used and cost

When planning a program for *rural elderly*, which is the most important? A. the # of participants B. what you will serve C. where it will be held D. how they will get to you

D. how they will get to you

A serum sodium level of 150 mEq/L is a sign of: A. very high sodium intake B. very low sodium intake C. hyponatremia D. hypernatremia

D. hypernatremia

When adding bran to a flour mixture, what should be changed? A. baking temperature B. increase the fat and liquid C. increase the oxidizing agent D. increase the flour and liquid

D. increase the flour and liquid

Which go 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

Quality circles are useful in: A. employee evaluations B. job selection and placement C. policy development D. increasing productivity

D. increasing productivity

Which of the following forms of pudding would be purchased in an Assembly/serve foodservice system? A. frozen bulk B. instant C. canned D. individual portions

D. individual portions

In most patients, a normal gastric residual volume would be: A. less that 100ml B. less than 200ml C. less than 300ml D. less than 250ml

D. less than 250ml

When making decisions, a consultative leader is one who: A. relies on input from others B. does not ask for input from the team C. uses the compromise to determine the best solution D. listens to others but makes the decision themselves

D. listens to others but makes the decision themselves

Which is not absorbed directly into the portal blood? A. monosaccharides B. amino acids C. medium chained fatty acids D. long chained fatty acids

D. long chained fatty acids

The organized gathering of data and information for the purpose of analyzing a service for clients is: A. an experimental design B. a relationship analysis C. product development D. market research

D. market research

Employees are consistently late returning from breaks. The Dietitian should first: A. have all employees clock in and out for breaks B. analyze activities to identify the best break times C. discipline tardy employees the next time they are late returning from breaks D. meet with all employees as a group and solicit recommendations for improvement

D. meet with all employees as a group and solicit recommendations for improvement

A home-delivered meals program for the elderly choose a non-selective menu primarily to: A. control food volume B. encourage client participation C. minimize food drop-off time D. minimize labor costs

D. minimize labor costs

A non-directed interview provides: A. the same information on all applicants B. a structured set of questions C. the least amount of information D. more information than a directed interview

D. more information than a directed interview

Theory Z is based on the following premise: A. workers accept responsibility B. self-direction and control are emphasized C. task, structure and authority D. mutual worker-employer loyalty

D. mutual worker-employer loyalty Theory Z - (Ouchi) the value of the company is the people (a) everyone who will be affected by a decision is involved in making the decision (consensus decision-making)

where should a hand-washing sink be located? A. near the door entering the kitchen B. near the dishroom C. near the cafeteria counter D. near the food preparation area

D. near the food preparation area

When you change from a conventional to a cook-chill system, which should be considered? A. need less storage space B. need outside delivery equipment C. need fewer employees D. need additional equipment and storage

D. need additional equipment and storage

A narrow span of management should be employed with: A. routine, repetitive, homogeneous work B. health care professionals who don't require close supervision C. well motivated, highly trained group D. newly hired employees

D. newly hired employees

Dermatitis, diarrhea, dementia, pellagra are signs of a: A. riboflavin deficiency B. thiamin deficiency C. pyridoxine deficiency D. niacin deficiency

D. niacin deficiency Pellagra is marked by dementia, diarrhea, and dermatitis, also known as "the three Ds"

Cured meat is pink due to: A. sugar B. salt C. vinegar D. nitrites

D. nitrites The curing process begins by infusing fresh meat with a sodium nitrite solution where it isquickly converted to nitric oxide (NO). Nitric oxide binds to myoglobin and changes fresh meat color to a bright red known as nitroslymyoglobin.

Which best determines whether or not to intervene with a new patient? A. the patients current medical diagnosis B. the patients nutritional status history C. a request by the patients family D. nutrition screening results

D. nutrition screening results

Energy expenditure of humans can be measured by: A. heat intake B. food intake C. nitrogen output D. oxygen consumption

D. oxygen consumption Measuring energy expenditure means measuring heat production or heat loss, and this is known as direct calorimetry. The measurement of heat production by measuring oxygen consumption and/or carbon dioxide production is called indirect calorimetry

Active listening in counseling sessions involves: A. probing into specific areas of behavior B. empathizing C. selective perception D. paraphrasing and responding

D. paraphrasing and responding

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 begun referring their patients to the class D. participants report decreased cholesterol levels

D. participants report decreased cholesterol levels

A Hispanic woman needs more calcium in her diet. What do you recommend? A. milk B. plantains C. avocado D. pinto beans

D. pinto beans

If you inform an employee that, as his supervisor, you wish to have him perform a certain task, you are utilizing: A. expert power B. coercive power C. dominant power D. position power

D. position power

Which of the following components is a form of business promotion? A. the form used to place an order B. price and availability of products C. location of the business D. printed materials describing the current sale

D. printed materials describing the current sale

Quality control is: A. outcome or output oriented B. a measure of the quality of care provided C. patient care oriented D. proactive-focuses on the prevention of errors in food service

D. proactive-focuses on the prevention of errors in food service

The lecture: A. increases teacher-student involvement B. is student oriented C. reinforces material presented D. provides the most material covered in a short time

D. provides the most material covered in a short time

You are analyzing a clients physical ability to prepare meals. The learning domain is: A. conceptual B. affective C. human D. pyschomotor

D. pyschomotor

To determine how profitable a department has been, determine the profit margin, which is: A. ratio of income revenue B. ratio of costs to income C. ratio of overhead to sales D. ratio of profit to sales

D. ratio of profit to sales

Salmonella sources are often: A. reheated foods B. starchy foods and mixtures like casseroles C. foods cooled slowly and reheated D. raw produce and uncooked foods of animal origins

D. raw produce and uncooked foods of animal origins

In making a decision, take the following steps: A. gather data, choose solution, take action, follow-up B. determine workable solutions, choose one, take action C. choose solution, take action, follow-up D. recognize and analyze the problem, gather data, choose solution, take action, follow-up

D. recognize and analyze the problem, gather data, choose solution, take action, follow-up

The temperature of a beef casserole drops below 140' within an hour. What should you do? A. throw it out B. return it to the hot-holding cabinet to reheat it to a temperature of 165 C. return it to the oven to reheat it to a minimum of 140 D. return it to the oven to reheat it to a minimum of 165

D. return it to the oven to reheat it to a minimum of 165

Which of the following components is projected first during the budgeting process? A. cash B. labor C. operating expenses D. revenue

D. revenue

A patient relates a story to the RD. The RD says: "This happened to me too." This is: A. reflection B. clarification C. attribution D. self-disclosure

D. self-disclosure

After an out break of food-borne illness in the cafeteria, you discover one of your employees has an infected cut on his finger. You should: A. call the state public health office to investigate B. have the lab culture the kitchen C. fire the employee D. send the employee home until the cut has healed

D. send the employee home until the cut has healed

Your patient is on coumadin. Which food would you make sure to consistently include in their diet? A. oranges, peaches B. sweet potatoes C. beef, lamb D. spinach, collard greens

D. spinach, collard greens

The FDA is responsible for: A. pesticide residue tolerance levels B. standard of fill, assuring meat wholesomeness, nutrition labels C. grading of meat D. standard fo identity, nutrition labels, imitation foods

D. standard fo identity, nutrition labels, imitation foods

Which job would you not give to a Consultant Dietitian? A. planning future goals B. writing policies and procedures C. providing staff in-service D. supervision of dietary employees

D. supervision of dietary employees

The tartness of fruits and vegetables is due to: A. flavones B. chlorophyll C. anthoxanthins D. tannins

D. tannins

In order to influence a legislator one day before a vote, the Dietitian should: A. visit the legislative aide B. write a letter to the legislator C. send a postcard to the legislator D. telephone the legislator

D. telephone the legislator

A useful application of counting FTE's is in planning: A. the menu B. the type of service C. the kitchen layout D. the budget for wages

D. the budget for wages

When should an explanation of how a worker will be evaluated be given to them? A. one month prior to the evaluation B. they should not be shown to the worker C. the day of the evaluation before you meet with them D. the day they are hired

D. the day they are hired

What is your first concern when deciding how to teach? A. the time you and the students have B. what learning resources are available C. what you are best at D. the needs and abilities of your students

D. the needs and abilities of your students

Why are open-ended questions better during an interview? A. they provide the same info on all applicants B. there is less personal bias C. they are less time-consuming D. they provide more info

D. they provide more info

The gauge of metal refers to: A. ply B. finish C. polish D. thickness

D. thickness

Two of the listed ingredients on a frozen food label are BHA and BHT. What is their function? A. flavor enhancers B. emulsifiers C. to prevent enzymatic oxidation D. to prevent lipid oxidation

D. to prevent lipid oxidation

An amino acid that cannot be produced by the body is: A. alanine B. glycine C. tyrosine D. tryptophan

D. tryptophan

Which of the following is poor management? A. one supervisor for one employee B. one supervisor for every two employees C. one supervisor for the entire department D. two supervisors for one employee

D. two supervisors for one employee

What is the best way to reduce the fat content of a brownie recipe? A. use margarine instead of butter B. cut out all the fat C. cut out half the fat D. use prune puree in place of half the fat

D. use prune puree in place of half the fat

When does a breakeven point increase? A. when sales decrease B. when profits decrease C. when profit increases D. when costs increase

D. when costs increase

A diabetic wants to exchange his bedtime snack of 8 ounces whole milk. What do you suggest? a. 1 oz cheese and 1/2 c orange juice b. 2 graham crackers and 1/2 c orange juice c. 1 oz cheese d. 2 oz cheese

a. 1 oz cheese and 1/2 c orange juice

How many cals are provided in 1.5 L of D25W? a. 1,275 b. 2,275 c. 1,500 d. 2,00

a. 1,275

Which of the following is equivalent to a lean protein exchange? a. 1/4 c low fat cottage cheese b. 2 tbsp grated parmesan cheese c. 1 oz mozzarella cheese d. 1 oz swiss cheese

a. 1/4 c low fat cottage cheese

According to the Food Lists for Diabetes Exchanges, 2 TBSP peanut butter is equivalent to: a. 2 high fat proteins b. 1 high fat proteins c. 2 fats d. 1 high fat protein

a. 2 high fat proteins

How many calories are in 300 ml of a 5% dextrose solution? a. 51 b. 60 c. 15 d. 200

a. 51

Which of the following weight gains puts pregnant women at risk? a. < 4 lb/month in the last half of the pregnancy b. < 5 lb/month in the last half of the pregnancy c. < 6 lb/month in the last half of the pregnancy d. >2 lb/month in the last half of the pregnancy

a. < 4 lb/month in the last half of the pregnancy

Which patient has marasmus? Patient A- male serum albumin 3.5, transferrin 275, triceps skinfold 3, MAMC 15 Patient B- female serum albumin 2.6, transferrin 125, triceps skinfold 18.8, 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

Nursing can participate in which step of the Nutrition Care Process? a. Assessment b. Diagnosis c. Intervention d. Monitor and Evaluation

a. Assessment

The absorption of calcium and iron is likely to be affected by the: a. Billroth II procedure b. ileostomy c. cholecystectomy d. Billroth I procedure

a. Billroth II procedure

Which program supports public and non-profit food service programs for homeless shelter? a. CACFP b. SFSP c. SNAP d. CSFP

a. CACFP Child and Adult Care Food Program

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

Where can a pregnant teen learn to cook? a. EFNEP b. Child Nutrition Services c. UNICEF d. WIC

a. EFNEP Expanded Food and Nutrition Education Program

Which program provides food to needy individuals and families? a. Food banks b. SNAP c. CACFP d. WIC

a. Food banks

How can you encourage preschool children to eat more fruits and vegetables? a. Have them participate in preparing fruits and vegetables. b. Have them draw pictures of fruits and vegetables. c. Give examples of good choices using a slide show. d. Give examples of good choices using pictures.

a. Have them participate in preparing fruits and vegetables.

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. IM vitamin B12 and iron IV. low cal, high fat, high protein a. II, III b. III, IV c. I, II, IV d. II, IV

a. II, III

Which survey is repeated every few years? a. NHANES b. WHO c. Ten State d. FAO

a. NHANES

Which formula is high in protein, low in potassium and phosphorus? a. Nepro b. Osmolite c. Sustacal d. Jevity

a. Nepro

Margarine has fatty acids in this order of predominance: a. PUFA, MUFA, SFA b. SAT, MUFA, PUFA c. MUFA, SAT, PUFA d. MUFA, PUFA, SAT

a. PUFA, MUFA, SFA

The formula that counts the number of polysyllabic words in text to calculate the reading level is the: a. SMOG index b. BACM index c. Smith Reading index d. Text Index

a. SMOG index SMOG as an acronym for Simple Measure of Gobbledygook

Which government agency would you contact regarding food distribution? a. USDA b. FDA c. HHS d. FTC

a. USDA

The Health Risk Appraisal (HRA) calculates: a. a population's general health status b. the health status of individuals c. the health status of an individual over the age of 65 living independently d. the health status of an outpatient with chronic disease

a. a population's general health status

Which stage of change is represented my this comment: "I served the vegetable dish to my family and surprisingly we all enjoyed it." a. action b. preparation c. maintenance d. contemplation

a. action

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

The full function of the gastrointestinal tract is utilized with which type of nutrition support? a. an isotonic, polymeric formula delivered by a nasogastric tube b. a BCAA formula delivered by a nasogastric tube c. peripheral parenteral nutrition d. parenteral nutrition

a. an isotonic, polymeric formula delivered by a nasogastric tube

Which of the following nonessential amino acids may be considered conditionally essential in catabolic heart failure? a. arginine b. asparagine c. proline d. leucine

a. arginine

For which disease would a low sodium diet be recommended? a. ascites b. esophageal varices c. pancreatitis d. appendicitis

a. ascites

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 purposes d. expand the role of Dietitians

a. assess the needs of the community

At which step in the educational process do you begin evaluation? a. assessment b. planning c. implementation d. evaluation

a. assessment

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

Creatine supplements may be beneficial for the: a. body builder b. marathon runner c. soccer player d. hockey player

a. body builder

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

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

a. fruits, vegetables, grains

What section of the intestine is most likely to be involved in Crohn's disease? a. ileum b. jejunum c. duodenum d. appendix

a. ileum Crohn's disease can affect any part of the gastrointestinal tract, but terminal ileum is the most frequent localization. The reason why Crohn's disease is primarily located in the distal part of the ileum remains unexplained.

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

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

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

Infants born to mothers with diabetes may be: a. larger than normal, and be hypoglycemia shortly after birth b. smaller than normal and be hyperglycemic shortly after birth c. larger than normal and be hyperglycemic shortly after birth d. smaller than normal and be hypoglycemic shortly after birth

a. larger than normal, and be hypoglycemia shortly after birth

A patient with diabetes has not eaten for more than three days. You should: a. liberalize the diet b. provide multivitamin/mineral supplements c. provide increased fluids d. stay with her plan and encourage small frequent feedings

a. liberalize the diet

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

A patient with low hemoglobin and low MCV might have: a. microcytic anemia b. macrocytic anemia c. megaloblastic anemia d. normochromic anemia

a. microcytic anemia

The incidence of xeropthalmia in children between the ages of 1-5 is 5:1000. This means: a. morbidity rate of xeropthalmia is 5 in every 1000 children ages 1-5 b. mortality rate of xeropthalmia is 5000 in this age group c. morbidity rate of xeropthalmia is 5000 in this age group d. mortality rate is 5 in every 1000 children aged 1-5

a. morbidity rate of xeropthalmia is 5 in every 1000 children ages 1-5

Which of the following is an example of a secondary prevention program? a. offer health risk appraisals with referrals as needed for follow-up b. bring fruits instead of sweet rolls to all weekly staff meetings c. offer heart-healthy eating cooking classes at civic centers d. set up walking programs during lunch breaks

a. offer health risk appraisals with referrals as needed for follow-up

A child is at the 85th percentile for BMI. He is: a. overweight b. tall for his age c. muscular for his age d. normal weight

a. overweight

Fats used in frying can become rancid due to the: a. oxidation of unsaturated fats b. uptake of oxygen at the point of saturation c. removal of high-melting triglycerides d. prolonged exposure to high temperatures

a. oxidation of unsaturated fats

Which nutrients would be most helpful when treating a patient with a progressive infection? a. phosphorus and zinc b. sodium and potassium c. sodium and chromium d. potassium and magnesium

a. phosphorus and zinc

Which vitamin will interfere with Levodopa? a. pyridoxine b. cyanocobalamin c. thiamin d. riboflavin

a. pyridoxine Pyridoxine may decrease the effects of levodopa resulting in less levodopa available for your body to use Levodopa is the precursor to dopamine. Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain

Hemodialysis requires supplementation of: a. pyridoxine, folic acid, 1-25-dihydroxyvitamin D3 b. pyridoxine, folic and vitamin A c. vitamin C, calcium, 25-hydroxyvitamin D3 d. vitamin C, calcium and vitamin A

a. pyridoxine, folic acid, 1-25-dihydroxyvitamin D3

Which of the following diets is appropriate for reactive hypoglycemia? a. reduce intake of concentrated carbs, 5-6 small meals b. increased complex carbohydrate, low fat, high protein c. decreased complex carb, low fat d. high protein, high fat, high carbohydrate

a. reduce intake of concentrated carbs, 5-6 small meals

ANOVA is used when: a. several products compete against one another b. comparing two similar products c. testing whether results can be generalized to a larger group d. testing whether the difference between two groups is real

a. several products compete against one another

Chemically defined formulas are used for: a. short bowel syndrome b. post chemotherapy treatment c. hypermetabolism d. galactosemia

a. short bowel syndrome

Which may be restricted in a diet for hepatic encephalopathy? a. sodium b. protein c. calories d. protein and sodium

a. sodium Hepatic encephalopathy is a decline in brain function that occurs as a result of severe liver disease. In this condition, your liver can't adequately remove toxins from your blood. This causes a buildup of toxins in your bloodstream, which can lead to brain damage.

Which result is desirable? Experimental group: Before= A, After=B Control group: Before= C, After=D a. the difference between A and B is more significant than the difference between C and D b. the difference between B and D is statistically significant c. the difference between A and C is more significant than the difference between B and D d. the difference between A and D is more significant than the difference between C and B

a. the difference between A and B is more significant than the difference between C and D

To calculate the estimated caloric needs of a patient who is significantly underweight the Dietitian should use: a. the patient's actual body weight b. the patient's adjusted body weight c. the patient's desirable body weight d. 90% of the patient's desirable body weight

a. the patient's actual body weight

Which is a part of the nutritional therapy for IDDM (insulin dependent diabetes) in a lean person? a. time meals b. decease caloric intake c. it is not crucial to maintain consistency of calories if average intake is low d. decrease the frequency of feedings

a. time meals

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

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 Hypertonic formulas create an osmotic gradient that attracts water from the body into the lumen of the GI tract. Generally, tolerance problems are minimized by using an isotonic formula. As more calories are packed into a given volume, more molecular particles are present; hence, the osmolality rises

Bitot's spots indicate a deficiency of: a. vitamin A b. vitamin E c. thiamin d. niacin

a. vitamin A Bitot's spots are subtle, 'foamy' appearing lesions located on the nasal and temporal conjunctiva. They are typically found in males, and have often been linked to vitamin A deficiency

Which supplements should you give to a breastfed baby? a. vitamin D and fluoride b. fluoride c. vitamin D d. vitamins A and C

a. vitamin D and fluoride The American Academy of Pediatrics recommends that all babies receive routine vitamin D supplementation (400 IU per day) due to decreased sunlight exposure and an increase in rickets.

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

expected creatinine clearance is estimated by the client's: a. weight and height b. TSF, AMC c. height d. waist circumference

a. weight and height

An example of a survey with negative correlation is: a. when folic acid intake increases prior to pregnancy, the incidence of neural tube defects declines b. when LDL levels increase, the rate of heart disease increases c. when a person becomes more obese, their LDL levels likely rise d. as the intake of peanut butter and potato chips increases, dental caries increase

a. when folic acid intake increases prior to pregnancy, the incidence of neural tube defects declines

An 18 mo old child should receive: a. whole milk b. 2% milk c. 1% milk d. skim milk

a. whole milk

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

What is a guide for calculating water needs with tube feedings? a. 1 cc water / 0.5 calories b. 1 cc water / 1.0 calories c. 1 cc water / 2.0 calories d. 1 cc water / 3.0 calories

b. 1 cc water / 1.0 calories

If a man normally consuming 2600 kcal a day reduces his intake to 1500 kcal a day, how much weight will he lose in a week? a. 0.5 kg b. 1.0 kg c. 1.5 kg d. 2.0 kg

b. 1.0 kg

A patient weighing 104kg is placed on a 1.5cal/ml formula with 75% free water, 54 g protein/L. He needs 3000 calories per day. Referring to the patient above, how much protein will he receive? a. 64 g b. 108 g c. 146 g d. 150 g

b. 108 g

A 1,500 cal diabetic diet with 45% of the calories from carbs is prescribed. One third of the carb grams is met with 1/2 cup orange juice, 1 cup milk, and: a. 1 slice toast b. 2 slices toast c. 2 slices toast and 1/2 cup oatmeal d. 1/2 slice of toast

b. 2 slices toast

What is normal weight gain during the first trimester? a. 1-2 lbs b. 2-5 lbs c. 5-8 lbs d. 8-10 lbs

b. 2-5 lbs

What is the mean of the following set of numbers? 3, 2, 2 a. 3 b. 2.3 c. 3.2 d. 2.5

b. 2.3

How much protein is needed for a patient with stage 3 burn? a. 10-20% of total calories b. 20-25% of total calories c. 25-30% of total calories d. 25-40% of total calories

b. 20-25% of total calories

What is the calories:nitrogen ratio in the above solution? a. 920:3.2 b. 287:1 c. 1020:6.25 d. 318:1

b. 287:1

2 liters of a 5% dextrose solution provides how many calories? a. 170 b. 340 c. 212 d. 195

b. 340

Max hang time for open enteral systems is: a. 2 hours b. 4 hours c. 6 hours d. 8 hours

b. 4 hours

The normal range for hemoglobin A1C is: a. 1-2% b. 4-6% c. 10-12% d. 35-40%

b. 4-6%

A study showed the morbidity of children with anemia to be 5:1000. This means: a. 5 children out of 1000 died of anemia b. 5 children out of 1000 had anemia c. 1000 children had anemia d. 1000 children died of anemia

b. 5 children out of 1000 had anemia

What reading level is appropriate for written materials for a population with low literacy skills? a. 4th grade b. 6th grade c. 8th grade d. 9th grade

b. 6th grade

Which drink would a Mormon choose? a. cola b. 7-Up c. tea d. coffee

b. 7-Up

How many grams of protein would you receive on a 1500 cal diet which is 20% protein? a. 70 b. 75 c. 64 d. 300

b. 75

A patient received 1800ml of a 1 cal/cc formula with 44g protein per liter. How much protein will he receive? a. 44 b. 79 c. 65 d. 88

b. 79

How many total calories are provided in 500ml of a 20% dextrose solution with 500ml of a 4% protein solution and 250ml of a 20% lipid emulsion? a. 870 b. 920 c. 1020 d. 1125

b. 920

A 75 year old female with adequate income would benefit from: a. SNAP b. Congregate Meals c. EFNEP d. WIC

b. Congregate Meals

Which of the following guidelines should be used when you are estimating the prevalence inadequate intake levels of vitamin A within a group of adults? a. Recommended Dietary Allowance RDA b. Estimated Average Requirements EAR c. Tolerable upper intake level UL d. Adequate Intake AI

b. Estimated Average Requirements EAR

A single man with two daughters, ages 10 and 11, is looking for aid, Which program might provide assistance? a. WIC b. Food Stamps c. Child Care Food Program d. Headstart

b. Food Stamps

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 residue, low calorie, fat soluble vitamins, B12 a. I b. II, III c. III, IV d. V

b. II, III

An infant formula for lactose intolerance might include: I. whey, coconut oil II. casein hydrosylate, 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

Based on the DRG', Medicare reimbursement depends on: I. length of patient stay II. age of patient III. primary diagnosis a. I b. II, III c. I, II d. I, II, III

b. II, III

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

To estimate REE in normal weight and obese individuals, use: a. Harris benedict b. MSJ c. BMR d. indirect calorimetry

b. MSJ

Levodopa is used in the treatment of: a. rheumatoid arthritis b. Parkinson's disease c. diabetic ketoacidosis d. nephrotic syndrome

b. Parkinson's disease

Butter has fatty acids in this order of predominance: a. PUFA, MUFA, SFA b. SAT, MUFA, PUFA c. MUFA, SAT, PUFA d. MUFA, PUFA, SAT

b. SAT, MUFA, PUFA

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

To learn about prenatal problems in the community, go to: a. CDC b. WIC c. NHANES d. FDA

b. WIC

Skinfold thickness measurements are best for assessing: a. an 18 month old with growth failure b. a 36 year old athlete c. a 54 year old woman with significant weight loss d. an 82year old man with diabetes

b. a 36 year old athlete

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

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 for gallbladder surgery

b. a middle aged woman who will begin chemotherapy

Symptoms of nephrosis include: a. dehydration, hypocholesterolemia b. albuminuria, hypercholesterolemia c. edema, hypocholesterolemia d. hypotension, hyperalbuminemia

b. albuminuria, hypercholesterolemia

Hypertension will decrease with a decrease in: a. fiber b. alcohol c. potassium d. calcium

b. alcohol

If a patient cannot metabolize urea properly, what will accumulate in his blood? a. uric acid b. ammonia c. protein d. glucose

b. ammonia

When a starved patient begins to eat, they might expect: a. constipation b. an increased workload on the heart c. lethargy d. diarrhea

b. an increased workload on the heart

The statement "After class, the patient will be able to write a day's menu following the guidelines" is... a. a goal b. an objective c. a plan d. a research hypothesis

b. an objective

The diet for stomatitis is: a. low fat, high carbohydrate, 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 Stomatitis, a general term for an inflamed and sore mouth, can disrupt a person's ability to eat, talk, and sleep

When counseling an anorexic, the best advice is to: a. be real strict in their food choices b. be flexible and help them choose reasonable goals c. provide a large variety of menu items d. give them free rein with their intake

b. be flexible and help them choose reasonable goals

WIC encourages women with babies to: a. formula feed b. breast feed c. feed solid foods early d. feed a mixture of formula and solid foods early

b. breast feed

A serum calcium level of 11.5 mg/dl will bring on a release of: a. parathormone from the parathyroid gland b. calcitonin from the thyroid glands c. calcium d. calcium binding protein from the intestine

b. calcitonin from the thyroid glands

Which pigment can be converted into a vitamin? a. chlorophyll b. carotenoids c. anthocyanin d. anthoxanthins

b. carotenoids

The mean is a measure of: a. a normal curve b. central tendency c. a frequency curve d. a straight line

b. central tendency

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

Following counseling, a client is able to plan a low sodium diet. The learning domain is: a. affective b. cognitive c. pyschomotor d. psychosocial

b. cognitive Cognitive domain- understanding, problem solving, categorizing, time management, memorization, etc. Affective domain- Affective skills and disposition for appropriate emotions and responses. Psychomotor domain- Physical actions, reflexes, interpretive movements and hand-eye coordination.

An infant's 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

Kidneys help control pH by: a. excreting sodium and calcium b. controlling the ratio of hydrogen ions to bicarbonate excretion c. excreting carbon dioxide and carbonic acid d. excreting NADPH

b. controlling the ratio of hydrogen ions to bicarbonate excretion

Which is permitted on a diet which excludes gluten? a. rye b. corn c. barley d. wheat bread

b. corn

What must be fortified with folic acid? a. skim milk b. cornmeal c. orange juice d. canned vegetables

b. cornmeal

Which tests measure somatic protein? a. prealbumin, albumin b. creatinine clearance, serum creatinine c. serum transferrin d. prealbumin, albumin, transferrin

b. creatinine clearance, serum creatinine Somatic protein status is a measure of the protein in skeletal muscle

Adding bran to a bread recipe will: a. increase the volume b. decrease the volume c. require an increase in oven temperature d. require a decrease in oven temperature

b. decrease the volume

A post-surgical patient experiences a drop on serum albumin. The reason is likely: a. the patient has not consumed adequate nutrition for three days b. decreased serum albumin levels are normal after catabolic stress c. the laboratory may have read the results incorrectly d. the patient had iatrogenic malnutrition

b. decreased serum albumin levels are normal after catabolic stress

When green vegetables begin to lose their color during serving, consider: a. changing vendors or brands b. decreasing holding time during heating c. use different cooking equipment d. changing the storage temperature

b. decreasing holding time during heating

Implementing the Baby-Friendly hospital initiative begins with: a. advertising the initiative to members of the community b. developing the plan c. conducting in-service training for all disciplines involved d. recruit social service agencies to assist in informing the public

b. developing the plan

Which is a common complication of AIDS? a. constipation b. diarrhea c. hypoglycemia d. hypokalemia

b. diarrhea

The best way for you to follow-up on a patient's application of diet instruction provided is to: a. ask him how he is doing with the changes b. evaluate his actual intake over time c. ask him questions about different meal options d. look for non-verbal cues to determine his progress

b. evaluate his actual intake over time

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

If an IDDM (insulin dependent) tells you she eats meals on an irregular schedule, and often misses meals, you should: a. obtain more info 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

At your first counseling session with a new patient you should: a. tell him you have to change his diet b. find out what he eats c. give him diet materials d. teach him meal exchanges

b. find out what he eats

What type of food would you feed a patient who has the athetoid form of cerebral palsy? 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 Dyskinetic CP (also called athetoid CP) is one type of cerebral palsy. Kids with dyskinetic CP have trouble controlling muscle movement. They have twisting, abrupt movements

The additive influence of foods and 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

The statement "The county's infant mortality rate is 12.8, and the state's infant mortality rate is 10.5" means that: a. more infants died in the county than in the state b. for every 1000 live births in the county, 12.8 infants died c. two more infants died in the county than in the state d. 12.8% of the infants born in the county died before the age of 1 year

b. for every 1000 live births in the county, 12.8 infants died

The test that measures toxic levels of lead in the blood is the: a. prothrombin test b. free erythrocyte protopophyrin test c. hemoglobin value test d. MCV

b. free erythrocyte protopophyrin test

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

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

A neonate at birth was at the 75th %ile for weight for age. At 6 months he appears healthy and was at the 66th %ile weight for age. This indicates that: a. he has a low caloric intake b. he is experiencing normal growth c. he may have protein-energy malnutrition d. birth measurements were incorrect

b. he is experiencing normal growth

Anasarca is extreme generalized edema and swelling of the skin associated with: a. uncontrolled diabetes b. heart, liver, or renal failure c. short bowel syndrome d. pancreatitis

b. heart, liver, or renal failure

Which of the following indicates stunted growth? a. weight for height b. height for age c. weight for age d. weight for length

b. height for age

An advantage of using focus groups to collect data is that they: a. help you generalize to a larger population b. help the researcher understand participants' perspectives c. help participants stay focused on the topic d. are inexpensive because many can be interviewed at once

b. help the researcher understand participants' perspectives

A patient with diabetic gastroparesis should avoid foods that are: a. high in simple sugar b. high in fat c. low in fiber d. low in protein

b. high in fat

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 In general, children with HIV/AIDS need high-energy, high-protein, nutrient-dense. At one time, weight loss was commonly attributed to increased metabolic rate secondary to viral activity. Recent evidence suggests that weight loss may be due more to poor energy intake, malabsorption, and opportunistic infections

Low levels of folate, pyridoxine (B6) and cyanocobalamin (B12) are associated with: a. glycogen storage disease b. homocystinurias c. PKU d. galactosemia

b. homocystinurias Homocystinuria is an inherited disorder in which the body is unable to process certain building blocks of proteins (amino acids ) properly.

The catecholamines released during stress cause: a. hypertension b. hyperglycemia c. diuresis d. elevated BUN

b. hyperglycemia

What We Eat in America (WWEIA): a. conducts telephone interviews asking about eating behaviors b. is the dietary intake component on NHANES c. evaluates seven nutrients consumed by adults and households d. identifies nutritional needs and the kind of intervention that is needed

b. is the dietary intake component on NHANES

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 carbs d. rapid absorption of simple carbs

b. lack of pancreatic secretion due to less duodenal hormone secretion

A new mother may hesitate to become involved with a breast-feeding informational program due to: a. lack of funds b. lack of social support c. lack of knowledge about benefits d. lack of medical care

b. lack of social support

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

Which program helps provide nutritious meals to an adolescent residential facility? a. supplemental nutrition assistance program b. national school breakfast program c. expected food and nutrition education program d. the emergency food assistance program

b. national school breakfast program

Four patients are admitted to your service. Who would you address first? a. patient who had a recent MI b. patient with gastric distress c. patient with cancer d. patient admitted for an appendectomy

b. patient with gastric distress

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 Esophageal varices are more likely to bleed if you have: High portal vein pressure. The risk of bleeding increases as the pressure in the portal vein increases (portal hypertension).

A child has been measured several times before the age of 2 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

A typical meal of a pregnant teenager consists of a hamburger, french fries and diet soda. Which of the following changes would be most beneficial? a. substitute fresh vegetables for french fries b. substitute a milk shake for diet soda c. add fresh fruit to the meal d. add another hamburger

b. substitute a milk shake for diet soda

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

A client who takes orlistat may need to: a. use MCT as a supplement b. take a multivitamin supplement c. take an omega-3 fatty acid supplement d. avoid caffeinated and carbonated beverages

b. take a multivitamin supplement

The Healthy People 2020 Goals are an outgrowth of a report by: a. ADA b. the Surgeon General, under HHS c. WHO d. FAO

b. the Surgeon General, under HHS

The allowance for SNAP is based on: a. the average cost of food to a family 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

Which defines the statistical term "mean"? a. the number that occurs most frequently b. the average c. the central tendency d. a value in an ordered set of numbers below and above which fall in an equal set of numbers

b. the average

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

The breastfed infant is drinking primarily colostrum for: a. the first 24 hours b. the first few days c. 1-2 weeks d. 3 months

b. the first few days

Increased plasma pyruvate is an indication of: a. riboflavin deficiency b. thiamin deficiency c. pyridoxine deficiency d. iron deficiency

b. thiamin deficiency In the absence of thiamine, the conversion of pyruvate to acetyl-CoA is inhibited and pyruvate cannot enter the Kreb's cycle. With anaerobic metabolism predominating, ATP production is reduced, tissue hypoxia ensues, and pyruvate is converted to lactic acidosis.

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

Homemade rolls are crumbly and fall apart easily. The most likely cause of the poor texture in the yeast bread is: a. use of a high-protein flour b. use of a lower-protein flour c. insufficient proofing time d. excessive proofing time

b. use of a lower-protein flour

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

Following a colectomy, the absorption of which of the following would be of the most concern? a. vitamins D and E b. water and sodium c. B vitamins d. vitamin C

b. water and sodium

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

Which of the following should the patient mentioned above have for lunch? (alcoholic patient w/ low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites on a 500 mg sodium diet) a. 4 oz cottage cheese b. 1 oz cheddar cheese c. 1 oz roast beef d. 1 oz cold cuts

c. 1 oz roast beef

Which of the following is the appropriate diet for peritoneal dialysis? a. 0.8 g protein, 35 cals/kg b. 2.0 g protein, 30 cal/kg c. 1.3 g protein, 35 cal/kg d. 1.0 g protein, 35 cal/kg

c. 1.3 g protein, 35 cal/kg

A 60 kg female receives 2,700 cals on PN. The calorie to nitrogen ratio is 150:1. How many g of nitrogen is she getting? a. 14 b. 16 c. 18 d. 20

c. 18

The elderly need how many ml water per kg? a. 35 -40 b.45 c. 25 -30 d. 25

c. 25 -30

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 calories 12 protein 61 CHO 6.5 fat b. 346 calories 12 protein 52 CHO 9 fat c. 365 calories 21 protein 57 CHO 14 fat d. 327 calories 13 protein 58 CHO 10 fat

c. 365 calories 21 protein 57 CHO 14 fat

A diabetic needs 1800 calories, 50% from carbohydrates. How many CHO choices can he have at each meal if he has 2 snacks with 2 CHO choices each? a. 2 b. 3 c. 4 d. 5

c. 4

When screening pregnant women for gestational diabetes, the amount of oral glucose used is: a. 25g b. 40g c. 50g d. 100g

c. 50g

A 140 lb 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

What reading level is appropriate for written materials for the general population? a. 4th grade b. 5th grade c. 8th grade d. 10th grade

c. 8th grade

Who is at most risk for gestational diabetes? a. BMI <30 b. age <25, overweight c. BMI >30, hx of GDM d. conception within 10 months of last pregnancy

c. BMI >30, hx of GDM

Which bacteria may cause gastric ulcers? a. Salmonella b. Streptococcus aureus c. Helicobacter pylori d. Clostridium perfringens

c. Helicobacter pylori Helicobacter pylori is a spiral bacterium usually found in the stomach. Its helical shape is thought to have evolved in order to penetrate the mucoid lining of the stomach and thereby establish infection

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

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

An example of formative evaluation is: a. IQ test b. RD exam c. Pretest quiz d. Comparative evaluation

c. Pretest quiz A formative evaluation is a method for judging the worth of a program while the program activities are forming (in progress)

An 80 year old female receives Meals of Wheels. What other nutrition assistance program would she qualify for? a. CACFP b. TEFAP c. SFMNP D. TANF

c. SFMNP Senior Farmers' Market Nutrition Program (SFMNP)

Which is an example of an entitlement program run by the government? a. EFNEP b. SFMNP c. SNAP d. FNCS

c. SNAP

Which program teaches good nutrition practices and provides foods with certain nutrients? A. EFNEP B. NET C. WIC D. MCP

c. WIC

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

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

An obese person with T2DM should: a. time meals b. decrease the frequency of feedings c. achieve DBW d. increase the frequency of feedings

c. achieve DBW

A food is bacteria-safe if it is: a. neutral and moist b. neutral and dry c. acidic and dry d. acidic and moist

c. acidic and dry

Which is not a fiber in the diet? a. cellulose b. hemicellulose c. amylose d. pectin

c. amylose

In reviewing the patient's medical record you note a hemoglobin of 10 g/dl and an MCV of 110 cu/mm. You should: 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

The drug methylphenidate may have the adverse effect of: a. increased excretion of folate requiring supplementation b. type 2 diabetes c. anorexia affecting growth d. involuntary weight gain

c. anorexia affecting growth Methylphenidate, sold under the brand name Ritalin among others, is a stimulant drug used to treat attention-deficit/hyperactivity disorder (ADHD) and narcolepsy

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

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. carb loading d. not enough iron

c. carb loading

Water soluble nutrients are absorbed through: a. active transport b. simple diffusion c. carrier facilitated passive diffusion d. inactive transport

c. carrier facilitated passive diffusion

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

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

During trauma, the catecholamine epinephrine: a. induces diuresis b. causes hypoglycemia c. causes hyperglycemia d. retains potassium

c. causes hyperglycemia

Which of the following may help decrease cavities? a. raisins b. carrots c. cheese d. yogurt

c. cheese

During motivational interviewing the question, "do you think you can try this?" is? a. affirmation b. reflection c. closed question d. exploration

c. closed question

If a child with cystic fibrosis has daily large, foul-smelling stools, you should first check their: a. fecal fat b. total fat intake c. compliance with PERT d. calorie intake

c. compliance with PERT Pancreatic enzyme replacement therapy is the use of medications that contain enzymes to replace what the pancreas is no longer making or releasing. These medications contain proteases to digest protein, amylases to digest carbohydrates and lipases to digest fat

Which of the following is a medium fat protein? a. peanut butter b. tuna packed in water c. corned beef d. chicken without skin

c. corned beef

Of the following oils, which is highest in vitamin E? a. safflower b. corn c. cottonseed d. olive

c. cottonseed

Which may help to relieve the symptoms of hepatic encephalopathy? a. increase AAA and decrease BCAA b. decrease ammonia production c. decrease AAA and increase BCAA d. decrease AAA

c. decrease AAA and increase BCAA

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 Billroth II gastrojejunostomy is a procedure that has been performed for tumor or severe ulcer disease in the distal stomach. Complications of post-gastrectomy syndrome include anemia as a result of vitamin B12 or iron malabsorption and osteoporosis. Carbohydrate digestion begins in the mouth with the mechanical action of chewing and the chemical action of salivary amylase. Carbohydrates are not chemically broken down in the stomach, but rather in the small intestine.

What is a major reason for constipation in the elderly? a. a diet low in high residue foods b. a diet high in high residue foods c. decreased gastric motility d. lack of physical exercise

c. decreased gastric motility

An amylase deficiency would result in: a. decreased gluconeogenesis b. decreased lipolysis c. decreased glycolysis d. decreased proteolysis

c. decreased glycolysis

When providing nutrition education to a pregnant teenager, which characteristic of adolescents should be kept in mind? a. interested in planning for the future b. responds more to emotional stimuli c. desire to be like their peers d. has well-defined self image

c. desire to be like their peers

An example of nominal (frequency) data is: a. temperature b. weight c. differentiate between men and women d. rank in class

c. differentiate between men and women

A person with dumping syndrome cannot handle: a. complex carbohydrates b. polysaccharides c. disaccharides d. amino acids

c. disaccharides

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 w the physician and make suggestions d. change the order in the chart

c. discuss the order w the physician and make suggestions

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 In hiatal hernia, part of the stomach pushes into the chest cavity. It enters via esophagus. Hiatal hernias can have no symptoms. In some cases, they may be associated with heartburn and abdominal discomfort

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

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

After you review the patient's medical record, the first step in counseling is: a. assess the patient's nutritional status b. collect all relevant data c. establish a climate of trust d. establish an overall evaluation plan for the patient

c. establish a climate of trust

A side effect of antidepressants is: a. chronic diarrhea b. muscle wasting c. excess weight gain d. nausea and vomiting

c. excess weight gain

In metabolic acidosis, which of the following is involved: a. excretion of potassium b. excess calcium retention c. excretion of sodium bicarbonate d. excess calcium loss

c. excretion of sodium bicarbonate

What is the best therapy for weight loss? a. reducing 500 cals/day and exercise b. support groups, exercise, diet control c. exercise, diet, behavior modification d.exercise and diet control

c. exercise, diet, behavior modification

A patient suffering from bulimia may have all of the following symptoms except: a. sore throat b. dental problems c. extreme weight loss d. rectal bleeding

c. extreme weight loss

To maintain hydration during continuous endurance physical activity of 4 hours, consume: a. fluids b. fluids and sodium c. fluids, sodium, carbohydrates c. non-CHO electrolyte solutions

c. fluids, sodium, carbohydrates

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

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

Increased serum uric acid levels may lead to: a. galactosemia b. glycogen storage disease c. gout d. PKU

c. gout

The mother of an infant who weighed 4.5kg at birth and was hypoglycemic, may: a. have gained excessive amounts of weight during pregnancy b. not have gained enough weight during pregnancy c. have had gestational diabetes d. have reactive hypoglycemia

c. have had gestational diabetes

Which fiber is insoluble in water? a. pectin b. gums c. hemicellulose d. polysaccharides

c. hemicellulose

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 The elevated levels of nitrogenous toxins, including ammonia, in the systemic circulation of patients with CLD occur due to hepatocellular dysfunction and/or portosystemic shunting. This hyperammonemia is compounded by reduced peripheral metabolism of ammonia by muscle as a consequence of cachexia and muscle atrophy.

A patient is diagnosed with iatrogenic malnutrition. Nutritional therapy should be: a. high calories b. high protein c. high calorie, high protein d. low calorie, high protein

c. high calorie, high protein

The treatment for hyperbilirubinemia is: a. high calorie b. high protein c. high fluid d. high fat

c. high fluid

Compared to human milk, commercially prepared infant formula 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

Gastric proteolysis requires: a. pyridoxine b. ascorbic acid c. hydrochloric acid d. the intrinsic factor

c. hydrochloric acid Proteolysis is the breakdown of proteins into smaller polypeptides or amino acids

An elevated T4 indicates: a. galactosemia b. hypothyroidism c. hyperthyroidism d. ketonuria

c. hyperthyroidism

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

c. hypoalbuminemia

Before discontinuing a parental feeding, provide enteral support to prevent: a. development of a fatty liver b. ketoacidosis c. hypoglycemia d. hepatic encephalopathy

c. hypoglycemia

Which of the following would be classified as NB in the NCP? a. hypermetabolism b. inadequate enteral intake c. impaired ability to prepare food d. excessive protein intake

c. impaired ability to prepare food

Constipation in an infant would most likely be due to: a. GI distress b. lack of fruits c. inadequate fluid intake d. excessive formula

c. inadequate fluid intake

A normal pregnancy requires supplementation of: a. iron b. vitamin C, calcium, iron c. iron and folic acid d. calcium and zinc

c. iron and folic acid

Which would be the least expensive enteral nutrition formula? a. elemental b. chemically-defined c. isotonic, intact protein, polymeric d. modular

c. isotonic, intact protein, polymeric

A patient with hepatitis needs a high protein intake. Besides helping the liver regenerate, what other purpose is served? a. it helps increase the 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

Which is true with osteoporosis? a. it is more common in men than in women b. it is treated with 500 mg calcium per day c. it is common in those 65 years and older d. weight bearing exercise exacerbates the problem

c. it is common in those 65 years and older

To determine whether your client has applied your suggestions on decreasing his fat intake, ask him to: a. name a few foods that should be consumed infrequently b. name 4 foods to avoid c. list the foods he has consumed over the past 3 days d. select an appropriate breakfast from a menu

c. list the foods he has consumed over the past 3 days

What is the appropriate diet for heart failure? a. low potassium b. low calcium c. low sodium d. low fat

c. low sodium

A common result of treating an AIDS patient with Zidovudine is: a. diarrhea b. constipation c. macrocytic anemia d. hypokalemia

c. macrocytic anemia Zidovudine can treat HIV infection, which causes AIDS. It can also be used during childbirth to keep the mother from passing HIV to her baby. This medication does not cure HIV or AIDS, but may slow the progress of the disease and prolong life.

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 Somatic protein status is a measure of the protein in skeletal muscle while visceral protein status is a measure of all other proteins (organs, viscera, serum, blood cells, white blood cells). Evaluation of somatic protein status can generally be performed using muscle circumference or mid-arm muscle area

Which cheese has the highest moisture content: a. cheddar b. swiss c. mozzarella d. gorgonzola

c. mozzarella

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

Orlistat is a medication used in the treatment of: a. renal disease b. liver disease c. obesity d. gastroparesis

c. obesity promotes weight loss by decreasing the amount of dietary fat absorbed in your intestines

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

Which is most associated with the incidence of T2DM? a. sugar intake b. protein intake c. overweight d. salt intake

c. overweight

Which food should someone on an MAOI (Monoamine oxidase inhibitors) not eat? a. cottage cheese b. herbal tea c. pepperoni d. butter

c. pepperoni They should be on a low tyramine diet

A primary use of the Dietary Reference Intakes is to: a. calculate parenteral nutrition requirements b. assess nutrient intake of at-risk population c. plan menus for healthy people d. educate an individual with hyperlipidemia

c. plan menus for healthy people

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

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

The oral glucose lowering medication Glucotrol: a. enhances insulin action b. inhibits enzymes that digest carbohydrate c. promotes insulin secretion d. decreases glucagon production

c. promotes insulin secretion Metformin enhances insulin action

What nutrients most effect the renal solute load? a. protein and carb b. sodium and carb c. protein and sodium d. sodium and fat

c. protein and sodium

Iatrogenic malnutrition is: a. vitamin and mineral malabsorption b. protein malabsorption c. protein, calorie malnutrition d. kwashiorkor

c. protein, calorie malnutrition Iatrogenic malnutrition is malnutrition that is caused by medical treatment or medical negligence

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

Prior to conducting a healthy eating class to local residents, assess their: a. medical histories b. physical activity levels c. readiness to make lifestyle changes d. occupations and lifestyles

c. readiness to make lifestyle changes

Which of the following diseases may lead to anemia? a. myocardial infarction b. galactosemia c. renal failure d. diabetes mellitus

c. renal failure To get the marrow to make red blood cells, the kidneys make a hormone called erythropoietin, or EPO. When the kidneys are damaged, they may not make enough EPO. Without enough EPO, the bone marrow does not make enough red blood cells, and you have anemia.

A tube feed patient develops diarrhea. What needs to be done first? a. review their nutritional needs b. increase the rat of the feeding c. review the osmolality of the feeding d. discontinue the feeding until the diarrhea stops

c. review the osmolality of the feeding

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

Which os not included in a subjective global assessment? a. dietary intake information from a 24 hour recall b. information from patient regarding weight changes c. serum albumin levels d. physical appearance

c. serum albumin levels

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

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

Coarse texture in a cake is due to: a. too little baking powder b. over-mixing c. too much baking powder or sugar d. oven temperature too high

c. too much baking powder or sugar

Which of the following indicates protein calorie malnutrition? a. a creatinine height index of 93% b. height for weight ratio of 89% c. tricep skinfold and arm muscle circumference of 79% d. serum albumin of 4.5; transferrin of 410

c. tricep skinfold and arm muscle circumference of 79%

What best measures excess calorie reserves? a. weight b. creatinine c. triceps skinfold d. arm circumference

c. triceps skinfold

Which of the following affects bioelectrical impedance analysis? a. adipose stores b. muscle mass c. water d. protein stores

c. water

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

At what age should children be measured standing up? a. 6 mo b. 12 mo c. 18 mo d. 24 mo

d. 24 mo

Which infant is at the greatest risk? a. 20 lbs. hemoglobin 10 b. 22 lbs. hemoglobin 10.5 c. 19 lbs. hemoglobin 11 d. 30 lbs. hemoglobin 9

d. 30 lbs. hemoglobin 9

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

With a CHO to insulin ratio of 16:1, how much insulin is needed with this meal? 1 and 1/3 c spaghetti, 1 c spaghetti sauce, 1 c green beans, 1 slice bread, 1 tsp butter, 1/2 c ice cream a. 7 units b. 6 units c. 5 units d. 4 units

d. 4 units

Referring to the above patient, how much additional water should be provided per hour? a. 52 ml b. 89 ml c. 78.5 ml d. 62.5 ml

d. 62.5 ml

Which religious group can consume alcohol? a. Mormons b. Muslim c. Hindus d. Buddhists

d. Buddhists

A family enrolled in the SNAP program is unsure the best way to plan meals and budget. Refer them to: a. a congregate meal site b. TANF c. WIC d. EFNEP

d. EFNEP

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

The dumping syndrome: I. follows a gastrectomy II. is secondary to carb overload III. draws fluid into the intestine IV. needs a high carb diet a. I, III, IV b. II, III, IV c. I d. I, II, III

d. I, II, III

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

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

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, IIII d. II, II, III

d. II, II, III

Which fat source would be best for a patient with pancreatitis? a. essential fatty acid supplements b. polyunsaturated fats c. LCT d. MCT

d. MCT

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 Nutrition Education and Training (NET) Program

Osteoporosis is most likely to occur in: a. the physically active adult b. a nonsmoker c. a black female d. a white female

d. a white female

Which of the infant has a normal hemoglobin level? a. 20 lbs. hemoglobin 10 b. 22 lbs. hemoglobin 10.5 c. 19 lbs. hemoglobin 11 d. 30 lbs. hemoglobin 9 a. a, b, d b. b, d c. c, d d. a, b, c

d. a, b, c

What is the most important advice to give a patient with a peptic ulcer? a drink milk every 1-2 hours b. consume small portions c. eat everything in balance d. abstain from spicy food

d. abstain from spicy food

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 carbs to decrease the respiratory quotient d. add a fat emulsion to replace some of the carb

d. add a fat emulsion to replace some of the carb

Which statement applies to nutritional screening? a. only a physician makes the referral b. only an RD 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

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

An outpatient would like to take Vitamin C supplements. You should: a. ignore the request and talk about incorporating better balanced foods into her diet b. ignore her request and advise her to drink more juice c. explain the dangers of taking too much vitamin C d. ask her to keep a food diary to see where she is lacking

d. ask her to keep a food diary to see where she is lacking

Before you teach a class on nutrition, you should: a. research all current materials at the library b. read a current nutrition textbook c. take a survey to determine what they are interested in d. assess the student's current nutrition knowledge

d. assess the student's current nutrition knowledge

Which correlates best with energy intake? a. lean body mass b. triceps skinfold c. body mass index d. body weight

d. body weight

Following a Roux-en-Y bypass, which should be recommended first? a. potassium, magnesium b. folate, vitamin B12, iron c. multi-vitamin with iron d. calcium and multi-vitamin with iron

d. calcium and multi-vitamin with iron

The 2 most abundant minerals in the body are: a. zinc and chromium b. calcium and zinc c. iron and calcium d. calcium and phosphorus

d. calcium and phosphorus The major constituents of bone are calcium and phosphate

A patient with inflammatory bowel disease has steatorrhea. In addition to limiting the fat intake, which minerals should be assessed? a. iron and phosphorus b. calcium and phosphorus c. iron and zinc d. calcium, magnesium and zinc

d. calcium, magnesium and zinc

Which of the following is lowest in fat? a. hamburger b. salami c. goat cheese d. canadian bacon

d. canadian bacon

When instructing a patient on diet therapy needed 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

Which is the most appropriate bedtime snack for a diabetic on NPH insulin? a. apple juice and crackers b. graham crackers and diet soda c. fresh fruit and crackers d. cheese and crackers

d. cheese and crackers

In the TM model, which stage of change is represented by this comment: "Although I do not like and therefore do not eat many vegetables, I saw an interesting vegetable side dish at a friend's cookout." a. pre-contemplation b. preparation c. action d. contemplation

d. contemplation

The primary focus of nutrition car for a man with hypertension and a BMI of 32 should be to: a. decrease sodium intake b. increase potassium intake c. increase calcium intake d. decrease body weight

d. decrease 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 of the following would be most productive when conducting a workshop for teenage mothers about proper portion sizes for feeding toddlers? a. role-playing b. lecture c. discussion d. demonstration

d. demonstration

When assessing nutritional status, which would be the most beneficial? a. 24 hour recall, hx of weight changes b. medical hx, diet order, socioeconomic status c. clinical observation, weight status, cultural habits d. diet intake info, clinical data, lab data

d. diet intake info, clinical data, lab data

Glucophage (Metformin) functions by: a. stimulating insulin secretion b. inhibiting digestive enzyme action c. decreasing peripheral resistance d. enhancing insulin action by

d. enhancing insulin action by

In cystic fibrosis, the most impaired nutrient is: a. protein b. disaccharides c. electrolytes d. fat

d. fat Fat-soluble vitamins (vitamins A, D, E, and K). These vitamins are important for immune function, growth, and healing. They're absorbed along with fat. Most kids with CF have trouble digesting and absorbing fat, which means they may not absorb fat-soluble vitamins.

Immediately following a severe burn, nutritional therapy should include: a. high calories b. high protein c. high cals, vitamins, minerals d. fluid and electrolyte replacement

d. fluid and electrolyte replacement

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 Galactosemia is a disorder that affects how the body processes a simple sugar called galactose. A small amount of galactose is present in many foods. It is primarily part of a larger sugar called lactose, which is found in all dairy products and many baby formulas.

An appropriate measurement for iron status in a local community is: a. serum iron b. transferrin c. TIBC d. hematocrit

d. hematocrit

To estimate energy needs in the critically ill, use: a. Harris Benedict b. MSJ c. BMR d. indirect calorimetry

d. indirect calorimetry

Pale conjunctivae is associated with a deficiency of: a. vitamin C b. vitamin D c. zinc d. iron

d. iron

Which of the following represents cow's milk? a. it creates a low renal solute load b. high in iron, low in vitamin C c. low in phosphorus, low in iron d. it creates a high renal solute load

d. it creates a high renal solute load renal solute load is the amount of nitrogenous waste and minerals that must be excreted by the kidneys. It takes into account the protein, sodium, potassium, and chloride.

Why would you add bicarbonate to a solution for a person with hyperkalemia? a. it forces magnesium out of the cell to attract potassium b. it forces chloride out of the cell to attract potassium c. it exchanges phosphorus for potassium d. it exchanges hydrogen for potassium

d. it exchanges hydrogen for potassium

The symbol U on a food label indicates: a. it is treated with UV light b. it is treated with radiation c. vitamin retention has been retained during processing d. it is a Kosher designation

d. it is a Kosher designation

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

In community surveys, a frequent symptom of malnutrition is: a. scurvy b. rickets c. low serum albumin d. low hemoglobin

d. low hemoglobin

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

Which stage of change is represented my this comment: "Each week O prepare a vegetable dish found on a great website recommended by my friend." a. preparation b. contemplation c. action d. maintenance

d. maintenance

A child who is below the 5th percentile weight for height: a. is tall for his age b. has a condition inhibiting growth c. may have experienced long term under nutrition d. may have experienced short term under nutrition

d. may have experienced short term under nutrition

A patient on Levodopa should: a. increase protein intake at breakfast b. consume no more than 40 g protein per day c. evenly divide protein intake throughout the day d. minimize protein at breakfast and lunch, and add it to dinner

d. minimize protein at breakfast and lunch, and add it to dinner

A patient presents with the following lab values: ALP 100 U/L, AST 30 U/L, ALT 35 U/L. This indicates: a. hepatic encephalopathy b. hepatitis c. cirrhosis d. normal liver function

d. normal liver function Normal levels of ALT (SGPT) about 7-56 U/L Normal levels of AST (SGOT) about 5-40 U/L

The NHANES study looks at which parameters? a. nutritional b. nutritional, clinical c. nutritional, biochemical d. nutritional, clinical, biochemical

d. nutritional, clinical, biochemical

The Prader Willi syndrome is associated with: a. hyperactivity b. deficiency of glucose-6-phosphatase c. macrocytic anemia d. obesity

d. obesity

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

Which hormone moves milk through the mammary ducts? a. prolactin b. progesterone c. estrogen d. oxytocin

d. oxytocin

A post-surgical patient with prolonged ileus should be treated with: a. high fiber diet b. enteral nutrition with added fiber c. enteral nutrition d. parenteral nutrition

d. parenteral nutrition an ileus is a painful obstruction of the ileum or other part of the intestine

Which of the following best reflects protein status? a. serum albumin b. serum transferrin c. retinol-binding protein d. prealbumin

d. prealbumin

Which has the greatest effect on renal solute load? a. potassium b. sodium c. glucose d. protein

d. protein

Which of the following is an achievable outcome for a weight loss program? a. promote desirable body weight among young adults b. increase by 25% the number of physicians who refer patients for weight-management counseling c. screen and refer for treatment within two years those whose body weight is 10% above desirable d. reduce by 10% the number of obese adult, ages 25-49, within two years of starting the program

d. reduce by 10% the number of obese adult, ages 25-49, within two years of starting the program

The RD says to the client: "I hear you say that on some days you just cannot stay with the plan. Is that right?" This is: a. statement of affirmation b. an open ended question c. a reassuring response d. reflective listening

d. reflective listening

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 cals and protein c. offer nasogastric feedings d. regular mealtimes and a varied moderate intake

d. regular mealtimes and a varied moderate intake

When substituted for saturated fats in the diet, which of the following oils will likely lower total cholesterol but also lower HDL cholesterol? a. olive oil b. canola oil c. peanut oil d. safflower oil

d. safflower oil

Which of the following lab values would most likely indicate that dialysis is necessary? a. serum creatinine 2.0 mg/dl, BUN 80 gm/dl b. serum creatinine 3.0 mg/dl, BUN 90 gm/dl c. serum creatinine 4.0 mg/dl, BUN 100 gm/dl d. serum creatinine 6.0 mg/dl, BUN 70 gm/dl

d. serum creatinine 6.0 mg/dl, BUN 70 gm/dl

To complete a subjective global assessment evaluation: a. his lab values over the last 6 months b. current body weight compared to ideal body weight c. usual dietary intake using a food frequency questionnaire d. the presence of edema and wasting or dehydration

d. the presence of edema and wasting or dehydration

A patient with heart failure on a loop diuretic needs to have the status of which vitamin evaluated: a. pantothenic acid b. niacin c. riboflavin d. thiamin

d. thiamin too much thiamin may be excreted in the urine

Which anthropometric measurements are useful in assessing adults? a. tricep skinfold, head circumference, arm muscle circumference b. head circumference, arm muscle circumference, height, weight c. serum albumin, tricep skinfold d. tricep skinfold, arm muscle circumference, height, weight

d. tricep skinfold, arm muscle circumference, height, weight

Phenylalanine is precursor for: a. serotonin b. catecholamines c. tryptophan d. tyrosine

d. tyrosine

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

When is breastfeeding contraindicated? a. when mother is underweight b. when mother is hyperlipidemia c. when mother has a breast infection d. when mother has AIDS

d. when mother has AIDS HIV is a virus that attacks the body's immune system and is spread through certain body fluids, including breast milk. Mother-to-child transmission can occur during pregnancy, birth, or breastfeeding

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