443 Quiz Questions

The equations learned to use for fluid requirements, are reasonable for Question options: Everyone Anyone that is not dehydrated or not retaining fluid

Anyone that is not dehydrated or not retaining fluid

An important step that health practitioners can take to limit the risk of medication-related side effects is to: A. Recommend use of over-the-counter drugs instead of prescription medications. B. Encourage use of herbal supplements rather than prescription medications. D. Advise patients to take medications separately from meals E. Ask patients to fully describe the types and amounts of medications they are taking

Ask patients to fully describe the types and amounts of medications they are taking

If a 22 year old male, is consuming 100 grams of protein per day, and weighs 186 lbs, how many grams of protein/kg are they consuming? 1.2 g/kg 1.9 g/kg 1.5 g/kg 0.9 g/kIF

1.2 g/kg

A reasonable amount of weight to lose for a client that weighs 200 lbs, and needs to lower his blood pressure, and blood sugar, would be 5 - 10 lbs 10 - 20 lbs 20 - 30 lbs 30 - 40 lbs

10 - 20 lb

Prediabetes is used to classify blood glucose levels between normal and those of diabetes; this is, if a fasting plasma glucose is between: 74 and 106mg/dl 100 and 126mg/dl 126 and 140mg/dl 60 and 74 mg/dl

100 and 126mg/dl

A fasting blood sugar level above _________ is classified as diabetes. 126 mg/dl 90 mg/dl 100 mg/dl 140 mg/dl

126 mg/dl

The MNA is used primarily as: A form to monitor and evaluate plan of care A method to determine the nutrition diagnosis A form to complete a full nutrition assessment A screening tool

A screening tool

Mr. Jones has no significant past medical history. He comes to you because he is overweight (BMI - 29) and he tells you his blood pressure is fine, it is 135/82. What do you tell him? he should decrease the amount of saturated fat in his diet he should increase his intake of fruits and vegetables he should gradually increase his physical activity All answers are correct- this will have the greatest benefit

All answers are correct- this will have the greatest benefit

Which of the following is NOT a characteristic of malnutrition according to AND and ASPEN? Insufficient intake Loss of muscle mass Loss of fat mass Weight loss All are characteristics

All are characteristics

Impaired glucose tolerance indicates blood sugar is between 140mg/dl and 200mg/dl after Consuming 75g glucose A 12 hour fast Consuming 150 g glucose An 8 hour fast Exercising for 30 minute

Consuming 75g glucose

Which of the exchange lists have foods that contain ONLY carbohydrates, meaning they contain no fat and no protein? A. Starches B. Milk C. Fruits D. Meats E. None of the above

Fruits

Which is not included in the assessment of Metabolic Syndrome? BP > 135/85 FBS >100 HDL >60 mg/dl Waist circumference > 35 inches for women

HDL >60 mg/dl

An important difference between medications and herbal products that reach the marketplace is that: A. Medications that cause adverse effects cannot be sold B. Medications are subject to contamination with toxic metals, molds, and bacteria C. Herbal products are not required to prove safety and effectiveness D. Herbal products must provide standard amounts of active ingredients.

Herbal products are not required to prove safety and effectiveness

The sites for skinfold measurements that can be taken are exactly the same for males and females Question options: False True

False

True or False? According to Stephanie's lecture on Friday, Dec. 4th, for someone to practice in Integrative and Functional nutrition, they must be certified through IFNA. False True

False

Portion sizes on the exchange lists are made so they are all approximately equivalent in: A. grams of CHO B. grams of fat C. grams of protein D. A and B E. all of the above

E. all of the above

When calculating kcal needs with the Harris Benedict and Mifflin equation, weight should be in: Lbs Kg Can be either kg or lbs

Kg

Which of the following is NOT an indicator of malnutrition on the SGA form? Weight Loss GI Symptoms Lab Values Muscle Wasting Energy Intake

Lab Values

Which of the following is NOT included on the SGA? GI symptoms Weight history Lab values Diet history Physical exam

Lab values

Consumption of aged cheeses should be limited by people using: A. Lithium B. Warfarin C. MAO Inhibitors D. Tetracycline E. None of the above

MAO Inhibitors

Several antibiotics are known to bind with which of the following, and therefore should be taken separately? A. Fat soluble vitamins B. Vitamin B12 C. Minerals, such as calcium, iron and zinc D. All of the above

Minerals, such as calcium, iron and zinc

Which of the following is NOT a domain within Intervention? Nutrition Assessment Population Based Action Nutrition Education Nutrition Counseling

Nutrition Assessment

Integrative and functional nutrition MNT centers around: Nutrition Care Process Lifestyle Core Imbalances Systems signs and symptoms

Nutrition Care Process

The Standards of Practice follow the: Behavioral standards Scope of Practice Code of ethics Nutrition Care Process

Nutrition Care Process

The recommendation to decrease saturated fat intake to 5-6 percent of kcals is for: Everyone People with high waist circumference People with a BMI over 30 People who have CHD, elevated LDL, or multiple risk factors for CHD

People who have CHD, elevated LDL, or multiple risk factors for CHD

The Standards of Professional Performance (SOPP) relate to: Professional behaviors Financial management Best business practices Interviewing skills

Professional behaviors

MCV (mean corpuscular volume) refers to: A. Shape of a RBC B. Color of a RBC C. Size of a RBC D. None of the above

Size of a RBC

Which of the following encompasses the range of roles, activities, and regulations within which nutrition and dietetics practitioners perform? Standards of Care Scope of Practice Code of Ethics Standards of Professional Performance cannot determine because grams of CHO are not given

Scope of Practice

Which of the following is not one of the 5 domains of Nutrition assessment? Biochemical Data Food/Nutrient Related History Intervention Anthropometric Data Nutrition Focused Physical Exam

Intervention

According to the eNCPT tutorial, which of the following is the best example of the way part of the nutrition assessment should be documented? Total energy intake: 1200 - 1400 kcals/day Sub-sub class : Energy Intake: Total energy intake: 1200 - 1400 kcals/day Sub-class Energy Intake: Total energy intake: 1200 - 1400 kcals/day Total energy intake (FH.1.1.1.1): 1200 - 1400 kcals/day

Total energy intake: 1200 - 1400 kcals/day

There is significant evidence that for someone with prediabetes - the progression to type 2 diabetes can be prevented with diet and exercise. True or false? A. True B. False

True

True of False? Kidney disease increases with age, even if there is no diabetes or hypertension. True False

True

Medications that reduce stomach acidity can impair the absorption of: A. Fat - soluble vitamins B. Thiamin and riboflavin C. Sodium and potassium D. Vitamin B12, folate and iron

Vitamin B12, folate and iron

Vitamin K consumption should be consistent in patients using: A. Tetracycline B. Warfarin C. Lithium D. Isoniazid E. All answers are correct

Warfarin

When using the SGA form, which of the following shows how patients can be classified? Mild malnutrition, moderate malnutrition, severe malnutrition High risk or low risk At risk or no risk Well-nourished, mild/moderate malnutrition, severe malnutrition

Well-nourished, mild/moderate malnutrition, severe malnutrition

Which of the following is NOT one of the recommendations for lifestyle changes by the ACC/AHA? S odium should be limited to 500mg/day Saturated fat should be limited to 7% of kcals Cholesterol should be limited to 200 mg/d Plant stanols should be a consideration for adding to the diet

Sodium should be limited to 500mg/day

Creatinine-height index is used to assess Visceral protein Kcal needs None of the above Somatic protein

Somatic protein

The piece of equipment used to measure height is called a/n: Question options: Lange Caliper BIA InBody Stadiometer

Stadiometer

Compounds in grapefruit juice: A. bind to antibiotics reducing their absorption B. cause excessive drug excretion C. Strengthen the effects of certain drugs D. Alter the acidity in the stomach, impairing drug absoprtion

Strengthen the effects of certain drugs

Which of the following is NOT true? The SOPP are more global and provide guidance for all aspects of professional behavior The SOP in Nutrition Care describes the minimal level for delivering patient care The SOP apply to the RD when they are using the Nutrition Care Process The SOPP apply to administrative functions of the RD profession and the SOP in Nutrition Care to the clinical functions

The SOPP apply to administrative functions of the RD profession and the SOP in Nutrition Care to the clinical functions

Which would be most appropriate to recommend for a patient with kidney disease trying to maintain muscle mass? increase protein intake to 1.5g/kg begin resistance training begin an aerobic exercise program increase protein intake to 2.0g/kd

begin resistance training

Which of the following is / are considered to be a macrocytic anemia? A. Iron deficiency anemia B. Anemia from Vit B12 deficiency C. Anemia from folate deficiency D. both B and C are true

both B and C are true

A physician approaches a DTR and asks the DTR to provide a patient that the Physician just diagnosed with stage 4 renal disease some initial nutrition counseling "right away". The DTRcomplies with the physician's request. Is the DTR in compliance with the SOP? If yes, why? If no, which are they not compliant with? no, not in compliance with SOP 4 yes, a DTR should always provide education if there is a need yes, a DTR should always comply with physician request no, not in complicance with SOP 3

no, not in complicance with SOP 3

If someone is dehydrated, in general, labs will be: decreased elevated unchanged

elevated

An effective way to help prevent someone from having a relapse is set broad goals change their negative thinking habits promise them rewards make sure they understand the benefits of making changes

change their negative thinking habits

If Hgb and Hct are both low, this by itself, indicates the person has? A. iron deficiency anemia B. pernicious anemia C. folate deficiency D. anemia - but does not indicate which type

anemia - but does not indicate which type

A common side effect of taking iron supplements is: constipation nausea/vomiting diarrhea skin rash

constipation

As kidney function decreases, GFR: remains the same 30 - 40 lbs increases decreases

decreases

Someone who is taking a diuretic should do what to their potassium intake? A. decrease it B. increase it C. depends on the medication and their serum potassium levels D. increase it and take supplements

depends on the medication and their serum potassium levels

Megace and Dronabinol are both medications used to control blood sugar decrease appetite increase appetite lower blood pressure

increase appetite

If MCHC is elevated, which of the following is true? A. it indicates iron deficiency B. it indicates folate deficiency C. it indicates vitamin B12 deficiency D. it could be folate or B12 deficiency

it could be folate or B12 deficiency

If your patient's goal is to lower is LDL from 180mg/dl to 130 mg/dl, what would an appropriate intervention be? limit saturated fat intake to less than 15% limit total fat intake to less than 20% limit saturated fat intake to less than 7% limit total fat intake to less than 40%

limit saturated fat intake to less than 7%

Which of the following would work to help increase ones efficacy? setting small measurable goals setting large broad goals recommending monthly sessions rather than every other week setting small measurable goals not allowing a reward for themselves until three goals are met

setting small measurable goals

When someone is in the precontemplation stage of change, the best thing to do is have them come back in another month or when they are ready to make changes talk about benefits of making change and consequences of not changing set small measurable goals set broad goals

talk about benefits of making change and consequences of not changing

Which of the following increase in iron deficiency? TIBC ferritin and TIBC transferrin and TIBC ferritin transferrin

transferrin and TIBC

The NIH uses what, in addition to BMI, to determine level of risk of chronic disease? %IBW waist circumference Smoking LDL

waist circumference

Frame size can be determined using: wrist circumference and elbow breadth Wrist circumference and elbow breadth Waist circumference Waist circumference and elbow breadth Wrist Circumference Elbow

wrist circumference and elbow breadth

Which of the following is NOT true about the health belief model? changing behavior will have a beneficial effect the problem will have a negative impact on their life the person needs to believe that something bad could happen to them the person needs to feel positive that nothing bad will happen to them

the person needs to feel positive that nothing bad will happen to them

Which of the following is considered an OPEN question? Did the doctor tell you to decrease the amount of fat in your diet? Do you eat out at restaurants? Can you tell me about your meals eaten at home? Do you like to eat meat?

Can you tell me about your meals eaten at home?

Sally has a total cholesterol of 240 and HDL of 60. Joe has a total cholesterol of 180mg/dl and HDL of 30. Who is at higher risk, based on this ratio? Sally - b/c lower ratio Sally - b/c higher ratio Joe - b/c lower ratio Joe - b/c higher ratio

Joe - b/c higher ratio

Which are the two organs in the body that are responsible for metabolizing drugs and eliminating them from the body? A. Liver and lungs B. Spleen and adrenal glands C. Kidney and pancreas D. Liver and pancreas E. Liver and kidney

Liver and kidney

NIH has specific goals for treatment of obesity. Which of the following in NOT one of the goals? focus on weight loss over six month period modest weight loss of 5 - 10% rate of weight loss approximately one pound per week aim for BMI < 25

aim for BMI < 25

Which of the following have the longest half life? C- reactive protein tranferrin albumin pre-albumin

albumin

people taking orlistat (Xenical) for weight loss generally reduce their fat intake because this medication decreases function of bile salts fat digestion/absorption appetite rate of gastric emptying

fat digestion/absorption

When someone has iron deficiency, which of the following typically will be the first to decrease? A. ferritin B. transferrin C. Hgb D. TIBC

ferritin

Calorie needs will vary depending on activity level, body composition, and whether disease state is present, but are usually within the following range: 40 - 50 kcals/kg 15 - 25 kcals/kg 25 - 35 kcals/kg 50 - 60 kcals/kg

25 - 35 kcals/kg

Using the formula learned in class for fluid requirements, what are the fluid needs for someone that is 36 years old and 180 lbs? Question options: 2560 ml/day 2410 ml/day 2720 ml/day 2200 ml/day

2720 ml/day

The most appropriate diet order for someone with congestive heart failure is: 2g Na low fat 1200 kcal ADA cardiac

2g Na

Sam consumes 4 oz orange juice, 2 slices of whole wheat toast with 2 tsp margarine, 2 scrambled eggs, and 8 oz of skim milk for breakfast. How many CHO exchanges does he need to count this for if he is CHO counting for his meal plan? 3 6 cannot determine because grams of CHO are not given 2 4

4

A Low Fat diet order typically contains less than how many grams of fat per day? 25g 75g 50g 40g

50g

Normal fasting plasma glucose levels are approximately: 126 - 140mg/dl 101 - 125mg/dl 74 - 100 mg/dl 60 - 74 mg/dl

74 - 100 mg/dl

What is the %IBW for a female who weighs 96 lbs and is 5'5"? 130% 70% 77% 85%

77%

How many grams of fat are in a high fat meat/protein exchange? 3 8 5 10

8

For a patient that weighs 128 lbs, and requires 1.5g protein/kg, how many grams of protein do they need per day? 102 grams 87 grams 54 grams 70 grams

87 grams

Which of the following is equivalent to a 2,000mg Na diet? 44 mEq Na 22 mEq Na 1,000mEq Na 88 mEq Na

88 mEq Na

What is the %UBW for a male that is 5'10" weighs 178 lbs and his UBW is 190 lbs? 98% 107% 94% 102%

94%

Skinfold measurements should be taken on which side of the body? Question options: Left Right Does not matter

Right

Which of the following is NOT a method that could be used to determine body composition? X-ray DEXA MRI Bod pod

X-ray

Which of the following statements about nutrition screening is/are true? Nutrition screening can only be done by the dietitian The patient can be identified to be at nutritional risk with nutrition screening Nutrition screening is an in-depth evaluation of the patient's nutritional status All answers are correct

The patient can be identified to be at nutritional risk with nutrition screening

Keeping food records is helpful when making changes, and everyone should be encouraged to do this - true or false? true false

false

What is the BMI for a female that is 96 lbs and 5'5? 18.2 20.4 21.3 16.2

16.2

What is the ideal body weight for a male that is 5'9" using the Hamwi method? 150 lbs 160 lbs 172 lbs 156 lbs

160 lbs

Your client has a total cholesterol of 246, HDL - 48, and TG - 180. What is their LDL? 234 mg/dl 162 mg/dl 132 mg/dl 116mg/dl

162 mg/dl

According to the NIH guidelines an appropriate amount of weight loss is: an amount to decrease BMI to 25 an amount to decrease BMI to 30 depends on person's starting weight, more if they are obese 5% - 10 % of current weight

5% - 10 % of current weight

Estimated average requirements (EARs) are probably sufficient for what percent of the population? 50% 100% 75% 98%

50%

Which of the following would NOT be found on a screening form - Recent weight loss Stage III or IV decubitus ulcer Recent decrease in intake Client hx

Client hx

Because of the side effects of Orlistat, people taking this medication often: Follow a higher fat diet, because they can still lose weight End up gaining weight No answers are correct Follow a low fat diet to reduce side effects

Follow a low fat diet to reduce side effects

An extensive, accurate log of foods eaten over a period of several days or weeks is called a(n) Food-frequency checklist Food record Usual Intake No answers are correct 24-hour recall

Food Record

According the AND and ASPEN, with which type of malnutrition is inflammation NOT present? Acute disease related malnutrition Chronic disease related malnutrition Starvation related malnutrition

Starvation related malnutrition

AI is set for a specific nutrient, instead of RDA, if which of the following is true If the tolerable upper limit is close to the RDA There is good scientific evidence to support the recommendation There is not enough scientific evidence None of the above are true

There is not enough scientific evidence

Your client asks you about switching to Benecol, which contains plant stanols, instead of using their regular margarine. They have elevated chol, LDL, and TG, and their HDL is 60mg/dl. You tell them: This is a good idea b/c evidence shows it will decrease LDL Not a good idea because it will cause weight gain Not a good idea b/c although it will help lower lipids, will also lower HDL This is a good idea b/c evidence shows it will help promote weight loss

This is a good idea b/c evidence shows it will decrease LDL

Parathryroid hormone helps regulate levels of which of the following in the blood? potassium calcium sodium phosphorus

calcium