Inman Domain 2

open tube feedings should be disposed of after a. 48 hours b. 24 hours c. 6 hours d. 3 hours

b. 24 hours

acidic chyme in the duodenum is neutralized by pancreatic a. lipase b. bicarbonate c. amylase d. protease

b. bicarbonate

30. Which of the following foods does not contain carbohydrates? [425] a) tortilla b) broccoli c) lentils d) eggs

d) eggs

how many calories are provided in 1.5 liters of D25W a. 1275 b. 2275 c. 1500 d. 2000

a. 1275

a patient with a GFR of 20ml/min should receive how many grams of protein/kg a. 1.1 b. 0.8 c. 0.6 d. 0.2

c. 0.6

the elderly need how many ml of water per KG a. 35 b. 45 c. 30 d. 25

c. 30

a pork chop is which type of meat exchange a. high fat b. medium fat c. medium fat plus one fat exchange d. lean

d. lean

which bacteria may cause gastric ulcers a. salmonella b. streptococcus aureus c. helicobacter pylori d. clstridium perfringens

c. helicobacter pylori

which fiber is insoluble in water a. pectin b. gums c. hemicellulose d. polysaccharides

c. hemicellulose

319. Which of the following is not a sugar alcohol? [NTR:613] a) Sorbitol b) Xylitol c) Mannitol d) Glycogen

d) Glycogen

345. Pyridoxine is another name for [NTR:640] a) vitamin C. b) vitamin B1. c) vitamin B12. d) vitamin B6.

d) vitamin B6.

a standing height should first be obtained when an infant is how many months old a. 18 b. 20 c. 22 d. 24

d. 24

which hormone moves milk through the mammary ducts a. prolactin b. progesterone c. estrogen d. oxytocin

d. oxytocin

what is 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 and refried beans b. cantaloupe and squash c. cheese d. tortillas and milk

b. cantaloupe and squash

an 18 month old child should receive a. whole milk b. 2% milk c. 1% milk d. skim milk

a. whole milk

272. _________ is an essential amino acid [NTR:566] a) alanine b) histidine c) proline d) tyrosine

b) histidine

two liters of a 5% dextrose solution provide how many calories a. 170 b. 340 c. 212 d. 195

b. 340

85. Which food would not be an example of a functional food? [NTR:480] a) Garlic b) Yogurt c) Tomato soup d) Gluten-free pasta

c) Tomato soup

the Prader Willi syndrome is associated with a. hyperactivity b. deficiency of glucose 6 phosphatase c. macrocytic anemia d. obesity

d. obesity

Which of the following statements is accurate concerning fruit juice [NTR:417] a) Intake of juice should be limited to 4-6 oz per day for children ages 1 to 6 years b) Juice may be introduced at 4 months of age. c) Juice should be given in the bedtime bottle to help infants sleep all night. d) It is safe to give young children unpasteurized juice.

Intake of juice should be limited to 4-6 oz per day for children ages 1 to 6 years

234. Protein needs for patients with Stage II pressure ulcers can be calculated as [NTR:528] a) 1.2 - 1.5 g of protein/kg body weight b) 1.1 - 1.2 g of protein/kg body weight c) 1.5 - 1.7 g of protein/kg body weight d) 0.8 - 1.0 g of protein/kg body weight

a) 1.2 - 1.5 g of protein/kg body weight

31. Approximately how many grams of protein does one cup of raw vegetables contain? [NTR:426] a) 2 grams b) 3 grams c) 7 grams d) 8 grams

a) 2 grams

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

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

a. prolactin

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

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

a patient with rough dry scaly skin and Bitot's spots has signs of a deficiency in: a. vitamin A b. vitamin E c. thiamin d. niacin

a. vitamin A (Bitot's spots are build of keratin in conjunctiva)

which supplements should you give to a breast-fed baby a. vitamin D and fluoride b. fluoride c. vitamin D d. vitamins A and C

a. vitamin D and fluoride

expected creatinine clearance is estimated from the client's a. weight and height b. TSF, AMC c. height d. waist circumference

a. weight and height

which contains more total dietary fiber a. 1/2 cup raw spinach b. 1 oz raisin bran cereal c. 1 slice whole wheat bread d. 2T peanut butter

b. 1 oz raisin bran cereal

251. A community nutritionist can best elicit opinions as to why a particular nutrition program is not working by [NTR:545] a) forming a focus group. b) examining the results of the pre- and post-tests. c) sharing the problem with similar agencies. d) redefining the target population.

a) forming a focus group.

20. Which of the following foods is least likely to pose a choking risk for toddlers? [NTR:415] a) Ground beef b) Nuts c) Popcorn d) Round candy

a) ground beef

which formula is high in calories and low in protein a. aminaid b. osmolite c. sustacal d. jevity

a. aminaid

lactic acid is a result of a. anaerobic glycolysis b. aerobic glycolysis c. TCA cycle d. Cori cycle

a. anaerobic glycolysis

for which disease would a low sodium diet be recommended a. ascites b. esophageal varices c. pancreatitis d. appendicitis

a. ascites

a patient with liver disease needs adjustments in the intake of a. protein, fat and sodium b. protein, fluids and sodium c. protein, calories, sodium d. fluids, calories, fat

b. protein, fluids, sodium

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

in the nutrition care process, which step may also involve nursing staff a. assessment b. diagnosis c. intervention d. monitor and evaluate

a. assessment

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

a. black cohosh

creatine supplements may be beneficial for the a. body builder b. marathon runner c. soccer player d. hockey player

a. body builder

when is breast feeding contraindicated a. when the mother is underweight b. when the mother has AIDS c. when the mother has a breast infection d. when the mother has hyperlipidemia

b. when the mother has AIDS

55. A general rule for appropriate portion sizes for toddlers and preschool children is to offer [NTR:450] a) 1 Tbsp of each food per meal for each year of the child's age. b) ¼ to ½ cup of each of three foods per meal. c) to need only breast milk or iron-fortified formula for the first 6 months of age. d) the same portions as adults.

a) 1 Tbsp of each food per meal for each year of the child's age.

28. Which of the following breakfast meals contains approximately 60 grams of carbohydrate? [NTR:423] a) 2 slices of toast, 1 egg, 1 small orange, 1 cup milk b) 2 slices of toast, 1 cup apple juice, 1 large banana c) 1 -1/2 cups of oatmeal, 1/4 cup blueberries, 1 cup orange juice, 1/2 cup milk d) 2 eggs, 1 slice bacon, 2 slices of toast, 1/2 cup orange juice

a) 2 slices of toast, 1 egg, 1 small orange, 1 cup milk

23. How many kilocalories per ounce does a standard infant formula provide? [NTR:418] a) 20 b) 22 c) 25 d) 28

a) 20

Guidelines to treat disorders of lipid metabolism in patients with diabetes include: [NTR:396] a) 25-35% of total energy from fat; less than 7% of total energy from saturated and trans fat. b) less than 25% of total energy from fat; less than 10% of total energy from saturated and trans fat. c) less than 15% of total energy from all fat. d) less than 200 mg of cholesterol per day; greater than 10% of total energy from saturated and trans fat.

a) 25-35% of total energy from fat; less than 7% of total energy from saturated and trans fat.

353. A food provides 28 grams of carbohydrates, 8 grams of protein, and 7 grams of fat. What percent of this food's calories comes from fat? [NTR:648] a) 30% b) 33% c) 36% d) 38%

a) 30%

286. Dietetics professionals can expect more than one in _____ of their clients to have a disability that will require special accommodations. [NTR:580] a) 5 b) 15 c) 25 d) 50

a) 5

228. Older adults are more vulnerable to toxicity of vitamin [NTR:522] a) A b) C c) D d) K

a) A

305. Which of the following accurately describes how alcohol is digested and absorbed? [NTR:599] a) Alcohol requires no digestion and is absorbed by simple diffusion. b) Alcohol is digested in the stomach and absorbed primarily from the small intestine. c) Alcohol is digested in and absorbed primarily from the stomach. d) Alcohol requires no digestion and is absorbed by active transport.

a) Alcohol requires no digestion and is absorbed by simple diffusion.

360. After protein digestion, what products predominately are absorbed into circulation? [NTR:655] a) Amino acids b) Amino acids and oligopeptides c) Amino acids and dipeptides d) Amino acids, dipeptides, and tripeptides

a) Amino acids

290. What enzyme is responsible for starch digestion? [NTR:584] a) Amylase b) Lipase c) Lactase d) Insulin

a) Amylase

11. Which of the following growth charts is currently recommended by the Centers for Disease Control to assess weight in relation to stature in children ages 2 to 20 years? [NTR:406] a) BMI-for-age b) Length-for-age c) Weight-for-age d) Stature-for-age

a) BMI-for-age

338. The Emergency Food Assistance Program and The Disaster Feeding Program are two examples of Food Distribution Programs. Which of the following statements best describes the similarities of the two programs? [NTR:632] a) Both programs serve children and adolescents and provide commodity foods to local food distribution and service agencies. b) Both programs serve low-income populations and provide commodity foods to local food distribution and service agencies. c) Both programs serve low-income populations and supplemental food supplies are either distributed to individual households or as meals served in congregate dining centers. d) Both programs serve children and adolescents and food supplies are either distributed to individual households or as meals served in congregate dining centers.

a) Both programs serve children and adolescents and provide commodity foods to local food distribution and service agencies.

4. Women with gestational diabetes typically require less carbohydrates at which meal compared to the others? [NTR:399] a) Breakfast (morning) b) Lunch (afternoon) c) Dinner (evening) d) Bedtime snack

a) Breakfast (morning)

87. Which is a functional food and has been labeled to have a qualified health claim for essential and gestational hypertension? [NTR:482] a) Calcium supplement b) Green tea c) Selenium supplement d) Dried tomatoes

a) Calcium supplement

315. Which of the following conditions would most likely result in a slightly elevated albumin? [NTR:609] a) Dehydration b) Cirrhosis c) Inadequate protein intake d) Stage IV pressure ulcer

a) Dehydration

98. What is the correct order of digestion, proximal to distal, of the small intestine? [NTR:492] a) Duodenum - Jejunum - Ileum b) Ileum - Jejunum - Duodenum c) Jejunum - Duodenum - Ileum d) Duodenum - Ileum - Jejunum

a) Duodenum - Jejunum - Ileum

225. Which of the following foods must a child with phenylketonuria avoid? [NTR:519] a) Egg b) Banana c) Rice d) French fries

a) Egg

57. Which of the following situations best describes why an older adult may become dehydrated? [NTR:452] a) Fear of incontinence b) Living alone c) Low income d) Poor intake of fruit

a) Fear of incontinence

Which agency within the US Department of Agriculture (USDA) participates in the review and update of the Dietary Guidelines for Americans [NTR:536] a) Food, Nutrition, and Consumer Services (FNCS) b) Research, Education, and Economics (REE) c) Center for Nutrition Policy and Promotion (CNPP) d) Expanded Food and Nutrition Education Program (EFNEP)

a) Food, Nutrition, and Consumer Services (FNCS)

301. The hormone released by gastric cells in response to food in the stomach is ______. [NTR:595] a) Gastrin b) Secretin c) Cholecystokinin d) chymotrypsin

a) Gastrin

291. Given identical amounts of cow's milk and human breast milk, which of the following is true? [NTR:585] a) Human milk contains less protein. b) Human milk provides more calcium. c) Cow's milk provides 50% of the calories. d) Cow's milk contains a lower proportion of casein compared to whey protein.

a) Human milk contains less protein.

232. A 72 year-old woman with chronic heart failure and symptomatic edema and who is on enteral feeding, is treated with thiazide medication. What would you expect her labs to reveal as a result of this medication and its delivery method? [NTR:526] a) Hypokalemia b) Hypernatremia c) Hypocalcemia c) Hypoglycemia

a) Hypokalemia

a patient complains of abdominal distension, mouth lesions, and a 10% weight loss over the past 6 months. the nutrition diagnosis would be a. impaired nutrient utilization b. inadequate vitamin intake c. involuntary weight loss d. altered GI function

a. impaired nutrient utilization

256. For Chinese Americans, challenges to dietary compliance typically include which of the following? [NTR:550] a) Inability to control portion sizes b) Reliance on non-nutritive herbs for flavor and color c) Size of portions is dictated by status in the family and community d) Frequent fasting in association with religious holidays

a) Inability to control portion sizes

262. In the Campniha-Bacote Model, cultural competence originates in the _____. [NTR:556] a) Individual b) Family c) Community d) society

a) Individual

71. According to the Nutrition Care Process, if a client takes self-prescribed therapeutic doses of Vitamin C, this information should be recorded in the _____ section of the Nutrition Diagnosis. [NTR:466] a) Intake b) Clinical c) behavioral-environmental d) nutrition knowledge

a) Intake

62. Which of the following foods should a pregnant woman avoid? [NTR:457] a) King mackerel b) Tuna c) Cottage cheese d) Mozzarella cheese

a) King mackerel

277. Which fatty acids are essential and must be obtained by eating foods containing these fatty acids? [NTR:571] a) Linoleic and α-linolenic fatty acids b) Cis monounsaturated fatty acids c) Trans fatty acids d) Saturated fatty acids

a) Linoleic and α-linolenic fatty acids

355. Where does carbohydrate digestion begin? [NTR:650] a) Mouth b) Stomach c) Small intestine d) Pancreas

a) Mouth

12. After completing this step in the Nutrition Care Process the dietetics professional can decide whether or not a nutrition diagnosis/problem exists. [NTR:407] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

a) Nutrition Assessment

13. Which of the steps in the Nutrition Care Process is a systematic method for obtaining verifying, and interpreting data needed to identify nutrition-related problems? [NTR:408] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

a) Nutrition Assessment

81. In the Nutrition Care Process, what should determine the dietetics practitioner's selection of a Nutrition Intervention? [NTR:476] a) Nutrition diagnosis and etiology b) Time and other available resources c) Client's history of compliance d) Practitioner's level of education and experience

a) Nutrition diagnosis and etiology

332. Cultural competence has been described as a set of congruent attitudes, behaviors, and _____. [NTR:626] a) Policies b) Models c) Values d) interventions

a) Policies

56. Which of the following are appropriate for your patient with celiac disease to eat? [NTR:451] a) Quinoa and tapioca b) Couscous and corn c) Oatmeal and buckwheat d) None of the above

a) Quinoa and tapioca

114. After having defined the nutritional problem, which of the following is the correct sequence of steps a community nutritionist should follow in assessing the needs of the community? [NTR:508] a) Set the parameters of the assessment, collect data, analyze and interpret the data, share the findings, and set priorities. b) Set priorities, collect data, set the parameters of the assessment, analyze and interpret the data, and share the findings. c) Choose a plan of action, collect data, set the parameters of the assessment, share the findings, and analyze and interpret the data. d) Collect data, analyze and interpret the data, set the parameters, share the findings, and set the priorities.

a) Set the parameters of the assessment, collect data, analyze and interpret the data, share the findings, and set priorities.

316. A key factor in reaching special needs groups is _____. [NTR:610] a) Simplicity b) Repetition c) providing examples d) providing scenarios

a) Simplicity

289. Which of the following foods is most appropriate for a level 2 dysphagia, mechanically altered diet? [NTR:583] a) Soft pancakes with extra syrup b) Pineapple c) Licorice candy d) Sausage

a) Soft pancakes with extra syrup

359. Which of the following dietary lipids is most heart healthy? [NTR:654] a) Vegetable oil in a squeezable bottle b) Margarine in a tub c) Vegetable oil in a stick d) Whipped margarine

a) Vegetable oil in a squeezable bottle

252. Which of the following nutrients should a pregnant woman avoid excessive intake of? [NTR:546] a) Vitamin A b) Vitamin B6 c) Folic acid d) Iron

a) Vitamin A

352. Which of the following nutrients is required to be included as a Percent Daily Value on food labels? [NTR:647] a) Vitamin A b) Potassium c) Vitamin D d) Iodine

a) Vitamin A

58. Which set of nutrients and/or food components are associated with the formation of cataracts in older adults? [NTR:453] a) Vitamin C, vitamin E, carotenoids b) Thiamin, niacin, riboflavin c) Vitamin C, vitamin E, phytosterols d) Calcium, zinc, magnesium

a) Vitamin C, vitamin E, carotenoids

310. Which of the following individuals would be expected to have the highest basal metabolic rate? [NTR:604] a) a 25 years old male who is 6' tall and weighs 200# b) a 40 years old male who is 6' tall and weighs 204# c) a 30 years old female who is 5'7" tall and weighs 200# d) a 50 years old female who is 5'3" tall and weighs 120#

a) a 25 years old male who is 6' tall and weighs 200#

292. Resting energy expenditure (REE) is most affected by [NTR:586] a) body composition. b) physical activity. c) time of day. d) food intake.

a) body composition

53. When reviewing 2 years of serial data on a Centers for Disease Control and Prevention growth chart, a pediatric patient is identified to be at risk on nutritional screening when experiencing a [NTR:448] a) change in rate of growth. b) continuation on his or her line of growth. c) growth spurt. d) plateau in growth.

a) change in rate of growth.

255. The first step toward attaining cultural competence is for the dietetics professional to _____. [NTR:549] a) examine his/her own cultural background b) study the relevant cultural norms, values, and practicalities of the daily lives of clients c) identify cultural variations in family relationships d) note culturally-specific health beliefs and practices

a) examine his/her own cultural background

231. The best way to address the mortality rate associated with low-birthweight (LBW) and preterm infants is by [NTR:525] a) improving the birth weight of newborn infants. b) reducing the incidence of pica among pregnant women. c) improving the infant formulas for LBW and preterm infants. d) increasing the emphasis on breastfeeding in hospitals.

a) improving the birth weight of newborn infants.

80. When preparing a PES statement in situations where there are diagnoses from multiple domains, the dietetics professional should give preference to the diagnosis related to: [NTR:475] a) intake. b) physical conditions. c) knowledge. d) food safety.

a) intake.

238. Public health policy is generally created by [NTR:532] a) legislators. b) judges and magistrates. c) political action committees. d) the President and his cabinet.

a) legislators.

239. A group of dietitians meet with a member of the legislature to encourage her support of an important nutrition issue. This activity is termed: [NTR:533] a) lobbying. b) advocacy. c) sponsorship. d) petitioning.

a) lobbying.

265. Metabolic acidosis is characterized by what physiological changes? [NTR:559] a) low pH and negative bicarbonate (HCO3-) b) low pH and bicarbonate c) pH and bicarbonate d) pH and Bicarbonate

a) low pH and negative bicarbonate (HCO3-)

92. Successful family-based group intervention programs that target reducing overweight in school-age children include: [NTR:487] a) parent training, dietary counseling/nutrition education/physical activity counseling, and behavioral counseling. b) parent training, individual psychotherapy, dietary counseling/nutrition education. c) dietary counseling/nutrition education, physical activity counseling, behavioral counseling.

a) parent training, dietary counseling/nutrition education/physical activity counseling, and behavioral counseling.

270. Refeeding syndrome is characterized by low serum concentrations of: [NTR:564] a) phosphorus, potassium, magnesium. b) sodium, phosphorus, magnesium. c) sodium, potassium, phosphorus. d) potassium, magnesium, sodium.

a) phosphorus, potassium, magnesium.

240. A group that is organized for the purpose of raising and spending money to elect or defeat political candidates is called a/an: [NTR:534] a) political action committee. b) health advocacy organization. c) alliance. d) lobbying group.

a) political action committee.

268. When completing a physical assessment, in adequate hydration may present as [NTR:562] a) poor skin turgor b) scaly appearance of skin c) dull and thin hair d) angular stomatitis

a) poor skin turgor

61. Inadequate weight gain and a low birth weight infant are concerns among: [NTR:456] a) pregnant adolescents. b) pregnant women over the age of 35. c) overweight women who become pregnant. d) women with a history of gestational diabetes.

a) pregnant adolescents.

244. A community dietitian develops an educational and awareness program to teach employees of a local industry to reduce the sodium in their diets. This is an example of: [NTR:538] a) primary prevention. b) secondary prevention. c) tertiary prevention. d) workplace rehabilitation.

a) primary prevention.

349. Canned corn has more sodium and less potassium than fresh corn. This is the result of [NTR:644] a) processing b) enrichment c) fortification d) disassociation

a) processing

39. Estimated energy needs for a client should be based on: [NTR:434] a) resting metabolic rate. b) basal metabolism. c) physical activity level. d) body composition.

a) resting metabolic rate.

108. A study that looks back in time to reconstruct exposures and the resulting health outcomes for a group of people free of the disease or condition being studied is termed a: [NTR:502] a) retrospective cohort study. b) correlational study. c) prospective cohort study. d) prevalence study.

a) retrospective cohort study.

3. The following micronutrients should be supplemented in a patient with history of alcoholism: [NTR:398] a) thiamin and folic acid. b) folic acid and magnesium. c) calcium and thiamin. d) calcium and magnesium.

a) thiamin and folic acid.

120. To avoid contracting Listeria monocytogenes, pregnant women should not consume [NTR: 514] a) unpasteurized milk and cheese b) any processed meats c) large ocean fish d) unwashed fruits and vegetables

a) unpasteurized milk and cheese

which of the following provides 60g of CHO a. 1 English muffin, 1 c skim milk, 1/2 cup apple juice b. 1 fat-free granola bar, 1/2 cup raisins, 1 c fruited yogurt with aspartame c. 2 small waffles with 2T lite syrup and 1T peanut butter d. 1 four oz. bagel with 2T lite cream cheese and 1T jelly

a. 1 English muffin, 1 c skim milk, 1/2 cup apple juice

a diabetic wants to exchange his bedtime snack of 8ounces whole milk. what do you suggest a. 1oz cheese and 1/2 cup orange juice b. 2 graham crackers and 1/2 cup orange juice c. 1 oz cheese d. 2 oz cheese

a. 1 oz cheese and 1/2 cup orange juice

which of the following is equivalent to a very lean meat exchange a. 1/4 cup low fat cottage cheese b. 2 T grated parmesan cheese c. 1 ounce mozzarella cheese d. 1 ounce swiss cheese

a. 1/4 cup low fat cottage cheese

a tube feeding ran from 7pm til 6am, providing 1800 calories, at 1.6 calories/cc. how many cc/hour were given a. 100 b. 125 c. 219 d. 65

a. 100

how much free water is in 1.5 liters of an enteral feeding that has 1.5 calories per cc a. 1155 cc b. 1057 cc c. 926 cc d. 901 cc

a. 1155 cc (1.5kcal/cc formulas are 76-78% water; 1500ml formula x 1.5 kcals = 2250kcals; 1500 x 76-78% = 1140-1170ml water)

a 7 year old on a ketogenic diet requires 1500 calories. which is the appropriate order a. 145g fat, 25g protein, 25g carbohydrate b. 95g fat, 40g protein, 25g carbohydrate c. 102 g fat, 56g protein, 12g carbohydrate d. 75g fat, 32g protein, 43g carbohydrate

a. 145g fat, 25g protein, 25g carbohydrate (1305kcal fat, 100kcal protein, 100kcal CHO = 1505kcals total, 86-90% of kcals from fat = 1294-1354kcals fat; usually a ratio of 4g fat for every 1g PRO/CHO, energy calculated at 80-90% of normal EEN)

Mr. Jones has heart failure but no CAD or increased CHD risk. his nutritional prescription should be a. 2 gram sodium b. 2 gram sodium, low potassium c. low cholesterol, low sodium d. low cholesterol, low saturated fat, low sodium

a. 2 gram sodium (diet is low sodium, such as DASH diet and fluid restriction if needed; evaluate thiamin status due to loss with loop diuretics)

according to the diabetic exchanges, 2T peanut butter is a. 2 high fat meats b. 1 high fat meat c. 2 fats d. high fat meat plus 2 fats

a. 2 high fat meats

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% fat

a. 20-35% calories, <10% saturated fat

an AIDS patient's temperature has risen to 102 degrees. his BMR has increased a. 24% b. 36% c. 12% d. 5%

a. 24% (102-98.6 x 7)

a sandwich with two pieces of white bread and two ounces of turkey provides how many calories a. 250 b. 145 c. 198 d. 290

a. 250

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

A meal providing 1200 kcal contains 13 grams of saturated fat, 10 grams of monounsaturated fats, and 27 grams of polyunsaturated fats. what is the percentage of energy supplied by the lipid. [NTR:660] a. 37 b. 10 c. 17 d. 25

a. 37

according to the diabetic exchange lists, which of the following is equivalent to one medium fat meat a. 4 ounces tofu b. 2 ounces pork c. 2 eggs d. 2T 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

which level of HgA1c suggests good compliance with dietary recommendations in a diabetic after 3 months of counseling a. 6.5 mg/dl b. 4.0 mg/dl c. 8.2 mg/dl d. 10.3 mg/dl

a. 6.5 mg/dl

children and adolescents need what level of physical activity a. 60 minutes every day b. 30 minutes every day c. 60 minutes at least three days each week d. 90 minutes at least three days each week

a. 60 minutes every day

using the above formula, determine the protein intake per day in grams a. 78 b. 80 c. 84 d. 86

a. 78 (500x1.560=780x10%)

a TPN solution is to be delivered at 50ml per hour at 3/4 strength. what is the appropriate order a. 900 ml formula, 300 ml water b. 600 ml formula, 600 ml water c. 800 ml formula, 400 m l water d. 300 ml formula, 900 ml water

a. 900 ml formula, 300 ml water (50ml x 24hrs x 75% = 900ml formula)

48. Centers for Disease Control and Prevention growth charts are appropriate for [NTR:443] a) American infants. b) children with cerebral palsy. c) children with Down syndrome. d) premature infants weighing less than 1500 g at birth.

a. American infants

where can a pregnant teen learn to cook a. EFNEP b. Child Nutrition Services c. UNICEF d. WIC

a. EFNEP

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 (improves food practices of low income homemakers with young children, works with small groups, teaches skills needed to obtain a healthy diet)

which survey is repeated every few years a. NHANES b. WHO c. Ten state d. FAO

a. NHANES

you are developing a heart disease prevention program for a worksite and need to locate several nutrition research articles. the best database to use is: [NTR:537] a) PubMed b) Merck Index Online c) Scopus c) The Cochrane Library

a. PubMed

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 - the dietary intake interview portion of NHANES)

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 chemotherapy b. a patient with gastric ulcers c. a patient with Crohn's disease d. a patient with megaloblastic anemia

a. a cancer patient on chemotherapy

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

a Billroth II procedure is most likely to affect a patient's absorption of a. calcium and iron b. vitamins A and D c. folic acid and B12 d. potassium and sodium

a. calcium and iron (Ca and Fe absorption are adversely affected because the duodenum is bypassed; may also have B12 and folate deficiency; need small frequent dry feedings with fluid before/after meals, restrict hypertonic concentrated sweets; lactose may not be tolerated)

when using anthropometric measurements, the most important factor is a. competence of the practitioner and calibration b. number of participants done at one sitting c. that the patient be sitting d. that they be done early in the morning

a. competence of the practitioner and calibration

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

a. cooked dried beans

after a gastrectomy, the diet order should indicate a decrease in a. disaccharides b. fats c. protein d. calories

a. disaccharides (to prevent dumping syndrome and delay gastric emptying)

which of the following would lower serum cholesterol levels a. dried beans b. green beans c. yellow beans d. summer squash

a. dried beans

a patient has a rare urea disease where the body is unable to synthesize urea. what might be the result a. elevated ammonia levels b. elevated BUN c. elevated glucagon levels d. compromised visceral protein levels

a. elevated ammonia levels

an elderly obese patient has been diagnosed with type 2 diabetes. which of the following is an appropriate nutrition diagnosis a. elevated serum triglycerides b. high HDL cholesterol c. low blood pressure d. low serum insulin

a. elevated serum triglycerides

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

why may a patient with ascites be dehydrated a. fluid has moved to interstitial spaces b. fluid has moved to intravascular spaces c. fluid has moved to vascular spaces d. fluid has moved to the lungs

a. fluid has moved to interstitial spaces (interstitial - space between structures or objects i.e. between cells etc.)

to restore hydration after 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

a dietary deficiency of which of the following causes a macrocytic anemia resembling pernicious anemia a. folacin b. pyridoxine c. vitamin B6 d. vitamin C

a. folacin

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

phytochemicals, which may influence the development of tumors, are found in a. fruits, vegetables, grains b. lean poultry and fish c. low fat dairy products d. polyunsaturated fats

a. fruits, vegetables, grains

as a public health Nutritionist, you notice an increase in the percentage of obese Hispanic females in the community. what is the best way to educate them a. have a cooking class that they can participate in the cooking and then eat the food they prepared b. hold classes that teach low fat cooking c. develop posters with low fat cooking tips d. develop low fat recipes and instructional materials that they can follow at home

a. have a cooking class that they can participate in the cooking and then eat the food they prepared

you are planning a health promotion program for employees. to assess employee's needs, use information from a. health risk appraisals b. nutrition assessments c. medical records d. interviews

a. health risk appraisals

a concern with parenteral feeding is a. hypokalemia b. hypercalcemia c. hyponatremia d. hypernatremia

a. hypokalemia

a hospitalized patient who had not eaten well for 2 weeks had a 2.3 serum phosphorus level and a 1.3 serum magnesium level. he has a. hypophosphatemia, hypomagnesemia b. hyperphosphatemia, hypomagnesemia c. hyperphosphatemia, hyponatremia d. hyperkalemia, hypermagnesemia

a. hypophosphatemia, hypomagnesemia

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

a 35 year old female with Type 1 diabetes received nutrition counseling and started NPH therapy one month ago. today her fasting blood glucose level is 290mg/dl and cholesterol level is 185mg/dl. she eats one meal per day. which need do you address first a. instruction about the relationship of diet to blood glucose level b. instruction about maintaining current body weight c. advice to include various food groups d. advice about controlling cholesterol levels

a. instruction about the relationship of diet to blood glucose level

infants born to mothers with diabetes may be a. larger than normal, and be hypoglycemic 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 hypoglycemic shortly after birth

how many grams does a low birth weight infant weigh a. less than 2500 b. between 500 and 1500 c. between 3000 and 4000 d. between 100 and 500

a. less than 2500

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

a. lithium

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

compared to whole milk, breast milk is a. lower in protein, higher in carbohydrate and fat b. higher in protein and fat, lower in carbohydrate c. lower in protein, carbohydrate and fat d. has the same nutrient composition

a. lower in protein, higher in carbohydrate and fat

an appropriate menu for a Kosher meal is a. macaroni and cheese, green beans b. roast beef, potato, vegetable, cream soup c. veal parmesan, noodles, green beans d. crabmeat salad, lettuce milk

a. macaroni and cheese, green beans

a tube fed patient develops diarrhea. what is the most likely cause a. medications b. the osmolality is too low c. the strength is too weak d. it is being given at an improper rate

a. medications

a patient with low hemoglobin and low MCV might have a. microcytic anemia b. macrocytic anemia c. megaloblastic anemia d. normochromic anemia

a. microcytic anemia

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

84. During which step in the Nutrition Care Process is it important to continually reevaluate the patient's/client's status compared to specified criteria? [NTR:479] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

a. nutrition assessment

a patient with short bowel syndrome will likely receive as initial nutrition therapy a. parenteral nutrition b. elemental formula through an enteral feeding c. predigested nutrients through a gastrostomy tube d. lactose free, low osmolar, jejunal feeding

a. parenteral nutrition

a child has been identified as being at high risk for food allergies. what should be withheld for the first few years a. peanut butter and milk b. eggs and strawberries c. oats and fish d. citrus fruits and chocolate

a. peanut butter and milk

a patient admitted to the ICU is diagnosed with HIV and progressive infection. which nutrients would be helpful a. phosphorus and zinc b. sodium and potassium c. sodium and chromium d. potassium and magnesium

a. phosphorus and zinc

which of the following has the fewest calories a. plain hamburger on a bun b. chef's salad with dressing c. green salad with Thousand Island dressing, and shredded cheese d. fried fish sandwich

a. plain hamburger on a bun

what is the goal of the dietary guidelines a. prevention of chronic disease b. provide standards for food stamp 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

which is restricted in a diet for hepatic encephalopathy a. protein, sodium, fluid b. protein, fluid, calories c. calories, protein, fat d. sodium, fat, calories

a. protein, sodium, fluid (encephalopathy is damage to the brain often resulting in altered mental status, treated with a low protein diet, low sodium due to often accompanying ascites and restricted fluid due to ascites as well)

which of the following about nutrition screening in a hospital is true a. provides direction for patient care b. cost-effective for all patients c. it has universal criteria for all age groups d. it should be performed only when ordered

a. provides direction for patient care

high doses of which vitamin will interfere with levodopa a. pyridoxine b. cyanocobalamin c. thiamin d. riboflavin

a. pyridoxine

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 diet is restricted in carbohydrate a. reactive hypoglycemia b. diabetes c. PKU d. glactosemia

a. reactive hypoglycemia

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

southeast Asian populations would likely consume the following foods a. rice, vegetables and small amounts of meat b. fruits, cheese and small amounts of rice and meat c. large amounts of rice and milk, and small amounts of meat and fruit d. large amounts of meat and milk, small amounts of fruits and vegetables

a. rice, vegetables and small amounts of meat

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

enteral feeding products that contain protein in the form of small peptides and amino acids are recommended for patients who have a. short-bowel syndrome b. undergone gastrectomy c. undergone colectomy d. undergone jejunostomy

a. short-bowel syndrome (significant resection of intestine - can impair digestion and absorption)

a child has chronic non-specific diarrhea without malabsorption. an increased intake of which of the following might be the cause a. sorbitol b. fat c. protein d. fruit

a. sorbitol

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

a cancer patient receiving radiation therapy to the head and neck presents with weight loss. the nutrition diagnosis would be a. swallowing difficulty b. involuntary weight loss c. impaired nutrient utilization d. hypermetabolism

a. swallowing difficulty (due to inability to swallow because of radiation therapy)

what is an example of a program that provides food to the needy a. the Food Bank b. the Food Stamp Program c. the Child Care Program d. WIC

a. the Food Bank (food donation/distribution programs provide foods to help meet nutritional needs of children and adults)

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

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

a. the elderly

to calculate the estimated caloric needs of a patient who is significantly underweight the Dietitian should use a. the patients actual body weight b. the patients adjusted body weight c. the patients desirable body weight d. 90% of the patients desirable body weight

a. the patients actual body weight

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

which type of nutrition support ensures the maximum function of the GI surface area a. tube feeding with an isotonic formula b. tube feeding with BCAA c. peripheral parenteral nutrition d. parenteral nutrition

a. tube feeding with an isotonic formula

when measuring a child's somatic protein mass, in addition to the BMI, use a. upper arm muscle area b. triceps skinfold c. mid-arm muscle circumference d. knee to height ratio

a. upper arm muscle area

298. Which of the following is an example of a positive correlation? [NTR:592] a) "The amount of weight gained by pregnant women during the first trimester has been found to decrease as the number of episodes of nausea and vomiting increase." b) "The incidence of type 2 diabetes mellitus increases as central adiposity increases." c) "Consuming calories in excess of those needed results in an increase in generalized adiposity." d) "Blood pressure in certain genetic groups appears to decrease as the consumption of dietary sodium is reduced."

b) "The incidence of type 2 diabetes mellitus increases as central adiposity increases."

42. A calorie deficit of 500 kcals below estimated energy needs should result in the loss of: [NTR:437] a) 1/2 pound per week. b) 1 pound per week. c) 2 pounds per week. d) 2-1/2 pounds per week.

b) 1 pound per week.

29. Which of the following foods contains approximately 15 grams of carbohydrate? [NTR:424] a) 1 English muffin b) 1/2 cup mashed potatoes c) 4 cups popped popcorn d) 1 large banana

b) 1/2 cup mashed potatoes

99. Using the Hamwi formula, what is the ideal body weight for a female who is 70 inches tall and has a small body frame? [NTR:493] a) 120 pounds b) 135 pounds c) 150 pounds d) 165 pounds

b) 135 pounds

38. Overweight is defined as a BMI of: [NTR:433] a) 19 to 24. b) 25 to 29. c) 27 to 32. d) 31 to 36.

b) 25 to 29.

60. The recommended weight gain during pregnancy for a woman with BMI between 19.8 and 26 is [NTR:455] a) 15-20 pounds b) 25-35 pounds c) 28-40 pounds d) 35-45 pounds

b) 25-35 pounds

267. The body mass index range for Class I obesity is defined as [NTR:561] a) 25-29.9. b) 30-34.9. c) 35-39.9. d) ≥40.

b) 30-34.9.

266. An isotonic enteral formula would have an osmolality of: [NTR:560] a) 0 mOsm/kg. b) 375 mOsm/kg. c) 550 mOsm/kg. d) 700 mOsm/kg.

b) 375 mOsm/kg.

19. All breast fed infants should receive how many IU's of vitamin D per day beginning in the firsts 2 months of life? [414] a) 200 b) 400 c) 600 d) 800

b) 400

362. What would be the approximate protein requirement, in grams, for a male, non-athlete weighing 87 kg? [NTR:657] a) 37 b) 70 c) 239 d) 174

b) 70

361. What is the upper limit of fat, in grams, that should be consumed by a healthy person requiring 2500 kcals per day? [NTR:656] a) 875 b) 97 c) 218 d) 71

b) 97

327. What is the requirement to label a food "fat free"? [NTR:621] a) 0 grams of saturated fat per serving b) <0.5 grams total fat per serving c) <3 grams total fat per serving d) 100% less fat than in the comparable product

b) <0.5 grams total fat per serving

363. Which grouping of words contains all the major energy-yielding substances? [NTR:658] a) Carbohydrates, triglycerides, protein b) Alcohol, carbohydrates, triglycerides, protein c) Vitamins, minerals, carbohydrates, triglycerides, protein d) Carbohydrates, triglycerides, protein, vitamins, minerals, water

b) Alcohol, carbohydrates, triglycerides, protein

259. _____ have the highest prevalence rates of diabetes of all the racial and ethnic groups in the United States. [NTR:553] a) Chinese Americans b) American Indians and Alaska Natives c) Jews c) Muslims

b) American Indians and Alaska Natives

344. Which one of these individuals is most likely to present with Wernicke-Korsakoff syndrome? [NTR:639] a) A premature infant b) An alcoholic man c) A postmenopausal woman d) A disabled child

b) An alcoholic man

284. Which statement correctly describes the relationship between calcium and the other substance indicated? [NTR:578] a) Calcium may interfere with zinc absorption. b) Calcium may decrease iron absorption. c) Calcium may increase magnesium absorption. d) Calcium intake may decrease phosphorus absorption.

b) Calcium may decrease iron absorption.

33. Which of the following eating pattern changes does research show most positively contributes to a decrease in energy consumption among children? [NTR:428] a) Participating in family-style meals at home b) Children serving themselves on individual plates at mealtimes c) Parents or caregivers serving children on individual plates d) Providing scheduled meals and snacks in the home

b) Children serving themselves on individual plates at mealtimes

97. Which of the following oils is an adequate source of medium chain triglycerides (MCT)? [NTR:491] a) Corn oil b) Coconut oil c) Safflower oil d) Soybean oil

b) Coconut oil

112. While conducting a community needs assessment, after defining the nutritional problem, which of the following is your next step? [NTR:506] a) Identify community groups and their leaders. b) Determine the purpose of the needs assessment. c) Collect information on health and nutrition resources available in the community. d) Search the Census Bureau records to determine the percentage of single-family households in the community with children in the 2- to 5-year-old age range.

b) Determine the purpose of the needs assessment.

302. Which of the following statements about lipids is true? [NTR:596] a) Steroid hormones are made from one or more fat-soluble vitamins. b) Digestion of triglycerides requires bile and lipases. c) Triglyceride digestion is completed in the large intestine. d) Insulin stimulates lipolysis and the mobilization of triglycerides.

b) Digestion of triglycerides requires bile and lipases.

The Food and Drug Administration (FDA) provides a strict definition for functional foods. [NTR:481] a) TRUE b) FALSE

b) FALSE

246. The largest hunger-relief organization in the United States is: [NTR:540] a) UNICEF. b) Feeding America. c) SHARE. d) The Hunger Project.

b) Feeding America.

37. Which of the following conditions best describes when an elderly person does not have enough to eat? [NTR:432] a) Food insecurity b) Food insufficiency c) Food insecurity with hunger d) Food security with hunger

b) Food insufficiency

296. Which of the following foods would you recommend decreased intake of if your patient has a malodorous ileostomy? [NTR:590] a) Yogurt b) Garlic c) Banana d) Peanut butter

b) Garlic

308. Which of the following gastrointestinal hormones has the effect of increasing the consumption of food? [NTR:602] a) Cholecystokinin b) Ghrelin c) Enterostatin d) Peripheral hormone peptide YY

b) Ghrelin

The DASH diet plan has been shown to be beneficial for which medical condition? [NTR:397] a) Diabetes b) Hypertension c) Heart failure d) Chronic Obstructive Pulmonary Disease (COPD)

b) Hypertension

326. Which of the following does not provide a significant source of vitamin D? [NTR:620] a) Egg yolk b) Kale c) Sardines d) Fortified milk

b) Kale

17. Initially, a dietetics professional undertaking Nutrition Diagnosis as part of the Nutrition Care Process should identify and _____ a specific nutrition problem that he or she is responsible for treating independently. [NTR:412] a) Manage b) Label c) Measure c) coordinate

b) Label

283. Where in the body is vitamin D hydroxylated to 25-hydroxyvitamin D? [NTR:577] a) Kidney b) Liver c) Skin d) Blood

b) Liver

258. Muslims avoid eating _____. [NTR:552] a) Yogurt b) Pork c) Legumes d) goat

b) Pork

70. When using the Nutrition Care Process, what does the dietetics professional use to describe alterations in the patient's/client's nutritional status? [NTR:465] a) Cause/Contributing risk factors b) Problem or nutrition diagnosis labels c) Signs/symptoms d) Knowledge, attitudes, and beliefs

b) Problem or nutrition diagnosis labels

110. The nutritionist employed by the local county wants her nutrition objectives for the next 5-7 years to reflect the goals of Healthy People 2020. Which of her goals listed below most closely reflects the goals of Healthy People 2020? [NTR:504] a) Reduce among residents the severity of chronic diseases such as diabetes and heart disease. b) Promote, across every stage of life, healthy behaviors that positively impact the nutritional status of residents. c) Improve the nutrition of residents by eliminating disparities in treatment plans. d) Eliminate social and physical environments that threaten the nutrition of residents.

b) Promote, across every stage of life, healthy behaviors that positively impact the nutritional status of residents.

342. Which set of Dietary Intake Values establishes a goal for dietary intake that will meet the needs of nearly all healthy people? [NTR:637] a) Estimated Average Requirement b) Recommended Dietary Allowance c) Adequate Intake d) Tolerable Upper Intake Level

b) Recommended Dietary Allowance

82. In the Nutrition Care Process, a Nutrition Diagnosis differs from a medical diagnosis in that it can be _____. [NTR:477] a) Treated b) Resolved c) Generic d) Monitored

b) Resolved

222. Which of the following foods is not a common pediatric food allergen? [NTR:516] a) Cow's milk b) Rice c) Wheat d) Peanuts

b) Rice

78. When using the Nutrition Care Process, what three things do dietetics practitioners do in completing Nutrition Monitoring and Evaluation? [NTR:473] a) Prioritize nutrition diagnoses, consult ADA's Evidence-based Nutrition Practice Guidelines, and determine patient-focused expected outcomes. b) Scrutinize, measure, and assess the changes in nutrition care indicators. c) Confer with patient/client/caregivers, define a nutrition plan and strategies, and determine time and frequency of care. d) Identify resources needed, communicate the nutrition care plan, and implement the plan.

b) Scrutinize, measure, and assess the changes in nutrition care indicators.

236. Which of the following is a contraindication to enteral nutrition support in an elderly patient? [NTR:530] a) Dysphagia b) Severe acute pancreatitis c) Advanced osteoporosis c) Oncologic disease

b) Severe acute pancreatitis

103. Chin has written the following objective for her community nutrition program — "Women who are at least 60 years of age will perform at least 30 minutes of weight-bearing exercise three or more times per week." Which of the required components is missing from Chin's objective? [NTR:497] a) Target population b) Time frame c) Action d) Measure of success

b) Time frame

10. Which of the following are the correct CDC growth charts to use in a child care center for assessing the growth of a 6 year-old boy? [NTR:405] a) Weight-for-age and Length-for-age charts b) Weight-for-age and Stature-for-age charts c) Stature-for-age and Weight-for-stature charts d) Length-for-age and Weight-for-stature charts

b) Weight-for-age and Stature-for-age charts

89. Tertiary prevention efforts in childhood weight management target: [NTR:484] a) children living within low-income urban or rural populations. b) children who are already overweight. c) children who typically live in areas classified as "food deserts". d) Children who participate in childcare environments or after-school programs.

b) children who are already overweight.

253. _______ can be defined as the accumulation of a group's learned and shared behaviors in everyday life. [NTR:547] a) ethnicity b) culture c) comportment d) society

b) culture

102. Rosa wants to plan a community nutrition program to encourage children ages 11-15 to consume healthier afterschool snacks. She has reviewed the results of the community needs assessment, defined program goals and objectives, and developed a program plan. Next, she should [NTR:496] a) identify funding sources. b) define the management system. c) implement the program. d) seek support from the parents and schools of intended participants.

b) define the management system.

41. An appropriate client to recommend the use of meal replacements for weight loss to is one who: [NTR:436] a) has no more than 20 pounds to lose. b) has difficulty with portion control. c) habitually eats late at night. d) does not engage in physical activity.

b) has difficulty with portion control.

304. Glycogenolysis is the breakdown of glycogen into glucose that occurs in the cells of the __________. [NTR:598] a) stomach and small intestine b) liver and muscle c) kidney and brain d) small intestine and kidney

b) liver and muscle

294. Vision problems in older adults may be due to dietary factors such as a/an [NTR:588] a) excess intake of sodium. b) low intake of antioxidant nutrients. c) excess intake of fat and cholesterol. d) low intake of B vitamins.

b) low intake of antioxidant nutrients

348. Excessive intake of phytates and oxalates can interfere with the absorption of [NTR:643] a) cholesterol. b) minerals. c) vitamins. d) fiber.

b) minerals.

34. What is the first step in the nutrition care process? [429] a) nutrition screening b) nutrition assessment c) nutrition diagnosis d) goal setting

b) nutrition assessment

24. The 2007 Expert Committee Recommendations for the Prevention, Assessment, Treatment, and Recommendations for Pediatric Childhood and Adolescent Obesity defines BMI greater than the 95th percentile as: [NTR:419] a) at risk for overweight. b) obese. c) Overweight d) severe childhood obesity

b) obese.

91. Studies suggest that the most serious and prevalent long-term consequences of childhood overweight is: [NTR:486] a) dyslipidemia and glucose intolerance. b) obesity and morbidity in adulthood. c) lowered self-esteem and increased depression as an adolescent. d) excessive body weight and hormonal imbalance before puberty leading to growth plate injuries.

b) obesity and morbidity in adulthood.

226. Julia is a 10-year-old fifth grader with ADHD who takes Adderall. Her BMI-for-age is less than the 5th percentile. The most appropriate nutrition intervention for her is to [NTR:520] a) provide snacks for her to eat during recess. b) offer her a high-calorie bedtime snack. c) send a lunch consisting of her favorite foods. d) have the teacher monitor her intake.

b) offer her a high-calorie bedtime snack.

343. The tricarboxylic cycle begins with the conversion of pyruvate to [NTR:638] a) acetyl CoA. b) oxaloacetate. b) ATP. d) hydrogen ions.

b) oxaloacetate.

94. Overeating and poorer self-regulation of energy intake in preschool age children is associated with [NTR:489] a) excessive soft drink consumption b) parents assuming control of food portions and coercing children to eat c) family style meal service d) excessive food choices and family style meals

b) parents assuming control of food portions and coercing children to eat

15. In the Nutrition Care Process a PES statement consists of: [NTR:410] a) possibilities, effects, solutions. b) problem, etiology, sign/symptoms. c) people, efforts, satisfaction. d) probabilities, end products, significant information.

b) problem, etiology, sign/symptoms.

241. One of the primary goals of WIC food supplements is [NTR:535] a) increasing income for participating grocery stores. b) reducing or preventing iron deficiency anemia in infants and children. c) providing low-cost lunches to school-age children. d) increasing the number of women who get prenatal care.

b) reducing or preventing iron deficiency anemia in infants and children.

59. The loss of muscle mass that occurs with aging is termed: [NTR:454] a) cachexia. b) sarcopenia. c) dystrophy. d) myotonia.

b) sarcopenia.

311. Body Mass Index (BMI) is a better indicator of obesity than body weight because BMI is_____. [NTR:605] a) the ratio of height to weight b) the ratio of weight to height c) determined by indirect calorimetry d) determined by direct calorimetry

b) the ratio of weight to height

An example of a conditionally indispensable amino acid is: [NTR:572} a) tryptophan. b) tyrosine. c) alanine. d) leucine.

b) tyrosine.

45. Children and adolescents consuming a vegetarian diet may be at risk for a deficiency of [440] a) vitamin D b) vitamin B12 c) vitamin E d) vitamin B6

b) vitamin B12

if a patients GFR is <50 ml/minute, what should their protein intake be (in g/kg) a. 1 b. .8 c. .50-.6 d. .2-.4

b. .8 (GFR < 60 = .8g pro (stage 2-3), <25 = .6g pro (stage 4-5)

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

in which of the following would you likely see very low albumin if it is drawn a few days after admission to an acute care facility a. anorexia nervosa b. 30% full thickness burn c. patient with newly diagnosed colon cancer d. patient with COPD

b. 30% full thickness burn

a newly diagnosed diabetic needs 2200 calories, 50% from carbohydrates. how many CHO choices can he have at each meal if he has 3 snacks with 2 CHO choices each a. 3 b. 4 c. 2 d. 1

b. 4

the normal range for hemoglobin A1C is a. 1-2% b. 4-6% c. 10-12% d. 35-40%

b. 4-6%

which drink would a Mormon choose a. cola b. 7-up c. tea d. coffee

b. 7-up

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 TPN mixture, what volume of the amino acid solutions listed would come closest to providing 185 calories a. 1000 ml of 8.5% amino acids b. 850 ml of 5.5% amino acids c. 500 ml of 7% amino acids d. 500 ml of 10% amino acids

b. 850 ml of 5.5% amino acids

which of the following self-assessment tools would 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 (nutrition checklist for older adults; Disease, Eating poorly, Tooth loss, Economic, Reduced social contact, Multiple meds, Involuntary weight loss/gain, Needs assistance in ADLs, Elder years)

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. Food Stamps c. Child Care Food Program d. Medicaid

b. Food Stamps

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

levodopa is used in the treatment of a. rheumatoid arthritis b. Parkinson's disease c. diabetic ketoacidosis d. nephrotic syndrome

b. Parkinson's disease

to learn about prenatal problems in the community, go to a. center for disease control 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 82 year 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

a morbidly obese patient in ICU on a ventilator has end-stage renal disease, diabetes, and sacral decubiti. the primary concern for recommending a tube feeding formula and rate should be a. increased protein b. adequate calories c. decreased carbohydrates d. increased electrolytes

b. adequate calories

an acutely ill patient is receiving propofol and tube feedings. the dietitian should a. recommend the feeding be held 2 hours before and after administration of the medication b. adjust the tube feeding to avoid overfeeding c. monitor the patients lab data for increased BUN levels d. monitor the patients lab data for decreased folate levels

b. adjust the tube feeding to avoid overfeeding

hypertension will decrease with a decrease in a. fiber b. alcohol c. potassium c. calcium

b. alcohol

if a patient has a biochemical block in the formation of urea, what will accumulate in his blood a. uric acid b. ammonia c. protein d. glucose

b. ammonia

for the past 2 months, a man who is 6'0" tall has been nauseated and anorexic and has consumed fewer than 500cals/day, mostly from sweet foods. his albumin of 5.0g/dl most likely reflects a. adjustment to the new energy intake b. an increase in albumin due to dehydration c. increased production of albumin by the liver due to the catabolic state d. retention of albumin due to the high carbohydrate, low calorie diet

b. an increase in albumin due to dehydration

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

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

how long should a new mother breast-feed a. at least 6 months b. at least 12 months c. until 6 months, then add cow's milk d. until 4 months, then switch to cow's milk

b. at least 12 months (up until 6 months with only breast feeding then breast feeding plus baby food starting at 5-6 months)

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

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 solids foods only

b. breast feed

a dietitian should consider a client's absorption of which of the following nutrients during peritoneal dialysis and continuous renal replacement therapy before modifying his diet a. protein b. carbohydrate c. fat-soluble vitamins d. water soluble vitamins

b. carbohydrate

what would you do to decrease fat intake for a Hispanic 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

which of the following would likely be a cause of marasmus a. leaving a patient for two weeks on D5W b. chemotherapy c. following a 20 gram protein diet for two months d. antibiotic therapy

b. chemotherapy

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

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

a 75 year old female with adequate income would benefit from a. food stamps b. congregate meals c. EFNEP d. WIC

b. congregate meals

the main goal for a type 2 obese diabetic with persistent hyperglycemia is a. weight loss b. control of serum glucose levels c. consumption of a low fat diet d. consumption of a low protein diet

b. control of serum glucose levels

which test measures somatic protein a. prealbumin, albumin b. creatinine clearance, serum creatinine c. serum transferrin d. prealbumin, albumin, transferrin

b. creatinine clearance, serum creatinine

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

prior to surgery a patient has a serum albumin level of 3.7mg/dl. post surgery the level is 3.1mg/dl. you recognize that a. an error has occurred b. decreased serum albumin levels are normal after surgery c. the patient is experiencing protein-losing enteropathy d. the patient has visceral protein depletion

b. decreased serum albumin levels are normal after surgery

116. If the community nutritionist needed information about residents who are at least 65 years old, the best source of existing information would be the: [NTR: 510] a) department of health and human services b) department of agriculture c) department of education d) center for disease control and prevention

b. department of agriculture

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

b. dextroamphetamine

which is a common complication of AIDS a. constipation b. diarrhea c. hypoglycemia d. hyperkalemia

b. diarrhea

iron status is best monitored by a. dietary and clinical methods b. dietary and lab studies c. dietary studies d. anthropometric studies

b. dietary and lab studies

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 weight gain and increased calorie intake c. maintain a no nonsense attitude to discourage inappropriate behavior d. remain flexible to help the patient set realistic goals

b. emphasize the health benefits associated with weight gain and increased calorie intake

a patient on lithium decreases his sodium intake to 2grams/day. the effect will be a. decreased activity of the drug b. enhanced activity of the drug c. no change in drug activity d. reduced response to the drug

b. enhanced activity of the drug

you are estimating the prevalence of inadequate intake levels within a group of adults. which of the following dietary reference intake guidelines should be used a. recommended dietary allowance b. estimated average requirement c. tolerable upper intake level d. adequate intake

b. estimated average requirement

the best way for you to follow-up on a patient's application of diet instruction provide is to a. give pre and post tests on recommendations b. evaluate his food diary for one week c. ask him how he is doing with the new plan d. use body language to determine his interest in following the plan

b. evaluate his food diary for one week

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 tells you she eats meals on an irregular schedule, you should a. obtain more information about her usual eating habits b. explain that insulin therapy is related to intake c. do nothing if blood sugar levels are okay d. ask her to complete a detailed food record

b. explain that insulin therapy is related to intake

a patient comes to you with a diet that you know is not good to follow. what should you do a. tell him its not good b. explain why 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

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 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% MCV 102fl BUN 11ml/dl serum albumin 2.8g/dl CD4 280 total lymphocytes 1200/cubic mm a. anemia b. weight c. renal failure d. protein deficiency

b. weight

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 (spastic quadriplegia is a form of cerebral palsy, movement is difficult w/limited activity, often obese; requires low calorie, high fluid, high fiber diet)

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

the test that measures toxic levels of lead on heme synthesis is the a. prothrombin test b. free erythrocyte protopophyrin test c. hemoglobin value test d. MCV

b. free erythrocyte protopophyrin test

which of the following would lacto-ovovegetarian not eat a. eggs b. halibut c. cheese d. beans

b. halibut

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

which of the following best describes the expected outcomes of dietary intervention for a patient who has anorexia nervosa a. he will gain 4lbs in 2 weeks through tube feeding b. he will eat more often and try a larger variety of foods c. his diet will be supplemented with a calorie and protein dense liquid d. he will learn more about the effects of dietary fiber on GI transit time

b. he will eat more often and try a larger variety of foods

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

a patient with diabetic gastroparesis should avoid foods that are a. high in simple sugars 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

low levels of folate, pyridoxine and cyanocobalamin are associated with a. glycogen storage disease b. homocysteinurias c. phenylketonuria d. galactosemia

b. homocysteinurias (an inherited disorder in which the body is unable to process certain building blocks of proteins (amino acids) properly)

which of the following nutrition diagnoses is most likely to be associated with cyclosporine therapy a. hyperphosphatemia b. hyperlipidemia c. hypoglycemia d. hypokalemia

b. hyperlipidemia (an immunosuppressant that can cause: hyperlipidemia, hyperglycemia, hyperkalemia, hypertension)

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

b. hypoglycemia

a nutrition surveillance program is designed primarily to a. verify data from other surveys b. identify the nutritional needs of the population c. indicate the number of people at increased risk for medical conditions d. indicate the causes underlying the nutrition problems identified

b. identify the nutritional needs of the population

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

an athlete has recently increased his intake of chicken, tuna and beef to increase muscle mass. however he reports decreased energy and poor performance at practice. what is the likely cause a. excessive protein intake b. inadequate carbohydrate intake c. depletion of sodium d. increasing cholesterol level

b. inadequate carbohydrate intake

the most relevant objective for a multiyear project directed at reducing the incidence of colon cancer in a community is to a. increase by 50% in 1 year adult's knowledge about the association between vitamin A and colon cancer b. increase by 50% in 1 year middle-aged men's knowledge about the association between high levels of dietary fat and colon cancer c. decrease by 10% during the next year the intake of alcoholic beverages among those between aged 21 and 55 d. within the next year provide training in diet and cancer prevention to leaders in local health clubs and fitness centers

b. increase by 50% in 1 year middle-aged men's knowledge about the association between high levels of dietary fat and colon cancer

in acute hepatitis, you would likely see a. decreases in SGOT, increase in SGPT b. increase in both SGOT and SGPT c. decrease in both SGOT and SGPT d. increase in SGOT and decrease in SGPT

b. increase in both SGOT and SGPT (Serum Glutamic oxaloacetate transaminase and Serum glutamic pyruvic transaminase - released when liver is damaged)

a patient on megestrol acetate may experience a. weight loss b. increased appetite c. increased diarrhea d. iron-deficiency anemia

b. increased appetite

the immediate post stress release of glucagon a. increases glucose uptake into 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

which is the most useful for evaluating recent under-nutrition or over-nutrition a. height for age b. weight for height c. weight for age d. length for weight

b. weight for height

a long term care patient has normal intestinal function but cannot eat. what tube feeding should you provide a. high protein, high calorie formula b. isotonic lactose free formula c. elemental formula d. low fiber, low fat formula

b. isotonic lactose free formula (an isotonic formula has an osmolality near that of body fluid and is tolerated by most patients; elemental is chemically defined, predigested and doesn't require pancreatic enzymes)

which of the following is true about SGOT a. it is increased with hepatitis and diabetes b. it is increased with hepatitis, decreased with diabetes c. it is decreased in both hepatitis and diabetes d. it is decreased with hepatitis and increased with diabetes

b. it is increased with hepatitis, decreased with diabetes

current research on the relationship between cancer and diet includes all of the following except a. cancer is associated with the intake of vitamin A b. it is related to demographic factors c. it is related to epidemiologic data d. it is associated with ascorbic acid

b. it is related to demographic factors (interrelationship between host, agent, environment in causing disease, some evidence that fruits and vegetables are beneficial in overall cancer prevention (carotenoids, vit C)

food staff from a Commodity Distribution program are not allowed to bring foods to a Jewish facility. what is the main reason for this a. because meat cannot be served with dairy products at the same meal b. kosher foods are not allowed to be mixed with non-kosher foods c. Jewish dietary practices are lactoovovegetarian d. Jewish dietary practices are lactovegetarian

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

you have a hospitalized renal failure patient who has eaten 0-10% of her meals for the past three days. you should recommend a. tube feeding b. liberalizing the diet c. switching to a liquid diet d. initiating peripheral parenteral feeding

b. liberalizing the diet

when counseling a diabetic with limited education, which would be the most appropriate question to ask in assessing her comprehension level a. do you enjoy candy and sweets b. name a food that is a fat c. do you have difficulty swallowing or chewing d. how many meals and snacks to you consume each day

b. name a food that is a fat

which program enables a juvenile justice residential facility to provide nutritious meals to its residents a. supplemental nutrition assistance program b. national school breakfast program c. expanded food and nutrition education program d. the emergency food assistance program

b. national school breakfast program

a child presents at the 65th percentile height for age what does this signify a. overweight b. normal c. underweight d. small for age

b. normal

the BMI for a woman who is 5'7" tall and weighs 148 pounds indicates a. underweight b. normal weight c. overweight d. obese

b. normal weight

what change should be made in the following menu if it is to be served to seventh day Adventists. tomato juice, cottage cheese fruit plate or egg salad sandwich, milk, coffee, tea a. offer fortified soy milk b. offer decaffeinated beverages c. offer tofu as an alternative to cottage cheese d. offer a meat analog as an alternative to egg salad

b. offer decaffeinated beverages

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

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

which of the following is not a guideline for Medicaid a. low income b. over the age of 60 only c. nutritional need d. a e. b and c f. b g. c

b. over the age of 60 only

a patient is recovering from an ileocecal resection, where 100cm was removed. what are your recommendations a. oral vitamin B12, increase fluids b. parenteral vitamin B12, increase fluids, increase protein c. decrease fluids, increase protein, parenteral B12 d. decrease protein, decrease fluids, oral B12

b. parenteral B12, increase fluids, increase protein

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

when working with patients who have food allergies in a pediatric GI clinic, which of the following outcomes should be measured a. frequency of patient compliance with instructions b. reduction of food related reactions among patients c. level of knowledge about causes of food allergies d. patient satisfaction with dietitians interaction

b. reduction of food related reactions among patients

the recommendation to treat an infant with acute diarrhea is to a. use a half strength formula b. rehydrate within 4-6 hours c. limit or restrict use of a formula containing fiber d. administer glucose and electrolytes only for the first 24 hours

b. rehydrate within 4-6 hours

a teenager was brought to the hospital with CVA and dysphagia. the dietitian should immediately a. order a nasogastric feeding b. request a swallow test c. order a dysphagia diet d. order a CVA diet and disregard the dysphagia

b. request a swallow test

milk is packaged in opaque containers to avoid UV destruction of a. thiamin b. riboflavin c. niacin d. ascorbic acid

b. riboflavin

which of the following items is appropriate for a Muslin diet a. sweet and sour pork b. salad with Bacos c. pork fried rice d. chicken in wine sauce

b. salad with Bacos

patients with decubitus ulcers will likely demonstrate low a. serum sodium b. serum albumin c. serum potassium d. serum glucose

b. serum albumin

which best applies to nutritional screening a. JCAHO 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

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

a child has been measured several times before the age of two years. results of the measurements were not accurate because the child was measured a. first thing in the morning b. standing up c. after breakfast d. with light clothing

b. standing up

a patient on a full liquid diet should not receive a. sherbet b. strained cereal c. pureed fruit d. margarine

b. strained cereal

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 (Alli - weight loss medication, prevents body from absorbing some of the fat eaten)

the year 2010 healthy people 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 food stamps is based on a. the average cost of food used by a family of the same size b. the USDA thrifty food program c. data from the congregate meal program d. the cost of the basic four

b. the USDA thrifty food program

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 protien

NHANES III increased the number of participants in which age group a. infants and children b. the elderly c. adolescents d. pregnant women and infants

b. the elderly

the best way to justify continuation of WIC would be to show improvement in a. the number of participants enrolled b. the infant morbidity rate c. maternal weight gains during pregnancy d. infant head circumference

b. the infant morbidity rate

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

b. they are affluent

memory loss may be associated with a deficiency of a. riboflavin b. thiamin c. protein d. electrolytes

b. thiamin

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 (labels are based on a 2000kcal diet so would need two servings)

which of the following is permitted on a diet restricting tyramine a. hard cheese like cheddar and swiss b. uncured cheese like cottage, ricotta c. pickled or smoked foods d. tofu

b. uncured cheese like cottage, ricotta

a patient on a clear liquid diet should not be served a. strawberry flavored gelatin b. vegetable stock c. apple juice d. fruit flavored popsicle

b. vegetable stock

101. What would the nitrogen balance be for a patient with a 24-hour urinary nitrogen excretion of 14.3 grams and a protein intake of 102 grams? [NTR:495] a) +16.3 grams b) -16.3 grams c) -2 grams d) +2 grams

c) -2 grams Nitrogen Balance = Nitrogen Intake - Nitrogen Output Nitrogen intake = gm Protein consumed over 24 hr/6.25 (divide grams of protein by 6.25 because 1gm Protein = 6.25gm Nitrogen) Nitrogen output = 24 HR UUN result + 4 (losses from sweat, etc) If your result is a zero balance, you need to add 2-4 gm N2 to make that a positive N2 balance. If your result is a negative balance, you need to add as much protein to bring to zero + 2-4gm N2.

32. Which of the following foods contains less than 20 calories? [NTR:427] a) 1 Tbsp peanut butter b) 1 Tbsp sunflower seeds c) 1 Tbsp catsup d) 1 Tbsp reduced-fat mayonnaise

c) 1 Tbsp catsup

339. The 2010 Dietary Guidelines for Americans suggest what percentage of calories comes from saturated fat? [NTR:633] a) 1% b) 5% c) 10% d) 20%

c) 10%

285. How many pounds should an overweight woman gain during her pregnancy? [NTR:579] a) 0 b) 5-10 c) 15-25 d) 28-40

c) 15-25

65. Enteral feeding started within _____ hours of admission to the intensive care unit has been shown to improve length of stay and mortality. [NTR:460] a) 2 b) 12 c) 24 d) 48

c) 24

46. When performing a nutritional assessment on a child, head circumference should be measured up to the age of: [NTR:441] a) 12 months. b) 18 months. c) 24 months. d) 36 months.

c) 24 months.

346. How many dietary folate equivalents (DFE) are provided in a supplement containing 150 mcg of folate? [NTR:641] a) 150 DFE b) 225 DFE c) 255 DFE d) 270 DFE

c) 255 DFE *1 DFE = 1 μg food folate = 0.6 μg folic acid from supplements and fortified foods

364. Approximately how many grams of fat would be contained in an 800 kcal meal that provides 50% of the energy from carbohydrates, 20% from protein, and the remainder from fat? [NTR:659] a) 89 b) 240 c) 27 d) 296

c) 27

318. Approximately how many carbohydrate serving(s) are 48 grapes? [NTR:612] a) 1 b) 2 c) 3 d) 4

c) 3

6. The most appropriate nutrition prescription for your patient with cirrhosis includes: [NTR:401] a) 0.6 grams protein/kg body weight b) 40-45% fat c) 4-6 smaller meals per day d) 4-6 grams sodium

c) 4-6 smaller meals per day

223. What are the estimated kilocalorie needs of a 4-month-old breastfed infant girl who weighs 14 pounds? [NTR:517] a) 509 b) 636 c) 687. d) 724

c) 687 Convert your child's weight in pounds (lbs.) to kilograms (kg) by dividing by 2.2. For example, if you child's weight on the scale is 15.0 lbs, divide 15 by 2.2 resulting in 6.8kg. The weight in kilograms is the number you will use in the calculation. Calculate your child's calorie requirements according to her age. If your infant is age less than 6 months old, the calorie requirements are 103 calories per kilogram. If your infant is between 6 and 12 months old, the calorie requirements are 98 calories per kilogram.

68. In the Nutrition Care Process, where should the dietetics professional note the client's BMI? [NTR:463] a) Food/nutrition-related history b) Biochemical data, medical tests and procedures c) Anthropometric measurements d) Nutrition-focused physical findings

c) Anthropometric measurements

83. For which two steps in the Nutrition Care Process are the terms combined? [NTR:478] a) Assessment and Intervention b) Monitoring and Evaluation and Diagnosis c) Assessment and Monitoring and Evaluation d) Diagnosis and Intervention

c) Assessment and Monitoring and Evaluation

233. Which of the following does the Braden Scale measure? [NTR:527] a) Risk factors that may lead to undernutrition b) Medical conditions that affect the ability to feed oneself c) Risk assessment for pressure ulcers d) Appetite stimulants in the patient or client's environment

c) Risk assessment for pressure ulcers

93. The following programs are recommended as primary interventions in school-based child and adolescent overweight prevention programs: [NTR:488] a) Food environment changes, homework/reading/computer use changes, media influences, nutrition education b) Food environment changes, nutrition education, physical activity education c) Behavioral counseling, nutrition education, physical activity education, parental/family involvement

c) Behavioral counseling, nutrition education, physical activity education, parental/family involvement

295. When counseling patients diagnosed with celiac disease, which of the following would you recommend they avoid? [NTR:589] a) Hominy grits b) Sherbet c) Cheerios d) Fresh ground beef

c) Cheerios

73. Which of the following is one of the four domains of Nutrition Intervention in the Nutrition Care Process? [NTR:468] a) Client history b) Nutrition-focused physical findings c) Coordination of care d) Food/nutrition-related history

c) Coordination of care (4 domains: food and/or nutrient delivery, nutrition education, nutrition counseling, coordination of nutrition care)

235. Calculating protein needs at 1.5 g/kg body weight in an elderly patient with Stage III pressure ulcer and impaired renal function may cause [NTR:529] a) hyperglycemia. b) dyslipidemia. c) Dehydration d) increased wound healing.

c) Dehydration

320. Which dietary reference intake value (DRI) estimates the nutrient needs to meet the requirements of at least half of individuals in a population? [NTR:614] a) RDA b) AI c) EAR d) UL

c) EAR

254. The Campniha-Bacote Model of Cultural Competence includes the interdependent constructs of cultural awareness, cultural knowledge, cultural skill, cultural desire, and cultural _____. [NTR:548] a) Understanding b) Communication c) Encounter d) integration

c) Encounter

330. In the ETHNIC model of cultural competent care, the "E" stands for _____. [NTR:624] a) Education b) Empathy c) Explanation d) expectations

c) Explanation

350. Approximately how many servings of milk or yogurt would a woman 53 years of age need to consume to meet her RDA for calcium? [NTR:645] a) Two b) Three c) Four d) Five

c) Four

341. Which of the following amino acids is classified as a nonessential amino acid? [NTR:635] a) Valine b) Lysine c) Glycine d) Threonine

c) Glycine

36. Which of the following population groups of children does research show to be at the highest risk for iron deficiency? [NTR:431]) a) School-age children and children ages 3 to 5 years old b) Infants and school-age children c) Infants and adolescents d) Children ages 3 to 5 years old and adolescents

c) Infants and adolescents

44. During their peak growth spurt, adolescent males are at greatest risk for a deficiency of: [NTR:439] a) protein. b) copper. c) Iron d) phosphorus.

c) Iron

351. Choose the statement that best describes the function of copper. [NTR:646] a) It is involved in taste perception. b) It is a component of the thyroid hormone. c) It is necessary for the formation of hemoglobin. d) It enhances insulin activity.

c) It is necessary for the formation of hemoglobin.

109. Which of the following is a disadvantage of a cohort study? [NTR:503] a) It is difficult to select a suitable comparison group. b) It is difficult if not impossible to validate data. c) It is rarely possible to study the mechanism of a disease. d) Incidence rates among participants cannot be calculated.

c) It is rarely possible to study the mechanism of a disease.

64. Which would be an appropriate food or beverage item to serve to your patient on postoperative day #1 following gastric bypass surgery? [NTR:459] a) Ginger ale b) Sherbet c) Low-fat chicken broth d) Cranberry juice

c) Low-fat chicken broth

18. Which foods cause the most food allergies? [NTR:413] a) Cheese, strawberries, and beef b) Fish, rice, and corn c) Milk, eggs, and peanuts d) Wheat, tomatoes, and chicken

c) Milk, eggs, and peanuts

317. What have studies in the areas of literacy and special education shown about the use of drawings vs. photographs? [NTR:611] a) Drawings are generally easier to grasp because of their simplicity. b) Photographs are generally preferred because of their accurate presentation of reality. c) Neither is necessarily more effective than the other. d) Both are problematic because they are two-dimensional.

c) Neither is necessarily more effective than the other.

74. Which step in the Nutrition Care Process involves the dietetics professional establishing goals jointly with the patient/client? [NTR:469] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

c) Nutrition Intervention

76. Which step in the Nutrition Care Process involves the dietetics professional coordinating nutrition care with other health care providers, institutions, or agencies? [NTR:471] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

c) Nutrition Intervention

69. In the Nutrition Care Process, statements in the format of "Nutrition problem label related to ____ as evidenced by ____" are classified as: [NTR:464] a) intake critiques. b) NCP links. c) PES statements. c) nutrition concerns.

c) PES statements.

247. Which health education planning model demonstrates that lasting behavior change is voluntary and must include input from the client? [NTR:541] a) PATCH b) The 10-step Planning Model c) PRECEDE-PROCEED d) CDCynergy

c) PRECEDE-PROCEED

25. Which food allergy is the leading cause of fatal and near-fatal food allergic reactions in the United States each year? [NTR:420] a) Egg b) Fish c) Peanut d) Wheat

c) Peanut

100. Which enteral feeding access device will deliver nutrition past the ligament of Trietz? [NTR:494] a) Nasogastric b) Nasoduodenal c) Percutaneous jejunostomy d) Percutaneous gastrostomy

c) Percutaneous jejunostomy

104. When talking about program planning for community nutrition, to what would the term management refer? [NTR:498] a) Controlling and providing oversight for financial resources b) Utilizing time effectively and efficiently c) Personnel and data systems d) Coordinating and classifying objectives

c) Personnel and data systems

111. Which of the following social or economic trends is thought to have the most important consequences for future community nutrition practice? [NTR:505] a) The segment of the US population that is growing most rapidly is children ages 12 years and younger. b) Different generations in the United States have similar values and attitudes about health. c) The deteriorating global environmental indicators such as climate change, degradation of topsoil, and increased use of many chemical pollutants. d) The food purchasing practices and preferences in the United States that indicate a desire for an extensive variety of "value-added" pre-prepared foods.

c) The deteriorating global environmental indicators such as climate change, degradation of topsoil, and increased use of many chemical pollutants.

257. Which of the following is true of Jewish food practices? [NTR:551] a) Kosher means "blessed by a Rabbi." b) Jews keeping Kosher are permitted to eat dairy and meat items in the same meal. c) The food traditions of Ashkenazi Jews are rooted in those of France, Germany, and Eastern Europe. d) According to kosher laws, Jews may eat rabbit.

c) The food traditions of Ashkenazi Jews are rooted in those of France, Germany, and Eastern Europe.

280. Infants of mothers who practiced a vegan diet while pregnant, and who are breastfed, would benefit from supplementation of what micronutrient? [NTR:574] a) Niacin b) Calcium c) Vitamin B12 d) Vitamin A

c) Vitamin B12

347. A patient presents with lesions on his gums and pinpoint hemorrhages on his skin. What vitamin is this patient most likely deficient in? [NTR:642] a) Thiamin b) Magnesium c) Vitamin C c) Selenium

c) Vitamin C

324. Rickets is a result of which vitamin deficiency? [NTR:618] a) Vitamin A b) Vitamin C c) Vitamin D d) Vitamin K

c) Vitamin D

312. Which of the following is a good predictor of central adiposity? [NTR:606] a) Hip circumference b) Basal metabolic rate c) Waist circumference d) Body weight

c) Waist circumference

293. Which of the following nutrients is essential for growth and sexual maturation in adolescents? [NTR:587] a) Calcium b) Selenium c) Zinc d) Iron

c) Zinc

40. The best studied and most frequently recommended weight-loss dietary strategy is: [NTR:435] a) a low-carbohydrate high-protein diet. b) a low fat high-protein diet. c) a low-fat reduced-energy diet. d) a low carbohydrate reduced-energy diet.

c) a low-fat reduced-energy diet.

51. Interpretation of BMI for children is [NTR:446] a) age specific. b) gender specific. c) age and gender specific. d) the same as adults.

c) age and gender specific.

261. Culture, race, and ethnicity_____. [NTR:555] a) are all facets of cultural competency b) are all genetically-predisposed factors c) are distinct concepts d) should not impact the professional-client interactions if the practitioner is culturally competent

c) are distinct concepts

229. A deficiency of vitamin B12 in older adults is most likely due to [NTR:523] a) diverticulosis. b) fat malabsorption. c) atrophic gastritis. c) gallbladder disease.

c) atrophic gastritis.

276. The oils that contain predominantly monounsaturated fatty acids include [NTR:570] a) sunflower oil and canola oil. b) safflower oil and corn oil. c) canola oil and olive oil. d) soybean and olive oil.

c) canola oil and olive oil.

288. Which of the following foods would expect to empty from the stomach the quickest? [NTR:582] a) French fries b) oatmeal c) chocolate milk d) scrambled eggs

c) chocolate milk

50. A child who plots consistently at the 5th percentile on the weight-for-length/stature Centers for Disease Control and Prevention growth chart [NTR:445] a) demonstrates a negative pattern of growth. b) demonstrates failure to thrive. c) has a thin body habitus. d) reflects a change in growth velocity.

c) has a thin body habitus.

307. One part of the brain that is critical to regulating hunger and satiety is the _____. [NTR:601] a) cerebral cortex b) cerebellum c) hypothalamus d) medulla

c) hypothalamus

90. The Academy of Nutrition and Dietetics defines tertiary prevention related to pediatric overweight interventions as: [NTR:485] a) overweight prevention efforts that include identifying and intervention efforts targeting children who are at risk for overweight. b) education and prevention programs targeting children and adolescents before they are overweight. c) interventions targeting overweight children designed to slow down or reverse the increase in BMI.

c) interventions targeting overweight children designed to slow down or reverse the increase in BMI.

47. A 2-year old child who drinks large quantities of milk and very little solid food is at risk for [NTR:442] a) diabetes mellitus. b) food allergies. c) iron-deficiency anemia. d) short stature.

c) iron-deficiency anemia.

119. The city manager wants to be sure that the tool the community nutritionist is using to collect data about the use of dietary supplements has validity. In order to ensure that the instrument is valid, the nutritionist needs to choose an instrument that [NTR:513] a) has been used previously many times. b) contains words and phrases familiar to participants. c) measures accurately what it is intended to measure. d) yields primarily quantitative data.

c) measures accurately what it is intended to measure.

314. As the pH of a glass of orange juice decreases, it becomes _____. [NTR:608] a) Hydrophobic b) Hydrophilic c) more acidic d) more basic

c) more acidic

335. Which of the following food program is the largest federally funded child nutrition assistance program? [NTR:629] a) supplemental nutrition assistance program b) child and adult care food program c) national school lunch program d) summer food service program

c) national school lunch program

313. This reaction H2® 2H+ + 2e- represents: [NTR:607] a) redox. b) reduction. c) oxidation. c) oxygenation.

c) oxidation.

113. In a Community Needs Assessment report, the statement; "...the southeast region of Essex County, including the adjoining municipalities of Kardon, Greenwalt, and Addison...," is an example of: [NTR:507] a) the target population. b) the lead organizations. c) the definition of the community. d) the stakeholders.

c) the definition of the community.

54. A typical feeding/eating pattern for infants is [NTR:449] a) to need apple juice at age 4 months to regulate stooling. b) to need cereal at bedtime after age 3 months to be able to sleep through the night. c) to need only breast milk or iron-fortified formula for the first 6 months of age. d) hard to predict since their interest in eating is so variable.

c) to need only breast milk or iron-fortified formula for the first 6 months of age.

245. A family is having difficulty providing food for all its members. The father skips meals occasionally and the mother eats very little to ensure that the children have enough to eat. Using established categories of food security status, this family would be classified as having [NTR:539] a) high food security. b) marginal food insecurity. c) low food security. c) very low food security.

c) very low food security.

224. Children on strict vegan diets may be deficient in: [NTR:518] a) vitamin B6. b) Magnesium. c) vitamin B12. d) Iron.

c) vitamin B12.

271. A patient status post gastric bypass surgery has an increased risk for deficiency of which micronutrient? [NTR:565] a) Vitamin C b) Potassium c) vitamin B12. d) Omega 3 fatty acids

c) vitamin B12.

325. Which vitamin enhances iron absorption? [NTR:619] a) vitamin A b) vitamin B2 c) vitamin C d) vitamin D

c) vitamin C

which of the following is the appropriate diet for peritoneal dialysis a. .8 grams protein, 35kcal/kg b. 2.0 grams protein, 30kcals/kg c. 1.5 grams protein, 30kcals/kg d. 1.0 grams protein, 35kcals/kg

c. 1.5grams protein, 30kcals/kg

a PN regimen that containes 1L of d50W and 1L of 7% aminosyn provides how many non-protein calories a. 300 b. 1400 c. 1700 d. 2000

c. 1700

according to the ADA exchange lists, what is the nutrient content of the following: 1 cup cantaloupe, 1/2 cup cereal, 1 cup 1% milk, 1 tsp margarine, 1 tsp low sugar jelly, black coffee, 1 slice toast calories protein CHO fat a. 397 12 61 6.5 b. 346 12 52 9 c. 365 12 57 7 d. 327 13 58 10

c. 365 calories, 12g protein, 57g CHO, 7g fat

infants should be given solid foods at a. 1-3 months b. 3-4 months c. 5-8 months d. 10-12 months

c. 5-8 months

a 140 pound 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

determine the calorie contribution of carbohydrate from the following parenteral formula. the amounts stated are given per liter. 300ml 60% dextrose; 500 ml 10% amino acids; 200 ml 20% lipid; total nutrient mixture administered at 65 ml/hour for 24 hours a. 393 calories per day b. 1550 calories per day c. 955 calories per day d. 1572 calories per day

c. 955 calories per day (key is per liter: 65x24=1560ml, 1.560x300=468x60%=280.8x3.4)

a father needs help in feeding his children, ages 6 and 8. which are the best options a. WIC and TANF b. Head Start and Food Stamps c. Food Stamps and School Lunch d. Commodity Foods and WIC

c. Food Stamps and School Lunch

congregate meals and home delivered meals fall under a. WIC b. EFNEP c. Older Americans Act, title III d. Medicare

c. Older Americans Act, title III

which program teaches good nutrition practices and provides foods with certain nutrients a. EFNEP b. NET c. WIC d. MCP

c. WIC

230. Which of the following lists of the side effects of contraceptive injections, such as Depo-Provera, is accurate and complete? [NTR:524] a) Weight loss, decreased blood levels of HDL-cholesterol, and decreased bone density b) Weight gain and increased blood levels of LDL-cholesterol and insulin c) Weight gain, increased blood levels of LDL-cholesterol and insulin, decreased blood levels of HDL-cholesterol, and decreased bone density d) Increased blood levels of LDL-cholesterol and insulin, weight loss, and decreased blood levels of HDL-cholesterol

c. Weight gain, increased blood levels of LDL-cholesterol and insulin, decreased blood levels of HDL-cholesterol, and decreased bone density

an example of a healthy people goal is a. a decrease in saturated fat consumption b. an increase in iron intake c. a decrease in infant mortality d. an increase in the intake of complex carbohydrates

c. a decrease in infant mortality

an obese person with type 2 diabetes should a. time meals b. decrease the frequency of feedings c. achieve DBW d. increase the frequency of feedings

c. achieve DBW

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

the effectiveness of a group education program for decreasing the number of anemic pregnant women enrolled in a community nutrition program is best indicated by a. improved scores on a nutrition knowledge posttest b. improved scores on a Likert type attitudinal scale c. an increase in hematocrit or hemoglobin levels d. an increase in the intake of dietary iron

c. an increase in hematocrit or hemoglobin levels

in reviewing the patient's medical record, you note a hemoglobin of 10g/dl and an MCV of 110 cu mm. you should document a. anemia due to intrinsic factor b. anemia without nutritional implications c. anemia with larger than normal erythrocytes d. that the iron content of the diet should be increased

c. anemia with larger than normal erythrocytes

the drug methylphenidate may have 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 (Ritalin; may cause anorexia, weight loss, nausea)

which bill requests government funding a. budget bill b. markup bill c. appropriations bill d. spending grant bill

c. appropriations bill

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

14. In the Nutrition Care Process which of the following is a category for Nutrition Assessment? [NTR:409] a) Food and/or nutrient delivery b) Nutrition counseling c) Biochemical data, medical tests, and procedures d) Nutrition education

c. biochemical data, medical tests, and procedures

an appropriate source of folate for a female from central America is a. corn b. broccoli c. black beans d. raisins

c. black beans

an athlete complains of weakness, rapid weight gain and muscle spasms. what may be the cause a. lack of adequate rest b. too much exercise c. carbohydrate loading d. not enough iron

c. carbohydrate loading

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 (build up of phenylalanine causes need to limit/avoid: most foods with protein; milk, eggs, cheese, nuts, soybeans, beans, chicken, beef, pork, fish; limited potatoes, grains and vegetables containing protein; avoid aspartame)

which of the following tube feeding ingredients might precipitate an allergic reaction in a child with a milk allergy a. whey b. modified starch c. casein d. carrageenan

c. casein (milk allergy can be to casein or whey or both, the allergy should specify which type of allergy it is)

catecholamines have what physiological effect a. induce diuresis b. cause hypoglycemia c. cause sodium retention d. cause potassium retention

c. cause sodium retention

a five month old baby has changed from the 65th to the 95th percentile weight for height. the dietitian should first a. suggest the mother introduce more solid foods b. change the feeding formula c. check to see if weights have been plotted properly d. increase the amount of formula given

c. check to see if weights have been plotted properly

which of the following may help decrease cavities a. raisins b. carrots c. cheese d. yogurt

c. cheese

a child with cystic fibrosis has had a recent weight loss and several large, foul-smelling stools each day over the past two months. to evaluate the situation, the first step should be to assess her a. calorie intake b. total fat intake c. compliance with PERT d. 24 hour fecal fat

c. compliance with PERT

a patient who has cancer reports using herbs in addition to prescribed medication. the dietitian should a. advise him to stop taking the herbs while on medications b. recommend adjusting herbal dosages according to symptoms c. consult with the health care team d. encourage high doses of herbs to promote healing

c. consult with the health care team

a renal patient has come for dialysis on Monday morning with a serum sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine of 8.0 and a 4kg weight gain since his last dialysis on Friday morning. his laboratory indicators were in acceptable ranges on Friday afternoon. what would you expect happened over the weekend. a. consumed too little sodium, too much water, too little protein. b. consumed too little sodium, not enough 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 (ESRD associated with BUN>100, Cr of 10-12mg/dl so these levels over weekend could indicate an increase in protein intake, the 4kg weight gain would be indicative of excess water consumption)

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 supplemetns

an older sister of a child who has diabetes requests the child's record so she may give it to their family physician. the dietitian should first a. ask the child to sign a release form b. ask for a written request from a physician for a copy of the record c. determine who is the legal guardian d. provide the older sister a copy of the record

c. determine who is the legal guardian

a person with the 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 with the physician and make suggestions d. change the order in the chart

c. discuss the order with the physician and make suggestions

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

c. electrolytes

the data that is most useful in evaluating children is a. sex and age b. iron and vitamin intake c. energy intake and health history d. height and weight

c. energy intake and healthy history

if a child is at the 95th percentile weight for height and after one month drops to the 10th percentile, what does it likely signify a. poor nutrition b. lack of adequate caloric consumption c. error in measurement d. clinical disorder indicating malabsorption

c. error in measurement

a clinical dietitian has successfully met an indicator for 6 months. the next step should be to a. establish a new indicator b. report the successful completion of intervention c. evaluate the need to continue monitoring the indicator d. evaluate the need to revise the standard of care

c. evaluate the need to continue monitoring the indicator

a side effect of antidepressants is a. chronic diarrhea b. muscle wasting c. excess weight gain d. nausea and vomiting

c. excess weight gain

what is the best therapy for weight loss a. reducing 500 calories per day, and exercise b. support groups, exercise, diet control c. exercise, diet, behavior modification d. exercise and diet control

c. exercise, diet, behavior modificcation

to maintain hydration during continuous endurance physical activity of 4 hours, consume a. fluids b. fluids and sodium c. fluids, sodium, carbohydrates d. non-CHO electrolyte solutions

c. fluids, sodium, carbohydrates

the most effective nutrition assessment method for large groups is the a. food diary b. 24 hour recall c. food frequency list d. diet history

c. food frequency list

a woman who is 5'5" tall weighs 190 pounds before pregnancy and gains 30 pounds by the beginning of her second trimester. advise her to a. maintain her current weight b. begin a weight reduction diet c. gain weight at an decreased rate d. continue to gain weight at the same rate

c. gain weight at an decreased rate

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

when given as the sole source of energy, isocaloric amounts of which energy substrate would most effectively reduce starvation ketosis a. corn oil b. MCT oil c. glucose d. essential amino acids

c. glucose

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

an infant has just begun to drink from a cup and uses the pincer grasp. which of the following should you recommend be added to his diet a. finely cut meat b. unflavored yogurt c. graham crackers d. pureed vegetables

c. graham crackers

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

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 patient is diagnosed with iatrogenic malnutrition. nutritional therapy should be a. high calorie b. high protein c. high calorie, high protein d. low calorie, high protein

c. high calorie, high protein

a baby is treated with an UV light for hyperbilirubinemia. you should prescribe a diet that is a. high calorie b. high protein c. high fluid d. high fat

c. high fluid (high fluid levels are used in treatment to dilute/decrease bilirubin levels)

which of the following would provide the most useful data when conducting nutrition screening on preschool children at a health fair a. triceps skinfold thickness b. weight for age c. weight for stature d. stature for age

c. weight for stature

a PN patient is receiving 45 calories/kg. what may be the result a. hypocalcemia b. hyperkalemia c. hypokalemia d. hyperphosphatemia

c. hypokalemia (refeeding syndrome may occur which results in starved cells taking of nutrients, P and K shifting into intracellular compartments causing hypokalemia, hypophosphatemia and hypomagnesemia)

the first step in planning nutrition services for a new community health center should be to a. survey the area to determine what services are readily available b. establish goals and objectives for the services to be offered c. identify nutrition related health problems in the community d. develop program protocols for client care

c. identify nutrition related health problems in the community

which of the following would be classified as NB in the NCP a. hypermetabolism b. inadequate enteral intake c. impaired ability to prepare foods d. excessive protein intake

c. impaired ability to prepare foods (NB=behavioral-environmental; problems related to knowledge, access to food and food safety; knowledge deficit, harmful beliefs, disordered eating, undesirable food choices, inactivity, excessive exercise, impaired ability to prepare foods, food safety and access)

a client who primarily consumes frozen dinners and breakfast cereal because of limited access to transportation most likely would have a nutrition diagnosis of a. not ready for diet change b. inability to manage self care c. impaired ability to prepare meals d. poor nutrition quality of foods

c. impaired ability to prepare meals

an 11 month old infant is constipated. the most likely nutrition diagnosis would be a. GI distress b. lack of fruits c. inadequate fluid intake d. imbalanced intake

c. inadequate fluid intake

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 dietitian at a school foodservice receives several phone calls concerning the risk of cancer to children who consume fresh fruits treated with pesticides. the first action should be a. refer callers to the American cancer society b. remove the suspected fruit from the menu c. investigate the issue and decide on a course of action d. do nothing unless the vendor initiates a recall of the fruit

c. investigate the issue and decide on a course of action

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 is true with osteoporosis a. it is more common in men than in women b. it is treated with 500mg calcium per day c. it is common in those 65 years of age and older d. weight bearing exercise exacerbates the problem

c. it is common in those 65 years of age and older

a middle income female needs support for breast feeding. which group will help a. milk bank b. pritikin program c. la leche league d. Feingold program

c. la leche league

you are assessing a 4'11" female patient who weights 160 pounds. she has hypertension, high cholesterol and diabetes. what do you recommend a. low sodium b. low carbohydrates c. low calories d. low fat

c. low calories

an infant with phenylketonuria requires which of the following dietary alterations a. low phenylalanine, high valine b. high phenylalanine, low tyrosine c. low phenylalanine, high tyrosine d. high isoleucine, low tyrosine

c. low phenylalanine, high tyrosine

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 is a NRTI drug which can lead to anemia, loss of appetite, low B12, cooper, zinc and carnitine)

what is the most effective tool for providing nutrition education to the community a. the RDIs b. the report healthy people c. my pyramid d. the healthy eating index

c. my pyramid

the essential amino acid tryptohan is most closely related to a. folic acid b. riboflavin c. niacin d. pantothenic acid

c. niacin

a patient has been hospitalized for 17 days with multiple injuries following an accident. when should the discharge plan begin a. as soon as it is known when the patient will be discharged b. once the patient is stable c. on the first day of admission d. at least two days prior to discharge

c. on the first day of admission

334. Currently, which of the following nutrients is determined to be the most deficient among children and adolescents in the United States? [NTR:628] a) Calcium b) Fiber c) Vitamin A d) Iron

d) Iron

which of the following is an example of a secondary prevention program a. changing vending machine options available in a workplace b. a billboard that encourages fruit and vegetable consumption c. osteoporosis education classes for postmenopausal women d. weight-management classes in a cardiac rehabilitation program

c. osteoporosis education classes for postmenopausal women (Primary - aims to prevent disease before it occurs; Secondary - aims to reduce the impact of a disease/injury that has already occurred; Tertiary - aims to soften the impact of an ongoing illness/injury that has lasting effects)

which is most associated with the incidence of type 2 diabetes a. sugar intake b. protein intake c. overweight d. salt intake

c. overweight

which nutrients are involved in energy metabolism a. pyridoxine and cyanocobalamin b. copper and zinc c. pantothenic acid and biotin d. folic acid and iron

c. pantothenic acid and biotin

which condition benefits from the use of indirect calorimetry a. post-gastrectomy b. patient receiving chemotherapy c. patient with third degree burns d. post-surgical patient

c. patient with third degree burns

which food should someone on an MAOI not eat a. cottage cheese b. herbal tea c. pepperoni d. butter

c. pepperoni

a Crohn's patient who was previously well-nourished has a fever and ileus 7 days PO. which feeding method should you recommend a. central venous hyperalimentation b. full liquids c. peripheral IV infusion d. half-strength tube feeding

c. peripheral IV infusion

a primary use of the dietary reference intakes is to a. calculate parenteral nutrition requirements b. assess nutrient intakes of at -risk populations 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 with crackers c. potatoes with butter d. oatmeal with sugar

c. potatoes with buttter

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 5% dextrose in water solution after stress d. giving a trauma patient enteral feeding only

c. providing only 5% dextrose in water solution after stress

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

which of the following diseases may lead to anemia a. myocardial infarction b. galactosemia c. renal failure d. diabetes mellitus

c. renal failure

a tube fed patient develops diarrhea. what needs to be done first a. review their nutritional needs b. increase the rate 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 is most characteristic of marasmus a. serum albumin of 2.5g/dl b. edema c. severe fat and muscle wasting d. decreased lymphocytes

c. severe fat and muscle wasting

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 (NC=nutritional findings/problems that relate to medical/physical condition; physical or mechanical change that interferes/prevents desired nutritional results - swallowing difficulty, altered GI function-change in capacity to metabolize nutrients due to medications, surgery or indicated by lab values; chronic or changed weight status when compared with UBW, underweight, involuntary weight loss, overweight)

a homeless patient who is deficient in all nutrients is to be discharged. what organization may help a. WIC b. EFNEP c. the social workers group d. the shelter

c. the social workers group

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

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 Fridays during Lent d. no longer required on Fridays

c. to be served on Ash Wednesdays and Fridays during Lent

what best measures excess calorie reserves a. weight b. creatinine c. triceps skinfold d. arm circumference

c. triceps skinfold

which of the following indicates protein calorie malnutrition a. a creatinine height index of 93% a. height for weight ratio of 89% c. triceps skinfold and arm muscle circumference of 79% d. serum albumin of 4.5; transferrin of 410

c. triceps skinfold and arm muscle circumference of 79%

what should a Jewish patient include in his diet to increase the intake of zinc a. fresh green vegetables b. pork c. turkey d. wheat bread

c. turkey (red meat and poultry provide majority of zinc in American diet, also in beans, nuts, breakfast cereals, seafood, whole grains, dairy)

which is the least useful evaluation tool in a community assessment program a. height for age b. weight for height c. weight for age d. length for weight

c. weight for age

a Rabbi is admitted to the hospital. what question will 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 he eat

c. what is the mixture of foods in combination dishes

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

iron preparations should be taken a. before meals b. on an empty stomach c. with meals d. before bedtime

c. with meals

329. What organization is working to establish a standard definition of what makes an organization or institution culturally competent? [NTR:623] a) The American Dietetic Association b) US Dept. of Education c) US Dept. of Health and Human Services d) Joint Commission on Accreditation of Healthcare Organizations

d) Joint Commission on Accreditation of Healthcare Organizations

77. Which step in the Nutrition Care Process has as its purpose to quantify progress made by the patient/client in meeting nutrition care goals? [NTR:472] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

d) Nutrition Monitoring and Evaluation

299. Which of the following is an example of the Hawthorne effect? [NTR:593] a) "Chloe has always thought that she caught fewer colds when she remembered to take her zinc supplements, so she is pleased to be in a study now to determine the impact of zinc supplements on one's susceptibility to colds. She is sure that the supplement she is taking is helping her avoid catching colds." b) "Pat, a researcher for a number of clinical trials, has reviewed preliminary results from a study of the effects of caffeine on sleeplessness. The data indicate that the findings may be inconclusive so Pat has asked that the interview questions be revised to make it possible to identify what may be more subtle effects of caffeine." c) "Emma is participating in a study of the impact of artificially sweetened cold drinks on appetite. She believes that she is in the control group so she plans to report that the beverage she drinks does not affect her appetite." d) "Because Raul is in a study to determine the impact of eating breakfast on one's ability to achieve faster times in track and field events that include 'sprinting' periods, he is skipping breakfast less often."

d) "Because Raul is in a study to determine the impact of eating breakfast on one's ability to achieve faster times in track and field events that include 'sprinting' periods, he is skipping breakfast less often."

282. The biologically active hormone form of vitamin D is: [NTR:576] a) 7-dehydrocholesterol b) 25-hydroxyvitamin D c) D3 d) 1, 25-dehydroxyvitamin D

d) 1, 25-dehydroxyvitamin D

121. The optimal length of time to breastfeed an infant is: [NTR:515] a) 3 months b) 6 months c) 9 months d) 12 months

d) 12 months

21. How many times might a parent need to expose a child to a food before acceptance of that food occurs? [NTR:416] a) 1 to 2 b) 3 to 5 c) 6 to 7 d) 8 to 10

d) 8 to 10

9. According to the CDC growth chart in what percentile is a 1-year-old boy measuring 82 cm? [NTR:404] a) <5% b) 25% c) 75% d) >95%

d) >95%

115. The local WIC nutritionist has collected considerable data about pregnant women and infants in her community. Which of the following would be correctly categorized as qualitative data? [NTR:509] a) The number of live births per 1000 deliveries b) The mean age of women with documented cases of gestational diabetes c) A graph of the gestational ages and birth weights of all infants born alive d) A tally that notes the reasons that pregnant women report for omitting dairy products from their diets

d) A tally that notes the reasons that pregnant women report for omitting dairy products from their diets

323. Which of the following symptom(s) often characterizes niacin deficiency? [NTR:617] a) Diarrhea b) Dermatitis c) Dementia d) All of the above

d) All of the above

66. Which of the following disease states may require a fluid restriction? [NTR:461] a) Liver disease with ascites b) Chronic renal failure c) Congestive heart failure d) All of the above

d) All of the above

7. Your patient is a newly diagnosed type 2 diabetic who tells you she is relieved to only have a touch of sugar and will avoid dessert when she goes out for a big meal after leaving the hospital. Which lab results will you review with your patient? [NTR:402] a) Glucose and hemoglobin A1c b) Triglycerides c) Cholesterol panel including HDL, LDL, VLDL d) All of the above.

d) All of the above.

356. If the carbohydrate content of the diet is insufficient to meet the body's needs for energy, which of the following can be converted to glucose? [NTR:651] a) Acetyl-CoA b) Fatty acids c) Carbon dioxide d) Amino acids

d) Amino acids

354. Which of the following enzymes acts on complex carbohydrates? [NTR:649] a) Lactase b) Sucrase c) Maltase d) Amylase

d) Amylase

274. Which of the following statements is true regarding the potential benefits of dietary fiber? [NTR:568 a) Lower LDL cholesterol levels b) Reduce postprandial blood glucose levels c) Increased gastric emptying d) Both A and B

d) Both A and B

336. Which of the following statements best describes the similarities between the Special Supplemental Nutrition Program for Women, Infants, and Children and the Supplemental Nutrition Assistance Program? [NTR:630] a) Both programs are regulated by the USDA, provide referrals to health care and other social services providers, and are entitlement programs. b) Both programs are regulated by the USDA, contain income eligibility guidelines, and are entitlement programs. c) Both programs are regulated by the USDA, contain income eligibility guidelines, are entitlement programs, and recipients must have a documented medical or nutritional risk. d) Both programs are regulated by the USDA and contain income eligibility guidelines.

d) Both programs are regulated by the USDA and contain income eligibility guidelines.

357. The presence of fat in the intestine stimulates cells to release: [NTR:652] a) Gastrin b) Secretin c) Insulin d) Cholecystokinin (CCK)

d) Cholecystokinin (CCK)

358. After a meal, most of the fat that travels from the intestines into the lymph and eventually the blood is in the form of particles known as: [NTR:653] a) VLDLs b) HDLs c) LDLs d) Chylomicrons

d) Chylomicrons

337. Which of the following examples of a snack provided at a child care center would meet reimbursement guidelines and comply with USDA regulations for Child and Adult Care Food Program meals? [NTR:631] a) Carrot sticks and 100% fruit juice b) Oatmeal, corn muffins, and water c) Apple slices and orange wedges d) Cottage cheese, mandarin oranges, and water

d) Cottage cheese, mandarin oranges, and water

297. Patients with acute renal failure have higher needs of which nutrient compared to a similar patient with optimal renal function? [NTR:591] a) Protein b) Potassium c) Fluid d) Energy

d) Energy

321. Which of the following foods is likely to be consumed by a lacto-vegetarian? [NTR:615] a) Scrambled eggs b) Tuna fish salad c) Hamburger d) Grilled cheese sandwich

d) Grilled cheese sandwich

75. Which of the following is completed as part of the third step in the Nutrition Care Process? [NTR:470] a) Identifying whether or not intake is inadequate or excessive compared to actual or estimated needs. b) Assessing nutrition problems that relate to medical or physical conditions. c) Interpreting lab data and tests. d) Implementing appropriate nutrition interventions that are tailored to the patient/client's needs.

d) Implementing appropriate nutrition interventions that are tailored to the patient/client's needs.

227. Which of the following adolescents is at greatest nutrition risk? [NTR:521] a) One who watches more than 2 hours of television per day. b) One who consumes more than three servings of fruit per day. c) One who engages in vigorous physical activity five or more times per week. d) One who consumes fast food three or more times per week.

d) One who consumes fast food three or more times per week.

249. What is the best way to determine the type of nutrition program that will attract baby boomers who use a city recreation center? [NTR:543] a) Give a nutrition knowledge pre-test and post-test to baby boomers who use the facility. b) Determine what nutrition programs are successful with baby boomers in cities of similar size. c) Offer several screening programs and see which one draws the biggest crowd of baby boomers. d) Perform a needs assessment of baby boomers who use the facility.

d) Perform a needs assessment of baby boomers who use the facility.

269. Which of the following is an appropriate method to prevent aspiration during enteral feeding? [NTR:563] a) Use a fiber-containing formula b) Elevate the head of the bed >15 degrees c) Place a percutaneous gastrostomy d) Place a nasojejunal tube

d) Place a nasojejunal tube

260. Which of the following is true of Mexican American culture? [NTR:554] a) In general, it is better to ask questions about work than about family. b) It is generally preferable to address elders and leaders informally. c) Nodding affirmatively usually means agreement. d) Polite, agreeable, and respectful interactions are the cornerstone of the culture.

d) Polite, agreeable, and respectful interactions are the cornerstone of the culture.

63. Which of the following would be considered a low allergen food? [NTR:458] a) Milk b) Soy c) Wheat d) Rice

d) Rice

340. Which of the following foods is the best source of omega-3 fatty acids? [NTR:634] a) Olive oil b) Shrimp c) Avocado d) Sardines

d) Sardines

16. What does the Nutrition Care Process provide to facilitate more effective comparison of nutrition assessment findings? [NTR:411] a) Research opportunities b) PES statements c) Information sharing technologies d) Standardized language

d) Standardized language

118. Which is the best tool for the community nutritionist to use to learn what locally grown foods residents consume most frequently? [NTR:512] a) Health Risk Appraisal b) Screening c) Focus Group d) Survey

d) Survey

279. Phenylalanine is a precursor to which amino acid? [NTR:573] a) Arginine c) Glutamine c) Cysteine d) Tyrosine

d) Tyrosine

8. What government funding supports the school lunch program? [NTR:403] a) Medicaid b) Health and Human Services c) CACFP d) USDA

d) USDA

117. Which of the following describes a limitation to a 24-hour recall? [NTR:511] a) Not useful if diet pattern varies considerably b) Requires literacy d) Recording process may influence food intake d) Underreporting or over reporting occurs

d) Underreporting or over reporting occurs

281. Which micronutrient enhances the absorption of non-heme iron? [NTR:575] a) Calcium b) Copper c) Vitamin A d) Vitamin C

d) Vitamin C

5. Which of the following is not a risk determinant of metabolic syndrome? [NTR:400] a) Waist circumference b) Blood pressure c) Triglycerides d) Weight

d) Weight

52. When performing nutritional screening of pediatric patients, which of the following on the Centers for Disease Control and Prevention growth chart would identify a patient at risk? [NTR:447] a) Body Mass Index of 80th percentile b) Length/height for age of 75th percentile c) Weight for age of 25th percentile d) Weight for length/height less than 3rd percentile

d) Weight for length/height less than 3rd percentile

273. The ethical principle of autonomy is supported when [NTR:567] a) a clinician treats all patients with similar attention. b) explaining the benefits and risks of enteral nutrition to the wife of a man in a persistent vegetative state. c) enteral nutrition is provided to a postoperative patient requiring mechanical ventilation. d) a patient at end of life is allowed to refuse parenteral nutrition.

d) a patient at end of life is allowed to refuse parenteral nutrition.

26. Symptoms associated with hypersensitivity to the ingestion of a food may stem from: [NTR:421] a) chemical contaminants. b) microbiological contaminants. c) parasitic contaminants. d) all of the above.

d) all of the above.

35. Data reviewed for nutrition assessment is also reviewed during the following step: [NTR:430] a) monitoring and evaluation. b) nutrition diagnosis. c) goal setting. d) all of the above.

d) all of the above.

96. Critical nutrition concerns in children ages 2-11 years of age include: [NTR:490] a) excessive intakes of dietary fat, especially saturated fats. b) decreased intakes of foods that are good sources of calcium, fiber, iron, vitamin E, folate, magnesium and potassium. c) sedentary lifestyles. d) all of the above.

d) all of the above.

309. Which of the components of total energy expenditure accounts for the largest percentage of total energy expenditure? [NTR:603] a) thermic effect of food b) physical activity c) non-exercise activity thermogenesis d) basal metabolism

d) basal metabolism

275. Two fats that are high in saturated fat and solid at room temperature include: [NTR:569] a) coconut oil and safflower oil. b) corn oil and palm kernel oil. c) soybean oil and palm oil. d) coconut oil and palm kernel oil.

d) coconut oil and palm kernel oil.

88. The Academy of Nutrition and Dietetics takes the position that pediatric overweight intervention programs require a combination of which of the following programs: [NTR:483] a) school-based multi-component programs and community-based interventions. b) family-based multi-component programs and environmental interventions. c) community-based interventions and environmental interventions. d) family-based and school-based multi-component programs.

d) family-based and school-based multi-component programs.

which will cause the most delay in gastric emptying a. lean baked meat b. broiled cod c. shrimp d. corned beef

d. corned beef (higher in fat so delays gastric emptying)

43. A child's weight is plotted at the 50th percentile on the growth chart. This means that the child's weight is: [NTR:438] a) greater than or equal to that of half the children of the same gender and ethnicity. b) greater than or equal to that of half the children of the same age. c) greater than or equal to that of half the children of the same ethnicity. d) greater than or equal to that of half the children of the same age and gender.

d) greater than or equal to that of half the children of the same age and gender.

250. The first step in conducting a community needs assessment is to [NTR:544] a) describe the problem and state why a needs assessment is necessary b) specify the data needed and design a plan for acquiring it. c) determine the purpose, goals, and objectives of the needs assessment. d) identify the target population and nutritional problem of concern.

d) identify the target population and nutritional problem of concern.

106. If the community nutritionist is concerned that the new educational activities provided for SNAP recipients have been ineffective in increasing the amount of fresh vegetables consumed, the best approach would be to conduct a(n) ______ evaluation [NTR:500] a) efficiency b) process c) structure d) impact

d) impact

331. The dominant force in how a patient views health care is likely to be ______. [NTR:625] a) social hierarchy b) race d) individual experience d) ethnicity

d) individual experience

79. In the Nutrition Care Process, it is expected that all Nutrition Diagnoses will fall within one of three domains - clinical, behavioral-environmental, and _____. [NTR:474] a) Social b) ethnic/cultural c) anthropometric d) intake

d) intake

322. The pathway of glucose to pyruvate during anaerobic conditions results in [NTR:616] a) acetyl CoA. b) carbon dioxide. c) fatty acids. d) lactic acids.

d) lactic acids.

300. Wheat does not contain enough lysine for humans to synthesize proteins from wheat alone. Thus, in wheat, lysine is considered to be a(n) _____. [NTR:594] a) incomplete protein b) inadequate protein c) nonessential protein d) limiting amino acid

d) limiting amino acid

237. Hyperosmolar hyperglycemic state, a rare condition that presents with extremely high blood glucose levels, elevated serum osmolality, extreme dehydration, and low amounts of ketones, usually occurs in [NTR:531] a) preterm infants. b) obese adolescents. c) adults ages 18 to 35 with hypertension. d) persons older than 65 with type 2 diabetes mellitus.

d) persons older than 65 with type 2 diabetes mellitus.

105. Stacey has been asked to complete a formative evaluation of her community nutrition program designed to encourage more first-time mothers to breastfeed. To do this, she should: [NTR:499] a) determine the percentage of first-time mothers who breastfeed as a result of seeing a motivational DVD during prenatal checkups. b) calculate the increase in the number of first-time mothers who breastfeed after viewing a motivational DVD during prenatal checkups. c) choose a DVD that includes young mothers from varied ethnic backgrounds. d) pilot-test the motivational DVD she plans to use.

d) pilot-test the motivational DVD she plans to use.

263. Cultural _____ is the ability to collect culturally relevant information from clients and perform culturally-based assessments and interventions. [NTR:557] a) Knowledge b) Awareness c) Desire d) skill

d) skill

333. Which of the following is a secondary characteristic of culture? [NTR:627] a) Occupation b) Age c) Gender d) socioeconomic status

d) socioeconomic status

67. The Nutrition Care Process includes: [NTR:462] a) recommended goals. b) required courses of treatment. c) consistent expected outcomes. d) standardized language.

d) standardized language.

287. When working with disabled adults, it is suggested that the dietetics professional _____. [NTR:581] a) use the children's My Pyramid because it contains pictures b) speak initially to the guardian rather than the client c) limit options presented to prevent confusing the client d) teach rather than test

d) teach rather than test

27. A diagnosis of hypersensitivity to food requires [NTR:422] a) conducting a food challenge without restricting the suspected food. b) documented atopic dermatitis. c) using an elimination diet for 3 weeks. d) verifying the food that causes an adverse reaction and excluding other causes of adverse reactions.

d) verifying the food that causes an adverse reaction and excluding other causes of adverse reactions.

49. The Centers for Disease Control and Prevention growth chart that is used to determine if a child is underweight or overweight is [NTR:444] a) height for age. b) length for age. c) weight for age. d) weight for stature.

d) weight for stature.

248. The group of people that best exemplifies the term 'target population" are those [NTR: 542] a) with similar nutrition and fitness goals b) with common characteristics or a common bond c) who will conduct a community needs assessment d) who are the focus of a community needs assessment

d) who are the focus of a community needs assessment

264. In the Cajun and Creole culture, the traiteur is the one _____. [NTR:558] a) who provides valued health and wellness information b) who is considered the most revered member of the community c) who blesses the food before it is consumed d) who believes he or she possesses a divine gift for healing

d) who believes he or she possesses a divine gift for healing

303. The breakdown of fatty acids to yield acetyl-CoA is called [NTR:597] a) Glycolysis b) lipolysis. c) ketogenesis. d) ß-oxidation.

d) ß-oxidation.

a patient receives 4 ounces whole milk and 6 graham crackers as a snack. which of the following substitutes would lower the glycemic index a. skim milk in place of whole milk b. fruit juice in place of whole milk c. 12 saltines in place of 6 graham crackers d. 1 T peanut butter in place of 3 graham crackers

d. 1 T peanut butter in place of 3 graham crackers

which of the following would be appropriate for a hemodialysis patient on a 60g protein diet, with 75% from HBV protein a. 1 egg, 2 ounces chicken, 3 ounces beef, 1/2 cup milk b. 1 egg, 2 ounces chicken, 3 slices bread, 3 ounces beef c. 2 eggs, 3 ounces chicken, 3 ounces beef, 1 cup milk d. 1 egg. 3 ounces chicken, 2 cups milk, 5 slices bread

d. 1 egg, 3 ounces chicken, 2 cups milk, 5 slices bread (59g PRO means 44g from HBV; HBV are meats, eggs, milk)

a patient with severe acute pancreatitis experiences nausea and vomiting and requires 2500 calories/day. which of the following would you recommend a. 3000cc of a 1cal/cc tube feeding through the jejunum b. 1500cc of a 2cal/cc nasogastric tube feeding c. 1000cc of D50W, 1000cc of 7% amino acids, 650cc of 20% lipids d. 1000cc of D50W, 1000cc of 7% amino acids, 500cc of 10% lipids

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

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

you have determined that an infant should take 340 calories/24 hours. how many ounces of milk should be given to the baby every 6 hours a. 2 oz b. 3 oz c. 3.5 oz d. 4.5 oz

d. 4.5 oz (approximately 20kcal/ounce)

using the above formula, determine the calories coming from lipids per day a. 519 b. 561 c. 577 d. 624

d. 624 (20% lipid has 2kcal/ml, 200mlx1.560=312x2)

with a CHO:insulin ratio of 16:1, how much insulin is needed with this meal. 1 1/3 cups spaghetti, 1 cup spaghetti sauce, 1 cup green beans, 1 slice bread, 1 teaspoon butter, 1/2 cup ice cream a. 4 units b. 5 units c. 6 units d. 8 units

d. 8 units

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

which of the following is lowest in fat a. hamburger b. salami c. goat cheese d. Canadian bacon

d. Canadian bacon

a family receiving food stamps often runs out of food by the middle of the month. obtain an emergency food voucher for them and refer them to a. a congregate meal site b. a social services agency c. WIC d. EFNEP

d. EFNEP (teaches clients how to improve food practices, how to budget, meal plan, shop and cook)

an infant with milk hypersensitivity could safely consume a. soy milk fortified with calcium b. goat's milk fortified with folic acid c. a modular formula with crystalline amino acids d. a casein hydrolysate formula

d. a casein hydrolysate formula

the stasis of pancreatic juice and bile could result in a. autodigestion b. fat malabsorption c. obstructive jaundice d. a and c e. b and c f. a, b, c

d. a, b, c (autodigestion, fat malabsorption, obstructive jaundice)

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 carbohydrate to decrease the respiratory quotient d. add a fat emulsion to replace some of the carbohydrate

d. add a fat emulsion to replace some of the carbohydrate

which statement applies to nutritional screening a. only a physician makes the referral b. only a dietitian makes the referral c. it is exclusively done by nursing d. all health team members can participate according to policy

d. all health team members can participate according to policy

which of the following statements about cow's milk are true a. it is high in protein b. it creates a high solute load c. it is low in iron and vitamin C d. a only e. a and c f. all of the above

d. all of the above, it is high in protein, creates a high solute load and is low in iron and vitamin C

a young girl who is HIV positive with Karposi's sarcoma tells you she would like to take vitamin C supplements. what should you tell her a. ignore her request and talk about incorporating better balanced foods into her diet b. ignore her request and advise her to drink more juices 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

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

which correlates best with energy intake a. lean body mass b. triceps skinfold c. body mass index d. body weight

d. body weight

what diet is typically recommended for a patient who has undergone a gastrectomy a. low fiber foods and two glasses of milk each day b. high fiber foods and restriction of fluids with meals c. carbohydrate, protein and fat at each meal, and no dairy products d. carbohydrate, protein and fat at each meal, and restrictions of fluids with meals

d. carbohydrate, protein and fat at each meal and restrictions of fluids with meals

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

a patient is attempting to lower blood pressure levels with dietary intervention. the dietitian should monitor his blood pressure and a. body weight and medication b. daily food intake and medication c. daily food intake and heart rate d. daily food intake and body weight

d. daily food intake and body weight

the primary focus of nutrition care 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 (rapid infusion can cause influx of water into gut - decreasing rate allows gut to fill slower and gives time to empty)

which of the following is included in a subjective global assessment a. standard weight for height b. mid-arm muscle circumference c. prealbumin d. dietary intake

d. dietary intake

Glucophage (Metformin) functions by a. stimulates insulin secretion b. inhibits digestive enzyme action c. decreases peripheral resistance d. enhances insulin action

d. enhances insulin action

which of the following outcomes would best indicate parental support of a child's weight loss effort in a program for obese pre-teen children a. eliminate sweets b. discuss weight loss indicators c. decide to defer action until after puberty d. enroll child in physical activity programs

d. enroll child in physical activity programs

the most important prenatal supplement is a. calcium b. vitamin D c. iron d. folic acid

d. folic acid

a patient needs a 2000 calorie, 2 gram sodium feeding. which formula is best calories/cc g Na/liter a. formula 1 1 2 b. formula 2 1.5 2 c. formula 3 2 1 d. formula 4 1 1

d. formula 4 1kcal/cc and 1g Na/liter

a patient on parenteral nutrition is to be transitioned to enteral feeding. he should receive a. half-strength enteral feeding intitially 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 sticks 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 offices are likely closed d. have it sponsored by a dental organization

d. have it sponsored by a dental organization

an appropriate measurement for iron status in a local community is a. serum iron b. transferrin c. TIBC d. hematocrit

d. hematocrit

which of the following 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

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 ultraviolet 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 child is below the 5th percentile weight for height. what can be said about the child a. the child is tall for their age b. the child has a disease that inhibits growth c. it is an indication of long term under-nutrition d. it is an indication of recent under-nutrition

d. it is an indication of recent under-nutrition

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 would be an expected outcome of WIC a. fewer women breast feed b. fewer babies, better birth control c. better educated low income women concerning nutiriton d. less anemia, increased HG and HT levels

d. less anemia, increased HG and HT levels

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 (133% of federal poverty level including children, pregnant women, parents, seniors and individuals with disabilities)

what is the best approach for controlling obesity in an otherwise healthy ten year old girl a. reduction of caloric intake to allow weight loss of 1-2 pounds weekly b. reduction of energy intake to no less than 1000cal/day c. avoidance of simple sugars and sugar containing products d. maintenance of weight during continued growth

d. maintenance of weight during continued growth

a patient with Parkinson's disease on levodopa should a. increase protein intake at breakfast b. consume no more than 40 grams protein per day c. evenly divide protein intake throughout the day d. minimize protein at breakfast and lunch and add it to the evening meal

d. minimize protein at breakfast and lunch and add it to the evening meal

a 9 month old infant being fed iron-fortified, milk based formula is obese. you should recommend a. limiting the formula feeding to 16 ounces b. changing the formula to 2% milk c. changing the formula to whole milk d. monitoring weight and intake

d. monitoring weight and intake

an infant wants a bottle at bedtime. you should counsel the parents to a. give the bottle only at bedtime b. give the bottle only if the baby insists c. only give milk in the bottle d. only give water in the bottle

d. only give water in the bottle

a post-surgical patient with prolonged ileus should be treated with a. a high fiber diet b. enteral nutrition with added fiber c. enteral nutrition d. parenteral nutrition

d. parenteral nutrition (ileus is lack of propulsive ability of GIT, hypomotility of GIT, lack of digestive propulsion)

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

a Hispanic woman needs more calcium in her diet. what do you recommend a. milk b. plantains c. avocados d. pinto beans

d. pinto beans

an indication for use of a protein hydrolysate infant formula is a. prematurity b. constipation c. phenylketonuria d. protein hypersensitivity

d. protein hypersensitivity

a nephrotic syndrome patient with edema has a serum albumin level that continues to fall. recognize that a. liver dysfunction is causing decreased albumin synthesis b. volume overload has diluted the albumin c. the patient is getting sicker and eating less d. protein is being lost in the urine

d. protein is being lost in the urine (collections of symptoms that indicate kidney damage; results in proteinuria, hyperlipidemia, edema, hypoalbuminia)

which would you recommend for a patient with mild dysphagia a. honey b. apple juice c. nectar d. pudding

d. pudding

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 adults, ages 25-49, within two years of starting the program

d. reduce by 10% the number of obese adults, ages 25-49, within two years of starting the program

a nutritional care plan for overweight children should include a. restrict intake to maintain current weight b. maintain body weight c. reduce weight with caloric reductions of 500 per day d. reduce rate of body weight gain while allowing growth

d. reduce rate of body weight gain while allowing growth

the best way to justify continuing a wellness program would be to demonstrate that the participants a. lost weight b. recommended the program to others c. increased their intake of protein d. reduced their health risk scores

d. reduced their health risk scores

intervention by a dietitian conducting nutrition assessment is best determined by a. a pateints medical history b. a patients diagnosis c. the case mix of the patient population d. results of nutrition screening

d. results of nutrition screening

which of the following lab values would most likely indicate that dialysis is necessary serum creatinine mg/dl Bun mg/dl a. 2.0 80 b. 3.0 90 c. 4.0 100 d. 6.0 70

d. serum creatinine of 6.0 and BUN of 70 (BUN:creatinine ratio of <10:1 suggests reduced BUN reabsorption due to renal damage and possible need for dialysis)

the dietitian is asked to determine the prevalence of overweight children within a local school district. the last step of the community needs assessment would be to a. share the findings with the school's health team b. collect data on soda consumption c. measure the BMIs of all of the school children d. set a plan of action

d. set a plan of action

your patient is on Coumadin. which foods 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

a patient reports decreased intake, nausea, vomiting and decreased functional capacity. to complete a subjective global assessment evaluate a. his lab values over the past 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 (SGA looks at history, intake, GI symptoms, functional capacity, physical appearance, edema and weight change)

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

based on the DRGs, Medicare reimbursement depends on a. length of patient stay b. age of patient c. primary diagnosis d. a e. b and c f. a and b g. a, b, and c

e. b and c

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

a. corn, cranberries (create an acid ash by increasing anions - Cl, Ph, Su - by adding meats, fish, fowl, eggs, shellfish, cheese, corn, oats, rye)

a cholesterol level of 240mgs needs treatment first with a. diet b. diet and drugs c. drugs d. exercise, diet and drugs

a. diet

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 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

according to the diabetic exchange lists, when substituting 2% milk for skim milk, you must omit how many fat exchanges a. 1/2 b. 1 c. 1 1/2 d. 2

b. 1 (skim milk has 0-3g fat and low-fat/2% has 5g fat)

if a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how much weight will he lose in one week a. 0.5kg b. 1.0kg c. 1.5kg d. 2.0kg

b. 1.0kg

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

b. 1275

a 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. one third of the carbohydrate grams is met with 1/2 cup orange juice, 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 toast

b. 2 slices toast

how many grams of protein would you receive on a 1500 calorie diet which is 20% protein a. 70 b. 75 c. 64 d. 300

b. 75

symptoms of nephrosis include a. dehydration, hypocholesterolemia b. albuminuria, hypercholesterolemia c. edema, hypocholesterolemia d. hypotension, hyperalbuminemia

b. albuminuria, hypercholesterolemia

the above 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 in the above question have for lunch a. 4oz cottage cheese b. 1 oz cheddar cheese c. 1 oz roast beef d. 1 oz cold cuts

c. 1 oz roast beef

a 60kg female receives 2700 calories on PN. the calorie to nitrogen ratio is 150:1. How many grams of nitrogen is she getting a. 14 b. 16 c. 18 d. 20

c. 18 (2700/150=18)

who is most at risk for gestational diabetes a. BMI<30 b. age <25, overweight c. BMI>30, history of GSM d. conception within 10 months of last pregnancy

c. BMI>30, history of GSM

a man with a peptic ulcer should consume a. milk every two hours b. a bland diet c. a balanced diet he can tolerate d. a low roughage diet

c. a balanced diet he can tolerate

which is not a fiber in the diet a. cellulose b. hemicellulose c. amylose d. pectin

c. amylose

which of the following is a medium fat meat a. peanut butter b. tunafish packed in water c. corned beef d. chicken without skin

c. corned beef

what is a major reason for constipation in the elderly a. a diet low in high residue foods b. a diet high in low residue foods c. decreased gastric motility d. lack of physical exercise

c. decreased gastric motility

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

which infant is at greatest risk a. 20 pounds hemoglobin 10 b. 22 pounds hemoglobin 10.5 c. 19 pounds hemoglobin 11 d. 30 pounds hemoglobin 9

d. 30 pounds hemoglobin 9

what are the similarities between WIC and Food Stamps a. regulated by USDA b. have at risk criteria c. have income criteria d. a health exam is required e. a, b, c, d f. a, b, c g. b, c, d h. a, c

d. a and c (regulated by USDA and have income criteria)

osteoporosis is most likely to occur in a. the physically active adult b. a non-smoker c. a Black female d. a White female

d. a white female

which of the infants in the above question have a normal hemoglobin level a. a, b, d b. b, d c. c, d d. a, b, c

d. a, b, c (infant hemoglobin levels range from 9.5-20g/dL dependent on their age)

how many calories are in 300ml of 5% dextrose solution a. 51 b. 60 c. 15 d. 200

a. 51 (300ml x 5% x 3.4 = 51)

a female, 5'7" tall, weights 115 pounds. six months ago she weighed 130 pounds. what is her percent of ideal body weight a. 85% b. 83% c. 81% d. 87%

a. 85% (IBW = 7x5+100, 135lb; 115/135=85%)

which patient has marasmus patient A patient B patient C male Female Male serum albumin 3.5 2.6 4.0 transferrin 275 125 450 triceps skinfold 3 16.8 17 MAMC 15 24.1 28.1 TLC 1000 3500 a. A b. B c. C d. A, B

a. A

which government agency would you contact regarding food distribution a. USDA b. FDA c. HHS d. Foods Stamps

a. USDA

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 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

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

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

nutritional therapy for hepatitis includes a. high protein, high carbohydrate, moderate fat, high calories b. high protein, low carbohydrate, low fat, moderate calories c. low protein, high carbohydrate, low fat, high calories d. low protein, high carbohydrate, low fat, low calories

a. high protein, high carbohydrate moderate fat, high calories (50-55% CHO to spare protein and replenish liver glycogen, 1-1.2g/kg protein, moderate to liberal fat if tolerated - sometimes have steatorrhea, small frequent feedings, multivitamin with B complex, C, K, zinc, increase fluid to prevent dehydration)

a patient with nephrosis will likely exhibit a. hypercholesterolemia, albuminemia, edema b. hypertension, hypocholesterolemia c. hypotension, azotemia d. malnutrition, hyperalbuminemia

a. hypercholesterolemia, albuminemia, edema

a patient is on a high protein, low carbohydrate diet. what advice should you offer a. increase fluid intake b. decrease the intake of complex carbohydrates c. decrease fluid intake d. decrease the intake of saturated fats

a. increase fluid intake

which of the following weight gains puts pregnant women at risk a. less than 4 pounds/month in the last half of pregnancy b. less than 5 pounds/month in the last half of pregnancy c. less than 6 pounds/month in the last half of pregnancy d. more than 2 pounds/month in the last half of pregnancy

a. less than 4 pounds/month in the last half of pregnancy (2-4lb weight gain in first trimester and then 1lb/week in last two trimesters)

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 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

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

which of the following diets is appropriate for reactive hypoglycemia a. reduce intake of concentrated carbohydrates, 5-6 small meals b. increased complex carbohydrate, low fat, high protein c. decreased complex carbohydrate, low fat d. high protein, high fat, high carbohydrate

a. reduce intake of concentrated carbohydrates, 5-6 small meals

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

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

chemically defined formulas are used for a. short bowel syndrome b. post chemotherapy treatment c. hypermetabolism d. galactosemia

a. short bowel syndrome

which is a part of the nutritional therapy for IDDM in a lean person a. time meals b. decrease caloric intake c. it is not crucial to maintain consistency of calories if average intake is low 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

an insulin dependent diabetic living alone calls you with symptoms of nausea, vomiting and anorexia. what do you recommend a. continue with insulin and eat anything he can b. continue with insulin and drink anything he can c. discontinue the insulin until he feels better d. discontinue the insulin and eat whatever he can

b. continue with insulin and drink anything he can

what type of food would you feed to 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

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 catecholamines released during stress cause a. hypertension b. hyperglycemia c. diuresis d. elevated BUN

b. hyperglycemia

the efficacy of a low sugar, low artificial flavor diet on hyperkinesis is a. it works in two out of three patients b. it has not been scientifically proven effective c. it has never been tested d. it has been proven effective

b. it has not been scientifically proven effective (hyperkinesis is increase in muscular activity that results in uncontrollable/increased muscular movements)

following a Billroth II, steatorrhea often results. what is the likely cause a. bacterial overgrowth in the remaining loop b. lack of pancreatic secretion due to less duodenal hormone secretion c. a diet restricting simple carbohydrates d. rapid absorption of simple carbohydrates

b. lack of pancreatic secretion due to less duodenal hormone secretion

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

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

b. liver

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

b. lose 20 pounds slowly following balance diet

a fecal excretion of ___ grams of fat/24 hours is considered fat malabsorption a. less than 1 b. more than 7 c. 3-5 d. 2-4

b. more than 7 (normal stool fat is 2-5g; >7g is indicative of malabsorption)

esophageal varices may be caused by a. portal hypotension b. portal hypertension c. a high fiber diet d. a high fiber, high residue diet

b. portal hypertension

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

b. seizures

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

the VMA test diet measures a. fat malabsorption b. total catecholamine's c. protein malabsorption d. vitamin, mineral absorption

b. total catecholamine's (measures the amount of catecholamine's - epinephrine, norepinephrine, dopamine - in the urine, VMA is the breakdown product of these catecholamine's)

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

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 (Marasmus - protein and calorie starvation, normal serum albumin, no edema, severe fat and muscle wasting, starved appearance, decreased triceps skinfold and arm muscle circumference)

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

a patient suffering from bulimia may have all of the following symptoms except a. a sore throat b. dental problems c. extreme weight loss d. rectal bleeding

c. extreme weight loss

the theory of obesity that refers to receptors in the hypothalamus is the a. lipostatic theory b. set point theory c. glucostatic theory d. glucose-obese theory

c. glucostatic theory (this theory proposed that the rise in plasma glucose concentration after a meal was sensed by "glucoreceptor" neurons in the hypothalamus, which then signalled for meal termination)

increased serum uric acid levels may lead to a. galactosemia b. glycogen storage disease c. gout d. PKU

c. gout

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

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

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 500mg sodium diet a. secondary renal failure b. hypoaldosteronism c. hypoalbuminemia d. hyperammonemia

c. hypoalbuminemia (low sodium with ascites, hypoalbuminemia is often caused because of dilution due to fluid and sodium retention)

before discontinuing a parenteral feeding, provide enteral support to prevent a. development of a fatty liver b. ketoacidosis c. hypoglycemia d. hepatic encephalopathy

c. hypoglycemia

a patient with hepatitis needs a high protein intake. besides helping the liver to regenerate, what other purpose is served a. it helps increase iron absorption b. it restores glycogen reserves c. it helps prevent a fatty liver d. it helps prevent necrosis of the liver

c. it helps prevent a fatty liver

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 is a measure of protein in skeletal muscle)

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 (missing enzyme that converts galactose-1-PO4 into glucose-1-PO4, treated with a lactose and galactose free diet, NO: organ meats, MSG extenders, milk, lactose, galactose, whey, casein, dry milk solids, curds, calcium or sodium caseinate, dates, bell peppers), OK: soy, hydrolyzed casein, lactate, lactic acid, lactalbumin, pure MSG

what nutrients most affect the renal solute load a. protein and carbohydrate b. sodium and carbohydrate c. protein and sodium d. sodium and fat

c. protein and sodium

iatrogenic malnutrition is a. vitamin and mineral malabsorption b. protein malabsorption c. protein, calorie malnutrition d. kwashiorkor

c. protein, calorie malnutrition

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

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

when assessing nutritional status, which would be the most beneficial a. 24 hour recall, history of weight changes b. medical history, diet order, socioeconomic status c. clinical observation, weight status, cultural habits d. diet intake info, clinical data, laboratory data

d. diet intake info, clinical data, laboratory data

in cystic fibrosis, the most impaired nutrient is a. protein b. disaccharides c. electrolytes d. fat

d. fat

immediately following a severe burn, nutritional therapy should include a. high calories b. high protein c. high calories, vitamins, minerals d. fluid and electrolyte replacement

d. fluid and electrolyte replacement

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

in community surveys, a frequent symptom of malnutrition is a. scurvy b. rickets c. low serum albumin d. low hemoglobin

d. low hemoglobin

the NHANES study looks at which parameters a. nutritional b. nutritional, clinical c. nutritional, biochemical d. nutritional, clinical, biochemical

d. nutritional, clinical, biochemical

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 the renal solute load a. potassium b. sodium c. glucose d. protein

d. protein

what is the appropriate advice for a person with anorexia nervosa a. offer a wide variety of foods and frequent feedings b. offer liquids high in calories and protein c. offer nasogastric feedings d. regular mealtimes, and a varied moderate intake

d. regular mealtimes, and a varied moderate intake

which anthropometric measurements are useful in assessing adults a. triceps skinfold, head circumference, arm muscle circumference b. head circumference, arm muscle circumference, height, weight c. serum albumin, triceps skinfold d. triceps skinfold, arm muscle circumference, height weight

d. triceps skinfold, arm muscle circumference, height, weight

a 11 month old infant is at the 95th percentile weight for age and has been for the past 9 months. what should you do a. recommend increasing food intake by 25% b. recommend decreasing food intake by 50% c. nothing, he is fine d. watch his growth over the next six months

d. watch his growth over the next six months

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

which of the following should be included in the diet for celiac disease a. decrease intake of eggs b. use potato and rice flour c. IM vitamin B12 and iron d. low calorie, high fat, high protein e. b and c f. c and d g. a, b and d h. b and d

e. b and c (use potato and rice flour and IM vitamin B12 and iron)

an infant formula for lactose intolerance might include a. whey, coconut oil b. casein hydrolysate, corn oil, glucose c. soy protein, corn syrup solids d. sodium caseinate, hydrolyzed cornstarch e. a, b, c f. b, c g. b h. a, c

f. b, c (casein hydrolysate, corn oil, glucose and soy protein, corn syrup solids)

meats cured with whey won't be tolerated by someone with a. lactose intolerance b. diabetes c. post-gastrectomy of 3 months d. duodenectomy e. a, b, c f. b, c, d g. a h. a, c, d

g. a (lactose intolerance)

a patient with Crohn's disease needs the following diet a. high fat, high calorie, high protein b. low fat only with steatorrhea, vitamin C, B12 c. high calorie, high protein according to current BMI d. high residue, low fat, fat soluble vitamins e. low calorie, low residue, fat soluble vitamins, B12 f. a only g. b and c h. c and d I. e only

g. b and c (low fat only with steatorrhea, vitamin C, B12 and high calorie, high protein according to current BMI) Crohn's affects terminal ileum leads to B12 deficiency, energy needs according to current BMI, limit fat only with steatorrhea, water and fat soluble vitmains

which of the following may be the cause of loose stools in a tube fed patient a. feeding was administered at too rapid a rate b. the osmolality of the feeding was too low c. the patient is constipated d. an inadequate amount of intestinal surface area e. a f. a and b g. b and c h. a and d

h. a and d (feeding was administered at too rapid a rate and an inadequate amount of intestinal surface area)

what is included in the study of demographics a. age of individuals b. population statistics c. sex of individuals d. socioeconomic factors e. a only f. all of the above g. b and c h. a, b and c

h. a, b and c (age of individuals, population statistics and sex of individuals) demographics is assessment information focused on population by age, ethnic groups, sex, birth rates and deaths

the dumping syndrome a. follows a gastrectomy b. is secondary to carbohydrate overload c. draws fluid into the intestine d. needs a high carbohydrate diet e. a, c, d f. b, c, d g. a only h. a, b, c

h. a, b, c (follows a gastrectomy, is secondary to carbohydrate overload and draws fluid into the intestine