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Inman Questions

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140. Lactic acid is produced by : a. glycolysis b. gluconeogenesis c. glycogenesis d. lactolysis

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

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

213. Aseptically packaged milk should be stored: a. in dry storage b. in the refrigerator c. in the freezer d. below 40 degrees

1. What temperature range is recommended for a dairy refrigerator? a. 28-32 F b. 36-40 F c. 45-5o'F d. 55-6o'F

10. A #10 can holds how many cups of product? a. 10 b. 13 c. 12 d. 5

10. If a union member repeatedly arrives late, you should... a. fire him b. report him to management c. say nothing but make a note of it d. forget it

100. In work simplification, which of the following tools is helpful? a. labor turnover rate b. flow chart c. meals per labor minute d. meals per labor hour

101. 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

103. Nitrogen equilibrium is associated with: a. a 25 year old pregnant female b. a 25 year old male c. a 15year old girl d. a 4 year old child

138. Butter has fatty acids in this order of predominance : a. PUFA, MUFA, SFA b. SAT, MUFA, PUFA c. MUFA, SAT, PUFA d. MUFA, PUFA, SAT

138. How wide should an aisle be for two people with a mobile cart to move through? a.40" b. 5o" c. 6o" d. 72"

176. If you increase the size of the kitchen, what effect will there be on worker efficiency? a. an increase b. a decrease c. no change d. depends on the menu

177. 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

178. The use of a sugar substitute is regulated by: a. NIH b. FDA c. WHO d. FTC

178. What must be fortified with folic acid? a. skim milk b. cornmeal c. orange juice d. canned vegetables

18. 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

18. Which minerals are involved in carbohydrate metabolism? a. cobalt, zinc b. chromium, zinc c. copper, chromium d. iron, zinc

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

237. 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

238. 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

24. Which type of power is ineffective in motivating behavioral change and may create resistance? a. referent b. coercive c. legitimate d. expert

366. What is lacking in the traditional diet for Asians living in America? a. iron b. calcium c. folic acid d.thiamin

367. Which of the following indicates stunted growth? a.weight for height b. height for age c. weight for age d. weight for length

368. A patient comes to you with a diet that you know is not good to follow. What should you do? a. Tell him it's not good. b. Explain why it is not good. c. Tell him to only follow what you have provided. d. Let him do as he wishes.

37. The hormone epinephrine: a. lowers blood glucose during catabolic stress b. raises blood glucose during catabolic stress c. is secreted from the pituitary gland d. stimulates glycogen production

79. The VMA test diet measures: a. fat malabsorption b. total catecholamines c. protein malabsorption d. vitamin, mineral absorption

80. 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

1. When you check overrun, you are checking : a. excess stock in the storeroom b. surplus soap and rinse aids used in the dish machine c. the weight of ice cream d. total costs of unexpected meals served

10. 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

100. 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

101. Which additive improves crispness in vegetables? a.BHA b.BHT c. calcium d. pectin

102. Coarse texture in a cake is due to: a. too little baking powder b. over-mixing c. too much baking powder or sugar d. oven temperature too high

139. Which process results in creative, prioritized decision-making? a. a focus group b. the Delphi technique c. the nominal group technique d. operational analysis

14. The best laboratory value to use in assessing iron status is: a. hemoglobin b. hematocrit c. ferritin d. serum iron

140. Which fiber is insoluble in water? a. pectin b. gums c. hemicellulose d. polysaccharides

141. Which of the following amino acids is a precursor for serotonin? a. phenylalanine b. methionine c. tryptophan d. tyrosine

171. Which is most characteristic of marasmus? a. serum albumin of 2.5 g/ dl b. edema c. severe fat and muscle wasting d. decreased lymphocytes

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

174. 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

175. A press conference announcing your new business is a. advertising b. networking c. media promotion d. personal selling

180. Appearance , taste and texture are considered: a. quantity control b. safety control c. quality control d. production control

220. An amylase deficiency would result in: a. decreased gluconeogenesis b. decreased lipolysis c. decreased glycolysis d. decreased proteolysis

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

226. Pernicious anemia is likely to occur following a: a. colectomy b. colostomy c. gastrectomy d. esophagostomy

235. OSHA requires documentation on the use of the following : a. latex gloves b. respiratory masks c. safety goggles d. hairnets

236. What is the benefit:cost ratio of a program intervention that cost $1,890,000 if the savings as a result of the program were $5.67 million? a. 1:1 b. 2:1 c. 3:1 d. 1:3

238. How many calories are needed by a full-term infant weighing 11 pounds at 3 months of age? a. 108 b. 365 c. 540 d. 720

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

34. Glycogenolysis is the: a. catabolism of carbohydrate b. creation of glucose from glycerol and amino acids c. breakdown of glycogen releasing glucose d. creation of glycogen

340. A normal pregnancy requires supplementation of: a. iron b. vitamin C, calcium, iron c. iron and folic acid d. calcium and zinc

341. 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

35. Which of the following food service systems has the lowest labor costs? a. cook freeze b. cook chill c. convenience d. conventional

357. 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

359.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

81. Iatrogenic malnutrition is: a. vitamin and mineral malabsorption b. protein malabsorption c. protein, calorie malnutrition d. kwashiorkor

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

101. Which of the following has the least amount of saturated fat? a. 2%milk b. half and half c . non-dairy creamer d. evaporated skim milk

103. 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.

107. 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

110. Meat graded "US Standard" is the grade given at the: a. time of purchase b. time of delivery c. storage facility d. time of slaughter

111. Unions usually advance employees based on: a. age b. skill c. merit d. seniority

111. Which of the following substitutions will most decrease the sodium content of a biscuit? I. low sodium milk for whole milk II. egg substitute for egg III. low sodium baking powder for baking powder a. I b. I, II c. all of the above d. I, III

241. Which of the following components is projected first during the budgeting process? a. cash b. labor c. operating expenses d. revenue

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

59. 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

59· The Y Theory of management is: a. authoritarian b. autocratic c. based on managing tasks d. democratic

60. Glucocorticoids: a. convert glucose into protein b. convert fatty acids into glucose c. convert glucose into fat d. convert protein into glucose

75· Gauge refers to: a. ply b. finish c. polish d. thickness

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

263. 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 of7.0% amino acids d. 500 ml of 10% amino acids

264. At your first counseling session with a new patient you should: a. tell him you have to change his diet b. find out what he eats c. give him diet materials d. teach him meal exchanges

266. Which defines the statistical term "mean"? a. the number that occurs most frequently b. the average c. the central tendency d. a value in an ordered set of numbers below and above which fall in an equal set of numbers

297. The primary goal of outcomes research in a health care setting is to: a. decrease healthcare costs b. increase cost-effectiveness c. improve the quality of services offered d. give the facility a competitive advantage

298. A focus group contributes what data? a. analytical b. experimental c. attitudinal d. objective

298. The food service director who wants to hire a dietitian should first: a. publish a job listing in the Journal of the American Dietetic Assoc. b. screen potential applicants to determine who has an RD credential c. develop a job description and specification for the position d. review dietitian's resumes on file

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

269. 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

27. If a man normally consuming 26oo calories per day reduces his intake to 1500 calories per day, how much weight will he lose in one week? a. 0.5 KG b.1.0 KG C. 1.5 KG d. 2.0 KG

27. The nutritional label on food utilizes the DRI's which replace the old: a. RDA's b. USRDA's c. USR's d. OSHA's

298. What is the most effective tool for providing nutrition education to the community? a. the RDI's b. the report Healthy People c. My Pyramid d. The Healthy Eating Index

299. An example of nominal (frequency) data is: a. temperature b. weight c. differentiate between men and women d. rank in class

270. In a study on custards which would be the dependent variable? a. the amount of milk and sugar in the recipe b. the cooked custard c. the temperature of the oven d. the time of cooking

271. What is the mean of the following set of numbers? 3, 2, 2 a. 3 b.2.3 c. 3-2 d. 2.5

272. For the past 2 months, a man who is 6'o" tall has been nauseated and anorexic and has consumed fewer than 500 cals/day, mostly from sweet foods. His albumin of 5.0 g/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

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

299. 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

273. To define performance objectives for a class for patients, you must: a. review the literature for the latest research b. determine what the learner should know or be able to do c. review diet prescriptions and nutrition care plans d. refer to the hospital's standards of care

276. 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

277. The kitchen layout below is characteristic of which foodservice system? Deck ovens / Range / Tilting skillet / Refrigerator / Freezer / Preparation counter / Meal assembly / Delivery carts a. commissary b. conventional c. ready prepared d. assembly-serve

279. 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

279. When counseling patients who have limited ability to speak and understand your language, you should: a. provide only verbal instructions b. use demonstrations and food models c. instruct the patient's family d. refer the patient to a language class

28. Winterized oil is: a. cloudy when refrigerated b. clear when refrigerated c. cloudy when stored for long periods of time d. clear only if kept at room temperature

280. The number of individuals in a population diagnosed with a specific condition during a specified time is the: a. prevalence b. incidence c. rate of the condition d. duration of the condition

280. 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. 2 T peanut butter

281. Results of a three day food record were obtained in June and again three months later. What is this called? a. validity b. reliability c. sensitivity d. specificity

281. 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

282. 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

282. Which of the following responses by a counselor indicates "reflection"? a. "Yes, you can do that." b. "You said, 'You want to lose weight?'" c. "Explain what you mean by that, please." d. "I can help you."

283. 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

283. Which method of buying includes contacting several vendors to obtain price quotes and placing orders? a.prime vendor b. informal c. formal d. contract

284. 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

285. When teaching a non-English speaking patient about serving sizes: a. show pictures of proper serving sizes b. use food models to allow choice of recommended serving sizes c. show slides of various foods and their serving sizes d. show a videotape of serving sizes

286. An AIDS patient should select the following fresh fruit: a. Grapes, orange b. Orange, banana, pineapple c. Apple, grapes, peach d. Grapes, pear

287. The statement "After class, the patient will be able to write a day's menu following the guidelines" is... a. a goal b. an objective c. a plan d. a research hypothesis

288. Which would be a sentinel event? a. a meat slicer left with the blade unguarded b. a wet floor near the dishmachine c. an unclean can opener d. MSDS sheets not posted

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

291. 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

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

3. Which recipe ingredient should be adjusted if a cake has a crunchy crust and compact moist texture? a. milk b. flour c. sugar d. baking powder

30. In the fed state, the brain uses which nutrient as a source of energy? a. fatty acid b. lactic acid c. glucose d. ketone bodies

301. 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

302. 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

291. The statement "The county's infant mortality rate is 12.8, and the state's infant mortality rate is 10.5" means that: a. more infants died in the county than in the state b. for every 1000 live births in the county, 12.8 infants died c. two more infants died in the county than in the state d. 12.8% of the infants born in the county died before the age of 1 year

292. Which of the following is least valuable in a specification? a. grade and brand b. quality tolerance limits c. count per container or number per pound d.the unit on which price will be based

293. What reading level is appropriate for written materials for a population with low literacy skills? a. 4th grade b. 6th grade c. 8th grade d. 9th grade

294. 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

302. A tactic that increases the sale of services through publicity is known as: a.pricing b.targeting c.Promotion d. segmentation

303. An example of formative evaluation is: a. IQ test b. RD exam c. Pretest quiz d. Comparative evaluation

304. A patient with a GFR of 20 ml/min should receive how many grams of protein/kg? a. 1.1 b. o .8 c. 0.6 d. 0.2

294. Which of the following tools would be best in determining consumption of vegetables in a high school? a. 24 hour dietary recall records b. conduct plate waste studies c. conduct focus groups with students d. track school cafeteria sales records

295. 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

297. If there is no statistical difference between study groups, the hypothesis is: a. negative b. null c. even d. positive

297. 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

299. Which of the following is an outcome indicator? a. freezer temperatures are recorded daily b. customers are satisfied with the meals c. tube feeding bags and sets are changed every 24 hours d. food allergies are documented in the medical record

30. 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

300. A three day recall is done and then repeated in 2 months. This is done to test: a. validity b. reliability c. precision d. assessment

300. Traditional diets of Asian populations in the United States are low in: a. iron b. calcium c. vitamin C d. essential fatty acids

303. 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

305. A patient is recovering from an ileocecal resection , where 100 cm was removed . What are your recommendations? a. oral vitamin B12, increase fluids b. parenteral vitamin B,2, increase fluids, increase protein c. decrease fluids, increase protein, parenteral B 12 d. decrease protein, decrease fluids, oral B12

305. When a manager updates the Director about activities occurring on the patient trayline, he is demonstrating which managerial role? a. interpersonal b. informational c. technical d. decisional

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

307. Following counseling, a client is able to plan a low sodium diet. The learning domain is: a. affective b. cognitive c. psychomotor d. psychosocial

307. What is the best example of delegation? a. tell the employee what to do b. allow the employee to change procedures to achieve desired outcome c. require the employee to provide daily progress reports d. select an employee who is interested in management

308. 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

312. An advantage of using focus groups to collect data is that they: a. help you generalize to larger populations b. help the researcher understand participants ' perspectives c. help participants stay focused on the topic d. are inexpensive because many can be interviewed at once

312. 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.until4 months, then switch to cow's milk

314. You are hired by a health club to develop a weight-control program. There are at least two other similar programs in the area. To determine the potential success of this new program first: a. develop promotional materials b. conduct a market analysis c. analyze the success of existing programs d. discuss the idea with other Dietitians

315. A client's failure to become involved in a breast-feeding program may be due to: a. lack of funds b. lack of social support c. lack of knowledge about benefits d. lack of medical care

318. A behavioral strategy for weight control intended to limit exposure to food would require an individual to a. record daily food intake b. portion the food before serving at the table c. clear the table immediately after eating d. put the fork down between bites

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

32. Gluconeogenesis is the: a. catabolism of carbohydrate b. creation of glucose from glycerol and amino acids c. breakdown of glycogen releasing glucose d. creation of glycogen

322. Infuse a peripheral solution at a maximum rate of how many mOsm/L? a. 300 b.8oo c.1400 d. 2000

322. To determine the effectiveness of an eighth grade nutrition program to be offered throughout a city: a. first determine how many schools are willing to offer the program b. pilot test the program in one school c. request a review of the program by local dietitians d. offer an incentive for schools to provide the program

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

324. A client returns for a follow-up visit after diet instruction and states: "I have not lost any weight on this diet". You should respond with: a. "Did you follow my advice?" b. "What is your typical day like?" c. "Did you follow the exercise plan?'' d. "Have you been eating out?"

325. A serum calcium level of 11.5mg/dl will bring on a release of: a. parathormone from the parathyroid gland b. calcitonin from the thyroid glands c. calcium d. calcium-binding protein from the intestine

325. 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

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

326. A neonate at birth was at the 75th percentile for weight for age. At 6 months he appears healthy and was at the 60th percentile weight for age. This indicates that: a. he has a low caloric intake b. he is experiencing normal growth c. he may have protein-energy malnutrition d. birth measurements were incorrect

326. 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

326. What is the labor cost per meal? Total food purchased $32,123 Total cafeteria sales $23,231 Total labor expenses $25,790 Meal equivalent factor $2.15 Total patient meals served 1923 a. $1.85 b. $2.03 c. $3.98 d. $4.36

331. According to Chinese beliefs, foods and herbs that may be used to treat illnesses are grouped as: a. yin (bright, hot) / yang (dark, cold) b. yin (dark, cold) / yang (bright, hot) c. action / maintenance d. harmful / beneficial

332. A typical meal of a pregnant teenager consists of a hamburger, French fries and diet soda. Which of the following changes would be most beneficial? a. substitute fresh vegetables for French fries b. substitute a milkshake for diet soda c. add fresh fruit to the meal d. add another hamburger

332. 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

333. The process of comparing a program's benefits to net savings is called: a. cost-effectiveness analysis b. cost-benefit analysis c. formative evaluation d.program evaluation

335. A hospital Dietitian attempting to implement the Baby-Friendly Hospital Initiative to enhance successful breast-feeding should first: a. send a cover letter and summary of the initiative to all hospital staff b. form a multidisciplinary task force to develop an implementation plan c. offer an in-service training session about the benefits of breast-feeding d. investigate the feasibility of rooming in for mothers and infants

337. Frozen peas appear dull in color during serving. What should be investigated? a. storage temperature b. holding time during heating c. use different cooking equipment d. selection of vendor

337. 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

341. What is normal weight gain during the first trimester? a. 1-2lbs. b. 2-5lbs. c. 5-8lbs. d. 8-10 lbs.

342. The breast-fed infant is drinking primarily colostrum for: a. the first 24 hours b. the first few days c. 1-2 weeks d. 3 months

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

35. 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

35. The end product of aerobic glycolysis is: a. acetyl - CoA b. pyruvic acid c. lactic acid d. glycogen

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

352. Which provides the most vitamin A for a Mexican? a. tortillas and refried beans b. cantaloupe and squash c. cheese d.tortillas and milk

356. 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

362. 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

363. Amorbidly 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

364. Which of the following items is appropriate for a Muslim diet? a. sweet and sour pork b. salad with Bacos c. pork-fried rice d. chicken in wine sauce

365. 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

372. 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

376. 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

377. 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

378. Which test measures somatic protein: a. prealbumin, albumin b. creatinine clearance, serum creatinine c. serum transferrin d.prealbumin , albumin, transferring

38. 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

38. Which is considered a hazardous situation? a. a gauge on the coffee urn not working b. an employee washing floors during rush hour c. an employee cleaning the grill with steel wool d. an employee leaving the freezer door ajar

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

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

309. What is the best way to assess what a group of students has learned after diet instruction? a. list their skills b. have them explain their skills c. have them demonstrate their skills d. post-test on their skills

31. Meats cured with whey won't be tolerated by someone with: I. lactose intolerance II. diabetes III. post-gastrectomy of 3 months IV. duodenectomy a. I, II, III b. II, III, IV c. I d. I, III, IV

31. What can an employer do regarding an employee who wishes to join the union? a. prevent him from going to the union b. talk to him against the union c. tell him about union dues d. tell him he may lose his job if he goes

311. A talented catering employee is always requested by customers, but the employee is frequently absent .The manager should: a.give the employee multiple warnings b. ignore the employee's absences c. initiate progressive disciplinary procedures d. require a physician 's statement after each absence

312. Which of the following best describes a cash-flow budget? a. it outlines the assets b. it outlines expenditures and assets c. it is an estimate of income and expenditures over time d. it compares assets to liabilities

313. Which of the following would reduce direct expenses in a foodservice? a. increase selling prices b. reduce rent c. reduce food costs d. increase part-time labor

314. 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

314. When providing nutrition education to a pregnant teenager, which characteristic of adolescents should be kept in mind? a. interested in planning for the future b. responds more to emotional stimuli c. desire to be like their peers d. has well-defined self-image

393. 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

395. 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 do you consume each day

396. Based on the DRG's, Medicare reimbursement depends on: I. length of patient stay II. age of patient III. primary diagnosis a. I b. II, III c. I, II d. I, II, III

401. 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

402. 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

403. 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

409. 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 offood allergies d. patient satisfaction with Dietitian's interaction

417. 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

42. Pyridoxine acts as a coenzyme in: a. iron transfer b. deamination and transamination c. fat transfer through the lymphatic system d. osmotic pressure of body fluids

421. The best way for you to follow-up on a patient's application of diet instruction provided 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

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

433. Prior to surgery a patient has a serum albumin level of 3.7 mg/dl. Post-surgery the level is 3.1 mg/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

434. 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

43· In a hospital with 300 patients, it takes 14 minutes to prepare one meal. How many FTE's are needed per week? a. 12 b.37 c. 46 d. 10

44. Ascorbic acid aids in healing. Which of the following applies? a. collagen --> hydroxyproline b. proline --> hydroxyproline --> collagen c. hydroxyproilne --> proline --> collagen d. hydroxyproline --> collagen

442. Skinfold thickness measurements are best for assessing : a. an 18th 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

445. Which of the following medications is an appetite suppressant? a. Prednisone b. Dextroamphetamine c. Erythromycin d. Dronabinol

451. You have a hospitalized renal failure patient who has eaten o to 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

452. 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

454. 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

457. 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

458.Which of the following best describes the expected outcomes of dietary intervention for a patient who has anorexia nervosa? a. he will gain 4 lbs 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

460. 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 patient's lab data for increased BUN levels d. monitor the patient's lab data for decreased folate levels

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

465. 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

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

468. 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

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

47. Food iron is reduced in the stomach to the more absorbable form of: a. ferric b. ferrous c. transferrin d. ferritin

48. Which would aid the absorption of an iron supplement? a. cow's milk, eggs b. orange juice, hamburger c. milk, eggs, cheese d. dates, eggs

5. 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

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

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

51. What is not shown on an organizational chart? a. relationships of positions to one another b. the degree of authority and informal relationships c. advisory responsibilities d. lines of communication

52. Protein digestion begins in the: a. mouth b. stomach c. small intestine d. ileum

53. Lactase is produced in the: a. stomach b. small intestine c. gallbladder d. pancreas

57. Being well-treated by supervisors, being given special attention, and the importance of breaks in increasing productivity, are all considered motivators by: a. Herzberg b. Mayo c. Maslow d. MacGregor

57. 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

316. A child with PKU can eat: a. spaghetti with tomato sauce b. vanilla ice cream c. carrots and celery sticks d. aspartame-sweetened gelatin

316. One of the most important strategies a Dietitian may use to evaluate quality patient care is to: a. determine criteria for consultations b. monitor treatment for a nutrition problem c.periodically assess the outcomes of nutrition therapy d. assign individuals responsibility for monitoring activities

316.A client states he can no longer return to the clinic for counseling due to a change in jobs. To ensure continued compliance with the diet, you should : a. give additional practice to ensure thorough understanding b. instruct him to call you if he has a problem c. inform him about other resources for follow-up counseling d. provide several educational pamphlets regarding his diet

318. Results of a patient food satisfaction survey indicate that patients think servings are too large. The Dietitian should first: a. conduct a plate-waste survey b. reduce the serving size c. check the serving utensils on the line d. review regulations concerning nutrient requirements

32. Which of the following is a paid employee who represents other union workers? a. a mediator b. the department head c. the shop steward d. the bargaining agent

320. A client refuses to follow the diet after you have explained the plan and its rationale .You should then: a. reinforce the rationale and benefits of the diet b. review the dangers of non-compliance c. ask what changes he is willing to make d. restate what the client needs to do to meet the goals of the diet

320. You are conducting a nutrient analysis of a recipe that uses 10 lbs of 8o/2o raw ground beef. To best ensure analysis accuracy: a. use data for the "pre-portioned" cooked ground beef b. use data for the "edible portion" weight of the raw ground beef c. use data for the "edible portion" weight of the cooked ground beef d. cooking and draining the ground beef, weighing the fat, then reducing the quantity of beef in the recipe by this amount

321. Which bill requests government funding? a. budget bill b. markup bill c. appropriations bill d. spending grant bill

321. Which of the following best encourages a client to take responsibility for making appropriate dietary changes? a. "Do you think you will be able to do that?" b. "Will you have family support for these changes?" c. "What change will you be comfortable trying first?" d. "These changes should not be too difficult for you, should they?"

323. 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

324. What should you do if you believe theft is occurring in the storeroom? a. install a video camera b. lock the storeroom c. make everyone sign in and out of the storeroom d. limit access to certain hours of the day

6. If you worked overtime and did not get paid, which labor law would help your claim? a. The Equal Opportunity Act b. The Fair Labor Standards Act c. The Equal Pay Act d. The Civil Rights Act

61. A graphic representation of the separate steps in a procedure using symbols is: a. a flow diagram b. a process chart c. an operations chart d. a cross chart

64. Which of the following can be reversed with vitamin A? a. xerophthalmia b. nyctalopia c. Wilson's disease d. homocysteinuria

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

66. Which amino acids must be present in a parenteral solution? a. valine, leucine, glycine, alanine b. tryptophan, phenylalanine, threonine, isoleucine c. phenylalanine, methionine, arginine, tyrosine d. lysine, glutamic acid, alanine, glycine

68. Which of the following inhibits gluconeogenesis? a. glycogen b. insulin c. catecholamines d. glucocorticoids

7. An insulin-dependent diabetes 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

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

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

74· A blast freezer and rethermalization are part of the: a. commissary system b. ready-prepared system c. assemble serve system d. conventional system

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

77. When substituting buttermilk for whole milk in pastry: a. decrease the liquid b. increase the baking soda c. increase the amount of butter d. increase the liquid

81.The most important critical point to monitor in the preparation and service of canned cream soup is the temperature: a. at delivery b. during steam table holding c. of storage d. during end-point cooking

84. 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

86. What would you do if an employee does not wash pots as required? a. fire her b. reeducate her as to proper procedures and provide follow-up c. take the job away from the employee d. discipline the employee

88. Which hormone greatly influences the BMR? a. the endocrine hormone b. thyroxine c. the growth hormone d. insulin

90. What is the popularity index for pot roast? pot roast 70 @ $1.50 chicken stew 30 @ .75 spaghetti 40 @ .60 a. 40% b. 5o% c.6o% d.70%

94. An infant formula for lactose intolerance might include: I. whey, coconut oil II. casein hydrolysate, corn oil, glucose III. soy protein, corn syrup solids IV. sodium caseinate, hydrolyzed cornstarch a. I, II, III b. II, III c. II d. I, III

94. Which of the following is an example of productivity management? a. labor turnover rate b. labor minutes per day c. food cost percentage d. edible portion cost

96. Which cooking method would best convert collagen to gelatin in a bottom round roast? a. grilling it to medium rare b. braising c. broiling d. searing

99. 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

327. The immune system reacts to foods that are normally harmless. This is: a. food intoxication b. an inflammatory response c. an immunoglobulin E (lgE) mediated reaction d. food intolerance

327. You can best evaluate your client's application of dietary modifications by asking him to: a. explain what he knows about the new diet b. name four foods to avoid c. select an appropriate dinner meal from a menu d. list everything on the diet that he ate that day

329. You are hired to teach a course of heart-healthy eating to factory workers who will be paid to attend. You should assess participant's literacy levels and: a. medical and family histories b. physical activities and life-style c. readiness to make life-style changes d. occupational status in the organization

332. Psychographic marketing includes the following categories: a. age, gender, race, education b. urban, suburban , cultural values c. social class, lifestyle, motive behind purchases d. income, education

333. 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

334 The management function in which performance is measured and corrective action is taken to ensure accomplishment of an organizational goal is known as: a. planning b. directing c. controlling d. organizing

334. 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

338. In metabolic acidosis, which of the following is involved? a. excretion of potassium b. excess calcium retention c. excretion of sodium bicarbonate d. excess calcium loss

339. 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

339. The hospital foodservice department has developed several high quality, sugar-free desserts that are identified as unique to the department. This product represents what type of branding? a. manufacturer b. retail item c. signature d. specific

34. 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

342. 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?

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

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

37. How does a new supervisor gain respect? a. show employees different ways to do their job b. work with a different employee each day c. communicate regularly with them to keep them informed d. smile a lot

375. 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

385. 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

387. 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

39. What type of leadership style is shown with a circular organizational chart? a. democratic b. autocratic c. participative d. bureaucratic

39. Which of the following is a medium fat meat? a. peanut butter b. tuna fish packed in water c. corned beef d. chicken without skin

397. 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

399. 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

4. Why do egg whites beat more easily at room temperature? a. the pH is increased b. the protein is denatured c. the surface tension is lower d. the surface tension is higher

40. When can a citizen have impact on a bill? a. during debate in the Senate b. when the bill goes to committee c. when the bill is in public hearings d. during debate in the House

405. An 11month 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

406. 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

41. If you were an employee and member of the union, and were involved in initial labor dispute talks, you would be called: a. an arbitrator b. a mediator c. a shop steward d. a union agent

41. Which hormone regulates calcium levels? a. insulin b. thyroid c. parathyroid d. aldosterone

411. 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

42. Which is not a fiber in the diet? a. cellulose b. hemicellulose c. amylose d. pectin

424. 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

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

431. An appropriate source of folate for a female from Central America is: a. corn b. broccoli c.black beans d. raisins

437. 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

438. 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

so. The organizational chart: a. is an organized list of duties b. shows the employee how he fits into the organization c. organizes departmental activities d. is an evaluation tool for productivity

100. A cake with a fallen center may be the result of: a. too little fat b. too little sugar c. excess sugar and excess fat d. too little baking powder

106. Which of the following is true regarding flour? a. all-purpose flour is made from soft wheat b. all-purpose flour has more protein than bread flour c. cake flour has the least and the weakest gluten d. cake flour has less starch than bread flour

107. Equipment purchases depend on: a. the budget b. what the cooks want c.the menu d. the type of facility

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

108. Food service employees should wash their hands for at least: a. 30 seconds b. 25 seconds c. 20 seconds d. 15 seconds

11. Which of the following should an alcoholic patient with a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites have for lunch? a. 4 ounces cottage cheese b. 1 ounce cheddar cheese c. 1 ounce roast beef d. 1 ounce cold cuts

112. A hospital administrator would be most concerned with: a. the increase in the number of elderly admissions b. the increasing growth of outpatient services c. the increase in patient's length of stay d. the increase in diabetic admissions

115. Cabbage should be cooked: a. covered b. in a small amount of water c. in a large quantity of water d. covered in a small amount of water

115. Which group is responsible for nutritional labeling? a. USDA b. US Dept. of Commerce c. FDA d. UPI

116. 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

117. Apples stored in a controlled environment would: a. ripen quickly b. last one to two years c. have extended life and improved marketing quality d. only be used as processed fruit

118. 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

120. The major function of management is: a. forecasting b. actuating c. planning d. organizing

120. Which of the following is the appropriate diet for peritoneal dialysis? a. .8 grams protein, 35 cals/KG b. 2.0 grams protein, 30 cals/KG c. 1.5 grams protein, 30 cals/KG d. 1.0 grams protein, 35 cals/KG

121. To increase potassium intake, consume a snack of: a. cheese and crackers, plums, cranberry juice b. a bagel, milk and an apple c. a grilled cheese and tomato sandwich and strawberries d. tuna salad, a wheat roll, and cola

126. The span of control refers to the number of: a. supervisors b.part-time employees c. employees under the direction of one person d. staff positions

128. The employee turnover rate refers to the following: a. total replacement employees divided by average work force b. % of turnover rate divided by number of replacements c. # employees terminated and replaced divided by total number of positions d. # total positions divided by number part-time employees

129. A 5 month old is diagnosed with salmonella . What is likely the cause? a. fruit juice b. milk c. table food d. evaporated milk

129. Which is the best way to maximize meat storage? a. cut the meat into small pieces b. store it in oxygen in packages c. vacuum-packaged in oxygen-impermeable film d. pack it in oxygen-permeable film

129. 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

13. If an employee works 5 days each week, how many regular employees can be covered by one relief employee? a. 1 1/2 b. 2 c. 2 1/2 d. 3

13. 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

131. 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

132. 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

132. The kidneys respond to respiratory acidosis by: a. increasing the secretion of magnesium b. exchanging sodium for calcium c. increasing the retention of bicarbonate d. exchanging potassium for hydrogen

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

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

135. In cereal production, enrichment adds: a. vitamin A b. vitamin D c. iron d. iodine

135. 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

137. Why are mono- and di-glycerides added to the shortening used in cakes? a. increase spreadability b. thickeners c. emulsifiers d. coloring agents

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

143. Food was held at 70'F for a long time in anaerobic conditions. Eight hours after eating it you became ill. What is the culprit? a. Salmonella b. Staphylococcus c. Clostridium perfringens d. Campylobacter jejuni

143. Which of the following may result in hypoalbuminemia? a. amino acid supplementation prior to surgery b. a high protein diet with inadequate water c. providing only a 5% dextrose in water solution after stress d. giving a trauma patient enteral feeding only

145. Gastric proteolysis requires: a. pyridoxine b. ascorbic acid c. hydrochloric acid d. the intrinsic factor

147. 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

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

151. Underwriters Laboratory does which of the following? a. inspects facilities for safety b. inspects facilities for cleanliness c. checks safety of electrical equipment d. inspects gas equipment

153. A supervising Dietitian who wishes to delegate specific responsibilities should first: a. organize a task force b. check the production schedule c. establish expected outcomes d. establish expected time frames to accomplish the tasks

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

155. 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.

156. Prevention of an outbreak of Listeria monocytogenes requires special care because: a. it is insensitive to light b. it is sensitive to low temperatures c. of its ability to grow at temps of 34 - 113' F d. of its ability to grow at temps of 140 - 160' F

156. 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

157. The efficiency of a foodservice employee is increased if the work center is designed to allow the employee to: a. sit and reach b. stand and reach c. use two hands d. use zigzag motions

157. Which is most associated with the incidence of Type 2 diabetes? a. sugar intake b. protein intake c. overweight d. salt intake

158. A cutting board was used to cut up raw chicken. It was then used to cut up raw vegetables. Guests eating the meal became ill most likely from: a. Clostridium botulinum b. Clostridium perfringens c. Salmonella d. Streptococcus

158. 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

158. To reduce the budget, first look at: a. menu costs b. fixed costs c. variable costs d. semi-variable costs

16. An 8lb. roast beef cost $2.79/lb. The edible portion is 65%. What is the AP price of the roast? a. $21.19 b. $22.00 c. $22.32 d. $23.04

160. The cleanliness of on-line steam is not an issue when purchasing a: a. convection steamer b. combination oven c. steam-jacketed kettle d. compartment steamer

160. Which bacteria may cause gastric ulcers? a. Salmonella b. Streptococcus aureus c. Helicobacter pylori d. Clostridium perfringens

161. If energy needs increase, which vitamins are needed in higher amounts? a. A, C, folate b. A, C, thiamin c. thiamin, niacin, riboflavin, pantothenic acid d. pyridoxine, cyanocobalamin

161. 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, B 12 supplements d. low fat, low protein, high carbohydrate

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

163. Which would be the best tool for rating foods in a pediatric hospital? a. the triangle test b. paired comparison test c. the facial hedonic scale d. the paired preference test

164. A good source of vitamin A for pre-school children would be: a. grapes b. watermelon c. cantaloupe pieces d. banana

164. In interstate shipping of shellfish is monitored by the: a. USDA b.HHS c. FDA d. FTC

168. What should you do with leftover sliced beef from lunch? a. throw it out b. let the meat cool at room temperature and then serve within two days c. refrigerate immediately and then serve within two days d. keep it in the warmer until dinner time

169. A food is bacteria-safe if it is: a. neutral and moist b. neutral and dry c. acidic and dry d. acidic and moist

169. What law guarantees workers the right to organize and join labor unions? a. Taft Hartley b. Equal Employment Act c. Labor Management Relations Act d. National Labor Relations Act

17. The FDA: I. inspects meat, poultry, fish, eggs II. inspects factories III. enforces the Food, Drug and Cosmetic Act IV. monitors interstate shipping of shellfish a. I, II, III b. III, IV c. II, III, IV d. I, III

170. Congregate meals and home delivered meals fall under: a. WIC b. EFNEP c. Older Americans Act, Title III d. Medicare

184. What is the most important reason for a microwave oven in food service? a. saves energy b. saves money c. saves time d. saves cleanup

185. If you purchase an oven for $10000. It is expected to last for 10 years , after which it can be sold for $3000. What is its depreciation cost each year? a.$2000 b. $1500 c. $700 d.$500

185. When substituting butter for lard in pastry, a. use the same amount b. use less c. use more d. use less and decrease the water content

186. What is not found in a standardized recipe? a. seasonings to be included in the recipe b. time and temperature of cooking c. mixing bowls, measuring spoons d. amounts of ingredients to include

192. The dishwasher temperatures are as follows: pre-wash 140'F, wash 150'F, rinse 2oo'F. You should: a. turn up the rinse temperature b. turn down the pre-wash temperature c. turn down the rinse temperature d. do nothing, they are fine

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

194. A #10 can holds how many cups? a.10 b. 11 c.13 d.15

197. Methylene is added to some types of coffee to: a. retain the flavor b. retain the color c. decaffeinate it d. destroy the bacteria

197. Which can be included in a meal for gluten-induced enteropathy? a. spaghetti and tomato sauce b. cheese and crackers c. potatoes with butter d. oatmeal with sugar

198. During an interview, which of the following can you ask? a. Do you have a car? b. How will you get to work? c. Can you get to work on time without any problem? d. Do you own a car?

199. Which of the following is a grade for fresh produce? a. US Select b. US Grade A c. US No.1 d. US Standard

102. 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

102. If implementing a program costs $3 for each patient and the return is $6 per patient, the cost/benefit ratio is: a. 1:2 b. 2:1 c. 1:1 d. 3:1

103. The proper portion size of a dessert item is 1/3 cup. Which scoopshould you use? a. #12 b.#8 c.#16 d.#10

104. 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

105. Which mineral is involved in blood clotting? a. calcium b. phosphorus c. iron d. selenium

107. The main function of glycolysis is to provide : a. pyruvate for the TCA cycle b. lactic acid for energy use by muscles c. muscle and liver glycogen d. a substrate for the Cori cycle

109. Metabolites of the Kreb's cycle are: a. water , energy, carbon dioxide b. energy and pyruvic acid c. electrolytes and water d. lactic acid and glycogen

109. Productivity is measured by : a. the number of portions served per hour b. the number of employees working each day c. the number of food deliveries d. the inventory

110. What is a formal study to verify that documentation and processes have been followed? a. the audit b. a quality assurance program c. a verification study d. statistical analysis

112. Which pasta contains egg? a. noodles b. spaghetti c. macaroni d. linguini

114. Which survey is repeated every few years? a. NHANES b. WHO c. Ten State d. FAO

116. Freezing will: a. inhibit bacterial growth b. destroy toxins c. destroy bacteria d. destroy enzymes

2. What is the process by which the water content of a vegetable is replaced by a concentrated salt solution? a. gelling b. osmosis c. diffusion d. retrogradation

20. The colon functions in the absorption of: a. amino acids, fatty acids b. unsaturated fatty acids, electrolytes c. water, salts, vitamin K, thiamin, riboflavin d. glucose and fatty acids

20. Which management functions should require the greatest allotment of time by a production manager? a. planning and organizing b. organizing and directing c. directing and controlling d. organizing and controlling

200. Which is most likely to be a cause of salmonella? a. fresh fruit salad b. canned fruit salad c. Caesar salad d. avocado salad

201. A person with the dumping syndrome cannot handle: a. complex carbohydrates b. polysaccharides c. disaccharides d. amino acids

201. What gives the structure to quick breads? a. flour and milk b. flour and water c. egg and flour d. egg

202. What is the appropriate diet for heart failure? a. low potassium b. low calcium c. low sodium d. low fat

204.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

207. What is the best way to prevent contamination of food? a. freeze it b. freeze it in sterile packages c. make employees wash hands frequently d. wash countertops regularly with sanitizing agents

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

21. To prevent frozen gravy from separating when thawed: a. reheat slowly and stir constantly b. thaw it before heating and stir constantly c. prepare it with modified starch d. cook it longer before freezing to stabilize the gravy

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

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

214. Which of the following has a slow onset and is anaerobic? a. staphylococcus aureus b. clostridium perfringens c. clostridium botulinum d. salmonella

215. A frozen meal contains steak, mashed potatoes, BHA, BHT and TVP. The TVP is used to: a. add color b. improve taste c. retain water and add protein d. act as an emulsifier

215. Using the following data, the average check for September is: Total revenue $909,009 Net income $173,010 FTEs 27.9 Number of customers 32,613 a. $5.30 b. $6.29 c. $27.87 d. $33.04

216. If dishes come out of the dishmachine with water spots: a. use more detergent b. add a drying agent to the wash cycle c. add a drying agent to the rinse cycle d. use less detergent

217. A common result of treating an AIDS patient with zidovudine is? a. diarrhea b. constipation c. macrocytic anemia d. hypokalemia

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

218. A 140 lb. female on dialysis should have how many grams of protein? a. 38-55 b. 58-63 c. 70-89 d. 30-38

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

218. In the Cori cycle, lactate is converted into: a. ribose b. NADPH c. pyruvate d. acetyl-coA

219. 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

219. You are asked to develop quality control guidelines for receiving purchased foods. The most important guideline would be: a.proper counts of the foods received b. proper weights of the foods received c. proper temperatures of the foods received d. accurate prices on the invoices

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

229. A baker makes a batch of cookies in 18 minutes .What is the maximum number of batches he can make in 2 hours? a.4 b.5 c. 6 d.7

117. What method is used when you log in and out movement from the storeroom? a. perpetual inventory b. mini-mix inventory c.physical inventory d. stage three inventory

118. The following oils can be winterized: a. corn, soy, cottonseed b. olive, corn, soy c. cottonseed, olive d. olive, corn

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

12. Fat produces more calories than carbohydrate because : a. fat has more carbon and hydrogen in relation to oxygen b. fat has less carbon and hydrogen in relation to oxygen c. fat is a larger molecule d. fat is a smaller molecule

12. Which of the following should be included in the diet for celiac disease? I. decrease intake of eggs II. use potato and rice flour III. IM vitamin B12 and iron IV. low calorie, high fat, high protein a. II, III b. III, IV c. I, II, IV d. II, IV

121. 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

122. If protein intake is doubled, which nutrient needs to be increased? a. pyridoxine b. folic acid c. niacin d. vitamin C

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

123. Illness due to Bacillus cereus is due to contaminated: a. rice products and starchy foods b. fruits c. dairy products d. eggs

123. 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

125. Fats high in monounsaturated fatty acids include: a. olive and canola b. safflower and corn c. coconut and palm d. soy and peanut

125. Which law sets the minimum wage? a. the Fair Labor Standards Act b. the National Labor Relations Act c. The Equal Opportunity Act d. The Labor Management Act

127. The line type of organizational chart shows: a. a direct flow of authority from top to bottom b. authority flows from side to side c. all advisory positions d. informal relationships

128. If you are on a low phosphorus diet, what food should you most avoid? a. beef b. orange juice c. yogurt d. bread

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

131. An employee evaluation should be given: a. in a quiet place with privacy b. in the Diet Office c. at the end of the day d. at the beginning of the day

131. Which is the best source of emulsification? a. eggs b. milk c. salt d. flour

133. 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

134. Green peas held on the serving line may turn olive green due to: a. pheophytin b. chlorophyllin c. anthoxanthins d. flavones

135. Costs which are proportionately responsive to changes in volume are: a. variable b. sunk c. hidden d. fixed

137. A serum sodium level of 115 mEq/L may be due to: a. over-hydration b. dehydration c. a very high sodium intake d. a sodium intake of 5.5 grams per day

139. Margarine has fatty acids in this order of predominance: a. PUFA, MUFA, SAT b. SAT, MUFA, PUFA c. MUFA, SAT, PUFA d. MUFA, PUFA, SAT

142. When on Dicumarol, avoid increasing your intake of: a. spinach b. beets c. corn d. beef

146. What section of the intestine is most likely to be involved in Crohn's disease? a. ileum b. jejunum c. duodenum d. appendix

147. Sorbitol is: a. less sweet than sucrose and has a lower glycemic index than sucrose b. less sweet than sucrose and has a higher glycemic index than sucrose c. sweeter than sucrose d. sweeter than sucrose and has a lower glycemic response than sucrose

148. Which mineral is absorbed through the intestine and transported with ceruloplasmin in the blood? a. copper b. iodine c. sodium d. calcium

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

15. How many calories are in 300ml of a 5% dextrose solution? a. 51 b. 6o c. 15 d. 200

151. What is the effect of excess caffeine intake? a. insomnia b. nausea c. bloating d. weight gain

153. The best way to prevent the spread of food-borne illness is to: a. wash hands regularly b. cook all foods thoroughly c. purchase food from trusted vendors d. prepare food shortly before serving

154. A strict Muslim would not eat? a. congealed fruit salad b. egg salad c. tuna salad d. citrus fruit salad

154. The amino acid tryptophan can be converted into: a. serotonin b. catecholamines c. phenylalanine d. tyrosine

155. Which of these work center designs discourages through traffic? a. U- shaped b.back to back parallel c. straight line d. square

156. When trying to cut down on the number of employees on a tray assembly line, evaluate the: a. number of work stations b. amount of idle time c. line speed d. capacity

16. Where is lactose absorbed? a. small intestine b. stomach c. pancreas d. liver

16.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

165. 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

165. Where should a Class B fire extinguisher be placed? a. near the range b. near the dishmachine c. near the freezer d. near the refrigerator

165. Which amino acid is especially glucogenic? a. alanine b. threonine c. valine d. methionine

166. If carbohydrate intake is increased, which vitamin needs to be increased? a. thiamin b. niacin c. riboflavin d. pyridoxine

166. On your meal rounds you notice that elderly patients are not being fed properly . What is the best solution? a. speak with the Director of Nursing b. discuss it at a discharge planning meeting c. confer with the Nurse's Aide responsible d. assign your Diet Aide to help feed the patient

167. The rate of oxidation of which branched-chain amino acid increases significantly during moderate exercise? a. leucine b. phenylalanine c. tyrosine d. threonine

167. 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

168. How many minutes are needed to sanitize dishes when washing by hand using chlorine? a.1 b.2 c.3 d. 4

17. A female, 5'7'' tall, weighs 115lbs. Six months ago she weighed 130 lbs. What is her percent of ideal body weight? a.85% b.83% c. 81% d.87%

170. French fries made from stored potatoes would have changes in: I. taste II. appearance III. texture a. I, II, III b. II, III c. I d. I, III

171. The primary reason for portion control in food service is: a. cost control b. to standardize serving sizes c. customer satisfaction d. weight reduction diets

171. What percent of protein and fat converts to glucose? a. 58% protein, 10% fat b. 10% protein, 6o% fat c. 30% protein, 30% fat d. 20% protein, 40% fat

172. Excess amounts of zinc may lead to a deficiency of: a. copper b. magnesium c. folate d. cobalt

176. Clostridium perfringens is often found in: a. meat and gravied mixtures in large quantities b. fresh fruits and vegetables c. dairy mixtures d. uncured cheeses

176. What medication is affected by serum sodium levels? a. Lithium b. Mellaril c. Valproate d. Tetracycline

177. A substitute is legally differentiated from another food by : a. nutrient content b. calorie content c. fat content d. color

18. Find the cost per meal if you serve 120,000 meals, spend $46000 in food purchases and $1250 worth of food was removed from the inventory. a. $.39 b. $.42 c. $.37 d. $-43

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

180. What is the main purpose of water in the body? a. it acts as a medium for cell metabolism b. it helps transport calcium through cell membranes c. it maintains electrolyte balance d. to maintain body temperature

181. According to the Diabetic Exchanges, 2 T peanut butter is: a. 2 high fat meats b. 1 high fat meat c. 2 fats d. 1 high fat meat plus 2 fats

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

183. Children and adolescents need what level of physical activity? a. 60 minutes every day b. 30 minutes every day c. 6o minutes at least three days each week d. 90 minutes at least three days each week

184. Which of the following provides 6o g of CHO? a. 1 English muffin, 1 c. skim milk, 1/2 c. apple juice b. 1 fat-free granola bar, 1/2 c. raisins, 1c. fruited yogurt with aspartame c. 2 small waffles with 2T lite syrup and 1T peanut butter d. 1 four oz. Bagel with 2 T lite cream cheese and 1T jelly

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

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

189. An angel food cake is made without cream of tartar. What is the result? a. a yellowy cake b. a bright white cake c. a cake with large volume d. a very tender cake

19. Acidic chyme becomes neutralized in the duodenum by: a. mixing with bicarbonate and fluids b. mixing with alkaline intestinal enzymes c. mixing with sodium and potassium d. mixing with bile

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

190. The final step in a union dispute is: a. arbitration b. mediation c. injunction d. check-off

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

231. A meat slicer should be cleaned: a. at the end of each day b. at the end of each shift c. after each use d. after each meal

231. What usually occurs when iso-caloric amounts of omega 3 fatty acids are substituted for saturated fatty acids? a. increased HDL, reduced LDL b. decreased triglycerides, lower total cholesterol c. decreased triglycerides, little change in total cholesterol d. lower HDL, increased LDL

233. Which of the following extinguishers is best to use on a grease fire? a. triangle symbol b. circle symbol c. square symbol d. inverted triangle symbol

234. 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

240. Determine the calorie contribution of carbohydrate from the following parenteral formula. The amounts stated are given per liter. 300 ml 6o% 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

241. The absence of reinforcement following an undesirable behavior is: a. positive reinforcement b. punishment c. extinction d. avoidance

243. If you are concerned that the receiver is not accurately checking incoming stock, you should begin : a. purchasing by bid b. use a prime vendor c. implement blind receiving d. conduct random checks of food cases

243. In a study of the effects of saccharine, who received the placebo? a. the experimental group b. the group receiving saccharine c. the group receiving sugar d. the group which has never been tested before

245. What type of learning is used when you learn certain physical skills that require physical manipulation? a. affective b. cognitive c. psychomotor d. ambidextrous

246. There are seven foodservice employees in the tray assembly unit. The patient census is 350. If 1.5 hours of assembly time is allowed, a feasible productivity goal for the unit is to assemble how many trays per minute? a.2 b. 3 C.4 d.5

247. A study reported a 10% morbidity rate in infants in the country and a 12% morbidity rate for infants in the city. This means that: a. 10% of infants died in the country b. more infants died in the city than in the country c. more disease in infants in the city than in the country d. more disease in infants in the country than in the city

25. A business pays 4% of its income as rent ($1200), 70% towards labor and food costs, and $2500 towards other monthly expenses. How much profit does this business make per month? a.$6ooo b.$4200 c. $5300 d.$7200

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

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

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

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

253. A PN patient is receiving 45 calories/KG. What may be the result? a. hypocalcemia b. hyperkalemia c. hypokalemia d. hyperphosphatemia

191. A decision to feed patients in their rooms, rather than in the cafeteria is based on: a. the philosophy of the institution b. the equipment in the kitchen c. the labor available d. federal regulations

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

196. What is the product of pyruvate breakdown? a. acetyl CoA b. glycogen c. NADPH d. glucose-6-phosphate

196. Which system is not labor efficient? a. conventional b. vending c. cafeteria d. assembly serve

198. 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

198. Which of the following is correct? a. Glucose is less sweet than sucrose. b. Lactose is sweeter than glucose. c. Glucose is sweeter than fructose. d. Lactose is sweeter than fructose.

199. Which diet is restricted in carbohydrate? a. reactive hypoglycemia b. diabetes c. PKU d. galactosemia

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

20. 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

200. 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

200. Quality assurance is: a. a measurement of the quality of care provided to patients b. food service oriented c. control of the distribution and service of food d. control of the budget

202. How many 4 ounce servings can you get from 1 gallon of ice cream? a. 32 b. 26 c. 22 d.44

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

203. What is a function of cream of tartar in a recipe? a. prevents the Maillard reaction b. enhances the Maillard reaction c. increases the alkalinity allowing for better leavening d. enhances gelation

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

204. What is the gross food cost for June using the following information? June 1 inventory=$5300 July 1 inventory=$2700 Food purchases month of June=$3150 a.$5750 b. $3150 c. $4900 d.$6200

205. How do you determine the average check in the cafeteria? a. divide total sales by the number of customers b. divide entree sales by the number of customers c. divide the number of customers by total sales d. divide the total sales by the cost of an average priced meal

206. Using the following information, determine the selling price of the meal used to determine the break-even point. Fixed costs=$100, Variable costs per meal=$5, Break-even point=20 meals a. $10 b.$15 c. $5 d. $2.50

207. 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

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

208. 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

209. 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

21. Which patient has marasmus? Patient A Male serum albumin 3.5 transferrin 275 triceps skinfold 3 MAMC 15 Patient B Female serum albumin 2.6 transferrin 125 triceps skinfold 16.8 MAMC 24.1 Patient C Male serum albumin 4.0 transferrin 450 triceps skinfold 17 MAMC 28.1

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

213. 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

214. 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

216. If broccoli in a vegetable mixture turns olive green during holding, it may be due to: a. lemon juice b. baking soda c. salt d. sugar

219. Normal saline has___mEq sodium/L. a. 154 b.100 c. 50 d.200

22. You have been promoted to a top management position. What adjustment in skills is needed? a. technical skills decrease, conceptual skills increase b. conceptual skills decrease, technical and human skills increase c. technical skills increase, conceptual skills decrease d. technical skills decrease, conceptual and human skills increase

254. When developing educational plans, when do you plan the evaluation criteria? a. when all else is completed b. do it before you plan anything else c. plan evaluation criteria at each step in the process d. plan it just before you offer the program

221. A hospital cafeteria that currently serves 500 meals at noon must increase service to 8oo without adding food production staff. The best action would be: a. simplify the menu b. redesign the kitchen c. rearrange employee work schedules d. replace current equipment with fast-performance equipment

221. Fresh eggs in the shell can be stored in a refrigerator at 40 degrees for: a. 3 weeks b. 2 weeks c. 10 days d. 4-6 days

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

222. Trypsin and chymotrypsin are: a. pancreatic enzymes that provide proteolytic action b. intestinal enzymes that digest starch c. liver hormones involved in fat digestion d. intestinal enzymes that digest protein

227. 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. 2 T. peanut butter

227. Looking at the following data, what is this person's total insensible fluid loss? Input (ml) Oral fluids 2000 Solid foods 800 Metabolic water 250 Output (ml) Urine 2100 Intestinal 250 Lungs/skin 700 a. 700 ml b. 950 ml c. 2100 ml d. 305oml

23. 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

230. What would be the next number on this list with a moving average of 5? 1400, 1200, 1300, 1250, 1350, 1400, 1425 a. 1345 b. 1275 c. 1434 d. 1405

232. If a diabetic patient reduces his calorie intake from 2300 to 1800 calories per day, how much will he lose in one month? a. 4pounds b. 6 pounds c. 2 pounds d. 8 pounds

235. 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

237. A child is at the 85th percentile for BMI. He is: a. overweight b. tall for his age c. muscular for his age d. normal weight

238. The minimum recommended temperature for a chemical sanitizer is: a.75'F b. 140'F c.10o'F d. 170'F

239. A TPN solution is to be delivered at 50ml per hour at 3/4 strength. What is the appropriate order? a. 9oo ml formula, 300 ml water b. 6oo ml formula, 6oo ml water c. 8oo ml formula, 400 ml water d. 300 ml formula, 9oo ml water

239. Sugar and salt act as preservatives because they : a.provide unfavorable osmotic pressure b. prevent microbial contact c. disguise flavors d. reduce the alkalinity

239. Which of the following study designs can best determine the effect of promotional techniques on cafeteria sales? a. experimental b. observational c. survey d. segmentation

240. To sanitize, immerse dishes in a chemical solution for_ minute(s) : a.1 b.2 C.3 d.4

242. Determine the protein intake per day in grams from the following parenteral formula. The amounts stated are given per liter. 300 ml 6o% dextrose; 500 ml 10% amino acids; 200 ml 20% lipid; total nutrient mixture administered at 65 ml/hour for 24 hours a.78 b.8o c. 84 d. 86

242. When training new employees, what should always be followed? a. a planned orientation and training program b. government orientation regulations c. OSHA orientation regulations d. county orientation regulations

243. 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

248. 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

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

249. Financial data for 1 month is shown. What is the net profit? Cafeteria revenue $119984 Patient meals revenue $146250 Catering sales $1850 Food costs $110234 Labor costs $147446 Other costs $10204 a. $2oo b. $10404 c. $16785od d. $268084

25. Riboflavin, thiamin and niacin are all involved in the: a. metabolism of carbohydrate b. metabolism of fat c. metabolism of protein d. production of amino acids

251. Hospitals use formularies to: a. obtain volume purchasing discounts b. limit the use of certain products c. develop process charts d. organize departments in a concentric pattern

254. 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

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

255. When instituting an employee training program, begin by: a. conducting a needs assessment of all to be trained b. review programs offered by other facilities c. determine who will conduct the sessions d. decide on the appropriate sized group for training

256. Which of the following is the most useful for evaluating long term nutrition in a community assessment program? a. height for age b. weight for height c. weight for age d. length for weight

258. If an employee is not performing well, the first thing to do is to check the: a.job description b.job specification c. job analysis d. work schedule

258. The dietary intake component of NHANES is: a. WWEIA b. BRFSS c. Ten State Nutrition Survey d. PNSS

259. 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

259. PERT is a tool that will help you: a. control large projects and calculate the time needed to get the job done b. assign workers to various tasks c. determine productivity levels d. determine the average check

255. You are assessing a 4'11" female patient who weighs 160 lbs. She has hypertension, high cholesterol and diabetes. What do you recommend? a. low sodium b. low carbohydrates c. low calories d. low fat

257. The #12 scoop measures : a. 1/4 cup b. 1/2 cup c. 1/3 cup d. one cup

260. Which is an example of an indirect cost? a. fringe benefits b. travel costs c. food d. china

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

263.A food delivery arrived during trayline service. What should the Dietitian do? a. ask the driver to wait b. ask the driver to verify the shipment and sign the invoice c. direct the available security guard to verify the shipment d. stop the trayline service and receive the delivery

264. 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

265. A Director from another Department sends you an email regarding construction . This is an example of what kind of communication? a. horizontal b. downward c. straight d. informal

265. An appropriate purpose of analytical research is to a. test the hypothesis b. investigate the c. formulate a hypothesis d. distinguish between

266. The cafeteria serves lunch from 11AM - 2:30PM with a seat turnover rate of 1.5/hour. They need to seat 250 customers . How many chairs do they need? a.48 b.86 c.72 d. 125

267. A $240 income was generated selling 40 pieces of fish with a raw food cost of $2.00 each.What is the % food cost? a. 33% b.40% c. 20% d. 10%

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

268. A renal patient has come for dialysis on Monday morning with a serum sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine 8.0, and a 4 KG weight gain since his last dialysis on Friday morning. His laboratory indicators were in acceptable ranges on Friday afternoon.What would the lab values above have likely reflected if the patient had been nauseated and had averaged only 400 calories from primarily starchy foods over the weekend? a. little or no rise in potassium, BUN/creatinine ratio <10 b. increased phosphorus, BUN/creatinine ratio >15 c. typical rise in potassium , BUN/creatinine ratio >15 d. metabolic alkalosis, BUN/creatinine ratio <10

268. Formularies are descriptions of: a. approved treatment regimens b. pharmacy drug specifications c. capital budget items d. semi-variable costs

268. Which would be best when preparing staff for a new way to deliver trays? a. include them during discussions of proposed methods b. introduce the new method quickly c. let them know it is a better process d. ask employees if they will go along with the decision

269. The Family and Medical Leave Act guarantees : a. an equivalent position with equal benefits and pay status b. the same position you held before you left c. the first open position after you return d. a similar position in a different division

27. Which of the following stabilizes an egg white foam? a. an acid b. water c. flour d. salt

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

272. Processed chopped lettuce costs $.69/lb. Whole-head lettuce costs $16.49/50lb. case. If the head lettuce can be processed in two hours at $5.25/hour for labor, what is the relative value of processed and head lettuce if the yield is 75%? a. $.69 processed; $.72 head lettuce b. $.69 processed; $.89 head lettuce c. $.72 processed ; $.69 head lettuce d. $.72 processed; $.89 head lettuce

273. 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

275. 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

276. The kitchen layout below is characteristic of which foodservice system? Deck ovens / Range / Tilting skillet / Refrigerator / Freezer / Preparation counter / Bulk hot carts / Bulk cold carts a. commissary b. conventional c. ready-prepared d. assembly-serve

278. The best way to improve communication with participants in a nutrition education group would be to focus on: a. paraphrasing b. internalizing c. empathizing d. referencing

279. Which of the following has the quickest onset of food-borne illness? a. staphylococcus aureus b. clostridium botulinum c. clostridium perfringens d. campylobacter jejuni

28. Using the scientific approach to management, which of the following would result? a. decreased labor minutes per meal b. decreased labor hours per week c. increased labor minutes per meal d. increased labor hours per week

280. The profitability of a coffee shop may be determined by calculating the ratio of profit to: a. sales b. labor costs c. liabilities d. indirect costs

281. Dishes are greasy when unloaded from the dishmachine. What should you check first? a. wash temperature b. rinse temperature c. amount of detergent d. amount of rinse agent

284. Inferential statistics are associated with: a. probability b. mean c. mode d. graphs

285. A catered lunch is cancelled after the food has been prepared. What should you do? a. sell the meals in the cafeteria at a break-even price b. give meals to kitchen/ cafeteria employees c. incorporate the items into the next meal service d. discard the items

285. 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

287. Which would be a sentinel event? a. an NPO patient receiving a regular tray b. a low sodium patient receiving a regular tray c. a weight reduction patient receiving a regular tray d. a high potassium patient receiving a regular tray

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

29. What may cause EKG abnormalities? a. high serum potassium level b. low serum potassium level c. low serum sodium level d. high serum sodium level

290. When writing a research paper, a statement including "this is probably due to....." should be placed in which section? a. discussion b. results c. implications d. methodology

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

291. Primary considerations in the purchase of foodservice equipment are: a. cost and performance b. safety and versatility c. safety and performance d. cleanability and versatility

292. 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

293. An AIDS patient's temperature has risen to 102 degrees. His BMR has increased: a.24% b.36% c.12% d. ??%

293. When a supervisor says to a subordinate, "Do it because I am asking you to; I'm the boss," they are using what type of power? a. position b. referent c. personal d. incumbent

294. The formula that counts the number of polysyllabic words in text to calculate the reading level is the: a. SMOG index b. BACM index c. Smith Reading index d. Text Index

295. Cost-effectiveness analysis is used to: a. compare two or more alternatives to achieve the same objective b. evaluate direct, indirect benefits c. place a dollar amount on the outcome of the procedure d. calculate a profit margin

296. The incidence of xeropthalmia in children between the ages of 1-5 is 5:1000. This means: a. morbidity rate of xeropthalmia is 5 in every 1000 children ages 1-5 b. mortality rate of xeropthalmia is 5ooo in this age group c. morbidity rate of xeropthalmia is 5ooo in this age group d. mortality rate is 5 in every 1000 children aged 1-5

300. A 7 year old on a ketogenic diet requires 1500 calories. Which is the appropriate order? a. 145 g fat, 25 g protein, 25 g carbohydrate b. 95 g fat, 40 g protein, 25 g carbohydrate c. 102 g fat, s6 g protein, 12 g carbohydrate d. 75 g fat, 32 g protein, 43 g carbohydrate

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

301. Which result is desirable? Experimental group=Before A After B Control group=Before C After D a. the difference between A and B is more significant than the difference between C and D b. the difference between B and D is statistically significant c. the difference between A and C is more significant than the difference between B and D d. the difference between A and D is more significant than the difference between C and B

303. A facility with a labor turnover rate of 5o% also experiences numerous equipment malfunctions. Both problems might be resolved through improved: a. employee training b. repair standards c. equipment quality d. ergonomics

304. To implement an efficient staffing plan and adhere to budget constraints, the Dietitian can ensure labor costs are controlled by: a. master schedules b. job descriptions c. compensation changes d. cross-training

305. How can you encourage preschool children to eat more fruits and vegetables? a. Have them participate in preparing fruits and vegetables. b. Have them draw pictures of fruits and vegetables . c. Give examples of good choices using a slide show. d. Give examples of good choices using pictures.

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

307. In the Dietary Guidelines, what represents the fat included? a. 20-35% calories, <10% saturated fat b. 30% calories, <6% saturated fat c. 35% calories, <15% saturated fat d. 35% calories, <10% saturated fat

308. A client says: "I want to change my eating habits. "You ask why. The learning domain is: a. affective b. cognitive c. psychomotor d. psychosocial

309. 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

310. A tube feeding ran from 7PM till 6AM, providing 1800 calories, at 1.6 calories/cc. How many cc/hour were given? a.100 b.125 C.210 d.65

313. An example of a survey with negative correlations is: a. when folic acid intake increases prior to pregnancy, the incidence of neural tube defects declines b. when LDL levels increase, the rate of heart disease increases c. when a person becomes more obese, their LDL levels likely rise d. as the intake of peanut butter and potato chips increases, dental caries increase

257. 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

315. 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

317. 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

317. The first step in evaluating the effectiveness of a series of nutrition education programs would be to: a. identify the objectives of each of the programs b. ask all participants to complete 24 hour recalls c. administer nutrition-knowledge tests to all d. verify attendance at each of the programs

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

321. What should be the final consideration in the make-or-buy decision of a product? a. cost analysis b. labor requirements c. storage space available d. personal relationship with supplier

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

327. A recipe requires 1.5 pints of cleaned, sliced strawberries. The yield for strawberries is 91%. One cup of clean, sliced strawberries weighs 7 ounces. At a minimum, how many pounds of strawberries need to be ordered? a. 1 1/2 b. 1 c. 1 1/4 d. 2

328. It takes ___ FTE(s) to fill one 8 hour, 7 day-per-week position. a. 1.4 b. 1.6 c. 1.8 d. 2

328. 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

329. 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

33. 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

33. Glycolysis is the: a. catabolism of carbohydrate b. creation of glucose from glycerol and amino acids c. breakdown of glycogen releasing glucose d. creation of glycogen

33. Which oven is most energy efficient? a. convection oven b. rotary oven c. deck oven d. microwave oven

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

330. Which of the following assessment methods is most appropriate for evaluating nutritional risk in the elderly at a health fair? a. BMI b. 24 hour dietary recall c. triceps skinfold thickness d. mid-arm muscle

333. Which of the following nonessential amino acids may be useful in post-burn therapy? a. arginine b. asparagine c. proline d. leucine

336. Which of the following lunch menus would be most appropriate for an 18 month old? a. beef patty, whole wheat bread, cooked carrots, banana chunks,whole milk b. baked chicken, lettuce with low-fat dressing, broccoli, mashed potato, 2% milk c. turkey, rice, sliced cucumbers, applesauce, whole milk d. cottage cheese, canned peaches, cooked carrots, white bread, 2% milk

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

339. Fats used in frying can become rancid due to the: a. oxidation of unsaturated fats b. uptake of oxygen at the point of saturation c. removal of high-melting triglycerides d. prolonged exposure to high temperatures

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

346. 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

349. 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

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

355. 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

36. 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

360. A patient with dysphagia waiting for a swallow test may receive: a. thick liquids b. thin liquids c. peripheral parenteral nutrition d. parenteral nutrition

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

37. 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

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

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

374. 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

38. A provitamin is: a. a nutrient that can be converted into a vitamin b. a vitamin that can be converted into a nutrient c. the endogenous from of a vitamin d. a man-made copy of a vitamin

381. High doses of which vitamin will interfere with Levodopa? a. pyridoxine b. cyanocobalamin c. thiamin d. riboflavin

384. Infants born to mothers with diabetes may be: a. larger than normal, and be hypoglycemia shortly after birth b. smaller than normal and be hyperglycemic shortly after birth c. larger than normal and be hyperglycemic shortly after birth d. smaller than normal and be hypoglycemic shortly after birth

388. 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

394. Lactic acid is a result of: a. anaerobic glycolysis b. aerobic glycolysis c. TCAcycle d. Cori cycle

398. Within 2 - 3 hours of continuous exercise at 6o-8o% 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

40. In the human, vitamin K is affected by: a. anticoagulants and antibiotics b. iodine c. water-soluble vitamins d. gluten

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

400. 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

407. A patient complains of abdominal distention, 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

408. 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

412. 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

413. 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

414. 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

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

42. Store frozen fruits and vegetables at: a. o- -10'F b. -10 - -2o'F c. <32'F d. o - 10'F

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

423. A 35 year old female with Type 1diabetes received nutrition counseling and started NPH therapy one month ago. Today her fasting blood glucose level is 290 mg/dl and cholesterol level is 185 mg/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

428. 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

429. 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

43. 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

43. Which of the following are synthesized by intestinal bacteria? a. biotin, pantothenic acid, vitamin K b. vitamin E, vitamin K, biotin c. pyridoxine, vitamin E d. ascorbic acid, pyridoxine, vitamin K

432. 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

439. 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

440. 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

441. To calculate the estimated caloric needs of a patient who is significantly underweight the Dietitian should use: a.the patient's actual body weight b.the patient's adjusted body weight c. the patient's desirable body weight d. 90% of the patient's desirable body weight

447. 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

448. 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

449. 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

46. Food iron is in the form. a. ferric b. ferritin c. transferrin d. ferrous

464. In the Nutrition Care Process, which step may also involve nursing staff participation? a. Assessment b. Diagnosis c. Intervention d. Monitor and evaluate

49. Bile is produced in the ___ and stored in the ___. a. liver, gallbladder b. gallbladder, liver c. liver, liver d. gallbladder, gallbladder

50. Cholecystokinin causes: a. contraction of the gallbladder b. peristalsis c. secretion of pancreatic juice d. contraction of the liver

52. A job description: a. can be used for employee appraisal b. studies and analyzes all aspects of the job c. lists what steps to do and how to do them d. lists time limits on all aspects of the job

52. Research suggests that in order to guard against cancer you should ingest: a. carotene and vitamin C b. vitamin C and B12 c. protein and vitamin A d. vitamins E and K

54. Which enzymes are secreted by the pancreas? a. amylase, lipase, cholesterol esterase, trypsin, chymotrypsin b. sucrose, maltase, lactase, aminopeptidase c. ptyalin d. aminopeptidase, dipeptidase

54· A work schedule: a. lists both tasks and time b. lists only tasks to be performed c. is used for employee appraisal d. studies all aspects of the job

56. NADPH is: a. essential in the synthesis of fatty acids b. essential in the synthesis of glycogen c. involved in the catabolism of protein d. essential in transamination

56. Responsibility, recognition by management , and participation in decision-making are all considered true motivators by : a. Herzberg b.Taylor c. Maslow d. Likert

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

58. Which vitamin acts as a coenzyme in transamination? a. pyridoxine b. thiamin c. riboflavin d. vitamin B 12

6. 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

6. The end products of cellular oxidation are: a. water, carbon dioxide, energy b. carbon, hydrogen, nitrogen c. indigestible fiber, nitrogen d. monosaccharides , amino acids, energy

60. A scale drawing of an area showing the path of a worker during a process is: a. a flow diagram b. a process chart c. an operation chart d. a cross chart

61. Muscle mass is determined using the: a. triceps skinfold and arm circumference b. skinfold caliper c. BEE d. urinary creatinine measurement

62. 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

62. The oxidation of fatty acids forms: a. acetyl CoA b. pyruvic acid c. lactic acid d. oxaloacetate

63. Pantothenic acid, thiamin, riboflavin and niacin are all involved in: a. converting pyruvate into acetyl CoA b. converting tyrosine into phenylalanine c. converting glycogen into glucose d. converting lactic acid into oxaloacetate

63. The best use of performance appraisals is: a. to improve performance b. to motivate the employee c. to weed out the employees who perform poorly d.to reward those who do well

65. 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

65. What procedure is binding and cannot be changed? a. arbitration b. mediation c. an injunction d. collective bargaining

66. Which of the following is a hearing between labor and management during an impasse to aid in settling disputes? a. arbitration b. mediation c. injunction d. collective bargaining

67. How many quarts of batter are needed to make 144 muffins using a #12 scoop? a.12 b.16 c. 22 d.6

67. Iron absorption is enhanced by: a. acidic chyme in the duodenum b. the alkalinity of the duodenum c. oxalates and phytates d. the absence of ascorbic acid

69. A written record of items ordered, with quantities and specifications is: a. a purchase requisition b. a standing order c. an invoice d. a receiving record

69. Which has the lowest cholesterol content? a. peanut butter and crackers b. yogurt with fruit c. chocolate cake d. roast beef sandwich

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

70. What is the difference between cake flour and bread flour? a. cake flour has less gluten, weaker gluten, less protein b. bread flour has less gluten, weaker gluten, less protein c. cake flour has weaker gluten, but has more protein d. bread flour has stronger gluten and less protein

70. When goods are received, the delivery slip included is: a. an invoice b. a standing order c.the receiving record d. a purchase requisition

73. Large volume purchasing, centralized production, service areas in separate facilities are features of: a. the commissary system b. the ready-prepared system c. the assemble serve system d. the conventional system

73. 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

75. If linoleic acid replaces carbohydrates in the diet: a. LDL decreases, HDL increases b. LDL and HDL decrease c. LDL and HDL increase d. LDL increases, HDL decreases

76. Which of the following foods are safe? a. beef stew at 160' b. potato salad at 75' c. tuna casserole at 100' d. egg salad at 80'

79. Evaporated milk has: a. slightly more than half of the water removed b. added sugar c. a fat content of 3 - 6% d. lactose removed

8. The flakiness of pie crust depends on: a. type of fat b. oxidation of fat c. temperature of the fat d. oven temperature

82. What causes egg yolk color to change? a. alteration of the feed provided b. storage length c. shell color d. storage conditions

83. Your Nutrition Department has 6.5 FTE Dietitians at $20/hour. How much salary is that per week? a.$5200 b.$3960 c.$4850 d. $6550

86. The scientific process by which water makes lettuce crisp is: a. osmotic pressure of water-filled vacuoles b. diffusion c. transamination d. water active diffusion

86. 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

87. Four hours after eating you develop nausea, diarrhea, but no fever. The cause may be: a. staphylococcus aureus b. clostridium botulinum c. clostridium perfringens d. streptococcus

88. When meat is irradiated, the best flavor comes from: a. meat that has been frozen b. fresh meat c. aged meat d. young meat

89. If linoleic acid replaces saturated fat in the diet: a. total cholesterol including HDL decrease b. HDL increases c. LDL increases d. no change in lipid levels

9. A group of rats being fed gelatin as the sole protein source are not growing well. What is the likely reason? a. gelatin has no tryptophan and is low in methionine and lysine b. gelatin has no methionine and is low in tryptophan c. gelatin has no lysine or methionine, and is low in tryptophan d. gelatin has no arginine

90. 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

90. Which oil is highest in monounsaturated fatty acids? a. olive b. canola c. peanut d. sunflower

91. 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

91. Which oil is highest in saturated fat? a. coconut b. palm c. cocoa butter d. butter

92. Which of the following may result in metabolic acidosis? a. decreased retention of bicarbonate b. decreased retention of hydrogen c. decreased retention of chloride d. increased retention of bicarbonate

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

93. A high protein diet increases the need for: a. riboflavin and water b. thiamin c. water d. ascorbic acid

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

96. When preparing a budget, which management function is involved? a. controlling b. organizing c. evaluating d. projecting

97. 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

98. Which item would appear in a capital budget? a. food service equipment b. food costs c. labor costs d. paper supplies

9· What is the food cost percentage if the cost of food is $325 and the income is $865? a. 38% b.36% c. 34% d. 32%

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

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

104. The human relations theory of management stresses: a. tasks, structure and authority b. employee's needs c. direct control by management d. management's needs

105. 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

105. What is the lowest acceptable holding temperature while serving? a.12o'F b.140'F c.16o'F d. 18o'F

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

106. Which of the following would be used to analyze trayline accuracy? a. Gantt chart b. Process control chart c. Cause and effect diagram d. Break-even analysis

108. Quality standards for fruits assure you of: a. wholesomeness b. specifications of minimum quality characteristics c. safety from pesticides and residues d. good taste

109. 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

11. If you replace half and half with whipping cream in ice cream, the effects on the ice crystals will be : a. an increase in size because there is less fat b. a decrease in size because there is more fat c. no change d. an increase in size because there is more fat

11. What method of food service is used when one school delivers meals to another? a. ready-prepared b. commissary-satellite c. assembly serve d. cook-chill

110. Why would a man who eats very little protein have an albumin of 5.5 g/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.

111. 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

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

113. A patient who is iron-deficient should consume___with a good iron source. a. apple juice b. orange juice c. milk d. cheese

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

113. Which of the following is not a guideline for Medicaid? I. low income II. over the age of 6o only III. nutritional need a. I b. II, III c. II d. III

114. A serum sodium level of 150 mEq/L indicates: a. sepsis b. dehydration c. hypertension d. hyperglycemia

115. 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

116. To decrease sodium intake, substitute: a. carrots for celery b. unsalted margarine for regular margarine c. diet margarine for regular margarine d. carrots for pepper

117. When a starved patient begins to eat, they might expect : a. constipation b. an increased workload on the heart c. lethargy d. diarrhea

119. 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

121. Previously cooked hazardous food must be reheated to an internal Temperature of 165 'F for fifteen seconds within : a. 1 hour b. 2 hours c. 4 hours d. 30 minutes

124. 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

124. The Cori Cycle converts: a. glucose into galactose b. lactate into pyruvate c. lactic acid into glycogen d. glycogen into glucose

125. 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

126. 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

126. Fats high in polyunsaturated fatty acids include: a. olive and canola b. safflower and corn c. coconut and palm d. soy and peanut

127. Green beans cooked in tomato sauce turn___due to ___. a. bright green; chlorophyllin b. olive green; pheophytin c. brown;carotenoids d. black; anthoxanthins

128. Which is permitted on a diet which excludes gluten? a. rye b. corn c. barley d. wheat bread

13. Research has shown that neural tube defects can be reduced with proper supplementation of: a. iron b. folic acid c. glutamine d. arginine

130. Adulterated food is regulated by the... a.HHS b. FDA under the Food, Drug, Cosmetic Act c. Department of Commerce d. USDA

130. An 8 month old baby contracts botulism .What is the likely cause? a. cereal and evaporated milk b. cereal and honey c. cereal and table food d. cereal and fruit juice

134. 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

14. A child is lethargic, irritable with diarrhea. The cause may be: a. zinc toxicity b. lead poisoning c. iron overload d. vitamin A toxicity

14. How much hamburger will it take to make 300 three ounce patties with a 20% shrinkage? a. 52lbs. b. 68lbs. c. 90 lbs. d. 70 lbs.

140. If you are working on a cost benefit analysis you would: a. record the number of patient complaints b. record the number of hours the Dietitian spent providing nutrition education c. record the number of patients who were satisfied with the education provided d. keep a record of all who failed to attend

142. If there is an increase in input and output, productivity will : a. increase b. remain constant c. decrease d. modulate

143. The food service supervisor should carefully monitor a cook-chill production because of concerns about: a. work simplification techniques b. food safety c. portion control d. product acceptability

144. 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

144. Management by objectives refers to a management process which employs: a. periodic , preplanned, broad objectives b. precise, measurable objectives c. determination of goals by department superiors d. objectives of instruction set by top management

145. Which drink would a Mormon choose? a. cola b. 7-Up c. tea d. coffee

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

146. The report presenting the financial condition of an organization as of a particular date is a: a. budget b. balance sheet c. income statement d. funds flow sheet

147. The maximum number of calories per serving in a product labeled "low calorie" is: a. 20 b.40 c. 60 d. 8o

148. 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

148. Five pounds of pressure creates a temperature that is the boiling point of water. a. less than b. greater than c. equal to d. twice

149. The Schilling test detects defects in the absorption of: a. folic acid b. cyanocobalamin c. pyridoxine d. iron

15. Which is the best flour when making cakes? a. graham flour b. all-purpose flour c. whole wheat flour d. durum wheat flour

150. When cleaning ____ , use chlorine or quaternary ammonia. a. laundry b. countertops c. oven d. floor

150. Which of the following should be avoided on a low sodium diet? a. pork loin b. turkey roll c. beef sirloin d. lamb chop

151. A child with AIDS needs a high calorie and___ intake. a. megadose vitamins b. high protein c. low fat d. low residue

152. Propionate is used in foods to: a. enhance flavor b. increase shelflife by inhibiting mold c. thicken d. retain color

152. The toxic level of vitamin A has been identified as: a. 50oo IU b.10000 IU C.15000 IU d. 20000 IU

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

159. Decreased levels of serotonin are associated with: a. decrease in carbohydrate appetite b. increase in carbohydrate appetite c. decreased sensation of taste d. increased sensation of taste

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

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

160. Carbohydrate, fat and protein are all converted into: a. pyruvic acid b. acetyl CoA c. oxaloacetic acid d. ketoglutamic acid

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

162. How many mEq of sodium are in 1gram of sodium? a. 25 b. 43 c. 65 d. no

163. How can you preserve thiamin when cooking pork? a. use the drippings after the fat has been removed b. insert a meat thermometer and cook it to 145'F in an oven at 325' c. increase the cooking temperature to lessen cooking time d. add a small quantity of water during cooking

163. To learn about prenatal problems in the community, go to: a. Center for Disease Control b. WIC c. NHANES d. FDA

164. 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

170. What is the major reason for installing automated equipment? a. easier to use b. rising labor costs c. easier to clean d. greater flexibility

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

174. Glycerol, amino acids and free fatty acids will have what effect on the hypothalamus gland? a. an increase in satiety b. a decrease in satiety c. an increased activity level d. increased lethargy

174. The hospital budget for the first 6 months is set for an 8o% occupancy rate. Budget figures for this level are listed below. The second six months will have an occupancy rate of 6o%. What would the food cost budget be for the second six months? Food cost=$30000 Labor cost=$25000 Operating costs=$24000 a.$2oooo b.$22500 c. $30000 d.$32000

175. Hypertension will decrease with a decrease in: a. fiber b. alcohol c. potassium d. calcium

175. Which of the following is a digestive enzyme secreted by the pancreas? a. pepsin b. amylase c. lactase d. maltase

179. Low levels of folate, pyridoxine and cyanocobalamin are associated with: a. glycogen storage disease b. homocystinurias c. phenylketonuria d. galactosemia

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

179. Which is a good method of food handling? a. sanitize raw food before preparation b. defrost frozen food in the refrigerator c. refrigerate raw food at 48'F d. thaw frozen food quickly under running hot water

181. What is fluid seeping from a congealed product called? a. retrogradation b. syneresis c. coagulation d. gelatinization

181. You are involved in planning a prospectus. This is: a. measuring the size of all food service equipment b. a planning guide for a kitchen c. how to arrange the dairy box d. how to document nutrition care

182. Which of the following is a common cause of salmonella in a salad bar? a. fresh fruit b. egg salad c. lettuce and tomatoes d. pickles

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

183. Which food-borne pathogen would most likely contaminate cooked rice or pasta in open pans at room temperature? a. Clostridium perfringens b. Bacillus cereus c. Staphylococcus, Bacillus cereus d. Campylobacter jejuni, Bacillus cereus

184. Frozen chicken has been thawed in warm water. You should: a. prepare it immediately b. discard it c. refreeze it d. refrigerate it

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

187. Which of the following must be reduced to simpler components before it can be transported across epithelial cells of the intestine? a. dipeptides b. whey c. casein hydrolysate d. crystalline amino acids

188. Employees - Work hours/week Dietitian - 40 Nurse - 40 Doctor - 30 Diet aides - 20 Secretary - 20 Clerk - 10 How many FTE's are in the above operation? a. 2.0 b.4.0 c. 6.0 d. 8.0

188. 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

188.Adding bran to a bread recipe will: a. increase the volume b. decrease the volume c. require an increase in oven temperature d. require a decrease in oven temperature

189. 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

19. How many meals were served per labor minute if 34 FTE produced 3800 meals in one 40 hour week? a. 2.79 b. 0.05 C. 1.12 d. 0.25

19.A patient with Crohn's disease needs the following diet : I. high fat, high calorie, high protein II. low fat only with steatorrhea, vitamin C, B12 III. high calorie, high protein according to current BMI IV. high residue, low fat, fat soluble vitamins V. low calorie, low residue, fat soluble vitamins, B12 a. I b. II, III c. III, IV d. V

190. 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

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

191. 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

192. WIC encourages women with babies to: a. formula feed b. breast feed c. feed solid foods early d. feed a mixture of formula and solid foods early

192. Which of the following combines with CoA in two carbon fragments to make acetyl CoA to then enter the Kreb's cycle to make energy? a. lactic acid b. fatty acids c. glucose d. fructose

193. To find out about the new regulations developed by the FDA you would check : a. the Congressional Record b. the Federal Register c. current newspapers d. the Congressional Index

193. What is the best way to cook a roast? a. sear the meat first, roast at 400'F b. cook slowly in the oven at 325'F c. cook it at 400'F for 10 minutes, then at 350'F d. brown the meat, then cook it at 350'F

194. At what temperature should coffee and items such as thin soups be held for serving? a. 140-16o'F b. 180-190'F c. 200-212'F d. over 212'F

195. Forty entrees of fish cost $2.00 per serving. Total sales for the fish came to $240.00. What was the food cost percentage? a. 25% b.33% c. 5o% d. 6o%

195. Which of the following has the most bacteria? a. roast chicken b. ground beef c. roast veal d. roast pork

196. A 75 year old female with adequate income would benefit from: a. Food Stamps b. Congregate Meals c. EFNEP d. WIC

2. Which piece of food service equipment is the least energy efficient? a. convection oven b. deck oven c. steam-jacketed kettle d. rotary oven

202. When taking an anticoagulant, avoid the following: a. thiamin supplements b. vitamin E supplements above 400IU per day c. supplements of calcium and vitamin D d. niacin supplements

205. Salmonella contamination in a foodservice can be best controlled by focusing on: a. meat delivery procedures b. sanitizing of the meat slicer c. serving less meat d. meat storage procedures

205. 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

206. Homemade rolls are crumbly and fall apart easily. The most likely cause of the poor texture in the yeast bread is: a. use of a high-protein flour b. use of a lower-protein flour c. insufficient proofing time d. excessive proofing time

206. Trauma can place the patient in: a. an anabolic state b. a hypermetabolic state c. a hypothermic state d. a hypometabolic state

207. Patients with COPD may better tolerate diets in which fat, rather than carbohydrate, is the primary energy source, because oxidation of fat: a. raises the respiratory quotient b. consumes less oxygen c. increases the respiratory rate d. spares protein

210. The most likely source of Clostridium perfringens is: a. egg b. meat c. fruit d. vegetable

210. 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

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

211. Which of the following will stabilize the egg in a recipe? a. a base b. an acid c. sugar d. salt

211. You have invested in new hardware and software that will reduce the labor hours needed to complete a task. What is the payback period? Hardware $3500 Software $2400 Staff instruction $1000 Labor hours saved: 6 per week at $2o/hour a. 6 years b. 13 months c. 20 months d. one year

212. A natural plant hormone that is used to ripen fruits is: a. methanol b. ethylene c. acetyl acid d. ethanol

214. A 50 bed hospital has limited kitchen space for refrigeration, dry storage and food production . The most appropriate type of menu is: a. restaurant style b. nonselective c. selective d. single-use

215. Which is a common complication of AIDS? a. constipation b. diarrhea c. hypoglycemia d. hyperkalemia

217. In the alanine cycle, alanine is released from muscle , taken up by the liver, and : a. excreted in the urine b. deaminated to release glucose c. converted into adipose d. oxidized to nitric acid

22. How much fluid is lost through insensible losses? a. 5 liters b. 1 liter c. 2 liters d. 3-4 liters

222. The purpose of outcomes research is to: a. determine the best approach to solving a problem b. determine the most cost-effective way to solve a problem c. determine the most productive outcomes d. determine the best outcome desired

223. Acid-base abnormalities in an uncontrolled diabetic are likely due to: a. respiratory alkalosis b. metabolic acidosis c. respiratory acidosis d. metabolic alkalosis

224. A Dietitian 's documents their work on time. This is an example of: a. responsibility b. accountability c. courtesy d. good time management

224. A patient 's nitrogen balance study showed he consumed 10 grams of protein and released 6 grams of nitrogen in the urine. This is: a. nitrogen balance b. negative nitrogen balance c. positive nitrogen balance d. plus 4 nitrogen balance

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

225. Kidneys help control pH by: a. excreting sodium and calcium b. controlling the ratio of hydrogen ions to bicarbonate excretion c. excreting carbon dioxide and carbonic acid d. excreting NADPH

225. 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

226. Chicken has a popularity index of 45%. There are 380 total patients, 85% of whom are eating . How many will choose chicken? a. 202 b. 145 c. 196 d. 154

226. 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

227. How much will it cost to prepare these scrambled eggs? Amount to be made: 25 Cost of eggs $ .83 per dozen 2 ounces margarine at $2.29 per pound 2 cups milk at $2.50 per gallon a. $1.47 b. $2.35 c. $1.02 d. $1.79

228. 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

228. Which of the following must be included when preparing a budget? a. controlling expenses b. forecasting revenue c. controlling labor costs d. proper cash control

228. Which pigment can be converted into a vitamin? a. chlorophyll b. carotenoids c. anthocyanin d. anthoxanthins

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

231. The normal range for hemoglobin Al.C is: a. 1-2% b. 4-6% c. 10-12% d. 35-40%

232. When switching from a conventional to a convection oven, a. increase the temperature by 15 degrees b. decrease the temperature by 25 degrees c. increase the temperature by 12 degrees d. decrease the temperature by 5 degrees

233. 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

234. If the temperature on the dishmachine rinse cycle is 135'F, you should: a. add additional sanitizer b. use paper products until the problem has been resolved c. nothing - that is the proper temperature d. increase the length of the rinse cycle

235. A child is lethargic and irritable with diarrhea. The cause may be: a. zinc toxicity b. lead poisoning c. iron overload d. vitamin A toxicity

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

24. The following is an irreversible reaction: a. pyruvic acid into lactic acid b. pyruvic acid into acetyl CoA c. glucose-6-phosphate into glycogen d. glucose-6-phosphate into pyruvate

26. When determining the labor turnover rate in one period look at the number of: a. employees at the beginning of the period and the number of new employees b. employees at the beginning of the period and the number who left c. employees at the end of the period and the number of new employees d. the number of employees at the end of the period and the number who left

260. The essential amino acid tryptophan is most closely related to: a. folic acid b. riboflavin c. niacin d. pantothenic acid

266. A renal patient has come for dialysis on Monday morning with a serum sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine 8.0, and a 4 KG weight gain since his last dialysis on Friday morning. His laboratory indicators were in acceptable ranges on Friday afternoon. What would you expect happened over the weekend? a. consumed too little sodium, too much water, too little protein b. consumed too little sodium, not enough water, too much protein c. consumed too much sodium, too much water, too much protein d. consumed too much sodium, too little water, too little protein

269.The best indicator that children profited from a nutrition education program about iron is: a. their parents have increased knowledge about iron b. the children have increased knowledge about iron c. the children select more snacks with iron d. the parents have normal hemoglobin levels

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

273. How many actual relief employees are needed to cover 20 full-time employees? a. 12 b. 15 c. 11 d. 8

274. A PN regimen than contains 1L of D5oWand 1L of 7% Aminosyn provides how many non-protein calories? a.300 b. 1400 c.1700 d. 2000

274. Based on an 8 hour day, the number of hours worked was 55,267 per year . The total number of hours paid was 59,995 per year. Calculate the number of productive FTE's. a. 2.27 b. 18.90 c. 26.60 d. 28.80

274. You are asked to evaluate a new herbal supplement that you know is not healthy. You should: a. discredit the manufacturers of the product b. because of liability laws, you cannot say anything c. explain why it is not sound and give alternatives d. do nothing

277. After you review the patient 's medical record, the first step in counseling is: a. assess the patient's nutritional status b. collect all relevant data c. establish a climate of trust d. establish an overall evaluation plan for the patient

277.A woman who is 5'5" tall weighs 190 lb before pregnancy and gains 30 lbs 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

278. 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

283. How do you begin an interview with a patient? a. Obtain height and weight . b. Get a nutritional history. c. Introduce yourself and make them comfortable. d. Give the diet instruction.

287. 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

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

289. 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

292. What reading level is appropriate for educational material for the general population? a. 4th grade b. 6th grade c. 8th grade d. 10th grade

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

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

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

296. 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

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

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

248. The outpatient Dietitian is planning a continuing education program. What should be done first? a. locate the guest speaker b. survey patients to see what interests them c. survey other Dietitian's groups to see what they are doing d. select a topic that has not been offered lately

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

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

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

251. Where would this be placed in a research article: "most of the changes seen were probably due to....." a. introduction b. discussion c. results d. summary

254. If the chlorine solution in the dishmachine is not working properly , the first action should be : a. change to quarternary ammonia b. check the concentration and temperature of the solution c. use disposable dishes d. change to an iodine solution

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

258. The mean is a measure of : a. a normal curve b. central tendency c. a frequency curve d. a straight line

259. In interpreting statistical data, if half the observations are above the number 8, and half are below the number 8, the number 8 is the: a. mode b. median c. mean d. average

26. 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

260. The best advantage of self-instructional models is: a. they minimize the time spent with each student b. they allow the student to proceed at their own pace c. they take less time than class instruction d. they are best used with large groups

261. A study showed the morbidity of children with anemia to be 5:1000. This means: a. 5 children out of 1000 died of anemia b. 5 children out of 1000 had anemia c. 1000 children had anemia d. 1000 children died of anemia

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

261. The most appropriate temperature for a sanitizing solution is: a. 50 degrees F b. 79 degrees F c. 90 degrees F d. 140 degrees F

262. The results of a glucose tolerance test would be best plotted on: a. a linear regression graph b. a line graph c. a pie chart d. a mean and standard deviation chart

446. The drug methylphenidate may have the adverse effect of: a. increased excretion of folate requiring supplementation b.type 2 diabetes c. anorexia affecting growth d. involuntary weight gain

45. 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

45. Which is an example of line authority? a. a part time consultant for WIC b. a consulting Dietitian for an outpatient department c. an administrative Dietitian in a 6oo bed hospital d. a consulting Dietitian for a nursing home

450. 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 health people d. educate an individual with hyperlipidemia

453. 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

455. 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

456. 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

46. Which term relates to scientific management? a. psychological b. intellectual c. physical d. sociological

466. 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

469. A patient who has cancer reports using herbs in addition to prescribed medications .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

47. Work simplification studies: a. looks at the job as a whole b. increase worker responsibility c. decrease costs and increases productivity d. increase worker interest in the job

470. 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

48. 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

48. Management's basic function is: a. controlling b. directing c. planning d. evaluating

49. 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.

49. Policies are: a. predetermined goals of management b. statements that provide direction and motivate c. guides that define the scope of permissible activity d. specific tasks to be performed

5. Which pigment does not change color in an acid or an alkaline solution? a. anthocyanin b. chlorophyll c. carotene d. flavones

51. Which enzymes are involved in protein digestion? a. ptyalin, lipase, sucrase b. amylase, lipase, trypsin c. pepsin, trypsin, chymotrypsin, carboxypeptidase d. trypsin, lipase, amylase

53. A job breakdown: a. can be used for employee appraisal b. studies and analyzes all aspects of the job c. lists what steps to do and how to do them d. lists time limits on all aspects of the job

54. An elevated T4 indicates: a. galactosemia b. hypothyroidism c. hyperthyroidism d. ketonuria

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

57. The following are required for the conversion of pyruvic acid into active acetate? a. thiamin, NAD, oxaloacetic acid b. oxygen, pantothenic acid, vitamin E c. thiamin, niacin, riboflavin, pantothenic acid, NAD d. pantothenic acid, oxaloacetate, citric acid

59. Glucocorticoids are: a. thyroid hormones b. pituitary hormones c. adrenal hormones d. parathyroid hormones

61. Fats enter the blood as __ and leave the liver as _ a. phospholipids, chylomicrons b. chylomicrons, phospholipids c. chylomicrons, lipoproteins d. lipoproteins, chylomicrons

62. The number of work movements between pieces of equipment is indicated on: a. a flow diagram b. a Gantt chart c. a cross chart d. Johari's window

63. 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

67. 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

69. Hormones that control blood pressure and blood components are produced in: a. the heart b. the liver c. the kidneys d. the lungs

6o. Which is a measure of somatic protein? a. serum albumin b. serum transferrin c. mid-arm muscle circumference d. triceps skinfold

7. Carbohydrates listed in order of decreasing sweetness are: a. fructose, glucose, sucrose, sorbitol b. sucrose, glucose, fructose, sorbitol c. fructose, sucrose, glucose, sorbitol d. sorbitol, fructose, sucrose, glucose

71. Which food items require the highest humidity? a. meat b. dairy c. fruits, vegetables d. poultry

73. Which foods should be washed just before serving? a. plums and grapes b. peaches and carrots c. strawberries and mushrooms d. apples and celery

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

74. Which government agency inspects and grades meat? a. FDA b. DHHS c. USDA d. Department of Commerce

75. The diet for galactosemia should exclude: a. high fat foods b. high cholesterol foods c. organ meats, MSG d. simple carbohydrates

78. Ground meat will spoil faster than sliced meat because: a. it has more enzyme activity b. it has more fat c. more surface area is exposed d. it has less fat

78. 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

7· If a female is hired and does not receive the same pay as a male in the same position, she can seek help from: a. The Equal Opportunity Act b. The Fair Labor Standards Act c. the Equal Pay Act d. The Fair Wage Act

80. Ketones are most associated with : a. complex carbohydrates b. simple sugars c. fats d. amino acids

81. Which best describes sorbitol and glucose? a. sorbitol is sweeter than glucose b. they each provide 7 calories per gram c. sorbitol is absorbed more slowly d. they both convert into fructose

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

83. A 60 KG 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

83. Which data is needed to convert weight into volume? a. mass b. temperature c. specific gravity d. pH

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

87. 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

88. 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

91. If the above entrees had been served on Tuesday, how many servings of spaghetti will you need next Tuesday, if you expect to serve 300 total entrees? a. 150 b. 63 c. 87 d. 101

92. 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

93. To increase the number of patrons served in the cafeteria during the lunch meal: a. increase the number of cafeteria employees b. add a second tray line c. use the scramble system d. add another cashier

96. A patient with hypercholesterolemia, albuminemia , edema should receive how many grams of protein per KG? a. .5- .6 b. .6- .8 c. .8- 1.0 d. 1.0- 1.4

97. All ofthe following are operational costs except : a. utilities b. cleaning c. labor costs d. laundry service

97. Which method of bread-making is not as dependent on the length of time the dough sits to rise? a. straight dough method b. sponge dough method c. continuous method d. prime bake method

98. 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

114. Theory Z is based on the following premise: a. workers accept responsibility b. self-direction and control are emphasized c. task, structure and authority d. mutual worker-employer loyalty

118. Which job would you not give to a Consultant Dietitian? a. planning future goals b. writing policies and procedures c. providing staff in-service d. supervision of dietary employees

119. Which would you give to a person who is mildly hypokalemic? a. 1 cup blueberries b. 1 cup cranberries c. 1/2 cup applesauce d. 1 piece cantaloupe

12. After an outbreak of food-borne illness in the cafeteria, you discover one of your employees has an infected cut on his finger. You should: a. call the state public health office to investigate b. have the lab culture the kitchen c. fire the employee d. send the employee home until the cut has healed

120. A serum sodium level of 150 mEq/L is a sign of: a. very high sodium intake b. very low sodium intake c. hyponatremia d. hypernatremia

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

124. An employee voted in by the union who works to settle grievances while on paid time is the: a. mediator b. arbitrator c. conciliator d. shop steward

127. 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

132. A viscosimeter measures: a. temperature b. pH c. stability d. consistency

133. Approximately how many patient trays per minute must a centralized tray assembly unit produce in order to serve 400 patients during 90 minutes? a.3 b. 3-5 c.4 d. 4-5

136. Cured meat is pink due to: a. sugar b. salt c. vinegar d. nitrites

136. The width of a main kitchen aisle should be: a.24" b. 36" c. 48" d.6o"

136. 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

137. 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

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

141. 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

141. DRG's allow $1600 for an appendectomy with a 4 day stay. The patient is released in 3 days. The hospital will receive: a. $1200 b.$8oo c. $2000 d. $1600

144. Energy expenditure of humans can be measured by: a. heat intake b. food intake c. nitrogen output d. oxygen consumption

145. A useful application of counting FTE's is in planning: a. the menu b. the type of service c. the kitchen layout d. the budget for wages

149. What is the chemical composition of a class ABC fire extinguisher? a. water under pressure b. carbon dioxide under pressure c. carbon monoxide under pressure d. dry inert chemicals under pressure

15. A food service operates with a 35% food cost. If a menu item has a raw food cost of $1.25, and it takes an employee 45 minutes at $6.oo an hour to prepare, what is the traditional selling price? a. $2.75 b. $3.25 c. $2.50 d. $3.58

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

157. Phenylalanine is a precursor for: a. serotonin b. catecholamines c. tryptophan d. tyrosine

162. Meat loaf has been left out for 5 hours. Should you serve it? a. yes b. yes because bacteria was destroyed during the heating process c. no because of the risk of botulism d. no because of the risk of staphylococcus

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

167. The kitchen floor will be changed. What do you recommend? a. asphalt tiles b. terrazzo c. concrete blocks d. clay tiles

168. Medicaid benefits apply to: a. healthy adults b. a 6o year old female c. those at nutritional risk d. low income individuals

169. The symbol U on a food label indicates: a. it is treated with ultraviolet light b. is treated with radiation c. vitamin retention has been retained during processing d. it is a Kosher designation

17. Considering the following smoke points of various fats, which would be the best to use for frying? a. 300 'F b. 325'F c. 375'F d.400'F

172. The stasis of pancreatic juice and bile could result in: I. autodigestion II. fat malabsorption III. obstructive jaundice a. I and II b. I and III c. II and III d. I, II and III

173. In order to influence a legislator one day before a vote, the Dietitian should: a. visit the legislative aide b. write a letter to the legislator c. send a postcard to the legislator d. telephone the legislator

173. When adding bran to a flour mixture, what should be changed? a. baking temperature b. increase the fat and liquid c. increase the oxidizing agent d. increase the flour and liquid

177. Salmonella sources are often: a. reheated foods b. starchy foods and mixtures like casseroles c. cooled slowly and reheated foods d. raw produce and uncooked foods of animal origin

178. 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

182. When does a breakeven point increase? a. when sales decrease b. when profits decrease c. when profit increases d. when costs increase

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

187. In dry storage, the humidity should be: a. 20-30% b. 30-40% c. 40-50% d. 50-60%

189. HACCP standards would be similar for which of the following foods? a. canned corn and frozen corn b. fresh chicken and frozen chicken c. fresh beef and frozen chicken d. frozen beef and frozen corn

195. A patient needs a 2000 calorie, 2 gram sodium feeding. Which formula is best? calories/cc Na(g)/liter a. formula 1 1 2 b. formula 2 1.5 2 c. formula 3 2 1 d. formula 4 1 1

197. Which of the following is true? a. Fructose has sucrose b. Fructose is less concentrated than glucose c. Fructose takes longer to digest than glucose d. Fructose is sweeter than glucose

199. Quality control is: a. outcome or output oriented b. a measure of the quality of care provided c. patient care oriented d. proactive - focuses on the prevention of errors in food service

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

203. How many servings are there in 10 gallons of ice cream using a #16 scoop? a.320 b. 480 c. 560 d.640

208. Using the factor method , determine the selling price using the data below. raw food cost=3.14; prepared food cost=5.21 labor cost=3·39; overhead cost=1.12; factor=3·37 a. 6.40 b. 7·84 c. 8.10 d. 10.58

209. The greatest effect on the yield of meat cooked to a uniform internal temperature is produced by the: a. type of oven and source of the heat b. weight of meat and the oven load c. degree of tempering and the grade of meat d. cooking time and the oven temperature

209.A narrow span of management should be employed with: a. routine, repetitive, homogeneous work b. health care professionals who don't require close supervision c. well motivated, highly trained group d. newly hired employees

216. 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

22. 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

220. 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

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

223. The organized gathering of data and information for the purpose of analyzing a service for clients is: a. an experimental design b. a relationship analysis c.product development d. market research

225. You find out that next year 's budget will change by the following: 10% increase in labor cost; Labor costs $100,000 5% increase in food cost; Food cost$100,000 2% increase in overhead; Overhead cost $40,000 What will the total budget be if the following info is from the current year? a. $1568oo b. $234800 c. $267000 d. $255800

229. The amount of ceruloplasmin is affected by what disease? a. Addison's disease b. Pheochromocytoma c. Cushing's syndrome d. Wilson's disease

23. An amino acid that cannot be produced by the body is: a. alanine b. glycine c. tyrosine d. tryptophan

230. An edematous person may actually be dehydrated because: a. intravascular fluid is retained b. intravascular fluid is diluted c. fluid is retained intracellularly d. fluid is retained extracellularly

230. If you have a lactose intolerance, which food could you most likely tolerate? a. whole milk b. skim milk c. ice cream d. yogurt

232. When substituted for saturated fats in the diet, which of the following oils will likely lower total cholesterol but also lower HDL cholesterol? a. olive oil b. canola oil c. peanut oil d. safflower oil

233. You are a Food Service Dietitian and would like to make lower fat brownies. What is the best way to cut the fat? a. use margarine instead of butter b. cut out all the fat c. cut out half the fat d. use prune puree in place of half the fat

234. You want to keep lemon meringue pie at its peak. What should you do? a. add sugar with eggs b. add flour with butter c. keep the pie at room temperature d. keep the pie refrigerated

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

241. Determine the calories coming from lipids per day from the following parenteral formula. The amounts stated are given per liter. 300 ml 6o% dextrose; 500 ml 10% amino acids; 200 ml 20% lipid; total nutrient mixture administered at 65 ml/hour for 24 hours a.519 b. 561 c.577 d.624

242. The temperature of a beef casserole drops below 140' within an hour. What should you do? a.throw it out b. return it to the hot-holding cabinet to reheat it to a temperature of 165 c. return it to the oven to reheat it to a minimum of 140 d. return it to the oven to reheat it to a minimum of 165

244. 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

244. Before you teach a class on nutrition , you should: a. research all current materials at the library b. read a current nutrition textbook c. take a survey to determine what they are interested in d. assess the student's current nutrition knowledge

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

246. Active listening in counseling sessions involves: a. probing into specific areas of behavior b. empathizing c. selective perception d. paraphrasing and responding

247. 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

249. When planning a program for rural elderly, which is the most important? a. the number of participants b. what you will serve c. where it will be held d. how they will get to you

252. Which organization regulates the irradiation of foods? a.DHHS b. USDA c. Department of Commerce Marine Fisheries Service d. FDA

253. The interstate shipping of shellfish is monitored by the: a. DHHS b. USDA c. Department of Commerce d. FDA

253. When should performance objectives be given to workers? a. several weeks before their evaluation b. they should not be shown to the worker c. the day of the evaluation d. the day they are hired

256. A #12 scoop, was used to serve 6oo servings of mashed potatoes instead of a # 16 scoop. How many servings were they short? a. 90 b.25 C.210 d. 156

257. Which denotes a high correlation? a. .2 b. .4 c. .6 d. .8

26. An increased plasma pyruvate level is an indication of: a. iron deficiency b. riboflavin deficiency c. excess carbohydrate ingestion d. thiamin deficiency

263. When you measure functional and manipulative skills, which domain of learning are you analyzing? a. conceptual b. affective c. human d. psychomotor

264. The FDA is responsible for: a. pesticide residue tolerance levels b. standard of fill, assuring meat wholesomeness, nutrition labels c. grading of meat d. standard of identity, nutrition labels, imitation foods

265. 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

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

275. Synergistics is: a. two people working together b. two people working in separate areas c. a person working alone d. a group of people working together to solve a problem

275. Which of the following formulas is used to determine a meal equivalent in a commercial operation? a. average of a prototype meal b. average dollars spent per patron over a one week period c. total sales divided by budgeted cost per meal d. total revenues for a specific period divided by the cost of a prototype meal

276. 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 lbs weekly b. reduction of energy intake to no less than 1000 calf day c. avoidance of simple sugars and sugar-containing products d. maintenance of weight during continued growth

278. The kitchen layout below is characteristic of which foodservice system? Refrigerator / Freezer / Steamers / Ovens / Microwave / Meal assembly / Delivery carts a. commissary b. conventional c. ready prepared d. assembly-serve

28. For which of the following diseases is diet therapy the primary treatment? a. peptic ulcer b. diabetes c. Wilson's disease d. galactosemia

284. To determine how profitable a department has been, determine the profit margin, which is: a. ratio of income to revenue b. ratio of costs to income c. ratio of overhead to sales d. ratio of profit to sales

286. The raw food cost of an item is $1.12 per serving.What is the hidden cost? a. $ .10 b .$ .07 c .$ .13 d.$ .11

286. What is your first concern when deciding how to teach? a. the time you and the students have b. what learning resources are available c. what you are best at d. the needs and abilities of your students

288. 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

289. In a normal curve, what % of data falls between +1 and -1 standard deviation? a. 52 b. 93 c. 35 d. 68

29. Where should a hand-washing sink be located? a. near the door entering the kitchen b. near the dishroom c. near the cafeteria counter d. near the food preparation area

29. Which of the following best reflects protein status? a. serum albumin b. serum transferrin c. retinol-binding protein d. prealbumin

296. A manager asks for input and advice from several employees on a situation . He then makes a decision which may or may not reflect the input provided by the employees. He is using what leadership decision -making style? a. democratic b. autocratic c. group d. consultative

3. What is included in the study of demographics? I. age of individuals II. population statistics III. sex of individuals IV. socioeconomic factors a. I only b. all of the above c. II, III d. I, II, III

30. Which food service system is least likely to have microbial contamination? a. conventional b. cook-chill c. cook-freeze d. assembly serve

302. A patient relates a story to the RD. The RD says: "This happened to me, too." This is: a. reflection b. clarification c. attribution d. self-disclosure

304. The lecture : a. increases teacher-student involvement b. is student-oriented c. reinforces material presented d. provides the most material covered in a short time

306. Which is the best way to teach food service workers to prepare a full liquid diet : a. video and discussion b. prepare it themselves c. written instruction d. demonstration, then have them prepare it

308. Employees are consistently late returning from breaks. The Dietitian should first: a. have all employees clock in and out for breaks b. analyze activities to identify the best break times c. discipline tardy employees the next time they are late returning from breaks d. meet with all employees as a group and solicit recommendations for improvement

309. Employees complain the performance appraisal process is highly subjective and unfair. The Manager should prepare objectives that : a. meet the mission and goals of the department b. are developed with input from the employees c. emphasize the employee's best skills d. are clear and reasonable

31. In starvation, the brain uses which nutrient as an energy source? a. fatty acids b. lactic acid c. glucose d. ketone bodies

310. A Diet Aide was injured in a car accident and is still not able to perform a majority of her duties after a period of recuperation. To comply with the Americans with Disabilities Act, the manager should: a. create a new position that the employee can perform b.transfer the employee to another department c. hire another employee to assist the Diet Aide d. ask the employee to provide written recommendations from their physician

310. A research study was done on plate waste. "Plate waste for breakfast is more than for dinner. This was due to the familiarity and popularity of the food ." What section of the research report would that statement be found? a. methodology b. results c. implications d. discussion

311. 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

311. Which of the following methods is most effective for marketing a nutrition program to an inner-city, Hispanic population? a. Spanish-language brochures written at high school reading level b. public service announcements on TV c. radio messages d. Spanish food demonstrations at local grocery stores

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

315. You have developed a website to market a new business. Which of the following components is a form of promotion? a. online order form b. price and availability of products c. email address of the business d. graphics and text of products

317. Which of the following forms of pudding would be purchased in an Assembly/ serve foodservice system? a. frozen bulk b. instant c. canned d. individual portions

318. 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

319. Which of the following is an achievable outcome for a community weight-control 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% of desirable d. reduce by 10% the number of obese adults, ages 25-49 years, within 2 years of starting the program

319. Which of the following would be appropriate for a hemodialysis patient on a 6o gram 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

320. 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

323. The most effective way to increase the incidence and duration of breast feeding among clients receiving prenatal care is to: a. post breastfeeding posters in the waiting room b. conduct prenatal breast-feeding classes c. show breast-feeding videotapes in the waiting room d. implement a breast-feeding peer counselor program

324. 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 nutrition d. less anemia, increased HG and HT levels

328. Individual training of a new employee is sometimes delegated to an experienced employee. A disadvantage of this method is that it: a. is costly and time-consuming b. is difficult to evaluate the effectiveness of the training c. causes dissension among other employees d. results in inconsistent training and may perpetuate poor work habits

329. What is the inventory turnover rate? Net profit $41,137 Cost of goods sold $145,350 Average inventory value $7330 Total meals served per day 200 a. 205.68 b. 726.75 c. 5.6 d. 19.83

331. A young woman presents with pale conjunctivae. You should assess her intake of: a. vitamin C b. vitamin D c. zinc d. iron

331. 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

334. You are preparing a workshop about proper preparation of infant formula for 10 women. Which of the following methods is most appropriate? a. role-playing b. lecture c. discussion d. demonstration

335. 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

335. An employee becomes loud and disruptive and refuses to comply with the Dietitian's request concerning nourishment preparation. What should the Dietitian do? a. attempt to calm the employee while meeting nourishment preparation deadlines b. take the employee aside and determine whether insubordination can be established c. ignore the behavior d. designate a replacement and remove the employee from the area for further discussion

336. Bacillus cereus intoxication is most likely to occur following consumption of: a. macaroni and cheese b. baked beans c. corn pudding d. fried rice

336. Intervention by a Dietitian conducting nutrition assessment is best determined by : a. a patient's medical history b. a patient 's diagnosis c. the case mix of the patient population d. results of nutrition screening

337• Which of the following dishmachine temperatures should be adjusted? Pre-rinse 121'F Wash 145'F Final rinse 205'F a. increase the temperature of the pre-rinse b. increase the temperature of the wash cycle c. decrease the temperature of the wash cycle d. decrease the temperature of the rinse cycle

338. A patient with severe acute pancreatitis experiences nausea and vomiting and requires 2500 calories/day. Which of the following would you recommend? a. 3000cc of a 1 cal/cc tube feeding through the jejunum b. 1500cc of a 2 cal/cc nasogastric tube feeding c. woo cc of D50W, 1ooocc of 7% amino acids, 650 cc of 20% lipids d. 1ooocc ofD50W, woocc of?% amino acids, 500cc oho% lipids

340. A home-delivered meals program for the elderly chooses a Nonselective menu primarily to: a. control food volume b. encourage client participation c. minimize food drop-off time d. minimize labor costs

340. At what age should children be measured standing up? a. 6 months b. 12 months c. 18 months d. 24 months

341. A disgruntled employee is loud and disruptive and appears to be out control even after the Dietitian has counseled him. What should the Dietitian do? a. send the employee to the break room to calm down b. return to the office to write a disciplinary report c. send the employee off the premises immediately and alert security d.take the employee into the office and discuss the consequences of his behavior

343. Which ofthe following statements about cow's milk are true? I. It is high in protein. II. It creates a high solute load. III. It is low in iron and vitamin C. a. I only b. I, III c. II, III d. all of the above

344. A patient on parenteral nutrition is to be transitioned to enteral feeding. He should receive: a. half-strength enteral feeding initially b. half-strength, then 3/4 strength enteral feeding c. half-strength enteral feeding with a low osmolality d. full strength enteral feeding at a low rate

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

353. Which snack would you not give to an infant? a. yogurt b. cheese sticks c. graham crackers d. grapes

358. 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.

36. Protein-bound iodine (PBI) measures: a. nutritional status b. toxic levels of iodine c. deficiency of epinephrine d. level of thyroxine being produced

36. Which of the following is poor management? a. one supervisor for one employee b. one supervisor for every two employees c. one supervisor for the entire department d. two supervisors for one employee

361. 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

373. 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

380. 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

386. 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

389. 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

39. The formula for producing the active form of vitamin D is: a. vitamin D3 converting into 7- dehydrocholesterol b. ergosterol converting into calciferol c. cholesterol converting into calciferol d. 7 - dehydrocholesterol converting into cholecalciferol

390. 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

391. 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

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

4. 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

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

41. Which has the greatest effect on the renal solute load? a. potassium b. sodium c. glucose d. protein

410. 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.

416. 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

418. 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

419. 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

422. 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

426. 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

427. 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

435. 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

436. 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

44. The NHANES study looks at which parameters? a. nutritional b. nutritional, clinical c. nutritional, biochemical d. nutritional, clinical, biochemical

443. Which of the following lab values would most likely indicate that dialysis in necessary? Serum creatinine mg/dl BUN mg/dl a. 2.0 80 b. 3-0 90 c. 4-0 100 d. 6.0 70

444. 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

44· If a food service reconstitutes frozen food that is made on site, what type of production system is it? a. convenience b. conventional c. satellite d. cook-freeze

45. Biotin is considered a coenzyme in the synthesis of: a. protein b. carbohydrate c. glycogen d. fatty acids

459. 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

46. 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

462. 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

4·Which piece of food service equipment may be restricted by a local law? a. toaster b. steam-jacketed kettle c. convection oven d. garbage disposal

53. Which of the following may be the cause of loose stools in a tube fed patient? I. feeding was administered at too rapid a rate II. the osmolality of the feeding was too low III. the patient is constipated IV. an inadequate amount of intestinal surface area a. I b. I, II c. II, III d. I, IV

55. In making decision, take the following steps: a. gather data, choose solution, take action, follow-up b. determine workable solutions, choose one, take action c. choose solution, take action, follow-up d. recognize and analyze the problem, gather data, choose solution, take action, follow-up

55. Which conversion requires glucose- 6 -phosphatase? a. glucose into liver glycogen b. glucose into pyruvic acid c. pyruvic acid into lactic acid d. liver glycogen into glucose

58. Quality circles are useful in: a. employee evaluations b. job selection and placement c. policy development d. increasing productivity

5· What gas is released from a fire? a.helium b. hydrogen c. carbon dioxide d. carbon monoxide

64. OSHA's responsibilities do not include: a. establishing minimum safety standards b. inspecting facilities c. examining records of occupational injuries d. developing a better safety program for a facility

64. The dumping syndrome: I. follows a gastrectomy II. is secondary to carbohydrate overload III. draws fluid into the intestine. IV. needs a high carbohydrate diet a. I, III, IV b. II, III, IV c. I d. I, II, III

65. Fresh meat contamination comes mainly from: a. botulism b. staphylococcus c. clostridium d. salmonella

68. If you open sealed bids and place the order with the lowest bid, you are using which buying method? a. informal b. open market c. future contracts d. formal, competitive bid

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

71. Vitamin A is involved in: a. growth and development b. blood clotting c. growth of bones and teeth d. development of tissue and skin

72. A patient with metabolic alkalosis would have: a. excess excretion of base through the kidneys b. retention of base by the lungs c. excretion of base by the lungs d. retention of base by the kidneys

72. The main reason for keeping an inventory is: a. to plan next years budget b. to prevent thievery c. to see how well you are following the budget d. to determine when and how much to reorder

76. Which is not absorbed directly into the portal blood? a. monosaccarhides b. amino acids c. medium chained fatty acids d. long chained fatty acids

77. 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

77. Two of the listed ingredients on a frozen food label are BHA and BHT. What is their function? a. flavor enhancers b. emulsifiers c. to prevent enzymatic oxidation d. to prevent lipid oxidation

79. Why should a manager not allow employees to wear long jewelry in the kitchen? a. to prevent showing off to other workers b. sanitation considerations c. possible theft d. employee safety and sanitation

7S. What function is served by glycerol monostearate? a. adds to the taste of the food b. acts as an emulsifier c. acts as an antioxidant d. acts as a humectant

8. What is the labor turnover rate if 6 employees in a department of 55 were terminated and replaced? a.12% b.10% c. 9% d. 11%

8. Which infant is at the greatest risk? a. 20 lbs. hemoglobin 10 b. 22 lbs. hemoglobin 10.5 c. 19 lbs. hemoglobin 11 d. 30 lbs. hemoglobin 9

80. An example of self-actualization is: a. breathing unassisted b. companionship c. safety d. asking for additional training

82. What are the similarities between WIC and Food Stamps? I. regulated by USDA II. have at risk criteria III. have income criteria IV. a health exam is required a. I, II, III, IV b. I, II, III c. II, III, IV d. I, III

84. The tartness in fruits and vegetables is due to: a. flavones b. chlorophyll c. anthoxanthins d. tannins

84. Which is the least time efficient way for a Dietitian to evaluate a new piece of equipment for purchase? a. read specifications provided by the manufacturer b. discuss it with other Dietitians via telephone c. meet with the company representatives d. attend food service trade fairs

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

85. When a white sauce tastes starchy and grainy, the likely cause is: a. too much starch b. improper proportions of ingredients c. starch was added before the fat melted d. uncooked flour

87. Which would add bulk to frozen yogurt? a. carrageenan b. carob gum c. monoglycerides d. microcrystalline cellulose

89. A food service worker confides in you that he has tested HIV positive. What should you do? a. ask him to report to the health clinic b. instruct him to wear gloves on duty c. reassign him to another area of the kitchen d. assure him that confidentiality will be respected

89. 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

9. Which of the infants below have a normal hemoglobin level? a. 20 lbs. hemoglobin 10 b. 22 lbs. hemoglobin 10.5 c. 19 lbs. hemoglobin 11 d. 30 lbs. hemoglobin 9 a. a, b,d b. b,d c. c, d d. a, b, c

92. A non-directed interview provides: a. the same information on all applicants b. a structured set of questions c. the least amount of information d. more information than a directed interview

94. Dry heat cookery should be used for which cut of meat? a. shoulder b. neck c. brisket d. near the backbone

95. What color do onions turn when cooked in an aluminum pan? a. purple b. blue c. red d. yellow

95· Why are open-ended questions better during an interview? a. they provide the same info on all applicants b. there is less personal bias c.they are less time-consuming d. they provide more info

98. Which nutrient is added for flour enrichment? a. vitamin A b. iodine c. fluorine d. iron

99. What can you do if your company denies you the right to organize and form a labor union? a. nothing b. quickly form a union c. changejobs d.file a claim with the NLRB

99. What does the term "USDA graded" on meat tell the consumer? a. It assures wholesomeness b. It was free of disease at the time of slaughter c. The meat is fit for human consumption d. It defines quality

463. 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

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