RD Exam Practice Questions
a statement of affirmation in motivational interviewing would be:
"Taking a walk during your lunch hour shows how determined you are"
which of the following responses by a counselor indicates "reflection":
"You said, 'You want to lose weight?'"
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. # of employees terminated and replaced divided by total number of positions D. # total positions divided by number part-time employees
# employees terminated and replaced divided by total number of positions
The proper portion size of a dessert item is 1/3 cup. Which scoop should you use? a. #12 b. #8 c. #16 d. #12
#12
the raw food cost of an item is $1.12 per serving. what is the hidden cost?
$0.11
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.
$0.39
Processed chopped lettuce costs $0.69/lb. Whole-head lettuce costs $16.49/50lb. case. If the head of lettuce can be processed in two hours at $5.25/hour for labor, what is the relative value of processed and head lettuce if the yield is 75%?
$0.69 processed; $0.72 head lettuce
you are planning the budget for next year. labor costs will increase by 10%. food costs will increase by 5%. operating costs will increase by 2%. this year sales totaled at $1,000,000. labor costs were 40% of income, food costs was 40% of income, and operating costs were 20% of income. what is the projected budget?
$1,064,000
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
$10
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. $800 c. $2000 d. $1600
$1600
what is the labor cost for 4 weeks if you have 5.5 FTEs earning $20 per hour?
$17,600
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
$2.03
how much will it cost to prepare these scrambled eggs? Amount to be made: 25 cost of eggs: $0.83 per dozen 2 ounces margarine at $2.29 per pound 2 cups milk at $2.50 per gallon
$2.35
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
$200
the hospital budget for the first 6 months is set for an 80% occupancy rate. Budget figures for this level are listed below. the second size months will have an occupancy rate of 60%. what would the food cost budget be for the second six months? Food Cost: $30,000 Labor Cost: $25,000 Operating costs: $24,000
$22,500
an 8 lb roast beef cost $2.79/lb. the edible portion is 65%. what is the AP price of the roast?
$22.32
you find out that next year's budget will change by the following: 10% increase in labor cost 5% increase in food cost 2% increase in overhead what will the total budget be if the following info is from the current year? Labor costs: $100,000 Food cost: $100,000 overhead cost: $40,000
$255,800
using the following data, the average check for September is: Total revenue: $909009 Net income: $173010 FTEs: 27.9 Number of customers: 32613
$27.87
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 an hour to prepare, what is the traditional selling price?
$3.58
your nutrition department has 6.5 FTE dietitians at $20/hour. how much salary is that per week?
$5200
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?
$5300
what is the gross food cost for June using the following information? June 1 inventory: $5300 July 1 inventory: $2700 Food purchase - month of June: $3150
$5750
if you purchase an oven for $10,000. it is expected to last for 10 years, after which it can be sold for $3000. what is its depreciation cost each year?
$700
store frozen fruits and vegetables at:
0 - -10F
how many meals were served per labor minute if 34 FTE produced 3800 meals in one 40 hour week?
0.05
a patient with a GFR of 20 ml/min should receive how many grams of protein/kg?
0.6
if a patient's GFR is < 50 ml/minute, what should their protein intake be (in g/kg)?
0.6-0.8
which denotes a high correlation?
0.8
a nephrotic syndrome patient should receive how many grams of protein per kg?
0.8 - 1.0
which exhibits a definite positive correlation?
0.8-1.0
according to the diabetic exchange lists, when substituting 2% milk for fat-free milk, you must omit how many fat exchanges?
1
meats cured with whey won't be tolerated by someone with: 1. lactose intolerance 2. diabetes 3. post gastrectomy of three months 4. duodenectomy
1
to sanitize, immerse dishes in a chemical solution for ___ minutes.
1
a patient receives 4 oz whole milk and 6 graham crackers as a snack. which of the following substitutes would lower the glycemic index?
1 T peanut butter in place of 3 graham crackers
what are the similarities between WIC and SNAP? 1. regulated by USDA 2 have at risk criteria 3. have income criteria 4. a health exam is required.
1 and 3
which of the following substitutions will most decrease the sodium content of a biscuit? 1. low sodium milk for whole milk 2. egg substitute for egg 3. low sodium baking powder for baking powder
1 and 3
what is a guide for calculating water needs with tube feedings?
1 cc water/ 1.0 calories
which of the following would be appropriate for a hemodialysis patient on a 60 g protein diet, with 75% from HBV protein? A. 2 eggs, 2 oz chicken, 3 oz beef, 1/2 cup milk B. 1 egg, 2 oz chicken, 3 slices bread, 3 oz beef C. 2 eggs, 3 oz chicken, 3 oz beef, 1 cup milk D. 1 egg, 3 oz chicken, 2 cups milk, 5 slices bread
1 egg, 3 oz chicken, 2 cups milk, 5 slices bread
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:
1 hour and 30 minutes
How much fluid is lost through insensible losses?
1 liter
how many minutes are needed to sanitize dishes when washing by hand using chlorine?
1 minute
which of the following should the patient in the above question have for lunch? (500 mg sodium diet)
1 ounce roast beef
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
1 oz raisin bran cereal
a diabetic wants to exchange his bedtime snack of 8 ounces of whole milk. what do you suggest?
1 oz. cheese and 1/2 cup orange juice
which would you give to a person who is mildly hypokalemic?
1 piece cantaloupe
french fries made from stored potatoes would have changes in: 1. taste 2. appearance 3. texture
1, 2, 3
the dumping syndrome: 1. follows a gastrectomy 2. is secondary to carbohydrate overload 3. draws fluid into the intestine 4. needs a high carbohydrate diet
1, 2, 3
the stasis of pancreatic juice and bile could result in: 1. autodigestion 2. fat malabsorption 3. obstructive jaundice
1, 2, 3
what is included in the study of demographics? 1. age of individuals 2. population statistics 3. sex of individuals 4. socioeconomic factors
1, 2, 3
which of the following may be the cause of loose stools in a tube fed patient? 1. feeding was administered at too rapid a rate 2. the osmolality of the feeding was too low 3. the patient is constipated 4. an inadequate amount of intestinal surface area
1, 4
. If a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how much weight will he lose in one week?
1.0 kg
which of the following is the appropriate diet for peritoneal dialysis?
1.3 grams protein, 35 cals/kg
it takes ___ FTEs to fill one 8 hour, 7 day-per-week position.
1.4
A recipe requires 1.5 pints of cleaned, sliced strawberries. The yield for strawberries is 91%. One cup of clean, sliced strawberries weight 7 oz. At a minimum, how many pound of strawberries needed to be ordered.
1.5 lbs
the school breakfast and school lunch programs together provide approximately how much of the RDA's daily requirements?
1/2
the #12 scoop measures:
1/3 cup
which of the following is equivalent to a lean protein exchange?
1/4 c low-fat cottage cheese
how many FTE's can you hire with a weekly budget if $8640 if the salary is $12 per hour?
10
the toxic level of vitamin A has been identified as:
10,000 IU
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
10.58
a tube feeding ran from 7 PM to 6 AM, providing 1800 calories, at 1.6 calories/cc. how many cc/hour were given?
100
a patient with severe acute pancreatitis experiences nausea and vomiting and requires 2500 calories/day. Which of the following would you recommend? A. 3000 cc of 1 cal/cc tube feeding through the jejunum B. 1500 cc of a 2 cal/cc nasogastric tube feeding C. 1000 cc of D50W, 1000 cc of 7% AA, 650 cc of 20% lipids D. 1000 cc of D50W, 1000 cc of 7% AA, 500 cc of 10% lipids
1000 cc of D50W, 1000 cc of 7% AA, 500 cc of 10% lipids
a patient weighing 104 kg is placed on a 1.5 cal/ml formula with 75% free water, 54 g protein/L. He is receiving 200 ml/day. how much protein will he receive?
108 g
how many actual relief employees are needed to cover 20 full-time employees?
11
what is the labor turnover rate if 6 employees in a department of 55 were terminated and replaced?
11%
how much free water is in 1.5 liters of an enteral feeding that has 1.5 calories per cc?
1155 cc
how many oranges are needed to produce one quart of juice?
12
how many quarts of batter are needed to make 144 muffins using a #12 scoop?
12
a patient requires 1800 calories per day and is restricted to 1500 ml fluid. the enteral formula selected has 1.5 cal/cc, 55 g protein per liter, and 77% water.. How much formula does she need daily?
1200 mL
how many calories are in 1.5 liters of a 25% dextrose solution?
1275
how many calories are provided in 1.5 liters of D25W?
1275
a parenteral solution includes 65 grams of protein, 200 grams dextrose, and a 20% fat emulsion at 7 ml/hour. how many total calories will this provide in a 24 hour period?
1276 calories
A #10 can holds how many cups of product?
13 cups
you have invested in new hardware and software that will reduce the labor hours needed to complete a task. What is they payback period? hardware: $3500 software: $2400 staff instruction: $1000 labor hours saved: 6 per week at $20/hour
13 months
what would be the next number on this list with a moving average of 5? 1400, 1200, 1300, 1250, 1350, 1400, 1425
1345
what is the lowest acceptable holding temperature while serving?
140F
Chicken has a popularity index of 45%. There are 380 total patients, 85% of whom are eating. How many will choose chicken?
145
a 7 year old on a ketogenic diet requires 1500 calories. which is the appropriate order?
145 g fat, 25 g protein, 25 g CHO
what is the recommended weight gain during pregnancy for a woman with a BMI of 28?
15-25 pounds
based on an 8 hour day, the number of hours worked was 32,567 per year. the total number of hours paid was 36,341 per year. Calculate the number of productive FTE's.
15.66
normal saline has ___ mEq sodium/L.
154
A #12 scoop was used to serve 600 servings of mashed potatoes instead of a #16 scoop. How many servings were they short?
156
a PN regimen than contains 1 L of D50W and 1 L of 7% Aminosyn provides how many non-protein calories
1700 non-protein calories
A 60 kg female receives 2700 kcal on PN. The calorie to nitrogen ratio is 150:1. How many grams of nitrogen is she getting?
18
at what temperature should coffee and items such as thin soups be held for serving?
180-190F
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
19.83
if implementing a program costs $3 for each patient and the return is $6 per patient, the cost/benefit ratio is:
1:2
if an employee works 5 days each week, how many regular employees can be covered by one relief employee?
2 1/2
an infant formula for lactose intolerance might include: 1. whey, coconut oil 2. casein hydroxylate, corn oil, glucose 3. soy protein, corn syrup solids 4. sodium casseinate, hydrolyzed cornstarch
2 and 3
which of the following is not a guideline for Medicaid? 1. low income 2. over the age of 60 only 3. nutritional need
2 and 3
according to the food lists for diabetes exchanges, 2 T peanut butter is equivalent to:
2 high fat proteins
previously cooked hazardous food must be reheated to an internal temperature of 165 F for fifteen seconds within:
2 hours
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:
2 slices toast
a patient with Crohn's disease needs the following diet: 1. high fat, high calorie, high protein 2. low fat only with steatorrhea, vitamin C, B12 3. calories according to current BMI, high protein 4. high residue, low fat, fat soluble vitamins 5. low calorie, low residue, fat soluble vitamins, B12
2, 3
based on the DRG's medicare reimbursement depends on: 1. length of patient stay 2. age of patient 3. primary diagnosis
2, 3
which of the following should be included in the diet for celiac disease? 1. decrease intake of eggs 2. use potato and rice flour 3. IM vitamin B12 and iron 4. low calorie, high fat, high protein
2, 3
The FDA: 1. inspects meat, poultry, fish, eggs 2. inspects factories 3. enforces the food, drug, and cosmetic act 4. monitors interstate shipping of shellfish
2, 3, 4
what is normal weight gain during the first trimester?
2-5 lbs
what is the mean of the following set of numbers? 3, 2, 2
2.3
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.
20
how many grams of protein are provided in: 500 ml of a 20% dextrose solution with 500 ml of a 4% protein solution and 250 ml of a 20% lipid emulsion
20 g
food service employees should wash their hands for at least:
20 seconds
how much protein is needed for a patient with a stage 3 burn?
20-25% of total calories
in the dietary guidelines, what represents the fat included:
20-35% calories, less than 10 percent saturated fat
a patient weighing 104 kg is placed on a 1.5 cal/ml formula with 75% free water, 54 g protein/L. he needs 3000 calories per day. how much formula should he receive to meet his needs?
2000 ml
how much additional water would a 65 kg patient need when receiving 2400 ml of a standard formula, 85% free water, was given daily?
235 mL
The cupcakes served to patients have a 75% acceptance rate. In a hospital where 90% of the 425 patients select their own menus, how many cupcakes are needed? a. 24 dozen b. 18 dozen c. 16 dozen d. 12 dozen
24 dozen
BMI for age percentiles start at age:
24 months
a standing height should first be obtained when an infant is how many months old?
24 months
at what age should children be measured standing up?
24 months
an AIDS patient's temperature has risen to 102 degrees. His BMR has increased:
24%
closed enteral nutrition systems can hang for:
24-48 hrs
the elderly need how many mL of water per KG?
25-30
a sandwich with two pieces of white bread and two ounces o turkey provides how many calories?
250
a food item provides 45 grams of carbohydrates, 10 grams of protein and 10 grams of fat. what percent of total calories comes from fat?
29%
A crate of oranges weighs 45 pounds and holds 128 oranges. How many crates are needed to produce 8 gallons of orange juice? a. 2 b. 3 c. 4 d. 5
3
fresh eggs in the shell can be stored in a refrigerator at 40 degrees for:
3 weeks
one pound of boneless turkey yields 0.7 lbs cooked turkey. how many pounds must be purchased to yield 21 lbs cooked turkey?
30
which infant is at the greatest risk?
30 lbs. hemoglobin 9
how many 4 ounce servings can you get from 1 gallon of ice cream?
32
how much water does an athlete need if they have lost 2 pounds during a marathon?
32 ounces
how many servings are there in 10 gallons of ice cream using a #16 scoop?
32 oz/16svgs= 2 oz/svgs 10 x 128 oz = 1280 oz/2 oz svgs = 640 svgs
A $240 income was generated selling 40 pieces of fish with a raw food cost of $2.00 each . What is the % food cost?
33%
forty entrees of fish cost $2.00 per serving. Total sales for the fish came out to $240.00. What was the food cost percentage?
33%
Two liters of a 5% dextrose solution provide how many calories?
340
how many non-protein calories are provided by 2 liters of a 7% aminosyn solution and 1 liter of 10% dextrose in water?
340 non-protein calories
a cafeteria seats 80 customers. lunch runs from 11:15 am to 1:00 pm. turnover is 2.5 customers/hour. how many can be served during those hours?
350
skin fold thickness measurements are best for assessing:
36 year old athlete
what temperature range is recommended for a dairy refrigerator?
36-40 F
according to the ADA exchange lists, what is the nutrient content of the following: 1 cup raspberries, 1/2 cup cereal, 1 cup 1% milk, 1 tsp margarin, black coffee, 1 slice toast, 1 egg.
365 calories, 21 g protein, 57 g CHO, 14 g fat
in a hospital with 300 patients, it takes 14 minutes to prepare one meal. how many FTE's are needed per week?
37
what is the food cost percentage if the cost of food is $325 and the income is $865?
38%
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?
3:1
A diabetic needs 1800 calories, 50% from carbohydrates. How many CHO choices can he have at each meal if he has 2 snacks with a 2 CHO choices each? a. 2 b. 3 c. 4 d. 5
4
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?
4
the maximum hang time for open enteral systems is:
4 hours
according to the diabetic exchange lists, which of the following is equivalent to one medium fat protein?
4 ounces tofu
if a diabetic patient reduces his calorie intake from 2300 to 1800 calories per day, how much will he lose in one month?
4 pounds
With a CHO to insulin ratio of 16:1, how much insulin is needed with this meal? 2 oz beef, 2/3 cup steamed brown rice, 1/2 cup cooked beets, 1 slice bread, 1 tsp butter, 1/2 cup vanilla ice cream
4 units
infants should be given solid foods at:
4-6 months
the normal range for hemoglobin A1c is?
4-6%
Dietitian: 40 work hours/week Nurse: 40 work hours/week Doctor: 30 work hours/week Diet aides: 20 work hours/week Secretary: 20 work hours/week Clerk: 10 work hours/week How many FTE's are in the above operation?
4.0
an infant requires 340 calories/24 hours. how many ounces of formula should be given every 6 hours?
4.25 oz
approximately how many patient trays per minute must a centralized tray assembly unit produce in order to serve 400 patients during 90 minutes?
4.5
the maximum number of calories per serving in a product labeled "low calorie" is:
40
Considering the following smoke points of various fats, which would be the best to use for frying?
400 degrees F
how many mEq of sodium are in 1 gram of sodium?
43
The cafeteria serves lunch from 11 AM to 2:30 PM with a seat turnover rate of 1.5/hour. They need to seat 250 customers. How many chairs do they need?
48
A study showed the morbidity of children with anemia to be 5:1000. This means:
5 children out of 1000 had anemia
when screening pregnant women for gestational diabetes, the amount of oral glucose used is:
50 grams
how wide should an aisle be for two people with a mobile cart to move through?
50 inches
Pot roast: 70 servings, $1.50/serving Chicken stew: 30 servings, $0.75/serving Spaghetti: 40 servings, $0.60/serving What is the popularity index for pot roast?
50%
in dry storage, the humidity should be:
50-60%
how many calories are in 300 mL of a 5% dextrose solution?
51
what percent of protein and fat converts to glucose?
58% protein, 10% fat
a baker makes a batch of cookies in 18 minutes. What is the maximum number of batches he can make in two hours?
6
when estimating the desirable body weight of a patient who has a below the knee amputation of his right leg, decrease the estimate by:
6%
which level of HgA1c suggests good compliance with dietary recommendations in a diabetic after 3 months of counseling a. 6.8 mg/dl b. 3.0 mg/dl c. 8.8 mg/dl d. 9.2 mg/dl
6.8 mg/dl
the width of a main kitchen aisle should be:
60 inches
children and adolescents need what level of physical activity?
60 minutes every day
using this formula determine the calories coming from lipids per day:the amounts stated are given per liter. 300 mL 60% dextrose, 500 mL 10% amino acids, 200 mL 20% lipid. total nutrient mixture administered at 65 mL/hour for 24 hours.
624 calories
a patient weighing 104 kg is placed on a 1.5 cal/ml formula with 75% free water, 54 g protein/L. how much additional water should be provided per hour?
64 mL
a sedated patient receives 25 cc of Propofol per hour. How many calories will he receive from the medication daily?
660
in a normal curve, what % of the data falls between +1 and -1 standard deviation?
68
what reading level is appropriate for written materials for a population with low literacy skills?
6th grade
which of the following types of menus would be the 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
7 day cycle
the formula for producing the active form of vitamin D is:
7-dehydrocholesterol converting into cholecalciferol
which drink would a Mormon choose?
7-up
How much hamburger will it take to make 300 three ounce patties with 20% shrinkage
70 lbs
A 140 lb female on dialysis should have how many grams of protein?
70-89
a patient's I/O form indicates the following data. what is his total insensible fluid loss? Input: oral fluids 1800 mL, solid foods 800 mL, metabolic water 250 mL; total: 2850 mL. Output: urine 1900 mL, intestinal 250 mL, lungs and skin: 700 mL; total: 2850 mL
700 mL
how many grams of protein would you receive on a 1500 calorie diet which is 20% protein?
75
what is the administration rate of enteral feeding if the patient is receiving 1800 mL of a 1 cal/ml solution daily?
75 ml per hour
the minimum recommended temperature for a chemical sanitizer is?
75F
using this formula determine the protein intake per day in grams. the amounts stated are given per liter. 300 mL 60% dextrose, 500 mL 10% amino acids, 200 mL 20% lipid. total nutrient mixture administered at 65 mL/hour for 24 hours.
78 g protein
a patient receives 1800 mL of a 1 cal/cc formula with 44 grams of protein per liter. How much protein will he receive?
79 g
the most appropriate temperature for a sanitizing solution is:
79F
infuse a peripheral solution at a maximum rate of how many mOsm/L?
800
A female, 5'7" tall, weights 115 lbs. Six months ago she weighed 130 lbs. What is her percent of ideal body weight?
85%
in a PN mixture, what volume of the amino acid solutions listed would come closest to providing 185 calories? A. 1000 mL of 8.5% AA B. 850 mL of 5.5% AA C. 500 mL of 7.0% AA D. 500 mL of 10% AA
850 mL of 5.5% AA
Pot roast: 70 servings, $1.50/serving Chicken stew: 30 servings, $0.75/serving Spaghetti: 40 servings, $0.60/serving 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?
87
what reading level is appropriate for educational material for the general population?
8th grade
a TPN solution to be delivered at 50 mL per hour at 3/4 strength. what is the appropriate order?
900 mL formula, 300 mL water
a patient receives an enteral feeding providing 1 cal/ml from 8 PM until 9 AM. what rate is needed to provide 1200 calories in 24 hours?
92 ml/hr
how many total calories are provided in 500 ml of a 20% dextrose solution with 500 ml of a 4% protein solution and 250 ml of a 20% lipid emulsion
920
what is the calorie:nitrogen ratio in this solution: 500 ml of a 20% dextrose solution with 500 ml of a 4% protein solution and 250 ml of a 20% lipid emulsion
920:3.2
determine the calorie contribution of carbohydrate from the following parenteral formula. the amounts stated are given per liter. 300 mL 60% dextrose, 500 mL 10% amino acids, 200 mL 20% lipid. total nutrient mixture administered at 65 mL/hour for 24 hours.
955 calories per day
the level of significance of test results is measured using the p value. which of the following represents the most significant factor?
<0.0002
which diet follows the AHA recommendations for healthy hearts?
<35% calories from fat, <7% saturated fats, 5-10% PUFA, up to 20% MUFA, <200 mg chol
If you replace half and half with whipping cream in ice cream, the effects on the ice crystals will be:
A decrease in size because there is more fat
when using the ABC inventory classification system, the tightest controls are needed for the:
A items
which of the following would likely have a very low albumin a few days after admission to an acute care hospital? A. a patient with anorexia nervosa B. a patient with a 30% full thickness burn C. a patient with newly diagnosed colon cancer D. a patient with COPD
A patient with a 30% full thickness burn
sugar tenderizes a baked good by:
Absorbing some of the water that gluten needs
carbohydrate, fat and protein are all converted into:
Acetyl CoA
what is the product of pyruvate breakdown?
Acetyl CoA
if there is not enough oxaloacetic acid available to the TCA cycle:
Acetyl CoA coming in from fat cannot be handled properly
a meat slicer should be cleaned:
After each use
which amino acid is especially glucogenic?
Alanine
which of the following is not a governmental agency?
American Heart Association
which is an example of line authority? A. a part time consultant for WIC B. a consulting dietitian for an outpatient department C. an administrative dietitian in a 600 bed hospital D. a consulting dietitian for a nursing home
An administrative dietitian in a 600 bed hospital.
which is considered a hazardous situation?
An employee washing floors during rush hour
the full function of the gastrointestinal tract is utilized with which type of nutrition support? A. an isotonic polymeric formula delivered by a nasogastric tube B. a BCAA formula derived by a nasogastric tube C. peripheral parenteral nutrition D. parenteral nutrition
An isotonic polymeric formula delivered by a nasogastric tube
which of the following nonessential amino acids may be considered conditionally essential in catabolic stress such as heart failure?
Arginine
which supplements are recommended with cirrhosis?
B complex, calcium, zinc, magnesium
who is most at risk for gestational diabetes?
BMI >30, history of GDM
the absorption of calcium and iron is likely to be affected by the:
Billroth II procedure
which religious group can consume alcohol? A. Mormons B. Muslims C. Hindus D. Buddhists
Buddhists
which program supports public and non-profit food service programs for homeless shelters?
CACFP
traditional diets of asian populations in the united states are low in:
Calcium
what may be lacking in the traditional diet for Asians living in America?
Calcium
which additive improves crispness in vegetables?
Calcium
which mineral is involved in blood clotting?
Calcium
during an interview, which of the following can you ask? A. do you have a car? B. how will you get to work? C. can you get to work on time without any problem? D. do you own a car?
Can you get to work on time without any problem?
which of the following is lowest in fat?
Canadian bacon
What diet is typically recommended for a patient who has undergone a gastrectomy?
Carbohydrate, protein, and fat at each meal, and restriction of fluids with meals
which of the following has a slow onset and is anaerobic? A. staphylococcus aureus B. clostridium perfringens C. clostridium botulinum D. salmonella
Clostridium botulinum
Food was held at 70F for a long time in anaerobic conditions, 8 hrs after eating it you become ill. What is the culprit?
Clostridium perfringens
excess amounts of zinc may lead to a deficiency of:
Copper
which mineral is absorbed through the intestine and transported with ceruloplasmin in the blood?
Copper
the schilling test detects defects in the absorption of:
Cyanocobalamin
which assessment tool might be given to clients prior to screening at a congregate meal site?
DETERMINE checklist
when green vegetables begin to lose their color during serving, consider:
Decreasing holding time during heating
which is the best way to teach food service workers to prepare a new menu item?
Demonstrate the process, then watch them prepare it
goals for a community nutrition program should be based on:
Dietary Guidelines for Americans
What is the process by which the water content of a vegetable is replaced by a concentrated salt solution?
Diffusion
which guideline is used in planning meals for healthy people?
EAR
a family enrolled in the SNAP program is unsure of the best way to plan meals and budget. Refer them to:
EFNEP
a poor, healthy 19 year old mother is unsure how to feed her 4 year old child. which program may offer her the most help?
EFNEP
where can a pregnant teen learn to cook?
EFNEP
why should a manager not allow employees to wear long jewelry in the kitchen?
Employee safety and sanitation
if a female is hired and does not receive the same pay as a male in the same position, she can seek help from:
Equal Pay Act
which of the following guidelines should be used when you are estimating the prevalence of inadequate intake levels of vitamin A within a group of adults?
Estimated Average Requirement (EAR)
an example of a tertiary prevention program is:
Exercise classes in a cardiac rehabilitation program
in interstate shipping of shellfish is monitored by the:
FDA
the interstate shipping of shellfish is monitored by the:
FDA
the use of a sugar substitute is regulated by:
FDA
which group is responsible for nutritional labeling?
FDA
which organization regulates the irradiation of foods?
FDA
adulterated food is regulated by the:
FDA under the Food, Drug, Cosmetic Act
programs that focus on providing fresh fruits and vegetables are:
FFVP and SFMNP
if you worked overtime and did not get paid, which labor law would help your claim?
Fair Labor Standards Act
which law sets the minimum wage?
Fair Labor Standards Act
to find out about the new regulations developed by the FDA you would check:
Federal Register
for which of the following diseases is diet therapy the primary treatment?
Galactosemia
increased serum uric acid levels may lead to:
Gout
how can you encourage preschool children to eat more fruits and vegetables?
Have them participate in preparing fruits and vegetables
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?
Have you worked at the company under a different name?
the theory that a person must perceive the severity of a condition, and that making a change may help him prevent the condition from occurring is the:
Health Belief Model
which bacteria may cause gastric ulcers?
Helicobacter pylori
responsibility, recognition by management, and participation in decision-making are all considered true motivators by:
Herzberg
the diet for hepatic coma is low in protein due to:
High ammonia levels
a PN patient is receiving 45 calories/kg. what may be the result?
Hypokalemia
a concern with parenteral feeding is:
Hypokalemia
the citric acid cycle occurs:
In the mitochondria and produces energy as ATP
a patient is on a high protein, low carbohydrate diet. what advice should you offer?
Increase fluid intake
the MNA and NSI screening tools are designed for use with:
Individuals over 65 years of age
how do you begin an interview with a patient?
Introduce yourself and make them comfortable
which best applies to nutritional screening?
It should include nutritional parameters
who resolves differences in bills from the house and the senate?
Joint conference committee of the House and Senate
If linoleic acid replaces carbohydrates in the diet:
LDL decreases, HDL increases
a child is lethargic and irritable with diarrhea. the cause may be:
Lead poisoning
a child is lethargic, irritable with diarrhea. the cause may be:
Lead poisoning
the rate of oxidation of which branched-chain amino acid increases significantly during moderate exercise?
Leucine
the dietitian's analytical skills are needed most in which component of the NSI?
Level II
which fat source would be best for a patient with pancreatitis?
MCT
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
Mayo
employees are consistently late returning from breaks. the dietitian should first:
Meet with all employees as a group and solicit recommendations for improvement
to estimate REE in normal weight and obese individuals, use:
Mifflin St. Jeor
a patient on levodopa should:
Minimize protein at breakfast and lunch and add it to dinner
Acidic chyme becomes neutralized in the duodenum by:
Mixing with bicarbonate and fluids
what is the most effective tool for providing nutrition education to the community?
MyPlate Food Guidance System
the program that provides nutrition education training to teachers and foodservice personnel is the:
NETP
which survey is repeated every few years?
NHANES
what law guarantees workers the right to organize and join labor unions?
National Labor Relations Act
which formula is high in protein, low in potassium and phosphorus?
Nepro
dermatitis, diarrhea, dementia, pellagra are signs of a :
Niacin deficiency
congregate meals and home delivered meals fall under:
Older Americans Act Nutrition Program Title III
how much water should be available per person per day in a disaster?
One gallon for a minimum of 3 days
a program that links sources of unused, cooked and fresh foods with social service agencies that serve the hungry is the:
PPFP
Margarine has fatty acids in this order of predominance:
PUFA, MUFA, SAT
levodopa is used in the treatment of:
Parkinson's disease
which patient has marasmus? - Patient A: male, serum albumin 3.5, transferrin 275, triceps skin fold 3, MAMC 15 - Patient B: female, serum albumin 2.6, transferrin 125, triceps skin fold 16.8, MAMC 24.1, TLC 1000 - Patient C: male, serum albumin 4.0, transferrin 450, triceps skinfold 17, MAMC 28.1, TLC 3500
Patient A
to determine the effectiveness of a nutrition program to be offered at fitness facilities throughout the city:
Pilot test the program in one location
an example of formative evaluation is:
Pretest quiz
when a patient is receiving an isotonic, polymeric enteral feeding and the medication Propofol, your concern is:
Providing too many calories
if protein intake is doubled, which nutrient needs to be increased?
Pyridoxine
which vitamin will interfere with Levodopa?
Pyridoxine
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
Reduce by 10% the number of obese adults, ages 25-49, within two years of starting the program.
a patient with hyperhosphatemia, hyperkalemia, and hypermagnesemia may have:
Renal disease
butter has fatty acids in this order of predominance:
SAT, MUFA, PUFA
an 80 year old female receives meals on wheels. what other nutrition assistance program would she qualify for?
SFMNP
the formula that counts the number of polysyllabic words in text to calculate the reading level is the:
SMOG index
a mother with 2 daughters, ages 8 and 11, does not earn enough money to feed her family. which program would you suggest?
SNAP
which is an example of an entitlement program run by the government? A. EFNEP B. SFMNP C. SNAP D. CACFP
SNAP
a father needs help in feeding his children, ages 6 and 8. which are the best options?
SNAP and school lunch
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?
See a physician immediately
nitrites added to cured meats may cause:
Slightly pink color
which of the following can be offered to a patient when his diet prescription is moved from NDD level 3 to level 2?
Soft pancake
four hours after eating you develop nausea and diarrhea without fever. the cause may be:
Staphylococcus aureus
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?
Substitute a milkshake for diet soda
a client who takes orlistat may need to:
Take a multivitamin supplement
an appropriate purpose of analytical research is to ____
Test the hypothesis
the best indicator that children applied knowledge from a nutrition education program about vitamin D is:
The children request more snacks with vitamin D
which outcome would justify continuing a WIC program?
The infant morbidity rate decreased
in interpreting correlation data, if the r value is greater than 1:
The result is not valid
a patient with heart failure on a loop diuretic needs to have the status of which vitamin evaluated:
Thiamin
if carbohydrate intake is increased, which vitamin needs to be increased?
Thiamin
memory loss may be associated with a deficiency of:
Thiamin
which of the following amino acids is a precursor for serotonin?
Tryptophan
phenylalanine is a precursor for:
Tyrosine
which of these work center designs discourages through traffic?
U-shaped
which of the following is a grade for fresh produce?
US No. 1
which government agency inspects and grades meat?
USDA
which government agency would you contact regarding food distribution?
USDA
a patient with a redundant ileum may develop a deficiency of:
Vitamin B12
which supplements are recommended with hemodialysis?
Vitamins C, B6, folate, B12
to learn about prenatal problems in the community, go to:
WIC
which program teaches good nutrition practices and provides foods with certain nutrients?
WIC
the dietary intake component of NHANES is:
WWEIA
the amount of ceruloplasmin is affected by what disease?
Wilson's disease
nitrogen equilibrium is associated with:
a 25 year old male
who has the greatest water, protein, and calorie needs per unit of body weight?
a 6 month old infant
a man with a peptic ulcer should consume:
a balanced diet he can tolerate
who is most at risk from protein calorie malnutrition?
a cancer patient on chemotherapy
a study design that tracks the occurrence of infections in patients who are at nutritional risk and in the hospital for longer than seven days is:
a cohort study
the number of work movements between pieces of equipment is indicated on:
a cross chart
the line type of organizational chart shows:
a direct flow of authority from top to bottom
to increase potassium intake, consume a snack of:
a grilled cheese and tomato sandwich and strawberries
synergistics is:
a group of people working together to solve a problem
a homeless patient who is deficient in all nutrients needs to be discharged. which organization may help?
a local social services organization
quality assurance is:
a measurement of the quality of care provided to patients
who is the most appropriate candidate for parenteral nutrition?
a middle aged woman who will begin chemotherapy
A provitamin is:
a nutrient that can be converted into a vitamin
you are involved in planning a prospectus. this is:
a planning guide for a kitchen
the health risk appraisal (HRA) calculates:
a populations general health status
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
a wet floor near the dishmachine
an angel food cake is made without cream of tartar. what is the result?
a yellowy cake
which of the infants in the above question have a normal hemoglobin level? a. 10 b. 10.5 c. 11 d. 9
a, b, c
which of the following weight gains puts pregnant women at risk?
a. less than 4 lbs/month in the last half of pregnancy
what is the most important advice to give a patient with a peptic ulcer?
abstain from spicy food
a dietitian's documents their work on time. this is an example of:
accountability
the oxidation of fatty acids forms:
acetyl CoA
an obese person with type 2 diabetes should:
achieve DBW
a food is bacteria-safe if it is:
acidic and dry
iron absorption is enhanced by:
acidic chyme in the duodenum
which stage of change is represented by this comment: "I served the vegetable dish to my family and surprisingly we all enjoyed it"
action
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?
add August and delete April
if dishes come out of the dish machine with water spots:
add a drying agent to the rinse cycle
what can be done to lower the respiratory quotient of a tube fed pulmonary patient?
add a fat emulsion to replace some of the carbohydrate
glucocorticoids are:
adrenal hormones
a client says: "I want to change my eating habits." you ask why. the learning domain is:
affective
you are explaining to a new client how making a few changes in his food choices will benefit his overall health. the learning domain is:
affective
the immobilized state can lead to low levels of:
albumin and calcium
symptoms of nephrosis include:
albuminuria, hypercholesterolemia
hypertension will decrease with a decrease in:
alcohol
which statement applies to nutritional screening?
all health team members can participate according to policy
Which is the best flour to use when making cakes?
all purpose flour
what is the best example of delegation?
allow the employee to change procedures to achieve desired outcome
What causes egg yolk color to change?
alteration of the feed provided
if a patient cannot metabolize urea properly, what will accumulate in his blood?
ammonia
which of the following is a digestive enzyme secreted by the pancreas?
amylase
which enzymes are secreted by the pancreas?
amylase, lipase, cholesterol esterase, trypsin, chymotrypsin
which is not a fiber in the diet?
amylose
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
an NPO patient receiving a regular tray
Which of the following stabilizes an egg white foam?
an acid
which of the following will stabilize the egg in a recipe?
an acid
the family and medical leave act guarantees:
an equivalent position with equal benefits and pay status
the immune system reacts to foods that are normally harmless. This is:
an immunoglobulin E (IgE) mediated reaction
An albumin of 5.0 mg/dl in a patient who has consumed very few calories and limited fluids for several weeks is likely due to:
an increase in albumin due to dehydration
a serum sodium level of 150 mEq/L may be due to:
an increased level of aldosterone
when a starved patient begins to eat, they might expect:
an increased workload on the heart
when goods are received, the delivery slip included is:
an invoice
The statement "After class, the patient will be able to write a day's menu following the guidelines" is:
an objective
during motivational interviewing, the question "Do you think you can try this?" is:
an open-ended question
in a study of the effects of following a low fat diet on the incidence of breast cancer, women were randomized to follow either their usual dietary pattern, or a low fat diet. the study design is:
analytical research
which type of anemia is likely to be seen in a patient with arthritis?
anemia secondary to chronic disease
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:
anemia with larger than normal erythrocytes
the drug methylphenidate may have the adverse effect of:
anorexia affecting growth
in the human, vitamin K is affected by:
anticoagulants and antibiotics
which bill requests government funding?
appropriations bill
Formularies are descriptions of: a. approved treatment regimens b. pharmacy drug specifications c. capital budget items d. semi-variable costs
approved treatment regimens
The final step in a union dispute is:
arbitration
what procedure is binding and cannot be changed? A. arbitration B. mediation C. an injunction D. collective bargaining
arbitration
which of the following is a hearing between labor and management during an impasse to aid in settling disputes?
arbitration
cross-sectional studies:
are a snapshot look at one point in time
for which disease would a low sodium diet be recommended?
ascites
what should you do with a new client who sits scowling at you during the session?
ask her if she is uncomfortable about the session
an outpatient would like to take vitamin C supplements. You should:
ask her to keep a food diary to see where she is lacking
a food delivery arrived during trayline service. what should the dietitian do?
ask the driver to wait
an employee returns to work after recovering from a broken leg, but is still not able to perform essential job functions. You should:
ask the employee to provide written recommendations from their physician
An example of self-actualization is: a. breathing unassisted b. companionship c. safety d. asking for additional training
asking for additional training
which food service system is least likely to have microbial contamination?
assembly serve
which production system has the smallest production area?
assembly serve
The kitchen layout below is characteristic of which foodservice system? refrigerator / freezer / steamers / ovens / microwave / meal assembly delivery carts a. commissary b. conventional c. ready prepared d. assembly-serve
assembly-serve
the first function of the public health nutritionist is:
assess the needs of the community
the first step in developing a training program is to:
assess the needs of the group
a component of the DRI's is the EAR which is used:
assess the nutrient adequacy of a population
before you teach a class on nutrition, you should:
assess the student's current nutrition knowledge
at which step in the educational process do you begin evaluation?
assessment
nursing can participate in which step of the nutrition care process?
assessment
a food service worker confides in you that he has tested HIV positive. what should you do?
assure him that confidentiality will be respected
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
attend food service trade fairs
a focus group contributes what data?
attitudinal
what is a formal study to verify that documentation and processes have been followed?
audit
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?
autocratic
a muffin has long tunnels from top to bottom. Next time you make this recipe you should:
avoid over-mixing the batter
the diet for stomatitis is:
avoid spices, very hot, very cold, sour, tart foods
a patient on parenteral support develops sepsis. what is the likely cause?
bacterial translocation
the report presenting the financial condition of an organization as of a particular date is a:
balance sheet
to ensure that the employee performance appraisal process is objective and fair, the evaluation criteria should:
be clear and reasonable
when counseling an anorexic, the best advice is to:
be flexible and help them choose reasonable goals
which would you recommend to a Mexican American on a low fat diet?
beans and rice
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
beef stew at 160
which of the following are synthesized by intestinal bacteria?
biotin, pantothenic acid, vitamin K
a patient on warfarin should avoid: A. black cohosh, ginseng B. thiamin supplements C. simple carbohydrates D. B vitamin supplements
black cohosh, ginseng
gastric irritants include:
black pepper, chili powder, caffeine, alcohol, cocoa
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 and pureed meat was stored at 70 degrees D. the eggs from breakfast were held on the hot line at 165 degrees
blender was washed in warm soapy water
creatine supplements may be beneficial for the:
body builder
which correlates best with energy intake?
body weight
which cooking method would best convert collagen to gelatin in a bottom round roast?
braising
examples of moist heat cooking include:
braising and stewing
Glycogenolysis is the:
breakdown of glycogen releasing glucose
the flour with the most starch is:
cake
what is the difference between cake flour and bread flour?
cake flour has less gluten, weaker gluten, less protein
which of the following is true regarding flour?
cake flour has the least and the weakest gluten
a serum calcium level of 11.5 mg/dL will bring on a release of:
calcitonin from the thyroid glands
Following a Roux-en-Y bypass, which should be recommended first?
calcium and multi-vitamin with iron
the two most abundant minerals in the body are:
calcium and phosphorus
a patient with inflammatory bowel disease has steatorrhea. in addition to limiting the fat intake, which minerals should be assessed?
calcium, magnesium, zinc
following an ideal resection, which supplements are recommended?
calcium, magnesium, zinc, fat soluble vitamins
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
can be used for employee appraisal
which provides the most vitamin A for a mexican? A. tortillas and refried beans B. cantaloupe and squash C. cheese D. tortillas and milk
cantaloupe and squash
a good source of vitamin A for pre-school children would be:
cantaloupe pieces
which nutrient may be absorbed during peritoneal dialysis and continuous renal replacement therapy, thus requiring a modification of his diet?
carbohydrate
an athlete complains of weakness, rapid weight gain and muscle spasms. what may be the cause?
carbohydrate loading
what gas is released from a fire?
carbon monoxide
research suggests that in order to guard against cancer you should ingest:
carotene and vitamin C
Which pigment does not change color in an acid or an alkaline solution?
carotenoid
which pigment can be converted into a vitamin?
carotenoids
water soluble nutrients are absorbed through:
carrier facilitated passive diffusion
A child with PKU can eat: a. spaghetti with tomato sauce b. vanilla ice cream c. carrots and celery sticks d. aspartame-sweetened gelatin
carrots and celery sticks
which of the following tube feeding ingredients might precipitate an allergic reaction in a child with a milk allergy?
casein
Glycolysis is the:
catabolism of carbohydrate
catecholamines have what physiological effect?
cause sodium retention
the mean is a measure of:
central tendency
an 8 month old baby contracts botulism. what is the likely cause?
cereal and honey
what would you suggest to decrease fat intake for a Hispanic patient?
change beans from refried to boiled
if the chlorine solution in the dish machine is not working properly, the first action should be:
check the concentration and temperature of the solution
results of a patient food satisfaction survey indicate that patients think servings are too large. the dietitian should first:
check the serving utensils on the line
the dietitian reviewed a monitoring sheet for a dairy refrigerator at 9 am on Wednesday. what should the initial action be? Monday 5:30 am: 36 F, 6 pm: 40 F Tuesday 5:30 am: 38 F, 6 pm: 44 F Wednesday 5:30 am: 48 F
check the temperature of the products
a 5 month old infant has changed from the 65th to the 95th percentile weight for height. the dietitian should first:
check to see if weights have been plotted properly
underwriters laboratory does which of the following?
checks safety of electrical equipment
when instructing a patient on diet therapy needed during intake of a monoamine oxidase inhibitor, which would not be included?
cheddar cheese, swiss cheese
which of the following may help decrease cavities?
cheese
which is the most appropriate bedtime snack for a diabetic on NPH insulin?
cheese and crackers
which of the following would likely be a cause of marasmus? A. leaving a patient for 2 weeks on D5W B. chemotherapy C. following a 20 gram protein diet for 2 months D. antibiotic therapy
chemotherapy
According to HACCP, which would be the recommendation when preparing mixed dishes that include perishable ingredients?
chill perishable components separately in small amounts
Which minerals are involved in carbohydrate metabolism?
chromium, zinc
dietary fat enters the blood as ____ and leaves the liver as _____.
chylomicrons, lipoproteins
the kitchen floor will be changed. what do you recommend?
clay tiles
winterized oil is:
clear when refrigerated
which of the following is an outcome indicator? A. inventories are recorded weekly B. clients are satisfied with the meals provided C. assessments are recorded within 24 hours of admission D. diagnoses are recorded within 2 PES statement
clients are satisfied with the meals provided
which oil is highest in saturated fat?
coconut
which type of power is ineffective in motivating behavioral change and may create resistance?
coercive
following counseling, a client is able to plan a low sodium diet. the learning domain is:
cognitive
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
commissary
large volume purchasing, centralized production, service areas in separate facilities are features of:
commissary system
what method of food service is used when one school delivers meals to another?
commissary-satellite
how does a new supervisor gain respect?
communicate regularly with them to keep them informed
an infant's failure to thrive can be seen in:
comparison with growth charts
if a child with CF has daily large, foul-smelling stools you should first check their:
compliance with PERT
a dietitian ordering canned goods can be assured of a reliable product if they:
conduct a can cutting analysis
before establishing a nutrition consulting business in your community:
conduct a market analysis
a strict Muslim would not eat: A. congealed fruit salad B. egg salad C. tuna salad D. citrus fruit salad
congealed fruit salad
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
congealed fruit salad
a 75 year old female with adequate income would benefit from:
congregate meals
a viscosimeter measures:
consistency
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. What would you expect happened over the weekend?
consumed too much sodium, too much water, too much protein
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:
contact the two employees responsible for handling the meat
In the TM model, which stage of change is represented by this comment: "Although I do not like and therefore do not eat many vegetables, I saw an interesting vegetable side dish at a friend's cookout." a) pre-contemplation b) preparation c) action d) contemplation
contemplation
which method of bread-making is not as dependent on the length of time the dough sits to rise?
continuous method
Cholecystokinin causes:
contraction of the gallbladder
PERT is a tool that will help you:
control large projects and calculate the time needed to get the job done
the management function in which performance is measured and corrective action is taken to ensure accomplishment of an organizational goal is known as:
controlling
when preparing a budget, which management function is involved?
controlling
kidneys help control pH by:
controlling the ratio of hydrogen ions to bicarbonate excretion
which oven is the most energy efficient?
convection oven
which of the following food service systems has the lowest labor costs? A. cook freeze B. cook chill C. convenience D. conventional
convenience
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
conventional
which system is not labor efficient?
conventional
glucocorticoids:
convert protein into glucose
what is the best way to cook a roast?
cook slowly in the oven at 325F
if a food service reconstitutes frozen food that is made on site, what type of production system is it?
cook-freeze
which food is highest in fiber?
cooked dried beans
the greatest effect on the yield of meat cooked to a uniform internal temperature is produced by the:
cooking time and the oven temperature
which is permitted on a diet which excludes gluten?
corn
an acid ash would be created by ingesting:
corn, cranberries
the following oils can be winterized:
corn, soy, cottonseed
which of the following is a medium fat protein?
corned beef
which will cause the most delay in gastric emptying?
corned beef
what must be fortified with folic acid?
cornmeal
what should be the final consideration in the make-or-buy decision of a product?
cost analysis
the primary reason for portion control in food service is:
cost control
the process of comparing a program's benefits to net savings is called:
cost-benefit analysis
of the following oils, which is highest in vitamin E?
cottonseed
to determine the reading level of a text:
count the number of words with more than 1 syllable
when cleaning ___, use chlorine or quaternary ammonia.
countertops
which test measures somatic protein?
creatinine clearance, serum creatinine
Gluconeogenesis is the:
creation of glucose from glycerol and amino acids
In order to influence a legislator one day before a vote, the Dietitian should: a. visit the legislative aide b. write a letter to the legislator c. send a postcard to the legislator d. telephone the legislator
d. telephone the legislator
in the alanine cycle, alanine is released from muscle, taken up by the liver, and:
deaminated to release glucose
pyridoxine acts as a coenzyme in:
deamination and transamination
methylene is added to some types of coffee to:
decaffeinate it
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:
deck ovens and pressure steamers
if you increase the size of the kitchen, what effect will there be on worker efficiency?
decrease
Which may help to relieve the symptoms of hepatic encephalopathy? a) increase AAA and decrease BCAA b) decrease ammonia production c) decrease AAA and increase BCAA d) decrease AAA
decrease AAA and increase BCAA
the primary focus of nutrition care for a man with hypertension and a BMI of 32 should be to:
decrease body weight
work simplification studies?
decrease costs and increases productivity
a tube fed patient receiving bolus feedings develops a distended abdomen. what should you recommend?
decrease rate
the appropriate diet therapy following a Billroth II is:
decrease simple Carbohydrate, high protein, moderate fat, B12 supplements
when switching from a conventional to a convection oven:
decrease the temperature by 25 degrees
which of the following dish machine temperatures should be adjusted? Pre rinse: 121 F Wash: 145 F Final Rinse: 205 F
decrease the temperature of the rinse cycle
adding bran to a bread recipe will:
decrease the volume
looking at this patient, what else would you expect to see? 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
decreased bicarbonate, increased potassium, increased phosphorus
what is a major reason for constipation in the elderly?
decreased gastric motility
an amylase deficiency would result in:
decreased glycolysis
using the scientific approach to management, which of the following would result?
decreased labor minutes per meal
which of the following may result in metabolic acidosis?
decreased retention of bicarbonate
a post-surgical patient experiences a drop in serum albumin. the reason is likely:
decreased serum albumin levels are normal after catabolic stress
when a-linolenic acid is substituted for saturated fatty acids in the diet the results will be:
decreased triglycerides, little change in total cholesterol
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
defrost frozen food in the refrigerator
a serum sodium level of 150 mEq/L indicates:
dehydration
The Y Theory of management is: a. authoritarian b. autocratic c. based on managing tasks d. democratic
democratic
which of the following would be most productive when conducting a workshop for teenage mothers about proper portion sizes for feeding toddlers?
demonstration
if you are comparing the prevalence of heart disease in two states, the study design is:
descriptive research
when providing nutrition education to a pregnant teenager, which characteristic of adolescents should be kept in mind?
desire to be like their peers
the purpose of outcomes research is to:
determine the most cost-effective way to solve a problem
the food service director who wants to hire a dietitian should first:
develop a job description and specification for the position
the steps in planning community based nutrition programs are:
develop mission statement, goals and measurable objectives
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
developing a better safety program for a facility
implementing the baby-friendly hospital initiative begins with:
developing a plan
vitamin A is involved in:
development of tissue and skin
which of the following medications is an appetite suppressant? A. prednisone B. dextroamphetamine C. erythromycin D. Dronabinol
dextroamphetamine
which is a common complication of AIDS?
diarrhea
when assessing nutritional status, which would be the most beneficial?
diet intake info, clinical data, laboratory data
an example of nominal (frequency) data is:
differentiate between men and women
which management functions should require the greatest allotment of time by a production manager?
directing and controlling
a person with the dumping syndrome cannot handle:
disaccharides
after a gastrectomy, the diet order should indicate a decrease in:
disaccharides
frozen chicken has been thawed in warm water. you should:
discard it
beef stew has been unrefrigerated for 4 hours after preparation. what should you do?
discard the stew
You are a supervising Dietitian and are very satisfied with one of your Diet Aides who works very hard. One year after hiring her, you realize the information on her application wasn't true. What should you do? a. say nothing and ignore it b. discuss it with her one on one in your office c. inform human resources about the situation d. fire her
discuss it with her one on one in your office
you discover an incorrect diet order entered in the patient's chart.
discuss the order with the physician and make suggestions
where would this be placed in a research article: "most of the changes seen were probably due to..."?
discussion
how do you determine the average check in the cafeteria?
divide total sales by the number of customers
good advice for a patient with a hiatal hernia is to:
don't eat before bed
which of the following would lower serum cholesterol levels?
dried beans
what is the chemical composition of a class ABC fire extinguisher?
dry inert chemicals under pressure
the most important critical control point to monitor in the preparation and service of canned cream soup is the temperature:
during steam table holding
which of the following is not a sign of marasmus?
edema
what gives the structure to quick breads?
egg and flour
which is the best source of emulsification?
eggs
NHANES III increased participants in which age group?
elderly
medicare is for:
elderly
which of the following most affects osmolarity?
electrolytes
a side effect of the herb yohimbe is:
elevated blood pressure
The best way to counsel a patient with anorexia nervosa is to:
emphasize the health benefits associated with increased intake
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
employee involvement is the key to productivity
a facility with a labor turnover rate of 50% also experiences numerous equipment malfunctions. Both problems might be resolved through improved:
employee training
when determining the labor turnover rate in one period look at the number of:
employees at the end of the period and the number of new employees
the human relations theory of management stresses:
employees needs
the span of control refers to the number of:
employees under the direction of one individual
Why are mono and di glycerides added to the shortening used in cakes?
emulsifiers
the most useful data in evaluating the nutritional status of children is:
energy intake and health history
a patient on Lithium carbonate decreases his sodium intake to 2 grams/day. the effect will be:
enhanced activity of the drug
glucophage (metformin) functions by:
enhances insulin action
if a patient is about to be discharged when you receive the discharge diet order, you should...
enroll him in the outpatient clinic and schedule an appointment
NADPH is:
essential in the synthesis of fatty acids
after you review the patient's medical record, the first step in counseling is:
establish a climate of trust
a supervising dietitian who wishes to delegate specific responsibilities should first:
establish expected outcomes
a natural plant hormone that is used to ripen fruits is:
ethylene
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
evaluate employee skills and task difficulty
the best way for you to follow-up on a patient's application of diet instruction provided is to:
evaluate his actual intake over time
an annual audit shows that you have successfully met the indicator "95% of high risk patients are assessed within 24 hours of admission". the next step is to:
evaluate the need to continue monitoring the indicator
what is the best practical way to measure energy balance?
evaluate weight gain and weight loss
which of the following has the least amount of saturated fat?
evaporated skim milk
tube-fed patients should have gastric residuals checked:
every 4 hours during the first 48 hours of feeding
an athlete weighs more than the average person of his height. what should you do first?
examine other anthropometric measurements
a cake with a fallen center may be the result of:
excess sugar and excess fat
a side effect of antidepressants is:
excess weight gain
a food service manager who supervises 35 employees has a problem with discipline and increased absenteeism. why?
excessive span of control
in metabolic acidosis, which of the following is involved?
excretion of sodium bicarbonate
what is the best therapy for weight loss?
exercise, diet, behavior modification
if an IDDM tells you she eats meals on an irregular schedule, and often misses meals, you should:
explain that insulin therapy is related to intake
a patient comes to you with a diet that you know is not good to follow. what should you do?
explain why it is not good
in behavior modification, the absence of reinforcement following an undesired behavior is referred to as:
extinction
the absence of reinforcement following an undesirable behavior is:
extinction
a patient suffering from bulimia may have all of the following symptoms except:
extreme weight loss
in cystic fibrosis, the most impaired nutrient is:
fat
Fat produces more calories than carbohydrate because:
fat has more carbon and hydrogen in relation to oxygen
ketones are most associated with:
fats
biotin is considered a coenzyme in the synthesis of:
fatty acids
which is the primary fuel used by resting muscle and at low intensity exercise?
fatty acids
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?
fatty acids
food iron is in the ___ form.
ferric
The best laboratory value to use in assessing iron status is:
ferritin
food iron is reduced in the stomach to the more absorbable form of:
ferrous
A spastic quadriplegic requires:
fewer calories, increased fluid and fiber
what can you do if your company denies you the right to organize and form a labor union?
file a claim with the NLRB
at your first counseling session with a new patient you should:
find out what he eats
what is the first thing you should do if an employee frequently comes to work without the proper uniform?
find out why
what type of food would you feed to a patient who has the athetoid form of cerebral palsy?
finger foods like a hot dog in a roll
the breast-fed infant is drinking primarily colostrum for:
first few days
in a 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
flow chart
a scale drawing of an area showing the path of a worker during a process is:
flow diagram
immediately following a severe burn, nutritional therapy should include:
fluid and electrolyte replacement
why might a patient with ascites be dehydrated?
fluid has moved to interstitial spaces
An edematous person may actually be dehydrated because:
fluid is retained extracellularly
to maintain hydration during continuous endurance physical activity of 4 hours, consume:
fluids, sodium, carbohydrates
to restore hydration after continuous endurance activity of 2 hours, consume:
fluids, sodium, carbohydrates
Following a Roux-en-Y procedure, assess the need to supplement:
folate, B12, potassium, magnesium
macrocytic, pernicious anemia resembles the anemia due to a deficiency of:
folic acid
research has shown that neural tube defects can be reduced with proper supplementation of:
folic acid
which program provides food to needy individuals and families?
food banks
which is a quick diet assessment tool for a large group?
food frequency lists
the food service supervisor should carefully monitor a cook-chill production because of concerns about:
food safety
a meal equivalent is determined by:
food sales divided by the average cost of a typical meal
which item would appear in a capital budget? A. food service equipment B. food costs C. labor costs D. paper supplies
food service equipment
a single man with two daughters, ages 10 and 11, is looking for aid. Which program might provide assistance?
food stamps
the additive influence of foods and constituents which when eaten have a beneficial effect on health refers to:
food synergy
the statement "the country's infant mortality rate is 12.8 and the state's infant mortality rate is 10.5" means that:
for every 1000 live births in the country, 12.8 infants died
which of the following must be included when preparing a budget?
forecasting revenue
if you open sealed bids and place the order with the lowest bid, you are using which buying method?
formal, competitive bid
a patient needs a 2000 calorie, 2 g sodium feeding. which formula is best? 1. 1 cal/cc, 2 g Na/L 2. 1.5 cal/cc, 2 g Na/L 3. 2 cal/cc, 1 g Na/L 4. 1 cal/cc, 1 g Na/L
formula 4
A vegan with macrocytic anemia needs which of the following:
fortified soy milk
the test that measures toxic levels of lead in the blood is the:
free erythrocyte protopophyrin test
bacillus cereus intoxication is most likely to occur following consumption of: A. macaroni and cheese B. baked beans C. corn pudding D. fried rice
fried rice
HACCP standards would be similar for which of the following foods? a. canned corn and frozen corn b. fresh chicken and frozen chicken c. fresh beef and frozen chicken d. frozen beef and frozen corn
frozen beef and frozen corn
which of the following is true?
fructose is sweeter than glucose
Carbohydrates listed in order of decreasing sweetness are:
fructose, sucrose, glucose, sorbitol
a strict Muslim would not consume:
fruited gelatin, ham
which food items require the highest humidity?
fruits and vegetables
phytochemicals, which may influence the development of tumors are found in:
fruits, vegetables, grains
a patient on parenteral nutrition is to be transitioned to enteral feeding. he should receive:
full strength enteral feeding at a low rate
which piece of food service equipment may be restricted by a local law?
garbage disposal
pernicious anemia is likely to occur following a:
gastrectomy
if the sole source of protein is gelatin, growth is inhibited because:
gelatin has no tryptophan and is low in methionine and lysine
funding for public health programs comes primarily from:
general revenue
how can you enhance usage of commodity foods from a food donation program?
give each participant recipes using the food items
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 fo employee comments on new suggestions
give samples to a few patients and ask for their comments
In the fed state, the brain uses which nutrient as a source of energy?
glucose
which nutrient would most effectively reduce starvation ketosis?
glucose
the theory of obesity that refers to receptors in the hypothalamus is the:
glucostatic theory
lactic acid is produced through:
glycolysis
which test helps you determine if a diabetic has been following his diet?
glycosylated hemoglobin
which snack would you not give to an infant? A. yogurt B. cheese sticks C. graham crackers D. grapes
grapes
five pounds of pressure creates a temperature that is ___ the boiling point of water.
greater than
which of the following has the most bacteria?
ground beef
policies are:
guides that define the scope of permissible activity
which of the following would lacto-ovo-vegetarian not eat? A. eggs B. halibut C. cheese D. beans
halibut
apples stored in a controlled environment would:
have extended life and improved marketing quality
the mother of an infant who weighed 4.5 kg at birth and was hypoglycemic, may:
have had gestational diabetes
what is the best way to increase attendance at a nutrition seminar for dentists?
have it sponsored by a dental organization
an example of a primary prevention program for a local community would be:
have local farmers bring fresh fruits and vegetables into schools
maple syrup urine disease and homocystinuria:
have protein as the nutrient of concern
what is the best way to assess what a group of students has learned after diet instruction?
have them demonstrate their skills
why would a man who eats very little protein have an albumin of 5.5 g/dL?
he is dehydrated
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:
he is experiencing normal growth
a PEG feeding would be useful in a patient with:
head or neck cancer, who will not be able to eat normally for weeks
you are planning a health promotion program for employees. To assess employee's needs, use the information from:
health risk appraisals
A female has a 36" waist and a 40" hip measurement, She is at risk for:
heart disease
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
heart, liver or renal failure
which of the following indicates stunted growth?
height for age
which of the following is the most useful for evaluating long term nutrition in children?
height for age
an advantage of using focus groups to collect data is that they:
help the researcher understand participants' perspectives
an appropriate measurement for iron status in a local community is:
hematocrit
which fiber is insoluble in water?
hemicellulose
a patient is diagnosed with iatrogenic malnutrition. nutritional therapy should be:
high calorie, high protein
a patient with diabetic gastroparesis should avoid foods that are:
high fat
the treatment for hyperbilirubinemia is:
high fluid
a commercial muffin mix is described as a "rich formula", which means it contains:
high proportions of sugar and shortening
a child with AIDS needs a high calorie and ___ intake.
high protein
nutritional therapy for hepatitis includes:
high protein, high carbohydrate, moderate fat, high calories
What may cause EKG abnormalities?
high serum potassium level
compared to human milk, commercially prepared infant formula is:
higher in protein and iron but lacks antibodies
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?
hire him
which of the following would be considered by HACCP to be of the most concern? A. storage temperature of canned peaches on a hot day B. holding temperature of canned peaches in individual serving dishes C. frozen ground beef patties held at -5 F D. holding temperature of cream of mushroom soup on the serving line
holding temperature of cream of mushroom soup on the serving line
low levels of folate, pyridoxine, and cyanocobalamin are associated with:
homocystinurias
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
horizontal
when purchasing foodservice equipment, first consider:
how it will be used and cost
when planning a program for rural elderly, which is the most important?
how they will get to you
gastric proteolysis requires:
hydrochloric acid
a patient with the nephrotic syndrome will likely exhibit:
hypercholesterolemia, hypoalbunimia, edema
the catecholamines released during stress cause:
hyperglycemia
the immunosuppressant drug cyclosporine may cause:
hyperlipidemia and hyperkalemia
trauma can place the patient in:
hypermetabolic state
a serum sodium level of 150 mEq/L is a sign of:
hypernatremia
An elevated T4 indicates:
hyperthyroidism
an alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. why is he on a 500 mg sodium diet?
hypoalbuminemia
before discontinuing a parenteral feeding, provide enteral support to prevent:
hypoglycemia
quickly stopping a 25% dextrose solution leads to:
hypoglycemia
a patient with cystic fibrosis, who is non-compliant with their nutritional prescription, may present with:
hyponatremia
cystic fibrosis patients may present with:
hyponatremia
what do these values represent... 2.5 mg/dl serum phosphorus level and 1.3 mEq/L serum magnesium level?
hypophosphatemia, hypomagnesemia
a nutrition surveillance program is designed primarily to:
identify the nutritional needs of the population
what section of the intestine is most likely to be involved in Crohn's disease?
ileum
when should you provide nutrition counseling to an AIDS patient?
immediately upon diagnosis
which of the following would be classified as NB in the NCP?
impaired ability to prepare foods
if you are concerned that the receiver is not accurately checking incoming stock, you should:
implement blind receiving
the statement "this further shows daily weighing is an effective weight loss tool" should be placed in which section of the research report?
implications
the best use of performance appraisals is:
improve performance
cabbage should be cooked:
in a large quantity of water
an employee evaluation should be given:
in a quiet place with privacy
aseptically packaged milk should be stored:
in dry storage
beef bottom round should be cooked:
in water for an extended time
Constipation in an infant would most likely be due to: a) GI distress b) lack of fruits c) inadequate fluid intake d) excessive formula
inadequate fluid intake
the number of individuals in a population diagnosed with a specific condition during a specified time is the:
incidence
you will be introducing new methods of production to your staff. the most effective method would be to:
include them during discussions of proposed methods
The medication megestrol acetate may be used to:
increase appetite
what would you first advise a constipated patient to do?
increase fluids and fiber intake
in acute hepatitis, you would likely see:
increase in both SGOT and SGPT
decreased levels of serotonin are associated with:
increase in carbohydrate appetite
propionate is used in foods to:
increase shelf life by inhibiting mold
When substituting buttermilk for whole milk in pastry:
increase the baking soda
when adding bran to a flour mixture, what should be changed?
increase the flour and liquid
which of the following would be classified as NI in the NCP?
increased energy expenditure
an example of a positive nutrition care outcome is:
increased intake of foods high in iron and vitamin C
an example of a positive nutrition care outcome is: A. increased intake of foods high in iron and vitamin C B. increased in the number of participant sin a weight management class C. increase in physician referrals to the outpatient department D. decrease in the number of complaints regarding low sodium meals
increased intake of foods high in iron and vitamin C
Fiber, like that found in oats, beans and bran cereals, results in:
increased water absorption from the intestine
St. john's wort has which effect on coumadin?
increases drug metabolism and decreases its effect
the immediate post-stress release of glucagon:
increases glucose release into the bloodstream
Quality circles are useful in: a. employee evaluations b. job selection and placement c. policy development d. increasing productivity
increasing productivity
the kidneys respond to respiratory acidosis by:
increasing the retention of bicarbonate
to estimate energy needs in the critically ill , use:
indirect calorimetry
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
individual portions
Statistics that let you draw probable conclusions beyond your immediate universe of data are called:
inferential statistics
when you request quotations from vendors on specific items by phone or in person, you are utilizing which method of purchasing?
informal
when a manager updates the director about activities occurring on the patient trayline, he is demonstrating which managerial role?
informational
Freezing will: a. inhibit bacterial growth b. destroy toxins c. destroy bacteria d. destroy enzymes
inhibit bacterial growth
how can you preserve thiamin when cooking pork?
insert a meat thermometer and cook it to 145F in an oven at 325
what is the effect of excess caffeine intake?
insomnia
when conducting a physical assessment of a patient, which method is used to estimate fat stores?
inspection
which of the following inhibits gluconeogenesis?
insulin
which is an example of an indirect cost? A. insurance B. travel costs C. food D. china
insurance
in cereal production, enrichment adds:
iron
pale conjunctivae is associated with a deficiency of:
iron
which nutrient is added for flour enrichment?
iron
a normal pregnancy requires supplementation of:
iron and folic acid
a flexible monthly budget would be recommended for a hospital which:
is planning to close some of its wings for renovation for three months
What We Eat in America (WWEIA):
is the dietary intake component of NHANES
which would be the least expensive enteral nutrition formula?
isotonic, intact protein, polymeric
a long term care patient has normal intestinal function but cannot eat. what tube feeding should you provide?
isotonic, polymeric formula
what is the main purpose of water in the body?
it acts as a medium for cell metabolism
which of the following represents cow's milk?
it creates a high renal solute load
what does the term "USDA graded" on meat tell the consumer?
it defines quality
why would you add bicarbonate to a solution for a person with hyperkalemia?
it exchanges hydrogen for potassium
research on the effects of a low sugar, low artificial flavor diet on hyperkinesis has shown that:
it has not been scientifically proven effective
a patient with hepatitis needs a high protein intake. besides helping the liver to regenerate, what other purpose is served?
it helps prevent a fatty liver
The symbol U on a food label indicates:
it is a Kosher designation
preventing a Listeria monocytogenes outbreak requires special care because:
it is able to grow at temperatures of 34-113 degrees F
which of the following best describes a cash-flow budget?
it is an estimate of income and expenditures over time
which is true with osteoporosis?
it is common in those 65 years of age and older
which of the following is true about SGOT:
it is increased with hepatitis, decreased with diabetes
current research on the relationship between cancer and diet includes all of the following except
it is related to demographic factors
if an employee is not performing well, the first thing to do is to check the:
job description
you want to keep lemon meringue pie at its peak. what should you do?
keep the pie refrigerated
the purpose of an emulsifier in margarine is to:
keep water and fat from separating
In starvation, the brain uses which nutrient as an energy source?
ketone bodies
hormones that control blood pressure and blood components are produced in:
kidneys
the main reason why commodity foods obtained from a USDA program may not be brought to a Kosher facility is:
kosher foods are not allowed to be mixed with non-kosher foods
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 1 d. no pork or shellfish are allowed in a kosher kitchen
kosher foods should not be allowed to mix with non-kosher foods
all of the following are operational costs except? A. utilities B. cleaning C. labor costs D. laundry service
labor costs
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
labor minutes per day
following a Billroth II, steatorrhea often results. what is the likely cause?
lack of pancreatic secretion due to less duodenal hormone secretion
a new mother may hesitate to become involved with a breast-feeding informational program due to:
lack of social support
the cori cycle converts:
lactate into pyruvate
infants born to mothers with diabetes may be:
larger than normal, and be hypoglycemia shortly after birth
which menu item generates the highest profit? - lasagna: 150 units sold, selling price $3, raw food cost $1.35, prime cost $2 - vegetarian chili: 100 units sold, selling price $1.25, raw food cost $0.57, prime cost $1 - hamburger: 400 units sold, selling price $2, raw food cost $0.90, prime cost $1.50 - enchilada: 100 units sold, selling price $3, raw food cost $1.14, prime cost $1.75
lasagna
a pork chop is which type of protein exchange?
lean protein
which of the following menu items generate the most revenue: - Shrimp alfredo: selling price $12.95, raw food cost $4.05, units sold 75 - chicken marsala: selling price $11.50, raw food cost $3.83, units sold 193 - prime rib: selling price $14.95, raw food cost $4.39, units sold 172 - lemon halibut: selling price $13.50, raw food cost $4.20, units sold 210
lemon halibut
if broccoli in a vegetable mixture turns olive green during holding, it may be due to:
lemon juice
what would be an expected outcome of WIC?
less anemia, increased HG and HT levels in women
sorbitol is:
less sweet than sucrose and has a lower glycemic index than sucrose
in most patients, a normal gastric residual volume would be:
less than 250 ml
a low birth weight infant weights:
less than 2500 grams
protein-bound iodine (PBI) measures:
level of thyroxine being produced
a patient with diabetes has not eaten for more than three days. you should:
liberalize the diet
to determine whether your client has applied your suggestions on decreasing his fat intake, ask him to:
list the foods he has consumed over the past three days
a customer who has eaten lunch in the cafeteria becomes ill one hour after eating a chicken sandwich. what should the dietitian do first?
listen carefully, take the complaint seriously, and conduct an investigation
when making decisions, a consultative leader is one who:
listens to others but makes the decision themselves
a work schedule:
lists both tasks and time
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
lists what steps to do and how to do them
what medication is affected by serum sodium levels?
lithium carbonate
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? 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
little or no rise in potassium, BUN/creatinine ratio <10
following a cholecystectomy, bile is produced by the:
liver
which conversion requires glucose-6-phosphatase?
liver glycogen into glucose
bile is produced in the ___ and stored in the _____.
liver, gallbladder
patients with early signs of xerophthalmia should consume:
liver, milk, eggs
Which is not absorbed directly into the portal blood?
long chained fatty acids
a nephrotic syndrome patient with edema has a declining serum albumin level. a contributing factor would be:
loss of protein in the urine
A 6'2" male, large frame, 230 lbs. with Type II diabetes should:
lost 20 lbs slowly following balanced diet
a male patient has hypertension, high cholesterol, diabetes, and is 55 lbs above his desirable body weight. what do you recommend?
low calories
in community surveys, a frequent symptom of malnutrition is:
low hemoglobin
Medicaid benefits apply to:
low income individuals
the nutrition prescription for an infant with PKU includes:
low phenylalanine, high tyrosine
what is the appropriate diet for heart failure?
low sodium
what is the diet for hypertension?
low sodium
nutritional prescription for a patient with cardiac cachexia includes:
low sodium, low sat fat, low cholesterol, high calorie
a foodservice is being converted from a conventional system to a ready-prepared system. the dietitian should first consider the:
low temperature storage capacity
compared to whole milk, breast milk is:
lower in protein and higher in fat and carb
replacing carbohydrate with fat in the diet will:
lower the respiratory quotient
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
macaroni and cheese, green beans
a common result of treating an AIDS patient with zidovudine is?
macrocytic anemia
a patient with low hemoglobin, low hematocrit, high MCV has:
macrocytic anemia from lack of folate or B12
which stage of change is represented by this comment: "each week I prepare a vegetable dish found on a great website recommended by my friend"
maintenance
what is the best way to prevent contamination of food?
make employees wash hands frequently
what should you do if you believe theft is occurring in the storeroom?
make everyone sign in and out of the storeroom
a female who eats a wide variety of foods and takes supplemental iron and birth control pills may be:
marginally deficient in folic acid
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
market form of foods purchased
the organized gathering of data and information for the purpose of analyzing a service for clients is:
market research
to implement an efficient staffing plan and adhere to budget constraints, the dietitian can ensure labor costs are controlled by:
master schedules
a child who is below the 5th percentile weight for height:
may have experienced short-term under-nutrition
clostridium perfringens is often associated with:
meat and gravied mixtures in large quantities
when meat is irradiated, the best flavor comes from:
meat that has been frozen
a press conference announcing your new business is:
media promotion
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:
median
a tube fed patient develops diarrhea. what is the most likely cause?
medications
equipment purchases depend on:
menu
acid-base abnormalities in an uncontrolled diabetic are likely due to:
metabolic acidosis
Riboflavin, thiamin, and niacin are all involved in the:
metabolism of carbohydrate
Which would add bulk to frozen yogurt?
microcrystalline cellulose
a patient with low hemoglobin and low MCV might have:
microcytic anemia
which is a measure of somatic protein?
mid-arm muscle circumference
children's diets are found to be low in iron due to emphasis on:
milk
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
minimize labor costs
what is not found in a standardized recipe?
mixing bowls, measuring spoons
the incidence of xerophthalmia in children between the ages of 1-5 is 5:1000. this means:
morbidity rate of xerophthalmia is 5 in every 1000 children ages 1-5
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:
more disease in infants in the city than the country
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
more information than a directed interview
Ground meat will spoil faster than sliced meat because:
more surface area is exposed
a fecal excretion of __ grams of fat/24 hours is considered fat malabsorption.
more than 7
which cheese has the highest moisture content:
mozzarella
within 2-3 hours of continuous exercise at 60-80% maximum:
muscle glycogen is depleted
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
mutual worker-employer loyalty
when counseling a hypertensive patient with limited education, which would be the most appropriate question to ask in assessing her comprehension level?
name a food that is high in sodium
an example of an educational objective for a low fat cooking class given at a seniors center would be to:
name two ways to decrease fat intake at breakfast
which program helps provide nutritious meals to an adolescent residential facility? A. SNAP B. national school breakfast program C. expanded food and nutrition education program D. the emergency food assistance program
national school breakfast program
where is the most efficient place to locate the refrigerator and the freezer?
near production area
dry heat cookery should be used for which cut of meat?
near the backbone
where should a hand-washing sink be located?
near the food preparation area
where should a class B fire extinguisher be placed?
near the range
when you change from a conventional to a cook-chill system, which should be considered?
need additional equipment and storage
a patient consumed 12 grams of protein and released 8 grams of nitrogen in the urine. this is:
negative nitrogen balance
a narrow span of management should be employed with:
newly hired employees
cured meat is pink due to:
nitrites
meat loaf has been left out for 5 hours. should you serve it?
no because of the risk of staphylococcus
in the quasi-experimental design "time series", there is:
no control group
which process results in creative, prioritized decision-making?
nominal group technique
a 50 bed hospital has limited kitchen space for refrigeration, dry storage and food production. The most appropriate type of menu is:
nonselective
Which pasta contains egg?
noodles
nutritional advice to a parent with a child with autism spectrum disorder should include:
normal intake based on age
a patient presents with the following lab values: ALP 100 U/L, AST 30 U/L, ALT 35 U/L, this indicates:
normal liver function
the BMI for a woman who is 5'7" tall and weighs 148 lbs indicates:
normal weight
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
note how nourishments are being distributed and served
if there is no statistical difference been study groups, the hypothesis is:
null
when trying to cut down on the number of employees on a tray assembly line, evaluate the:
number of work stations
a substitute is legally differentiated from another food by:
nutrient content
what should most be encouraged in a Headstart program?
nutrition activities related to food
which best determines whether or not to intervene with a new patient?
nutrition screening results
the NHANES study looks at which parameters?
nutritional, clinical, biochemical
which of the following can be reversed with vitamin A?
nyctalopia
a child is at the 95th percentile BMI for age. He is:
obese
the prader Willi syndrome is associated with...
obesity
which set of conditions is most commonly seen in American children?
obesity, dental caries, anemia
you are asked to give an in-service to the staff. What should you do first?
observe the staff at work to identify problems
the first step in implementation of a community based program is:
obtain administrative support
hospitals use formularies to:
obtain volume purchasing discounts
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
offer decaffeinated beverages
which of the following is an example of a secondary prevention program? A. offer health risk appraisals with referral as needed for follow up B. bring fruits instead of sweet rolls to all weekly staff meetings C. offer heart-healthy eating cooking classes at civic centers D. set up walking programs during lunch breaks
offer health risk appraisals with referral as needed for follow up
nutrition intervention with Alzheimer's disease should include:
offer one food at a time, avoid distractions
which oil is highest in monounsaturated fatty acids?
olive
fats high in monounsaturated fatty acids include:
olive and canola
green beans cooked in tomato sauce turn ____ due to ____.
olive green, pheophytin
a critically ill patient will likely need hospitalization for many days. when should the discharge plan begin?
on the first day of admission
which of the following provides 45 g of CHO?
one cup pasta
an infant wants a bottle at bedtime. you should counsel the parents to:
only give water in the bottle
a patient who is iron deficient should consume ___ with a good iron source?
orange juice
Which would aid the absorption of an iron supplement?
orange juice, hamburger
an AIDS patient should select the following fresh fruit:
orange, banana, pineapple (neutropenic)
the diet for galactosemia should exclude:
organ meats, MSG
the scientific process by which water makes lettuce crisp is:
osmotic pressure of water-filled vacuoles
which is the least common symptom in the elderly?
osteomalacia
a serum sodium level of 115 mEq/L may be due to:
over hydration
a child is at the 85th percentile for BMI. He is:
overweight
which is the most associated with the incidence of type 2 diabetes?
overweight
fats used in frying can become rancid due to the:
oxidation of unsaturated fats
energy expenditure of humans can be measured by:
oxygen consumption
which hormone moves milk through the mammary ducts?
oxytocin
trypsin and chymotrypsin are:
pancreatic enzymes that provide proteolytic action
active listening in counseling sessions involves:
paraphrasing and responding
which hormone regulates calcium levels?
parathyroid
a post-surgical patient with prolonged ileum should be treated with:
parenteral nutrition
following resection of the small intestine, patients initially receive:
parenteral nutrition
a patient is recovering from an ileocecal resection, where 100 cm was removed. what are you recommendations?
parenteral vitamin B12, increase fluids, increase protein
after one year, which of the following would justify continuing a monthly heart-healthy eating class?
participants report decreased cholesterol levels
what type of leadership style is shown with a circular organizational chart?
participative
Four patients are admitted to your service. who would you address first?
patient with gastric distress
which condition benefits from the use of indirect calorimetry?
patient with third degree burns
which has the lowest cholesterol content?
peanut butter and crackers
children with a high risk for food allergies should initially avoid:
peanut butter and milk
which food should someone on an MAOI not eat?
pepperoni
which enzymes are involved in protein digestion?
pepsin, trypsin, chymotrypsin, carboxypeptidase
to evaluate quality patient care:
periodically assess the outcomes of nutrition therapy
A Crohn's patient who was previously well-nourished has a fever and ileum 7 days PO. which feeding method should you recommend?
peripheral IV infusion
what method is used when you log in and out movement from the storeroom?
perpetual inventory
green peas held on the serving line may turn olive green due to:
pheophytin
which nutrients would be most helpful when treating a patient with a progressive infection?
phosphorus and zinc
which term relates to scientific management?
physical
a 2 year old child with iron-deficiency anemia has anorexia, vomiting, weight loss, and restlessness. Look for:
pica and lead poisoning
a hispanic woman needs more calcium in her diet. what do you recommend?
pinto beans
which of the following has the fewest calories?
plain hamburger on a bun
when developing educational plans, when do you plan the evaluation criteria?
plan evaluation criteria at each step in the process
a primary use of the dietary reference intakes is to:
plan menus for healthy people
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
plan work aisles separate from traffic aisles
management's basic function is:
planning
the major function of management is:
planning
esophageal varices may be caused by:
portal hypertension
if you inform an employee that, as his supervisor, you wish to have him perform a certain task, you are utilizing:
position power
which can be included in a meal for gluten-induced enteropathy?
potatoes with butter
excess food soil in a dish machine wash tank will result in foam that interferes with satisfactory dishwashing. the most appropriate corrective action is to:
pre-rinse dishes before washing
which of the following best reflects protein status?
prealbumin
management by objectives refers to a management process which employs:
precise, measurable objectives
which stage of change is represented by this comment: "I asked for the recipe for the vegetable dish"
preparation
To prevent frozen gravy from separating when thawed:
prepare it with modified starch
what is the goal of the dietary guidelines?
prevention of chronic disease
what is a function of cream of tartar in a recipe?
prevents the Maillard reaction
which of the following components is a form of business promotion? A. the form used to place an order B. price and availability of products C. location of the business D. printed materials describing the current sale
printed materials describing the current sale
quality control is:
proactive - focuses on the prevention of errors in food service
inferential statistics are associated with:
probability
a graphic representation of the separate steps in a procedure using symbols is:
process chart
which of the following would be used to analyze tray line accuracy? A. Gantt chart B. process control chart C. cause and effect diagram D. break-even analysis
process control chart
which hormone is involved in developing the placenta?
progesterone
which hormone regulates breast milk production?
prolactin
ascorbic acid aids in healing. which of the following applies?
proline --> hydroxyproline --> collagen
an example of a healthy people 2020 goal is:
promote healthy behaviors across every stage of life
the oral glucose lowering medication Glucotrol:
promotes insulin secretion
Publicity is a component of which part of the marketing mix?
promotion
a tactic that increases the sale of services through publicity is known as:
promotion
you are asked to develop quality control guidelines for receiving purchased foods. the most important guideline would be:
proper temperatures of foods received
which has the greatest effect on the renal solute load?
protein
what nutrients most affect the renal solute load?
protein and sodium
urea excretion is related to ___, while creatinine excretion is related to ____.
protein intake, muscle mass
a patient with liver disease needs adjustments in the intake of:
protein, fluids, sodium
which is restricted in a diet for hepatic encephalopathy?
protein, sodium, fluid
iatrogenic malnutrition is:
protein-calorie malnutrition
Sugar and salt act as preservatives because they: a. provide unfavorable osmotic pressure b. prevent microbial contact c. disguise flavors d. reduce the alkalinity
provide unfavorable osmotic pressure
the lecture:
provides the most material covered in a short time
which of the following may result in hypoalbuminemia?
providing only a 5% dextrose in water solution after stress
you are analyzing a client's physical ability to prepare meals. the learning domain is:
psychomotor
the first control in the receiving process is:
purchase order
a written record of items ordered, with quantities and specifications is:
purchase requisition
Te end product of aerobic glycolysis is:
pyretic acid
which vitamin acts as a coenzyme in transamination?
pyridoxine
hemodialysis requires supplementation of:
pyridoxine, folic acid, 1-25-dihydroxyvitamin D3
in the cori cycle, lactate is converted into:
pyruvate
the main function of glycolysis is to provide:
pyruvate for the TCA cycle
The following is an irreversible reaction:
pyruvic acid into acetyl CoA
appearance, taste and texture are considered:
quality control
if you measure a group before and after a treatment to see whether or not there has been a significant change, the study design is:
quasi-experimental
the hormone epinephrine:
raises blood glucose during catabolic stress
to determine how profitable a department has been, determine the profit margin, which is:
ratio of profit to sales
salmonella sources are often:
raw produce and uncooked foods of animal origin
prior to conducting a healthy eating class to local residents, assess their:
readiness to make life-style changes
A blast freezer and rethermalization are part of the: a. commissary system b. ready-prepared system c. assemble serve system d. conventional system
ready-prepared system
in making decision, take the following steps:
recognize and analyze the problem, gather data, choose solution, take action, follow-up
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
record the number of hours the Dietitian spent providing nutrition education
which of the following would reduce direct expenses in a foodservice?
reduce food costs
which of the following diets is appropriate for reactive hypoglycemia?
reduce intake of concentrated carb, 5-6 small meals
a new patient with a BMI of 32 and hypertension comes to you for counseling. what is your first recommendation?
reduce sodium intake
what would you do if an employee does not wash pots as required?
reeducate her as to proper procedures and provide follow-up
the dietitian says to the client: "I hear you say that on some days you just cannot stay with the plan. is that right?" this is:
reflective listening
the profit margin:
reflects the portion of sales volume remaining after all bills are paid
what should you do with leftover sliced beef from lunch?
refrigerate immediately and serve within 2 days
what is the appropriate advice for a person with anorexia nervosa?
regular mealtimes, and a varied moderate intake
an infant with acute diarrhea should receive:
rehydration within 4-6 hours
results of a three day food record were obtained in June and again three months later. what is this called?
reliability
if there is an increase in input and output, productivity will:
remain constant
six sigma improves quality by:
removing defects and their causes
which of the following diseases may lead to anemia?
renal failure
which of the following strategies is most likely to increase revenue? Pot roast (low sales, low contribution) barbecued ribs (low contribution, high sales) beef tacos (low sales, high contribution) beef stew (high sales, high contribution)
replace the pot roast
if a union member repeatedly arrives late, you should:
report him to management
in severe cirrhosis with ascites, diet therapy should be:
restrict sodium
a processed food entree includes TVP which is used to:
retain water and add protein
a patient with metabolic alkalosis would have:
retention of base by the kidneys
pie crust is moist the day after cooking. why?
retrogradation of filling
the temperature of a beef casserole drops below 140 F within an hour. What should you do?
return it to the oven to reheat it to a minimum of 165
which of the following components is projected first during the budgeting process? A. cash B. labor C. operating expenses D. revenue
revenue
a tube fed patient develops diarrhea. what needs to be done first?
review the osmolality of the feeding
cheilosis, stomatitis, and a magenta tongue are signs of a:
riboflavin deficiency
illness due to bacillus cereus is due to contaminated:
rice products and starchy foods
what is the major reason for installing automated equipment?
rising labor costs
OSHA requires documentation on the use of the following: A. latex gloves B. respiratory masks C. safety goggles D. hairnets
safety goggles
fats high in polyunsaturated fatty acids include:
safflower and corn
when substituted for saturated fats in the diet, which of the following oils will likely lower total cholesterol but also lower HDL cholesterol?
safflower oil
which of the following items is appropriate for a Muslim diet? A. sweet and sour pork B. salad with imitation bacon bits C. pork-fried rice D. chicken in wine sauce
salad with imitation bacon bits
Fresh meat contamination comes mainly from:
salmonella
Use separate cutting boards for raw chicken and vegetables to avoid illness due to: a) clostridium botulinum b) clostridium perfringens c) salmonella d) streptococcus
salmonella
which supplements are recommended with peritoneal dialysis?
same as those for hemodialysis plus thiamin
which of the following foods is the best source of omega-3 fatty acids?
sardines
which would provide the best source of omega-3 fatty acids?
sardines, herring, mackerel
what is the most important reason for a microwave oven in food service?
saves time
which of the following is not associated with anorexia nervosa?
schizophrenia
the ketogenic diet is used to help treat:
seizures
A patient relates a story to the RD. The RD says: "This happened to me, too." This is:
self-disclosure
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:
send the employee home until the cut has healed
unions usually advance employees based on:
seniority
the amino acid tryptophan can be converted into:
serotonin
patients with decubitus ulcers will likely demonstrate low:
serum albumin
which is not included in a subjective global assessment? A. dietary intake info from a 24 hour recall B. info from patient regarding weight changes C. serum albumin levels D. physical appearance
serum albumin levels
which of the following lab values would most likely indicate that dialysis is necessary: A. serum creatinine 2.0, BUN 80 B. serum creatinine 3.0, BUN 90 C. serum creatinine 4.0, BUN 100 D. serum creatinine 6.0, BUN 70
serum creatinine 6.0, BUN 70
ANOVA is used when:
several products compete against one another
Which is the most characteristic of marasmus?
severe fat and muscle wasting
what does a fecal fat of 12 g indicate?
severe fat malabsorption
which foods are most likely to cause an allergic reaction?
shellfish, peanuts, wheat
an employee voted in by the union who works to settle grievances while on paid time is the:
shop steward
if you were an employee and member of the union, and were involved in initial labor dispute talks, you would be called:
shop steward
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
shop steward
chemically defined formulas are used for
short bowel syndrome
enteral feeding products that contain protein in the form of small peptides and amino acids may be recommended for patients who have:
short bowel syndrome
if patients in a counseling session become restless,
shorten the sessions
how do you convince administration that a former nutrition program should be reinstated?
show that 75% of those who attended had fewer hospital stays
the organizational chart:
shows the employee how he fits into the organization
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
signature
a hospital cafeteria that currently serves 500 meals at noon must increase service to 800 without adding food production staff. the best action would be:
simplify the menu
evaporated milk has:
slightly more than half of the water removed
Where is lactose absorbed?
small intestine
lactase is produced in the:
small intestine
iron deficiency anemia has the following characteristics:
small, pale cells, hypochromic, microcytic
a swallowing test has been ordered for a patient who holds food in his mouth for a long time and is coughing. which food can he have for dessert? A. ice cream B. smooth pudding C. gelatin D. bread pudding
smooth pudding
psychographic marketing includes the following categories:
social class, lifestyle, motive behind purchases
all baking powders contain:
sodium bicarbonate
what elements of the diet vary the most in hepatic disease?
sodium, fluid, protein
an increased intake of which of the following might be the cause of diarrhea without malabsorption in children?
sorbitol
Which best describes sorbitol and glucose?
sorbitol is absorbed more slowly
on your meal rounds you notice that elderly patients are not being fed properly. what is the best solution?
speak with the Director of Nursing
an employee consistently calls in sick the day before a holiday. his supervisor should:
speak with the employee about the reasons for the absence
which data is needed to convert weight into volume?
specific gravity
quality standards for fruits assure you of:
specifications of minimum quality characteristics
when on dicumarol, avoid increasing your intake of:
spinach
your patient is on coumadin. which foods would you make sure to consistently include in their diet?
spinach, collard greens
which of the following extinguishers is best to use on a grease fire?
square symbol
the FDA is responsible for:
standard of identity, nutrition labels, imitation foods
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:
standing up
which of the following has the quickest onset of food-borne illness? A. staphylococcus aureus B. clostridium botulinum C. clostridium perfringens D. listeria monocytogenes
staphylococcus aureus
you called a meeting for 9 am. three out of the five people arrived on time. what is the general guideline for starting meetings?
start on time
the cleanliness of on-line steam is not an issue when purchasing a:
steam-jacketed kettle
protein digestion begins in the:
stomach
spaghetti sauce prepared on Monday is to be served on Wednesday. What should you recommend to the cook?
store the sauce in shallow pans in the refrigerator
which foods should be washed just before serving?
strawberries and mushrooms
a pan of au gratin potatoes has been cooked to an endpoint temperature of 140 F. Serving is scheduled to begin in 10 minutes. you should: A. delay service until the potatoes are done B. begin service without the potatoes and deliver them when done C. substitute mashed potatoes until the au gratin are done D. complete the cooking process in the hot holding unit
substitute mashed potatoes until the au gratin are done
Which recipe ingredient should be adjusted if a cake has a crunchy crust and compact moist texture?
sugar
a patient with dehydration exhibits symptoms of:
sunken eyes, decreased renal function, increased tachycardia
which job would you not give to a consultant dietitian?
supervision of dietary employees
which of the following directly asserts 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
supplemental nutrition assistance program
the national sanitation foundation standard for equipment construction that is most related to microbiological food safety requires that:
surfaces do not have open seams or cracks
the first step in planning a continuing education program is to:
survey participants to see what interests them
which of the following would be classified as NC in the NCP?
swallowing difficulty
what is fluid seeping from a congealed product called?
syneresis
a 5 month old is diagnosed with salmonella. what is likely the cause?
table food
the tartness in fruits and vegetables is due to:
tannins
you have been promoted to a top management position. what adjustment in skills is needed?
technical skills decrease, conceptual skills increase
what can an employer do regarding an employee who wishes to join the union?
tell him about union dues
you teach food service workers about pot-washing temperatures. how do you know if the workers then follow the rules?
test the water temperature at frequent intervals
the healthy people 2020 goals are an outgrowth of a report by:
the Surgeon General, under HHS
the allowance for SNAP is based on:
the USDA Thrifty Food Program
which defines the statistical term "mean"
the average
a useful application of counting FTE's is in planning:
the budget for wages
in a study on custards which would be the dependent variable?
the cooked custard
when should an explanation of how a worker will be evaluated be given to them?
the day they are hired
What is not shown on an organizational chart?
the degree of authority and informal relationships
why might a child with PKU have an increased incidence of dental caries?
the diet is high in carbohydrates, low in protein
which result is desirable? experimental group A (before) B (after) control group C (before) D (after)
the difference between A and B is more significant than the difference between C and D
to determine whether promotional efforts have increased sales in a business, use:
the experimental design
which would be the best tool for rating foods in a pediatric hospital?
the facial hedonic scale
a hospital administrator would be most concerned with: A. the increase in the number of elderly admissions B. the increasing growth of outpatient services C. the increase in patient's length of stay D. the increase in diabetic admissions
the increase in patient's length of stay
what is your first concern when deciding how to teach?
the needs and abilities of your students
productivity is measured by:
the number of portions served per hour
to calculate the estimated caloric needs of a patient who is significantly underweight the Dietitian should use:
the patient's actual body weight
a decision to feed patients in their rooms, rather than int he cafeteria is based on:
the philosophy of the institution
to complete a subjective global assessment evaluate:
the presence of edema and wasting or dehydration
the sensitivity of a screening tool evaluates:
the proportion of afflicted individuals who tested positive
Why do egg whites beat more easily at room temperature?
the surface tension is lower
if dishes are not cleaned properly in the dish machine, the first thing to check is:
the temperatures of the various cycles
the flakiness of pie crust depends on:
the type of fat
When you check overrun, you are checking:
the weight of ice cream
when analyzing correlations, when r = 1:
there is a perfect correlation from one to the other
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?
they can leave the house
asian, hispanic, and native americans have the following in common:
they consume little milk
why are open-ended questions better during an interview?
they provide more information
An increased plasma pyruvate level is an indication of:
thiamin deficiency
increased plasma pyruvate is an indication of a:
thiamin deficiency
patients with cardiac cachexia on a loop diuretic should be evaluated for:
thiamin status
if energy needs increase, which vitamins are needed in higher amounts?
thiamin, niacin, riboflavin, pantothenic acid
the following are required for the conversion of pyruvic acid into active acetate?
thiamin, niacin, riboflavin, pantothenic acid, magnesium
a patient with dysphagia waiting for a swallow test may receive:
thick liquids
the gauge of metal refers to:
thickness
which hormone greatly influences BMR?
thyroxine
which is part of the nutritional therapy for IDDM in a lean person?
time meals
meat graded "US Standard" is the grade given at the:
time of slaughter
roman catholic dietary laws state that fish is:
to be served on Ash Wednesday and Fridays during Lent
WIC encourages women with babies to:
to breastfeed
the main reason for keeping an inventory is:
to determine when and how much to reorder
two of the listed ingredients on a frozen food label are BHA and BHT. What is their function?
to prevent lipid oxidation
coarse texture in a cake is due to:
too much baking powder or sugar
if linoleic acid replaces saturated fat in the diet:
total cholesterol including HDL decrease
what best measures excess calorie reserves?
triceps skinfold
muscle mass is determined using the:
triceps skinfold and arm circumference
which of the following indicates protein calorie malnutrition?
triceps skinfold and arm muscle circumference of 79%
which anthropometric measurements are useful in assessing adults?
triceps skinfold, arm muscle circumference, height, weight
An amino acid that cannot be produced by the body is:
tryptophan
which amino acids must be present in a parenteral solution?
tryptophan, phenylalanine, threonine, isoleucine
what should a Jewish patient include in his diet to increase the intake of zinc?
turkey
which of the following should be avoided on a low sodium diet?
turkey roll
The dishwasher temperatures are as follows: pre-wash 140 'F, wash 150 'F, rinse 200 'F. You should: a. turn up the rinse temperature b. turn down the pre-wash temperature c. turn down the rinse temperature d. do nothing, they are fine
turn down the rinse temperature
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%?
two
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
two supervisors for one employee
when a white sauce tastes starchy and grainy, the likely cause is:
uncooked flour
which of the following is permitted on a diet restricting tyramine?
uncured cheese like cottage, ricotta
to decrease sodium intake, substitute:
unsalted margarine for regular margarine
when measuring a child's somatic protein mass, use the BMI and:
upper arm muscle area
you are conducting a nutrient analysis of a recipe that uses 10 lbs of 80/20 raw ground beef. to best ensure analysis accuracy:
use data for the edible portion weight of the cooked ground beef
when substituting butter for lard in pastry:
use more
a patient who had an ileal resection is placed on a tube feeding and begins to have diarrhea. This may be due to:
use of a hypertonic formula
homemade rolls are crumbly and fall apart easily. the most likely cause of the poor texture in the yeast bread is:
use of a lower-protein flour
the transfer of heat when cooking with an induction burner is the:
use of electrical magnetic fields to energize the metal cooking surface
if the temperature on the dish machine rinse cycle is 135 F, you should:
use paper products until the problem has been resolved
what is the best way to reduce the fat content of a brownie recipe?
use prune puree in place of half the fat
cost-effectiveness studies:
use the results of outcomes research
to increase the number of patrons served in the cafeteria during the lunch meal:
use the scramble system
the efficiency of a foodservice employee is increased if the work center is designed to allow the employee to:
use two hands
which is the best way to maximize meat storage?
vacuum-packaged in oxygen-impermeable film
costs which are proportionately responsive to changes in volume are:
variable
what is not a likely cause of failure to thrive in a child?
vegetarian diet
Bitot's spots indicate a deficiency of: a. vitamin A b. vitamin E c. thiamin d. niacin
vitamin A
a vegan is allergic to milk. which nutrients would you expect might be deficient in her intake?
vitamin B12, D
retrovir (NRTI) can lead to low levels of:
vitamin B12, copper, zinc
which supplements should you give to a breast-fed baby?
vitamin D and fluoride
when taking an anticoagulant, avoid the following:
vitamin E supplements above 400IU per day
which is the dependent variable?
volume
the best way to prevent the spread of food-borne illness is to:
wash hands regularly
dishes are greasy when unloaded from the dish machine. what should you check first?
wash temperature
which of the following affects bioelectrical impedance analysis?
water
following a colectomy, the absorption of which of the following would be of the most concern?
water and sodium
athletes should receive...
water during an event to replace lost fluids
the end products of cellular oxidation are:
water, carbon dioxide, energy
metabolites of the kreb's cycle are:
water, energy, carbon dioxide
The colon functions in the absorption of:
water, salts, vitamin K, thiamin, riboflavin
a man with HIV disease presents with the following data. What should be your primary concern as his dietitian? Height: 5'10" Hematocrit: 35% BUN 11 mg/dL CD4 280 Weight 115 lbs MCV 102 fl serum albumin 2.8 g/dl total lymphocytes 1200/cubic mm
weight
expected creatinine clearance is estimated from the client's:
weight and height
The best way to monitor an infant's failure to thrive is to plot:
weight for length
a Rabbi is admitted to the hospital. what question might has ask the dietitian?
what is the mixture of foods in combination dishes
a performance objective should be based on:
what the learner should know or be able to do
when does a breakeven point increase?
when costs increase
an example of a survey with a negative correlation is:
when folic acid intake increases prior to pregnancy, the incidence of neural tube defects declines
when can a citizen have impact on a bill?
when the bill is in public hearings
when is breast-feeding contraindicated?
when the mother has AIDS
which of the following must be reduced before it can be further transported for absorption?
whey
osteoporosis is most likely to occur in :
white female
an 18 month old child should receive:
whole milk
a patient with chronic pancreatitis should consume oral pancreatic enzymes
with all meals and snacks
what color do onions turn when cooked in an aluminum pan?
yellow
According to Chinese beliefs, foods and herbs that may be used to treat illnesses are grouped in: a. yin (bright, hot) / yang (dark, cold) b. yin (dark, cold) / yang (bright, hot) c. action / maintenance d. harmful / beneficial
yin (dark, cold) / yang (bright, hot)
if you are on a low phosphorus diet, what food should you most avoid?
yogurt
if you have lactose intolerance, which food could you most likely tolerate?
yogurt
strict vegans may need supplements of:
zinc
