The Best Jean Inman Questions Domain 2

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

1276

307) In the Dietary Guidelines, what represents the fat content? A) 20-35% calories, <10% saturated fat B) 30% calories, <6% saturated fat C) 35% calories, <15% saturated fat D) 35% calories, <10% saturated fat

20-35% calories, <10% saturated fat

227) According to the Food Lists for Diabetes, which of the following isequivalent to one medium fat protein? A) 4 ounces tofu B) 2 ounces pork C) 2 eggs D) 2 T. peanut butter

4 ounces tofu

232) If a diabetic patient reduces his calorie intake from 2300 to1800 calories per day, how much will he lose in one month? A) 4 pounds B) 6 pounds C) 2 pounds D) 8 pounds

4 pounds

416) With a CHO: insulin ratio of 16:1, how much insulin is needed with thismeal? 2 ounces beef, 2/3 cup steamed brown rice, 1/2 cup cooked beets, 1 slice bread, 1 teaspoon butter, /2 cup vanilla ice cream A) 7 units B) 6 units C) 5 units D) 4 units

4 units

231) The normal range for hemoglobin A1C is: A) 1-2% B) 4-6% C) 10 - 12% D) 35-40%

4-6%

312) A sedated patient receives 25cc of Propofol per hour. How manycalories will he receive from the medication daily? A) 500 B) 660 C) 720 D) 785

660

200) Protein needs for those with Stage II pressure ulcers are: A) 1.25 to 1.5 g/kg B) 1.1 to 1.2 g/kg C) 1.5 to 1.7 g/kg D) o.8 to 1.0 g/kg

1.25 to 1.5 g/kg

120) Which of the following is the appropriate diet for peritoneal dialysis? A) .8 grams protein, 35 cals/KG B) 2.0 grams protein, 30 cals/KG C) 1.3 grams protein, 35 cals/KG D) 1.0 grams protein, 35 cals/KG

1.3 grams protein, 35 cals/KG

214) Which of the following is equivalent to a lean protein exchange? A) 1/4 cup low fat cottage cheese B) 2 T. grated parmesan cheese C) 1 ounce mozzarella cheese D) 1 ounce Swiss cheese

1/4 cup low fat cottage cheese

323) A father needs help in feeding his children, ages 6 and 8. Which arethe best options? A) WIC and TANF B) Head Start and SNAP C) SNAP and School Lunch D) Commodity Foods and WIC

SNAP and School Lunch

342) A Rabbi is admitted to the hospital. What question might he askthe Dietitian? A) What time are meals served? B) Who cooks the food? C) What is the mixture of foods in combination dishes? D) Where will I eat?

What is the mixture of foods in combination dishes?

163) To learn about prenatal problems in the community, go to: A) Center for Disease Control B) WIC C) NHANES D) FDA

WIC

252) Which program teaches good nutrition practices and provides foodswith certain nutrients? A) EFNEP B) FFVP C) WIC D) CACFP

WIC

121) Which program provides food to needy individuals and families? A) Food Banks B) SNAP C) CACFP D) WIC

Food Banks

375) The Dietitian's analytical skills are needed most in which component ofthe NSI? A) DETERMINE checklist B) Level I C) Level II D) Level III

Level II

392) Which fat source would be best for a patient with pancreatitis? A) essential fatty acid supplements B) polyunsaturated fats C) LCT D) MCT

MCT

170) Congregate meals and home delivered meals fall under: A) WIC B) EFNEP C) Older Americans Act Nutrition Program Title III D) Medicare

Older Americans Act Nutrition Program Title III

321) A weight loss medication which inhibits lipase is: A) Locaserin B) Phentermine C) Orlistat D) Topiramate

Orlistat

248) A program that links sources of unused, cooked and fresh foods withsocial service agencies that serve the hungry is the: A) PPFP B) USDA C) CACFP D) TEFAP

PPFP

382) Levodopa is used in the treatment of: A) rheumatoid arthritis B) Parkinson's disease C) diabetic ketoacidosis D) nephrotic syndrome

Parkinson's disease

188) If a patient cannot metabolize urea properly, what willaccumulate in his blood? A) uric acid B) ammonia C) protein D) glucose

ammonia

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

a vegetarian diet

85) Osteoporosis is most likely to occur in: A) the physically active adult B) a non-smoker C) a black female D) a white female

a white female

174) Which would you recommend to a Mexican American on a low-fat diet? A) low fat cottage cheese B) skim milk C) beans and rice D) low fat yogurt

beans and rice

138) Which correlates best with energy intake? A) lean body mass B) triceps skinfold C) body mass index D) body weight

body weight

192) WIC encourages women with babies to: A) formula feed B) breast feed C) feed solid foods early D) feed a mixture of formula and solid foods early

breast feed

272) An albumin of 5.0 g/dl in a patient who has consumed very fewcalories and limited fluids for several weeks is likely due to: A) increased liver production of albumin in response to poor intake B) an increase in albumin due to dehydration C) decreased intake of protein D) retention of albumin due to the low caloric intake

an increase in albumin due to dehydration

117) When a starved patient begins to eat, they might expect: A) constipation B) an increased workload on the heart C) lethargy D) diarrhea

an increased workload on the heart

451) The full function of the gastrointestinal tract is utilized with whichtype of nutrition support? A) an isotonic, polymeric formula delivered by a nasogastric tube B) a BCAA formula delivered by a nasogastric tube C) peripheral parenteral nutrition D) parenteral nutrition

an isotonic, polymeric formula delivered by a nasogastric tube

238) Which type of anemia is likely to be seen in a patient with arthritis? A) microcytic, hypochromic B) anemia secondary to chronic disease C) macrocytic D) megaloblastic

anemia secondary to chronic disease

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

anemia with larger than normal erythrocytes

446) The drug methylphenidate may have the adverse effect of: A) increased excretion of folate requiring supplementation B) decrease in blood pressure C) anorexia affecting growth D) involuntary weight gain

anorexia affecting growth

389) An outpatient would like to take vitamin C supplements. You should: A) ignore the request and talk about incorporating better balancedfoods into her diet. B) ignore her request and advise her to drink more juices C) explain the dangers of taking too much vitamin C D) ask her to keep a food diary to see where she is lacking

ask her to keep a food diary to see where she is lacking

23) The first function of the public health nutritionist is: A) assess the needs of the community B) counsel patients with special dietary needs C) write pamphlets for educational purposes D) expand the role of Dietitians

assess the needs of the community

111) The diet for stomatitis is: A) low fat, high carbohydrate, normal protein B) avoid spices, very hot, very cold, sour, tart foods C) high protein, high carbohydrate D) liquids, mostly carbohydrates

avoid spices, very hot, very cold, sour, tart foods

308) Which of the following would likely be a cause of marasmus? A) leaving a patient for two weeks on D5W B) chemotherapy C) following a 20-gram protein diet for two months D) antibiotic therapy

chemotherapy

29) Cystic fibrosis affects transport of across the cell membrane? A) sodium B) potassium C) phosphorus D) chloride

chloride

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

coconut oil

245) Which will cause the most delay in gastric emptying? A) lean baked meat B) broiled cod C) shrimp D) corned beef

corned beef

39) Which item is a medium fat protein in the Food Lists for Diabetes? A) peanut butter B) tuna packed in water C) corned beef D) chicken without skin

corned beef

378) Which tests measure somatic protein: A) prealbumin, albumin B) creatinine clearance, serum creatinine C) serum transferrin D) prealbumin, albumin, transferrin

creatinine clearance, serum creatinine

52) The presence of acanthosis nigricans is likely associated with: A) high blood insulin levels B) low blood insulin levels C) hypertension in one with diabetes D) high blood glucose

high blood insulin levels

397) A patient is diagnosed with iatrogenic malnutrition. Nutritionaltherapy should be: A) high calorie B) high protein C) high calorie, high protein D) low calorie, high protein

high calorie, high protein

68) In cystic fibrosis, the meal plan for most is: A) high calorie, high protein, moderate sodium B) low fat, high calories, high protein C) moderate sodium, low fat, high calorie, high protein D) high calorie, high protein, unrestricted fat, liberal sodium

high calorie, high protein, unrestricted fat, liberal sodium

431) 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

436) The primary focus of nutrition care for a man with hypertension and aBMI of 32 should be to: A) decrease sodium intake B) increase potassium intake C) increase calcium intake D) decrease body weight

decrease body weight

475) Methylprednisolone is a steroid that may: A) increase inflammation B) decrease inflammation C) lead to anemia D) lead to weight gain

decrease inflammation

454) A patient with diabetic gastroparesis should avoid foods that are: A) high in simple sugars B) high in fat C) low in fiber D) low in protein

high in fat

63) Good advice for a patient with a hiatal hernia is to: A) increase intake of complex carbohydrates B) lower the fat content of the diet C) don't eat before bed D) avoid coffee

don't eat before bed

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

dried beans

420) A patient on warfarin should avoid: A) ginkgo, garlic B) thiamin supplements C) simple carbohydrates D) B vitamin supplements

ginkgo, garlic

132) How can you enhance usage of commodity foods from afood donation program? A) teach food donation staff how to use the items B) make a poster on usage C) give each participant recipes using the food items D) calculate the amounts of nutrients provided in the donated foods

give each participant recipes using the food items

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

glucose

154) Which test helps you determine if a diabetic has been following his diet? A) blood glucose B) urine ketones C) glycosylated hemoglobin D) urine sugar

glycosylated hemoglobin

74) Increased serum uric acid levels may lead to: A) galactosemia B) glycogen storage disease C) gout D) PKU

gout

208) If you are taking statin medications which should be avoided? A) grapefruit juice B) insoluble fibers C) caffeine D) tyramine

grapefruit juice

353) Which snack would you not give to an infant? A) yogurt B) cheese sticks C) graham crackers D) grapes

grapes

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

halibut

88) Which of the following is not associated with anorexia nervosa? A) food aversions B) distorted body image C) schizophrenia D) constant concern about weight status

schizophrenia

16) A single 19-year-old female is 6 months pregnant. She has not gained anyweight and has not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important recommendation for her? A) see a physician immediately B) apply for WIC immediately C) join a teenage pregnancy support group D) begin taking iron supplements

see a physician immediately

398) Patients with Congenital sucrase isomaltase disease who are takingSacrosidase must restrict: A) starch and maltose B) sucrose, maltose, starch C) sucrose and starch D) fructose, sucrose

starch and maltose

109) A patient with dehydration exhibits the symptoms of: A) high blood pressure, dizziness B) sunken eyes, decreased renal function, increased tachycardia C) decreased BUN, decreased serum creatinine D) low blood pressure, low serum sodium

sunken eyes, decreased renal function, increased tachycardia

404) Metformin functions by: A) stimulating insulin secretion B) inhibiting digestive enzyme action C) decreasing peripheral resistance D) suppressing hepatic glucose production

suppressing hepatic glucose production

135) Which of the following affects bioelectrical impedance analysis? A) adipose stores B) muscle mass C) water D) protein stores

water

226) Following a colectomy, the absorption of which of the followingwould be of the most concern? A) vitamins D and E B) water and sodium C) B vitamins D) vitamin C

water and sodium

4) Athletes should receive... A) salt pills only during the summer months B) extra protein C) carbohydrate loading two weeks prior to an event D) water during an event to replace lost fluids

water during an event to replace lost fluids

471) Which best describes metabolism in severe acute pancreatitis? A) hypermetabolic, energy expenditure increases B) energy needs decrease C) hypometabolic, energy expenditure decreases D) energy needs remain the same, hypermetabolic

hypermetabolic, energy expenditure increases

54) An elevated T4 indicates: A) galactosemia B) hypothyroidism C) hyperthyroidism D) ketonuria

hyperthyroidism

10) An alcoholic patient has a low serum albumin, low hemoglobin, highammonia, abnormal liver function tests and ascites. Why is he on a 500mg sodium diet? A) secondary renal failure B) hypoaldosteronism C) hypoalbuminemia D) hyperammonemia

hypoalbuminemia

383) Quickly stopping a 25% dextrose solution leads to: A) hyperglycemia B) hypoglycemia C) hypophosphatemia D) hyperkalemia

hypoglycemia

55) Before discontinuing a parenteral feeding, provide enteral support toprevent.: A) development of a fatty liver B) ketoacidosis C) hypoglycemia D) hepatic encephalopathy

hypoglycemia

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

hypokalemia

330) A concern with parenteral feeding is: A) hypokalemia B) hypercalcemia C) hyponatremia D) hypernatremia

hypokalemia

189) A patient with cystic fibrosis, who is non-compliant with theirnutritional prescription, may present with: A) hypernatremia B) hyponatremia C) hypokalemia D) hyperkalemia

hyponatremia

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

hypophosphatemia, hypomagnesemia

269) A nutrition surveillance program is designed primarily to: A) confirm results of annual nutritional surveys B) identify the nutritional needs of the population C) indicate the number of people at increased risk for medical conditions D) indicate the causes underlying the nutrition problems identified

identify the nutritional needs of the population

146) What section of the intestine is most likely to be involved in Crohn'sdisease? A) ileum B) jejunum C) duodenum D) appendix

ileum

210) When should you provide nutrition counseling to an AIDS patient? A) when nausea and vomiting become problems B) immediately upon diagnosis C) when diarrhea occurs D) no counseling is needed

immediately upon diagnosis

118) Which of the following would be classified as NB in the NCP? A) hypermetabolism B) inadequate enteral intake C) impaired ability to prepare foods D) excessive protein intake

impaired ability to prepare foods

119) The immediate post-stress release of glucagon: A) increases glucose uptake into cells B) increases glucose release into the bloodstream C) increases insulin release D) increases fluid and sodium excretion

increases glucose release into the bloodstream

169) The symbol U on a food label indicates: A) it is treated with ultraviolet light B) is treated with radiation C) vitamin retention has been retained during processing D) it is a Kosher designation

it is a Kosher designation

470) Which of the following is the fat source in elemental formulas? A) safflower oil B) long-chain triglycerides C) lecithin D) long-chain and medium-chain triglycerides

long-chain and medium-chain triglycerides

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

lose 20 lbs. slowly following balanced diet

255) A male patient has hypertension, high cholesterol, diabetes, and is55 pounds above his desirable body weight. What do you recommend? A) low sodium B) low carbohydrates C) low calories D) low fat

low calories

1) In community surveys, a frequent symptom of malnutrition is: A) scurvy B) rickets C) low serum albumin D) low hemoglobin

low hemoglobin

129) Nutritional advice to a parent with a child with autism spectrumdisorder should include: A) oral supplements between meals B) high sodium, high fiber foods C) normal intake based on age D) low fiber, high calories

normal intake based on age

419) A patient presents with the following lab values:ALP 100 U/L, AST 30 U/L, ALT 35 U/L. This indicates: A) hepatic encephalopathy B) hepatitis C) cirrhosis D) normal liver function

normal liver function

112) The BMI for a woman who is 5'7" tall and weighs 148 lbs. indicates: A) underweight B) normal weight C) overweight D) obese

normal weight

167) What should most be encouraged in a Headstart program? A) nutrition activities related to food B) participation for at least one year C) class instructions D) healthy snacks

nutrition activities related to food

336) Which best determines whether or not to intervene with a new patient? A) the patient's current medical diagnosis B) the patient's nutritional status history C) a request by the patient's family D) nutrition screening results

nutrition screening results

44) The NHANES study looks at which parameters? A) nutritional B) nutritional, clinical C) nutritional, biochemical D) nutritional, clinical, biochemical

nutritional, clinical, biochemical

185) The Prader Willi syndrome is associated with... A) hyperactivity B) deficiency of glucose-6-phosphatase C) macrocytic anemia D) obesity

obesity

78) Orlistat is a medication used in the treatment of: A) renal disease B) liver disease C) obesity D) gastroparesis

obesity

136) In Health People 2030 "Improve cardiovascular health in adults andreduce infection caused by Listeria are: A) goals B) health indicators C) tools for action D) objectives

objectives

289) The first step in implementation of a community-based program is: A) obtain support from staff members B) prepare a realistic budget based on goals and objectives C) obtain administrative support D) reach out to the target population

obtain administrative support

281) What change should be made in the following menu if it is to be servedto Seventh Day Adventists? tomato juice, cottage cheese fruit plate or egg salad sandwich, milk, coffee, tea A) offer fortified soy milk B) offer decaffeinated beverages C) offer tofu as an alternative to cottage cheese D) offer a meat analog as an alternative to egg salad

offer decaffeinated beverages

394) Which of the following is an example of a secondary preventionprogram? A) offer health risk appraisals with referrals as needed for follow-up B) bring fruits instead of sweet rolls to all weekly staff meetings C) offer heart-healthy eating cooking classes at civic centers D) set up walking programs during lunch breaks

offer health risk appraisals with referrals as needed for follow-up

402) Nutrition intervention with Alzheimer's disease should include: A) eating with TV on to provide stimulation B) offer one food at a time, avoid distractions C) encourage eating meals with others D) several small meals and snacks throughout the day

offer one food at a time, avoid distractions

314) A critically ill patient will likely need hospitalization for many days.When should the discharge plan begin? A) as soon as it is known when the patient will be discharged B) once the patient is stable C) on the first day of admission D) at least two days prior to discharge

on the first day of admission

184) Which of the following provides 45 g of CHO? A) one cup pasta B) one cup black beans C) 1 1/2 cups blueberries D) 2 small tortillas

one cup pasta

286) An AIDS patient should select the following fresh fruit: A) grapes, orange B) orange, banana, pineapple C) apple, grapes, peach D) grapes, pear

orange, banana, pineapple

75) The diet for galactosernia should exclude: A) high fat foods B) high cholesterol foods C) organ meats, MSG extenders D) simple carbohydrates

organ meats, MSG extenders

157) Which is most associated with the incidence of Type 2 diabetes? A) sugar intake B) protein intake C) overweight D) salt intake

overweight

58) Which bormone moves milk through the mammary ducts? A) prolactin B) progesterone C) estrogen D) oxytocin

oxytocin

260) Odynophagia is: A) difficulty in swallowing B) lump in the throat C) painful swallowing D) lack of saliva

painful swallowing

216) A post-surgical patient with prolonged ileus should be treated with: A) a high fiber diet B) enteral nutrition with added fiber C) enteral nutrition D) parenteral nutrition

parenteral nutrition

305) A patient is recovering from an ileocecal resection, where 100 cmwas remove A) What are your recommendations?a. oral vitamin B12, increase fluids B) parenteral vitamin B12, increase fluids, increase protein C) decrease fluids, increase protein, parenteral B 12 D) decrease protein, decrease fluids, oral B12

parenteral vitamin B12, increase fluids, increase protein

374) After one year, which of the following would justify continuing amonthly heart- healthy eating class? A) all of the participants attended at least 90% of the classes B) other community members have inquired about joining the program C) physicians have begun referring their patients to the class D) participants report decreased cholesterol levels

participants report decreased cholesterol levels

393) Four patients are admitted to your service. Who would youaddress first? A) patient who had a recent MI B) patient with gastric distress C) patient with cancer D) patient admitted for an appendectomy

patient with gastric distress

341) Which condition benefits from the use of indirect calorimetry? A) post-gastrectomy B) patient receiving chemotherapy C) patient with third degree burns D) post-surgical patient

patient with third degree burns

317) Children with a high risk for food allergies should initially avoid: A) peanut butter and milk B) eggs and strawberries C) oats and fish D) citrus fruits and chocolate

peanut butter and milk

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

providing only a 5% dextrose in water solution after stress

370) Long term use of corticosteroids can lead to: A) hyperglycemia B) low blood pressure C) increased loss of body fluids D) thickened skin

hyperglycemia

72) The catecholamines released during stress cause: A) hypertension B) hyperglycemia C) diuresis D) elevated BUN

hyperglycemia

425) The immunosuppressant drug cyclosporine may cause: A) hypokalemia and hypoglycemia B) hyperlipidemia and hyperkalemia C) hypermagnesemia D) hyponatremia

hyperlipidemia and hyperkalemia

95) A patient with the nephrotic syndrome will likely exhibit: A) hyperlipidemia, albuminuria, edema B) hypertension, hypocholesterolemia C) hypotension, azotemia D) malnutrition, hyperalbuminemia

hyperlipidemia, albuminuria, edema

45) People with cystic fibrosis may be deficient in: A) vitamin B12 B) magnesium and thiamin C) zinc and fat-soluble vitamins A and E D) folic acid

zinc and fat-soluble vitamins A and E

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

EAR

130) Where can a pregnant teen learn to cook? A) EFNEP B) Child Nutrition Services C) UNICEF D) WIC

EFNEP

422) A family enrolled in the SNAP program is unsure of the best way toplan meals and budget. Refer them to: A) a congregate meal site B) TANF C) WIC D) EFNEP

EFNEP

49) If a patient is about to be discharged when you receivethe discharge diet order, you should..... A) Give him something to take home B) There is not enough time so forget it. C) Enroll him in the Outpatient Clinic and schedule an appointment. D) Teach him what you can in the time you have now.

Enroll him in the Outpatient Clinic and schedule an appointment.

434) Which of the following guidelines should be used when you areestimating the prevalence of inadequate intake levels of vitamin A within a group of adults? A) Recommended Dietary Allowance RDA B) Estimated Average Requirement EAR C) Tolerable upper intake level UL D) Adequate Intake AI

Estimated Average Requirement EAR

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

Explain why it is not good.

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

FFVP and SFMNP

164) Which best applies to nutritional screening? A) HIPAA standards must be followe B) It should include nutritional parameters. C) It is done after nutritional problems are identifie D) It is only done on at risk patients.

It should include nutritional parameters.

233) A spastic quadriplegic requires: A) lower energy intake B) fewer calories, increased fluid and fiber C) increased fluid and fiber, acid ash diet D) lower energy intake, acid ash diet

fewer calories, increased fluid and fiber

84) What type of food would you feed to a patient who has the athetoid formof cerebral palsy? A) milk-based products B) finger foods like a hot dog in a roll C) milk-free products D) galactose-free foods

finger foods like a hot dog in a roll

77) Immediately following a severe burn, nutritional therapy should include: A) high calories B) high protein C) high calories, vitamins, minerals D) fluid and electrolyte replacement

fluid and electrolyte replacement

213) Why might a patient with ascites be dehydrated? A) fluid has moved to interstitial spaces B) fluid has moved to intravascular spaces C) fluid has moved to vascular spaces D) fluid has moved to the lung

fluid has moved to interstitial spaces

400) To restore hydration after continuous endurance activity of 2 hours,consume: A) fluid, carbohydrate, sodium B) non-CHO electrolyte solutions C) fluids D) fluids and sodium

fluid, carbohydrate, sodium

399) To maintain hydration during continuous endurance physical activityof 4 hours, consume: A) fluids B) fluids and sodium C) fluids, sodium, carbohydrates D) non-CHO electrolyte solutions

fluids, sodium, carbohydrates

237) Nutrients associated with dementia include: A) iron, copper, folate B) folate, B12, B6 C) magnesium, iron, biotin D) zinc, magnesium, niacin

folate, B12, B6

273) Macrocytic, pernicious anemia resembles the anemia due to adeficiency of: A) folic acid B) iron C) megaloblastic cells D) pyridoxine

folic acid

86) Which is a quick diet assessment tool for a large group? A) food frequency lists B) diet history forms C) weighing food samples and recording intake D) food records

food frequency lists

35) The additive influence of foods and constituents which when eatenhave a beneficial effect on health refers to: A) nutraceuticals B) food synergy C) positive corollaries D) medical foods

food synergy

127) Why is an affluent couple (the man with diabetes, 67 years old,and the wife with a broken arm, 50 years of age) not eligible for Meals on Wheels? A) she is too young B) they are affluent C) this program does not cater to special diets D) they can leave the house

they can leave the house

287) Asian, Hispanic and Native Americans have the following in common: A) they consume few green vegetables B) they consume significant amounts of dairy products C) they consume little milk D) they consume few root vegetables

they consume little milk

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

thiamin

426) A patient with heart failure on a loop diuretic needs to have thestatus of which vitamin evaluated: A) pantothenic acid B) niacin C) riboflavin D) thiamin

thiamin

468) Which of the following micronutrients should be supplemented in apatient with a diagnosis of alcoholism? A) calcium and magnesium B) calcium and thiamin C) thiamin and folic acid D) folic acid and magnesium

thiamin and folic acid

299) What should a Kosher patient include in his diet to increase theintake of zinc? A) fresh green vegetables B) pork C) turkey D) wheat bread

turkey

295) An athlete needs 4000 calories. The cornflakes nutrient label says thatone serving provides 25% of the RDA for CHO. How many servings of cornflakes does he need to get his 25%? A) one B) two C) three D) four

two

186) Which of the following is permitted on a diet restricting tyramine? A) hard cheese like cheddar or Swiss B) uncured cheese like cottage and ricotta C) pickled or smoked foods D) tofu

uncured cheese like cottage and ricotta

285) When measuring a child's somatic protein mass, use the BMI and: A) upper arm muscle area B) triceps skinfold C) mid-arm muscle circumference D) knee to height ratio

upper arm muscle area

440) Bítot's spots indicate a deficiency of: A) vitamin A B) vitamin E C) thiamin D) niacin

vitamin A

277) A patient with a redundant ileum may develop a deficiency of: A) fat-soluble vitamins B) folic acid C) vitamin B 12 D) vitamin K

vitamin B 12

18) A vegan is allergic to milk. Which nutrients would you expect mightbe deficient in her intake? A) protein, calories B) vitamin B12, D C) vitamin C, calcium D) vitamin A, D

vitamin B12, D

181) According to the Choose Your Foods: Food Lists for Diabetes, 2 Tpeanut butter is equivalent to: A) 2 high fat proteins B) 1 high fat protein C) 2 fats D) 1 high fat protein plus 2 fats

2 high fat proteins

38) A 1500 calorie diabetic diet with 45% of the calories from carbohydrateis prescribed. One third of the carbohydrate grams is met with 1/2 cup orange juice, 1 cup milk, and: A) 1 slice toast B) 2 slices toast C) 2 slices toast and 1/2 cup oatmeal D) 1/2 slice toast

2 slices toast

460) How many grams of protein are provided in the above solution? A) 15 B) 20 C) 25 D) 30

20

457) How much protein is needed for a patient with a Stage 3 burn? A) 10 - 20% of total calories B) 20 - 25% of total calories C) 25 - 30% of total calories D) 25 - 40% of total calories

20 - 25% of total calories

8) Which infant is at the greatest risk? A) 20 lbs. hemoglobin 10 B) 22 lbs. hemoglobin 10.5 C) 19 lbs. hemoglobin 11 D) 30 lbs. hemoglobin 9

30 lbs. hemoglobin 9

106) Two liters of a 5% dextrose solution provide how many calories? A) 170 B) 340 C) 212 D) 195

340

209) How many non-protein calories are provided by 2 liters of a 7%Aminosyn solution and 1 liter of 10% dextrose in water? A) 340 B) 390 C) 170 D) 255

340

467) Referring to the above patient, how much additional water shouldbe provided per hour? A) 52 ml B) 46 ml C) 78.5 ml D) 62.5 ml

62.5 ml

241) Using the above formula, determine the calories coming fromlipids per day. A) 519 B) 561 C) 577 D) 624

624

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

.6-.8

96) A nephrotic syndrome patient should receive how many grams ofprotein per KG? A) .5-6 B) .6-.8 C) .8 - 1.0 D) 1.0 - 1.4

.8 - 1.0

304) A patient with Stage 3 CKD should receive how manygrams of protein/kg? A) 1.1 B) 0.8 C) 0.6 D) 0.2

0.6

26) According to the Food Lists for Diabetes, when substituting 2% milkfor fat-free milk, you must omit how many fat exchanges? A) 1/2 B) 1 C) 1 1/2 D) 2

1

244) A patient receives 4 ounces whole milk and 6 graham crackers asa snack. Which of the following substitutes would lower the glycemic index? A) skim milk in place of whole milk B) fruit juice in place of whole milk C) 12 saltines in place of 6 graham crackers D) 1 T peanut butter in place of 3 graham crackers

1 T peanut butter in place of 3 graham crackers

225) What is a guide for calculating water needs with tube feedings? A) 1 cc water / 0.5 calories B) 1 cc water / 1.0 calories C) 1 cc water / 2.0 calories D) 1 cc water / 3.0 calories

1 cc water / 1.0 calories

11) Which of the following should the patient in the above question have forlunch? A) 4 ounces cottage cheese B) 1 ounce cheddar cheese C) 1 ounce roast beef D) 1 ounce cold cuts

1 ounce roast beef

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

1 oz. cheese and 1/2 cup orange juice

27) If a man normally consuming 2600 calories per day reduces his intake to1500 calories per day, how much weight will he lose in one week? A) 0.5 KG B) 1.0 KG C) 1.5 KG D) 2.0 KG

1.0 KG

348) Heart failure patients should receive protein at: A) 0.8 - 1.0 g/kg ABW B) 1.0 - 2.0 g/kg ABW C) 1.1 - 1.4 g/kg ABW D) 1.2 - 1.3 g/kg ABW

1.1 - 1.4 g/kg ABW

338) A patient with severe acute pancreatitis experiences nausea andvomiting and requires 2500 calories/day. Which of the following would you recommend? A) 3000cc of a 1 cal/cc tube feeding through the jejunum B) 1500cc of a 2 cal/cc nasogastric tube feeding C) 1000 cc of D50W, 1000cc of 7% amino acids, 650 cc of 20% lipids D) 1000cc of D50W, 1000cc of 7% amino acids, 500cc of 10% lipids

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

466) Referring to the patient above, how much protein will he receive? A) 64 g B) 108 g C) 146 g D) 150 g

108 g

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

1155 cc

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

1200 ml

203) How many calories are provided in 1.5 liters of D25W? A) 1275 B) 2275 C) 1500 D) 2000

1275

51) How many calories are in 1.5 liters of a 25% dextrose solution? A) 850 B) 1275 C) 1000 D) 1500

1275

320) Patient with traumatic brain injury should receive: A) 100% of estimated REE B) 110% of estimated REE C) 120% of estimated REE D) 140% of estimated REE

140% of estimated REE

274) A PN regimen than contains 1 L of D5o W and 1 L of 7% Aminosynprovides how many non-protein calories? A) 300 B) 1400 C) 1700 D) 2000

1700

83) A 60 KG female receives 2700 calories on PN. The calorie to nitrogenratio is 150:1. How many grams of nitrogen is she getting? A) 14 B) 16 C) 18 D) 20

18

465) A patient weighing 104kg is placed on a 1.5 cal/ml formula with75% free water, 54 grams protein/L. He needs 3000 calories per day. How much formula should he receive daily to meet his needs? A) 2000 ml B) 3000 ml C) 2275 ml D) 2575 ml

2000 ml

294) How much additional water would a 65kg patient need when receiving2400 ml of a standard formula, 85% free water, was given daily? A) 125 ml B) 235 ml C) 155 ml D) 270 ml

235 ml

79) Closed enteral nutrition systems can hang for: A) 12 hours B) 24 - 48 hours C) 12 - 24 hours D) unlimited because the container is closed

24 - 48 hours

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

24%

87) Underreporting and overreporting are concerns when using a: A) food frequency record B) diet history C) 24-hour recall D) food record

24-hour recall

25) The elderly need how many ml of water per KG? A) 35-40 B) 45 C) 25-30 D) 25

25-30

104) A sandwich with two pieces of white bread and two ouncesof turkey provides how many calories? A) 250 B) 145 C) 198 D) 290

250

461) What is the calorie: nitrogen ratio in the above solution? A) 920:3.2 B) 287:1 C) 1020:6.25 D) 318:1

287:1

158) According to the ADA exchange lists, what is the nutrient contentof the following: 1 cup raspberries, 1/2 cup cereal, 1 cup 1% milk, 1 tsp. margarine, black coffee, 1 slice toast, 1 eggcalories Protein CHO fat A) 397 12 61 6.5 B) 346 12 52 9 C) 438 21 57 14 D) 327 13 58 10

438 21 57 14

437) When screening pregnant women for gestational diabetes, the amountof oral glucose used is: A) 25 grams B) 40 grams C) 50 grams D) 100 grams

50 grams

423) When estimating the desirable body weight of a patient who has abelow the knee amputation of his right leg, decrease the estimate by: A) 6% B) 8% C) 12% D) 16%

6%

443) Which of the following lab values would most likely indicate thatdialysis in necessary? Serum creatinine mg/d) BUN mg/dl A) 2.0 B) 3.0 C) 4.0 D) 6.0

6.0

328) Which level of HgA1c suggests good compliance with dietaryrecommendations in a diabetic? A) 6.8 mg/di B) 3.0 mg/ai C) 8.8 mg/dl D) 9.2 mg/dl

6.8 mg/di

183) Children and adolescents need what level of physical activity? A) 60 minutes every day B) 30 minutes every day C) 60 minutes at least three days each week D) 90 minutes at least three days each week

60 minutes every day

473) Critical care patients should receive of their total energy needwithin the first week of hospitalization. A) 40% B) 50% C) 60% D) 70%

60%

145) Which drink would a Mormon choose? A) cola B) 7-Up C) tea D) coffee

7-Up

218) A 140 lb. female on dialysis should have how many grams of protein? A) 38-55 B) 58-63 C) 70-89 D) 30-38

70-89

5) How many grams of protein would you receive on a1500 calorie diet which is 20% protein? A) 70 B) 75 C) 64 D) 300

75

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

75 ml per hour

242) Using the above formula, determine the protein intakeper day in grams. A) 78 B) 80 C) 84 D) 86

78

377) A patient receives 1800ml of a 1 cal/cc formula with 44 grams proteinper liter. How much protein will he receive? A) 44 B) 79 C) 65 D) 88

79

224) The maximum hang time for open enteral systems is: A) 2 hours B) 8 hours C) 6 hours D) 4 hours

8 hours

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

800

17) A female, 5'7" tall, weighs 115 lbs. Six months ago sheweighed 130 lbs. What is her percent of ideal body weight? A) 85% B) 83% C) 81% D) 87%

85%

263) In a PN mixture, what volume of the amino acid solutions listed wouldcome closest to providing 185 calories? A) 1000 ml of 8.5% amino acids B) 850 ml of 5-5% amino acids C) 500 ml of 7.0% amino acids D) 500 ml of 10% amino acids

850 ml of 5-5% amino acids

239) A TPN solution is to be delivered at 50ml per hour at 3/4 strength.What is the appropriate order? A) 900 ml formula, 300 ml water B) 600 ml formula, 600 ml water C) 800 ml formula, 400 ml water D) 300 ml formula, 900 ml water

900 ml formula, 300 ml water

313) A patient receives an enteral feeding providing 1 cal/ml from 8PM until9AM. What rate is needed to provide 1200 calories in 24 hours? A) 75 ml/hour B) 79 ml/hour C) 87 ml/hour D) 92 ml/hour

92 ml/hour

459) How many total calories are provided in 500 ml of a 20% dextrosesolution with 500 ml of a 4% protein solution and 250 ml of a 20% lipid emulsion? A) 870 B) 920 C) 1020 D) 1125

920

240) Determine the calorie contribution of carbohydrate from the followingparenteral 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 A) 393 calories per day B) 1550 calories per day C) 955 calories per day D) 1572 calories per day

955 calories per day

265) Which diet follows the AHA recommendations for healthy hearts? A) <10% saturated fats, <200 mg cholesterol B) < 2 grams sodium, <200 mg cholesterol C) <10% saturated fats, <200 mg cholesterol, no trans fat D) <7% saturated fats, <200 mg cholesterol, no trans fat, 2g sodium

<7% saturated fats, <200 mg cholesterol, no trans fat, 2g sodium

318) Which of the following would be classified as NI in the NCP? A) not ready for diet change B) altered GI function C) involuntary weight loss D) ?????

?????

456) Which is an example of an entitlement program run by thegovernment? A) EFNEP B) SFMNP C) SNAP D) FNCS

SNAP

372) Type 2 Diabetes medications which may lead to weight gain are: A) Trulicity, Jardiance B) Actos, Amaryl C) Onglyza, Januvia D) Ozempic, Invokana

Actos, Amaryl

103) Which statement applies to nutritional screening? A) Only a physician makes the referral. B) Only a Dietitian makes the referral. C) It is exclusively done by Nursing. D) All health team members can participate according to policy.

All health team members can participate according to policy.

178) Which of the following is not a governmental agency? A) Health and Human Services B) Food and Drug Administration C) Food and Nutrition Board D) American Heart Association

American Heart Association

413) Nursing can participate in which step of the Nutrition Care Process? A) Assessment B) Diagnosis C) Intervention D) Monitor and Evaluation

Assessment

355) Which supplements are recommended with cirrhosis? A) B complex vitamins, vitamin C, zinc, magnesium B) fat-soluble vitamins and zinc C) water-soluble vitamins and magnesium D) chromium, zinc, riboflavin, thiamin

B complex vitamins, vitamin C, zinc, magnesium

300) Which surveillance system monitors changes in health risk behaviorsover time and can be used to target those most at risk? A) BFRSS B) NHANES C) TANF D) Health and Diet Survey

BFRSS

13) Who is most at risk for gestational diabetes? A) BMI <30 B) age <25, overweight C) BMI > 30, history of GDM D) conception within 10 months of last pregnancy

BMI > 30, history of GDM

453) Which program supports public and non-profit food service programsfor homeless shelters? A) CACFP B) SFSP C) SNAP D) CSFP

CACFP

222) Which of the following is lowest in fat? A) hamburger B) salami C) goat cheese D) Canadian bacon

Canadian bacon

254) Which vitamin deficiency is most likely to develop in a patient with liverdisease? A) D B) E C) K D) A

D

445) Which of the following medications is an appetite suppressant? A) Prednisone B) Dextroamphetamine C) Erythromycin D) Dronabinol

Dextroamphetamine

155) You discover an incorrect diet order entered in the patient's chart. A) Chart the order as incorrect. B) File the order because it was written by a physician. C) Discuss the order with the physician and make suggestions. D) Change the order in the chart.

Discuss the order with the physician and make suggestions.

276) The theory that a person must perceive the severity of a condition, andthat making a change may help him prevent the condition from occurring is the: A) Stages of Change Model B) Diffusion of Innovation Model C) Theory of Planned Behavior D) Health Belief Model

Health Belief Model

160) Which bacteria may cause gastric ulcers? A) Salmonella B) Streptococcus aureus C) Helicobacter pylori D) Clostridium perfringens

Helicobacter pylori

310) A tube feeding ran from 7PM till 6AM, providing 1800 calories, at1.6 calories/c A) How many cc/hour were given?a. 100 B) 125 C) 210 D) 65

How many cc/hour were given?a. 100

31) Meats cured with whey won't be tolerated by someone with:I. lactose intolerance II. diabetes III. post-gastrectomy of 3 months IV. duodenectomy A) I, II, III B) II, III, IV C) I D) I, III, IV

I

172) The stasis of pancreatic juice and bile could result in:I. autodigestion II. fat malabsorption III. obstructive jaundice A) I and II B) I and III C) II and III D) I, II and III

I, II and III

3) What is included in the study of demographics?I. age of individuals III. sex of individuals II. population statistics IV. socioeconomic factors A) I only B) all of the above C) II, III D) I, II, III

I, II, III

64) The dumping syndrome:I. follows a gastrectomy II. is secondary to carbohydrate overload III. draws fluid into the intestine IV. needs a high carbohydrate diet A) I, III, IV B) II, III, IV C) I D) I, II, III

I, II, III

82) What are the similarities between WIC and SNAP?I. regulated by USDA II. have at risk criteria III. have income criteria IV. a health exam is required A) I, II, III, IV B) I, II, III C) II, III, IV D) I, III

I, III

53) Which of the following may be the cause of loose stools in a tube fedpatient? I. feeding was administered at too rapid a rate II. the osmolality of the feeding was too low III. the patient is constipated IV. an inadequate amount of intestinal surface area A) I B) I, II C) II, III D) I, IV

I, IV

462) Patients who need a pureed diet free of lumps should follow: A) IDDSI Level 7 Black B) IDDSI Level 6 Blue C) IDDSI Level 5 Orange D) IDDSI Level 4 Green

IDDSI Level 4 Green

113) Which of the following is not a guideline for Medicaid?I. low incomeII. over the age of 60 onlyIII. nutritional need A) I B) II, III C) II D) III

II, III

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

II, III

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

II, III

94) An infant formula for lactose intolerance might include:I. whey, coconut oil II. casein hydrolysate, corn oil, glucose III. soy protein, corn syrup solids IV. sodium caseinate, hydrolyzed cornstarch A) I, II, III B) II, III C) II D) I, III

II, III

176) What medication is affected by serum sodium levels? A) Lithium carbonate B) Mellaril C) Valproate D) Tetracycline

Lithium carbonate

270) The preferred first-line medication for most patients with T2D is: A) SGLT-2 inhibitors B) GLP-1 glucagon-like peptide-1 C) Sulfonylureas D) Metformin

Metformin

424) Check for B12 deficiencies in patients with diabetes on: A) SGLT-2 inhibitors B) GLP-1 receptor agonists C) Metformin D) Sulfonylureas

Metformin

46) The program that provides nutrition education training to teachers andfoodservice personnel is the: A) TEFAP B) CACFP C) EFNEP D) NETP

NETP

114) Which survey is repeated every few years? A) NHANES B) WHO C) Ten State D) FAO

NHANES

331) An infant requires 340 calories/24 hours. How many ounces offormula should be given every 6 hours? A) 2 b.3c. 3.5d. 4.25332. Which assessment tool might be given to clients prior to screening at acongregate meal site?a. PEACH survey B) DETERMINE checklist C) NSI Level I screen D) NSI Level II screen

NSI Level II screen

449) Which program helps provide nutritious meals to an adolescentresidential facility? A) Supplemental Nutrition Assistance Program B) National School Breakfast Program C) Expanded Food and Nutrition Education Program D) The Emergency Food Assistance Program

National School Breakfast Program

469) To estimate body surface area that has been burned, use: A) Mifflin-St. Joer B) Rule of Nines C) Ireton-Jones D) Curreri estimation

Rule of Nines

438) An 80-year-old female receives Meals on Wheels. What other nutritionassistance program would she qualify for? A) CACFP B) TEFAP C) SFMNP D) TANF

SFMNP

126) A single man with two daughters, ages 10 and 11, is looking for aid. Which program might provide assistance? A) WIC B) SNAP C) Child Care Food Program D) Headstart

SNAP

144) A mother with 2 daughters, ages 8 and 11, does not earn enough moneyto feed her family. Which program would you suggest? A) WIC B) SNAP C) Child and Adult Care Food Program D) Medicaid

SNAP

194) A blood pressure reading of 135/85 represents: A) Stage 1 hypertension B) Stage 2 hypertension C) Elevated blood pressure D) Normal blood pressure

Stage 1 hypertension

37) Which of the following is a non-nutritive sweetener? A) Stevia B) Sorbitol C) Mannitol D) Agave

Stevia

207) A patient who had an ileal resection is placed on a tube feeding andbegins to have diarrhe A) This may be due to:a. use of a hypertonic formula B) use of an isotonic formula C) blockage of the GI tract D) lactose intolerance

This may be due to:a. use of a hypertonic formula

40) Which government agency would you contact regarding fooddistribution? A) USDA B) FDA C) HHS D) FTC

USDA

442) Skinfold thickness measurements are best for assessing; A) an 18th month old with growth failure B) a 36-year-old athlete C) a 54-year-old woman with significant weight loss D) an 82-year-old man with diabetes

a 36-year-old athlete

190) Who is the most appropriate candidate for parenteral nutrition? A) a 12-year-old girl coming in for an appendectomy B) a 40-year-old female with a bowel obstruction C) a 75-year-old female with emphysema D) a 29-year-old male admitted for gallbladder surgery

a 40-year-old female with a bowel obstruction

275) Who has the greatest water, protein and calorie needs per unit of bodyweight? A) a 6-month-old infant B) a 50-year-old female C) a 16-year-old male D) a 25-year-old male

a 6-month-old infant

92) A man with a peptic ulcer should consume: A) milk every two hours B) a bland diet C) a balanced diet he can tolerate D) a low roughage diet

a balanced diet he can tolerate

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

a cancer patient on chemotherapy

280) An elderly patient with high MCV, high MCH, irritability and fatiguemay have: A) an iron deficiency B) a deficiency of folic acid C) hemochromatosis D) low serum ferritin levels

a deficiency of folic acid

309) Thalassemia is managed with chelation therapy and: A) a high protein intake with B vitamins, folic acid and zinc B) avoid iron-rich foods C) a high caloric intake low in protein D) a high protein intake low in iron-rich foods

a high protein intake with B vitamins, folic acid and zinc

206) Trauma can place the patient in: A) an anabolic state B) a hypermetabolic state C) a hypothermic state D) a hypometabolic state

a hypermetabolic state

204) What organization may help? A) WIC B) EFNEP C) a local social services organization D) a shelter for the homeless

a local social services organization

335) A nephrotic syndrome patient with edema has a declining serumalbumin level. A contributing factor would be: A) diversion of protein to intracellular spaces B) decreased synthesis by the liver due to catabolic state C) a decreased appetite and less food consumption D) a loss of protein in the urine

a loss of protein in the urine

284) Which of the following would likely have a very low albumin afew 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

408) The Health Risk Appraisal (HRA) calculates: A) a population's general health status B) the health status of individuals C) the health status of an individual over the age of 65 livingindependently D) the health status of an outpatient with chronic disease

a population's general health status

9) Which of the infants in the above question have a normal hemoglobinlevel? A) a, b, d B) b, d C) c, d D) a,b,c

a,b,c

386) What is the most important advice to give a patient with a peptic ulcer? A) drink milk every 1-2 hours B) consume small portions C) eat everything in balance D) abstain from spicy foods

abstain from spicy foods

219) An obese person with Type 2 diabetes should: A) time meals B) decrease the frequency of feedings C) achieve DBW D) increase the frequency of feedings

achieve DBW

429) Which stage of change is represented by this comment: "I served thevegetable dish to my family and surprisingly we all enjoyed it." A) action B) preparation C) maintenance D) contemplation

action

137) What can be done to lower the respiratory quotient of a tube fedpulmonary patient? A) add MCT oil to decrease energy required for growth B) change the type of fat to improve oxygen exchange C) add carbohydrate to decrease the respiratory quotient D) add a fat emulsion to replace some of the carbohydrate

add a fat emulsion to replace some of the carbohydrate

91) The immobilized state can lead to low levels of: A) albumin and calcium B) albumin and sodium C) calcium and potassium D) potassium and zinc

albumin and calcium

71) Symptoms of nephrosis include: A) dehydration, hypocholesterolemia B) albuminuria, hypercholesterolemia C) edema, hypocholesterolemia D) hypotension, hyperalbuminemia

albuminuria, hypercholesterolemia

175) Hypertension will decrease with a decrease in: A) fiber B) alcohol C) potassium D) calcium

alcohol

311) A patient on parenteral support develops sepsis. What is the likelycause? A) lack of immune-enhancing nutrients B) poor care of the entry site C) related to the condition that created the need for parenteral support D) bacterial translocation

bacterial translocation

62) Gastric irritants include: A) black pepper, chili powder, caffeine, alcohol, cocoa B) seeds, nuts, chili powder, black pepper, alcohol C) caffeine, black pepper, nuts, alcohol D) orange juice, black pepper, chili powder, alcohol

black pepper, chili powder, caffeine, alcohol, cocoa

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

calcium

418) A patient with inflammatory bowel disease has steatorrhe A) In additionto limiting the fat intake, which minerals should be assessed?a. iron and phosphorus B) calcium and phosphorus C) iron and zinc D) calcium, magnesium and zinc

calcium, magnesium and zinc

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

calcium, magnesium, zinc, fat-soluble vitamins

444) Following a Roux-en-Y bypass, initial recommended supplementsinclude: A) potassium, magnesium B) folate, vitamin B12, iron C) multi-vitamin with iron D) calcium, vitamin D, iron

calcium, vitamin D, iron

352) Which provides the most vitamin A for a Mexican American? A) tortillas and refried beans B) cantaloupe and squash C) cheese D) tortillas and milk

cantaloupe and squash

93) Which nutrient may be absorbed during peritoneal dialysis andcontinuous renal replacement therapy, thus requiring a modification of his diet? A) carbohydrate B) protein C) fat-soluble vitamins D) water-soluble vitamins

carbohydrate

234) An athlete complains of weakness, rapid weight gain and musclespasms. What may be the cause? A) lack of adequate rest B) too much exercise C) carbohydrate loading D) not enough iron

carbohydrate loading

361) What diet is typically recommended for a patient who has undergonea gastrectomy? A) low fiber foods and two glasses of milk each day B) high fiber foods and restriction of fluids with meals C) carbohydrate, protein and fat at each meal, and no dairy products D) carbohydrate, protein and fat at each meal, and restriction of fluidswith meals

carbohydrate, protein and fat at each meal, and restriction of fluidswith meals

128) Which is permitted on a diet which excludes gluten? A) rye B) corn C) barley D) wheat bread

corn

316) A child with PKU can eat: A) spaghetti with tomato sauce B) vanilla ice cream C) carrots and celery sticks D) aspartame-sweetened gelatin

carrots and celery sticks

131) Which of the following tube feeding ingredients might precipitate anallergic reaction in a child with a milk allergy? A) hydrolyzed maltodextrin B) modified starch C) casein D) carrageenan

casein

108) During trauma, the catecholamine epinephrine: A) induces diuresis B) causes hypoglycemia C) causes hyperglycemia D) retains potassium

causes hyperglycemia

376) What would you suggest to decrease fat intake for a Hispanic patient? A) change from whole milk to 2% milk B) change beans from refried to boiled C) change to low fat yogurt D) serve low fat cheese

change beans from refried to boiled

387) A tube fed patient develops diarrhe A) What needs to be done first?a. review their nutritional needs B) increase the rate of the feeding C) check for changes in medications D) discontinue the feeding until the diarrhea stops

check for changes in medications

107) When instructing a patient on diet therapy needed during intake of amonoamine oxidase inhibitor, which would not be included? A) milk, cottage cheese, yogurt B) yogurt, ricotta cheese C) Swiss cheese, yogurt D) cheddar cheese, Swiss cheese

cheddar cheese, Swiss cheese

153) Which of the following may help decrease cavities? A) raisins B) carrots C) cheese D) yogurt

cheese

411) If a child with cystic fibrosis has daily large, foul-smelling stoolsyou should first check their: A) fecal fat B) total fat intake C) compliance with PERT D) calorie intake

compliance with PERT

279) What would a vegan not eat? A) coleslaw made with oil and vinegar B) congealed fruit salad C) salad with tofu dressing D) peanut butter

congealed fruit salad

266) sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine 8.0, and a 4 KG weight gain since his last dialysis on Friday morning. His laboratory indicators were in acceptable ranges on Friday afternoon. What would you expect happened over the weekend? A) consumed too little sodium, too much water, too little protein B) consumed too little sodium, not enough water, too much protein C) consumed too much sodium, too much water, too much protein D) consumed too much sodium, too little water, too little protein

consumed too much sodium, too much water, too much protein

427) 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

221) Which food is highest in fiber? A) cooked dried beans B) a tomato C) wheat bread D) lettuce

cooked dried beans

201) A person with the dumping syndrome cannot handle: A) complex carbohydrates B) polysaccharides C) disaccharides D) amino acids

disaccharides

161) The appropriate diet therapy following a Billroth II is: A) high carbohydrate, low fat, high protein B) high fat, high protein, high carbohydrate C) decrease simple carbohydrates, high protein, moderate fat,B12 supplements D) low fat, low protein, high carbohydrate

decrease simple carbohydrates, high protein, moderate fat,B12 supplements

220) A tube fed patient receiving bolus feedings develops adistended abdomen. What should you recommend? A) change the tube feeding to isotonic, lactose-free B) decrease the osmolality of the feeding. C) decrease the amount of water flush D) decrease the rate

decrease the rate

267) Looking at the above question, what else would you expect to see? A) increased bicarbonate, increased potassium, decreased phosphorus B) decreased bicarbonate, increased potassium, increased phosphorus C) decreased bicarbonate, decreased potassium, increased phosphorus D) increased bicarbonate, increased potassium, increased phosphorus

decreased bicarbonate, increased potassium, increased phosphorus

433) A post-surgical patient experiences a drop in serum albumin.The reason is likely: A) the patient has not consumed adequate nutrition for three days B) decreased serum albumin levels are normal after catabolic stress C) the laboratory may have read the results incorrectly D) the patient has iatrogenic malnutrition

decreased serum albumin levels are normal after catabolic stress

2) Data reviewed during assessment is also reviewed during: A) diagnosis, monitoring and evaluation B) diagnosis and monitoring C) monitoring and evaluation D) evaluation

diagnosis, monitoring and evaluation

215) Which is a common complication of HIV/AIDS? A) constipation B) diarrhea C) hypoglycemia D) hyperkalemia

diarrhea

22) When assessing nutritional status, which would be the most beneficial? A) 24-hour recall, history of weight changes B) medical history, diet order, socioeconomic status C) clinical observation, weight status, cultural habits D) diet intake info, clinical data, laboratory data

diet intake info, clinical data, laboratory data

182) After a gastrectomy, the diet order should indicate a decrease in: A) disaccharides B) fats C) protein D) complex carbohydrates

disaccharides

100) Which of the following is not a sign of marasmus? A) severe protein and calorie wasting B) weight loss C) edema D) low anthropometric measurements

edema

139) Which of the following most affects osmolarity? A) protein B) sugar C) electrolytes D) fat

electrolytes

251) A side effect of the herb yohimbe is: A) lowering of blood pressure B) elevated blood pressure C) hyperglycemia D) hypoglycemia

elevated blood pressure

122) Which of the following increase the risk of developing heart disease? A) elevated small dense LDL-c particles B) elevated large buoyant LDL particles C) elevated total cholesterol D) decreased triglycerides

elevated small dense LDL-c particles

116) An example of a "Healthy People 2030* goal is: A) a decrease in saturated fat consumption B) an increase in iron intake C) eliminate health disparities and achieve health equity D) an increase in the intake of complex carbohydrates

eliminate health disparities and achieve health equity

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

energy intake and health history

306) A patient on Lithium carbonate decreases his sodium intake to 2grams/day. The effect will be: A) decreased activity of the drug B) enhanced activity of the drug C) no change in drug activity D) reduced response to the drug

enhanced activity of the drug

421) The best way for you to follow-up on a patient's application ofdiet instruction provided is to: A) ask him how he is doing with the changes B) evaluate his actual intake over time C) ask him questions about different meal options D) look for non-verbal cues to determine his progress

evaluate his actual intake over time

334) An annual audit shows that you have successfully met the indicator"95% of high-risk patients are assessed within 24 hours of admission".The next step is to: A) establish a new indicator B) report the successful completion of intervention C) evaluate the need to continue monitoring the indicator D) evaluate the need to revise the standard of care

evaluate the need to continue monitoring the indicator

346) What is the best practical way to measure energy balance? A) evaluate weight gain and weight loss B) utilize food intake records C) use activity factors D) calculate the number of calories consumed

evaluate weight gain and weight loss

134) An athlete weighs more than the average person of his height.What should you do first? A) put him on a slow weight reduction diet B) examine other anthropometric measurements C) have him increase his exercise D) suggest he drink more water

examine other anthropometric measurements

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

exercise classes in a cardiac rehabilitation program

156) What is the best therapy for weight loss? A) reducing 500 calories per day, and exercise B) support groups, exercise, diet control. C) exercise, diet, behavior modification D) exercise and diet control

exercise, diet, behavior modification

124) If an IDDM tells you she eats meals on an irregular schedule, and oftenmisses meals, you should: A) obtain more information about her usual eating habits B) explain that insulin therapy is related to intake C) do nothing if blood sugar levels are okay D) ask her to complete a detailed food record

explain that insulin therapy is related to intake

98) A patient suffering from bulimia may have all of the following symptomsexcept: A) a sore throat B) dental problems C) extreme weight loss D) rectal bleeding

extreme weight loss

195) A patient needs a 2000 calorie, 2-gram sodium feeding. Whichformula is best?calories/ccg Na/liter A) formula 1 1 B) formula 2 1.5 C) formula 3 D) formula 4 1

formula 4 1

303) A vegan with macrocytic anemia needs which of the following? A) iron-rich foods B) fortified soy milk C) eggs, wheat bread D) meat, green vegetables

fortified soy milk

401) The test that measures toxic levels of lead in the blood is the: A) prothrombin test B) free erythrocyte protopophyrin test C) hemoglobin value test D) MCV

free erythrocyte protopophyrin test

415) A strict Muslim would not consume: A) fruited gelatin, ham B) dairy products C) non-carbonated beverages D) eggs, cheese

fruited gelatin, ham

198) Phytochemicals, which may influence the development of tumors,are found in: A) fruits, vegetables, grains B) lean poultry and fish C) low fat dairy products D) polyunsaturated fats

fruits, vegetables, grains

344) A patient on parenteral nutrition is to be transitioned to enteralfeeding. He should receive: A) half-strength enteral feeding initially B) half-strength, then 34 strength enteral feeding C) half-strength enteral feeding with a low osmolality D) full strength enteral feeding at a low rate

full strength enteral feeding at a low rate

28) For which of the following diseases is diet therapy the primarytreatment? A) peptic ulcer B) diabetes C) Wilson's disease D) galactosemia

galactosemia

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

general revenue

385) The mother of an infant who weighed 4.5KG at birth and washypoglycemic, may: A) have gained excessive amounts of weight during pregnancy B) not have gained enough weight during pregnancy C) have had gestational diabetes D) have reactive hypoglycemia

have had gestational diabetes

373) What is the best way to increase attendance at a nutrition seminarfor dentists? A) hold it in a location convenient to large numbers of dentists B) have it held in a medical facility C) hold it on weekends when their offices are likely closed D) have it sponsored by a dental organization

have it sponsored by a dental organization

191) An example of a primary prevention program for a local communitywould be: A) low sodium cooking classes for hypertensive patients B) have local farmers bring fresh fruits and vegetables into schools C) at health fairs, refer high risk individuals to appropriate programs D) education programs for those recently diagnosed with diabetes

have local farmers bring fresh fruits and vegetables into schools

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

have protein as the nutrient of concern

33) A PEG feeding would be useful in a patient with: A) head or neck cancer, who will not be able to eat normally for weeks B) short bowel syndrome C) duodenal ulcers D) pancreatitis

head or neck cancer, who will not be able to eat normally for weeks

432) You are planning a health promotion program for employees.To assess employee's needs, use information from: A) health-risk appraisals B) nutrition assessments C) medical records D) interviews

health-risk appraisals

302) A female has a 36" waist and a 40" hip measurement. She is at risk for: A) nothing B) cancer C) heart disease D) malnutrition

heart disease

403) Anasarca is extreme generalized edema and swelling of the skinassociated with: A) uncontrolled diabetes B) heart, liver or renal failure C) short bowel syndrome D) pancreatitis

heart, liver or renal failure

152) An appropriate measurement for iron status in a local community is: A) serum iron B) transferrin C) TIBC D) hematocrit

hematocrit

140) Which fiber is insoluble in water? A) pectin B) gums C) hemicellulose D) polysaccharides

hemicellulose

67) The diet for hepatic coma may be moderate in protein due to: A) low ammonia levels B) high cholesterol levels C) high ammonia levels D) high LDL

high ammonia levels

151) A child with AIDS needs a high calorie and intake. A) megadose vitamins B) high protein C) low fat D) low residue

high protein

65) Nutritional therapy for hepatitis includes: A) high protein, high carbohydrate, moderate fat, high calories B) high protein, low carbohydrate, low fat, moderate calories C) low protein, high carbohydrate, low fat, high calories D) low protein, high carbohydrate, low fat, low calories

high protein, high carbohydrate, moderate fat, high calories

179) Low levels of folate, pyridoxine and cyanocobalamin are associated with: A) glycogen storage disease B) homocystinuria C) phenylketonuria D) galactosemia

homocystinuria

405) 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

365) The medication megestrol acetate may be used to: A) correct a vitamin A deficiency B) increase appetite C) initiate weight loss D) promote sleep

increase appetite

6) A patient is on a high protein, low carbohydrate diet. What adviceshould you offer? A) increase fluid intake B) decrease the intake of complex carbohydrates C) decrease fluid intake D) decrease the intake of saturated fats

increase fluid intake

359) What would you first advise a constipated patient to do? A) take a mild laxative B) eat less fat C) increase fluids and fiber intake D) eat more protein

increase fluids and fiber intake

291) In acute hepatitis, you would likely see: A) decreases in AST, increase in ALT B) increase in both AST and ALT C) decrease in both AST and ALT D) increase in AST and decrease in ALT

increase in both AST and ALT

464) An example of a positive nutrition care outcome is: A) increased intake of foods high in iron and vitamin C B) increase in the number of participants in a weight management class C) increase in physician referrals to the outpatient department D) decrease in the number of complaints regarding low sodium meals

increased intake of foods high in iron and vitamin C

56) An example of a positive nutrition care outcome is: A) increased intake of foods high in iron and vitamin C B) increase in the number of participants in a weight management class C) increase in physician referrals to the outpatient department D) decrease in the number of complaints regarding low sodium meals

increased intake of foods high in iron and vitamin C

97) Fiber, like that found in oats, beans and bran cereals, results in: A) increased water absorption from the intestine B) binding of bile acids C) decreased sodium excretion in the stool D) small, compact stools

increased water absorption from the intestine

159) St. John's Wort has which effect on Coumadin? A) decreases drug metabolism and decreases its effect B) increases drug metabolism and decreases its effect C) decreases drug metabolism and increases its effect D) increases drug metabolism and increases its effect

increases drug metabolism and decreases its effect

407) The MNA and NSI screening tools are designed for use with: A) individuals over 65 years of age B) children ages 2 through 12 C) all adults D) infants and children up to age 10

individuals over 65 years of age

409) What We Eat in America (WWELA): A) conducts telephone interviews asking about eating behaviors. B) is the dietary intake component of NHANES. C) evaluates seven nutrients consumed by adults and households D) identifies nutritional needs and the kind of intervention that isneeded.

is the dietary intake component of NHANES.

455) Which would be the least expensive enteral nutrition formula? A) elemental B) chemically-defined C) isotonic, intact protein, polymeric D) modular

isotonic, intact protein, polymeric

228) What tube feeding should you provide? A) high protein, high calorie formula B) isotonic, polymeric formula C) elemental formula D) low fiber, low fat formula

isotonic, polymeric formula

390) Why would you add bicarbonate to a solution for a personwith hyperkalemia? A) it forces magnesium out of the cell to attract potassium B) it forces chloride out of the cell to attract potassium C) it exchanges phosphorus for potassium D) it exchanges hydrogen for potassium

it exchanges hydrogen for potassium

99) Research on the effects of a low sugar, low artificial flavor diet onhyperkinesis has shown that: A) it works in two out of three patients B) it has not been scientifically proven effective C) it has never been tested on humans D) it has been proven effective

it has not been scientifically proven effective

34) A patient with hepatitis needs a high protein intake. Besides helping theliver to regenerate, what other purpose is served? A) it helps increase iron absorption B) it restores glycogen reserves C) it helps prevent a fatty liver D) it helps prevent necrosis of the liver

it helps prevent a fatty liver

223) Which is true with osteoporosis? A) it is more common in men than in women B) it is treated with 500 mg calcium per day C) it is common in those 65 years of age and older D) weight bearing exercise exacerbates the problem

it is common in those 65 years of age and older

105) Current research on the relationship between cancerand diet includes all of the following except.... A) cancer is associated with the intake of vitamin A B) it is related to demographic factors C) it is related to epidemiologic data D) it is associated with ascorbic acid

it is related to demographic factors

325) The main reason why commodity foods obtained from a USDAprogram may not be brought to a Kosher facility is: A) because meat cannot be served with dairy products at the same meal B) kosher foods are not allowed to be mixed with non-kosher foods C) Jewish dietary practices are lacto-ovo-vegetarian D) Jewish dietary practices are lactovegetarian

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

30) Following a Billroth II, steatorrhea often results. What is the likelycause? A) bacterial overgrowth in the remaining loop B) lack of pancreatic secretion due to less duodenal hormone secretion C) a diet restricting simple carbohydrates D) rapid absorption of simple carbohydrates

lack of pancreatic secretion due to less duodenal hormone secretion

384) Infants born to mothers with diabetes may be: A) larger than normal, and be hypoglycemia shortly after birth B) smaller than normal and be hyperglycemic shortly after birth C) larger than normal and be hyperglycemic shortly after birth D) smaller than normal and be hypoglycemic shortly after birth

larger than normal, and be hypoglycemia shortly after birth

14) A child is lethargic, irritable, vomiting. The cause may be: A) zinc toxicity B) lead poisoning C) iron overload D) vitamin A toxicity

lead poisoning

166) A pork chop is which type of protein exchange? A) high fat protein B) medium fat protein C) medium fat protein plus one fat exchange D) lean protein

lean protein

324) What would be an expected outcome of WIC? A) fewer women breast feed B) fewer babies, better birth control C) low-income women have better knowledge concerning nutrition D) less anemia, increased HG and HT levels in women

less anemia, increased HG and HT levels in women

343) In most patients, a normal gastric residual volume would be A) less than 100 ml B) less than 150 ml C) less than 200 ml D) less than 250 ml

less than 250 ml

412) A patient with diabetes has not eaten for more than three days. Youshould: A) liberalize the diet B) provide multivitamin/mineral supplements C) provide increased fluids D) stay with her plan and encourage small frequent feedings

liberalize the diet

340) Dysphagia Diet Level Three Yellow recommends A) minced and moist consistency B) extremely thick, pureed consistency C) liquidized or moderately thick consistency D) soft, bite-sized pieces

liquidized or moderately thick consistency

268) What would the lab values above have likely reflected if the patient hadbeen nauseated and had averaged only 400 calories from primarily starchy foods over the weekend? A) little or no rise in potassium, BUN/creatinine ratio <10 B) increased phosphorus, BUN/creatinine ratio >15 C) typical rise in potassium, BUN/creatinine ratio >15 D) metabolic alkalosis, BUN/creatinine ratio <10

little or no rise in potassium, BUN/creatinine ratio <10

356) The nutrition prescription for an infant with phenylketonuria includes: A) high phenylalanine, low tyrosine B) low phenylalanine, high tyrosine C) low phenylalanine, high isoleucine D) low phenylalanine, high valine

low phenylalanine, high tyrosine

202) What is the appropriate diet for heart failure? A) low potassium B) low calcium C) low sodium D) low fat

low sodium

43) What is the diet for hypertension? A) low sodium B) low sodium, high potassium C) low sodium, high calcium D) low sodium, high potassium, high calcium

low sodium

7) Nutritional prescription for a patient with cardiac cachexia includes: A) < 1 liter fluid, low sodium B) low sodium, low saturated fat, low cholesterol, high calorie C) restricted calorie, .8g protein/kg, fluid restriction D) normal protein, follow DASH diet

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

168) Medicaid benefits apply to: A) healthy adults B) a 60-year-old female C) those at nutritional risk D) low-income individuals

low-income individuals

217) A common result of treating an HIV patient with zidovudine is? A) diarrhea B) constipation C) macrocytic anemia D) hypokalemia

macrocytic anemia

345) A patient with low hemoglobin, low hematocrit, high MCV has: A) microcytic anemia from lack of folate or B12 B) macrocytic anemia from lack of folate or B12 C) microcytic anemia from lack of iron D) macrocytic anemia from lack of iron

macrocytic anemia from lack of folate or B12

430) Which stage of change is represented by this comment: "Each week Iprepare a vegetable dish found on a great website recommended by my friend." A) preparation B) contemplation C) action D) maintenance

maintenance

90) A female who eats a wide variety of foods and takes supplemental ironand birth control pills may be: A) marginally deficient in folic acid B) low in calcium C) low in vitamin A D) low in zinc

marginally deficient in folic acid

70) An acid ash would be created by ingesting: A) meat, eggs, fish B) milk C) vegetables D) fruits

meat, eggs, fish

180) A patient with low hemoglobin and low MCV might have: A) microcytic anemia B) macrocytic anemia C) megaloblastic anemia D) normochromic anemia

microcytic anemia

60) Which is a measure of somatic protein? A) serum albumin B) serum transferrin C) mid-arm muscle circumference D) triceps skinfold

mid-arm muscle circumference

463) In the IDDSI, Level 2 Pink recommends: A) mildly thick beverages B) slightly thick beverages C) thin beverages, water D) extremely thick beverages

mildly thick beverages

391) A patient taking Levodopa in the morning should: A) increase protein intake at breakfast B) consume no more than 40 grams protein per day C) evenly divide protein intake throughout the day D) minimize protein at breakfast and lunch, and add it to dinner

minimize protein at breakfast and lunch, and add it to dinner

80) A fecal excretion of __ grams of fat/24 hours is considered fatmalabsorption. A) less than 1 B) more than 7 C) 3-5 D) 2-4

more than 7

395) When counseling a hypertensive patient with limited education, whichwould be the most appropriate question to ask in assessing her comprehension level? A) do you enjoy salty foods B) name a food that is high in sodium C) do you have difficulty swallowing or chewing D) how many meals and snacks do you consume each day

name a food that is high in sodium

278) An example of an educational objective for a low-fat cooking class givenat a senior's center would be to: A) appreciate the importance of lowering fat intake B) understand the relationship between fat intake and heart disease C) name two ways to decrease fat intake at breakfast D) consider ways to decrease their risk of heart disease

name two ways to decrease fat intake at breakfast

333) A Crohn's patient who was previously well-nourished has a feverand ileus 7 days PO. Which feeding method should you recommend? A) central venous hyperalimentation B) full liquids C) peripheral IV infusion D) half-strength tube feeding

peripheral IV infusion

247) A 2-year-old child with iron-deficiency anemia has anorexia,vomiting, weight loss and restlessness. Look for: A) excessive milk and fruit juice intake B) excessive vitamin C and D intake C) asthma and respiratory distress D) pica and lead poisoning

pica and lead poisoning

350) A Hispanic woman needs more calcium in her diet.What do you recommend? A) milk B) plantains C) avocados D) pinto beans

pinto beans

149) Which of the following has the fewest calories? A) plain hamburger on a bun B) chef's salad with dressing C) green salad with Thousand Island dressing, and shredded cheese D) fried fish sandwich

plain hamburger on a bun

450) A primary use of the Dietary Reference Intakes is to: A) calculate parenteral nutrition requirements B) assess nutrient intakes of at-risk populations C) plan menus for healthy people D) educate an individual with hyperlipidemia

plan menus for healthy people

66) Esophageal varices may be caused by: A) portal hypotension B) portal hypertension C) a high fiber diet D) a high fiber, high residue diet

portal hypertension

197) Which can be included in a meal for gluten-induced enteropathy? A) spaghetti and tomato sauce B) cheese and crackers C) potatoes with butter D) oatmeal with sugar

potatoes with butter

428) Which stage of change is represented by this comment: "I asked for therecipe for the vegetable dish." A) preparation B) action C) contemplation D) pre-contemplation

preparation

123) What is the goal of the Dietary Guidelines? A) prevention of chronic disease B) provide standards for SNAP allocation C) provide standards for WIC D) provide standards for EFNEP

prevention of chronic disease

396) Based on the DRG's, Medicare reimbursement depends on: A) length of stay, primary diagnosis, age B) primary diagnosis, age C) length of stay, primary diagnosis D) prior existing conditions, primary diagnosis, length of stay

primary diagnosis, age

41) Which has the greatest effect on the renal solute load? A) potassium B) sodium C) glucose D) protein

protein

24) What nutrients most affect the renal solute load? A) protein and carbohydrate B) sodium and carbohydrate C) protein and sodium D) sodium and fat

protein and sodium

101) Urea excretion is related to _, while creatinine excretion isrelated to A) muscle mass, protein intake B) protein intake, muscle mass C) protein intake, adipose reserves D) protein intake, calcium intake

protein intake, muscle mass

256) A patient with liver disease needs adjustments in the intake of: A) protein, fat and sodium B) protein, fluids, sodium C) protein, calories, sodium D) fluids, calories, fat

protein, fluids, sodium

363) When a patient is receiving an isotonic, polymeric enteral feeding andthe medication Propofol, your concern is: A) not providing adequate protein B) providing too many calories C) delivery of excessive sodium D) development of diarrhea

providing too many calories

381) Which vitamin will interfere with Levodopa? A) pyridoxine B) cyanocobalamin C) thiamin D) riboflavin

pyridoxine

447) Hemodialysis may require supplementation of: A) pyridoxine, folic acid, B12 B) pyridoxine, folic and vitamin A C) vitamin C, calcium, vitamin E D) vitamin C, calcium and vitamin A

pyridoxine, folic acid, B12

20) Which of the following diets is appropriate for reactive hypoglycemia? A) reduce intake of concentrated carbohydrates, 5-6 small meals B) increased complex carbohydrate, low fat, high protein C) decreased complex carbohydrate, low fat D) high protein, high fat, high carbohydrateC. 25-30d. 25

reduce intake of concentrated carbohydrates, 5-6 small meals

301) A new patient with a BMI of 32 and hypertension comes to youfor counseling. What is your first recommendation? A) achieve DBW B) maintain weight and exercise C) reduce sodium intake D) reduce sodium, reduce fluid, reduce caloric intake

reduce sodium intake

199) A patient with hyperphosphatemia, hyperkalemia, andhypermagnesemia may have: A) renal disease B) re-feeding syndrome C) pancreatic disease D) hepatitis

renal disease

162) Which of the following diseases may lead to anemia? A) myocardial infarction B) galactosemia C) renal failure D) diabetes mellitus

renal failure

292) In severe cirrhosis with ascites, diet therapy should be: A) restrict sodium B) restrict CHO and fat C) restrict protein and sodium D) restrict fat

restrict sodium

89) Which of the following is appropriate for treatment of gastroparesis? A) ginger ale B) oranges C) bran cereal D) rice

rice

364) 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

347) Which supplements are recommended with peritoneal dialysis A) water-soluble vitamins, vitamin A B) only the water-soluble vitamins C) same as those for hemodialysis D) only iron and folate

same as those for hemodialysis

148) A loss of muscle mass that occurs with aging is: A) myotonia B) sarcopenia C) cachexia D) dystrophy

sarcopenia

76) The ketogenic diet is used to help treat: A) cystic fibrosis B) seizures C) chronic renal failure D) hypotension

seizures

406) Which is not included in a subjective global assessment? A) dietary intake information from a 24-hour recall B) information from patient regarding weight changes C) serum albumin levels D) physical appearance

serum albumin levels

171) Which is most characteristic of marasmus? A) serum albumin of 2.5 g/dl B) edema C) severe fat and muscle wasting D) decreased lymphocytes

severe fat and muscle wasting

187) What does a fecal fat of 12 grams indicate? A) severe fat malabsorption B) normal fat absorption C) high normal fat absorption D) nothing

severe fat malabsorption

36) Which foods are most likely to cause an allergic reaction? A) shellfish, peanuts, wheat B) wheat, chocolate, rice C) citrus fruits, milk, corn D) chocolate, milk, corn

shellfish, peanuts, wheat

32) Chemically defined formulas are used for: A) short bowel syndrome B) post chemotherapy treatment C) hypermetabolism D) galactosemia

short bowel syndrome

264) Enteral feeding products that contain protein in the form of small peptides and amino acids may be recommended for patients who have: A) short-bowel syndrome B) undergone a gastrectomy C) undergone a colectomy D) undergone a cholecystectomy

short-bowel syndrome

57) Iron deficiency anemia has the following characteristics: A) large cells laden with hemoglobin, hypochromic, microcytic B) small, pale cells, hypochromic, microcytic C) large cells laden with hemoglobin, macrocytic, megaloblastic D) small, pale cells, macrocytic, megaloblastic

small, pale cells, hypochromic, microcytic

458) A swallowing test has been ordered for a patient who holds food in hismouth for a long time and is coughing. Which food can he have fordessert? A) ice cream B) smooth pudding C) gelatin D) bread pudding

smooth pudding

297) What elements of the diet vary the most in hepatic disease? A) fat, carbohydrate, potassium B) sodium, fluid, protein C) sodium, potassium, protein D) fat, sodium, potassium

sodium, fluid, protein

414) An increased intake of which of the following might be the cause ofdiarrhea without malabsorption in children? A) sorbitol B) fat C) protein D) fruit

sorbitol

177) A child has been measured several times before the age of two years.Results of the measurements were not accurate because the child was measured: A) first thing in the morning B) standing up C) after breakfast D) with light clothing

standing up

147) Which of the following would be classified as NC in the NCP? A) inadequate vitamin intake B) limited access to food C) swallowing difficulty D) inappropriate intake of food fats

swallowing difficulty

452) A client who takes orlistat may need to: A) use MCT as a supplement B) take a multivitamin supplement C) take an omega-3 fatty acid supplement D) avoid caffeinated and carbonated beverages

take a multivitamin supplement

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

the Dietary Guidelines for Americans

298) What is the most effective tool for providing nutrition educationto the community? A) the RDI's B) the Healthy People 2030 report C) the MyPlate plan D) The Healthy Eating Index

the MyPlate plan

115) The Healthy People 2030 Goals are an outgrowth of a report by: A) ADA B) the Surgeon General, under DHHS C) WHO D) FAO

the Surgeon General, under DHHS

125) The allowance for SNAP is based on: A) the average cost of food used by a family of the same size B) the USDA Thrifty Food Program C) data from the Congregate Meal Program D) the cost of the MyPlate components

the USDA Thrifty Food Program

205) Why might a child with PKU have an increased incidence ofdental caries? A) phenylalanine is not converted to tyrosine B) the diet is high in carbohydrates, low in protein C) pyruvate is not converted to alanine D) the diet is devoid of protein

the diet is high in carbohydrates, low in protein

211) Medicare is for: A) the elderly B) the financially needy C) those at nutritional risk D) those with medical needs

the elderly

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

the infant morbidity rate decreased

69) Hormones that control blood pressure and blood components areproduced in: A) the heart B) the liver C) the kidneys D) the lungs

the kidneys

441) To calculate the estimated caloric needs of a patient who is significantlyunderweight the Dietitian should use: A) the patient's actual body weight B) the patient's adjusted body weight C) the patient's desirable body weight D) 90% of the patient's desirable body weight

the patient's actual body weight

435) To complete a subjective global assessment evaluate: A) his lab values over the past 6 months B) current body weight compared to ideal body weight C) usual dietary intake using a food frequency questionnaire D) the presence of edema and wasting or dehydration

the presence of edema and wasting or dehydration

360) A patient with dysphagia waiting for a swallow test may receive: A) thick liquids B) thin liquids C) peripheral parenteral nutrition D) parenteral nutrition

thick liquids

339) Roman Catholic dietary laws state that fish is: A) to be served every Friday all year B) to be served on Ash Wednesday and Good Friday C) to be served on Ash Wednesday and Fridays during Lent D) no longer required on Fridays

to be served on Ash Wednesday and Fridays during Lent

229) Which food should someone on an MAOI not eat? A) cottage cheese B) herbal tea C) tomato D) butter

tomato

212) What best measures excess calorie reserves? A) weight B) creatinine C) triceps skinfold D) arm circumference

triceps skinfold

150) Which of the following indicates protein calorie malnutrition? A) a creatinine height index of 93% B) height for weight ratio of 89% C) triceps skinfold and arm muscle circumference of 79% D) serum albumin of 4.5; transferrin of 410

triceps skinfold and arm muscle circumference of 79%

61) Muscle mass is determined using the: A) triceps skinfold and mid-arm circumference B) skinfold caliper C) BEE D) urinary creatinine measurement

triceps skinfold and mid-arm circumference

59) Which anthropometric measurements are useful in assessing adults? A) triceps skinfold, head circumference, arm muscle circumference B) head circumference, arm muscle circumference, height, weight C) serum albumin, triceps skinfold D) triceps skinfold, arm muscle circumference, height, weight

triceps skinfold, arm muscle circumference, height, weight

249) A man with HIV disease presents with the following dat A) Whatshould be your primary concern as his Dietitian? Height 5'10" Weight115 lbs. Hematocrit 35% MCV102 fl BUN 11 mg/dl Serum albumin 2.8 g/dl CD4280 Total lymphocytes 1200 /cubic mma. anemia B) weight C) renal failure D) protein deficiency

weight

379) Expected creatinine clearance is estimated from the client's: A) weight and height B) TSF, AMC C) height D) waist circumference

weight and height

474) Side effects of Clozapine and Olanzapine include: A) weight gain B) weight loss C) decreased appetite D) swallowing difficulties

weight gain

282) Meal replacements for weight loss may be recommended to a client: A) who needs to lose more than 10% of his current weight B) who has difficulty with portion control C) who eats at least one of his meals away from home D) who needs to lose less than 10% of his current weight

who has difficulty with portion control

48) A patient with chronic pancreatitis should consume oral pancreaticenzymes: A) with large meals and fatty foods B) only if steatorrhea increases C) with all meals and snacks D) only if consuming a high fat, low protein diet

with all meals and snacks

230) If you have a lactose intolerance, which food could you mostlikely tolerate? A) whole milk B) skim milk C) ice cream D) yogurt

yogurt