RD Practice Exam
A 72-year-old client is referred to the dietitian for a BMI of 18.2. What is the most important assessment data to collect? a. Weight history b. Social history c. Albumin level d. Chewing/swallowing function Content Outline: II.A
a. Weight history
An 82-year-old resident, who experienced a cerebrovascular accident, has been admitted to an extended-care facility. Until admission, the new resident lived alone; their family lives far away. The resident has difficulty speaking and writing. The facility dietitian has read the resident's chart, reviewed recent laboratory values, and discussed the resident's condition with the nurse. Which of the following additional tools would help best to determine the resident's nutritional status? a. Nutrition-focused physical examination b. Mini Nutritional Assessment c. Level 1 and Level 2 Nutritional Risk Assessments d. Discussion with family members of the resident's eating habits Content Outline: II.A
a. Nutrition-focused physical examination
Which of the following research designs is most appropriate for testing efficacy of an herbal supplement treatment for lowering cholesterol? a. Randomized controlled trial b. Retrospective cohort study c. Case-control trial d. Correlation study Content Outline: I.C
a. Randomized controlled trial
A patient with end-stage renal disease has a predialysis serum potassium level of 6.4 mEq/L. After dietary assessment, the dietitian should recommend which of the following dietary changes? a. Reduce intake of avocado, butternut squash, and yogurt. b. Reduce intake of pineapple, eggplant, and rice. c. Increase intake of kiwifruit, refried beans, and sweet potato. d. Increase intake of black beans, mushroom, and banana. Content Outline: II.C
a. Reduce intake of avocado, butternut squash, and yogurt.
Which of the following would be an indicator of behavior change when a wellness program for school teachers is monitored? a. Snack sales from teachers' vending machines b. Purchase of local gym memberships c. Teachers' waist circumference d. Teachers' blood pressure levels Content Outline: II.D
a. Snack sales from teachers' vending machines
An outpatient dietitian wants to assess the client's motivation to change to determine if it is at the "action" stage. Which is the best example of an "action" question? a. "What are you doing differently?" b. "How do you feel about making a change?" c. "What would make it easier or harder to do?" d. "How do you handle times when you slip up?" Content Outline: II.A
a. "What are you doing differently?"
What is the first step in an advertising initiative? a. Developing communication objectives b. Assessing sales and profit impact c. Developing the message strategy d. Assessing the media impact Content Outline: III.D
a. Developing communication objectives
There has been a 30% increase in the incidence of carpal tunnel syndrome in the trayline staff. Which of the following aspects of the workplace should be addressed? a. Ergonomics b. Trayline flow c. OSHA compliance review d. Critical control points Content Outline: IV.C
a. Ergonomics
The director of a small hospital foodservice needs to minimize time spent on purchasing while securing the best volume discounts for food purchases. Which of the following purchasing methods most likely will fulfill these goals? a. Group b. Informal c. Competitive bids d. Warehouse club Content Outline: IV.B
a. Group
A client reveals involuntary weight loss from 180 lbs. to 155 lbs. over the previous 6 months. As part of the nutrition assessment, which of the following factors should the dietitian take into account, concerning nutrition-focused physical findings? a. Mastication problems b. Blood glucose level c. Eating environment d. Socioeconomic factors Content Outline: II.A
a. Mastication problems
In which of the following scenarios would disagreement in the workplace be helpful? a. When innovation is desired b. When implementing new standards c. When conducting a regulatory visit d. When employees perceive pay inequity Content Outline: III.A
a. When innovation is desired
According to the Americans with Disabilities Act (ADA) of 1990, barriers that must be eliminated to accommodate patrons in wheelchairs include: a. high-pile carpeting. b. self-closing fire doors. c. rubber tile flooring. d. quarry tile flooring. Content Outline: IV.D
a. high-pile carpeting.
The effectiveness of nutrition screening at a senior citizens' center is best measured by: a. identifying older adults at nutritional risk. b. determining the number of older adults attending the center. c. determining the number of educational brochures distributed. d. identifying the number of individuals taking nutrition supplements. Content Outline: III.E
a. identifying older adults at nutritional risk.
An infant born at 36 weeks' gestation and who weighs 2400 g should be classified as: a. low-birthweight. b. very-low birthweight. c. large for gestational age. d. proportional for gestational age. Content Outline: II.A
a. low-birthweight. - Normal Birth Weight: 2500-4000g - Low Birth Weight: <2500g or <5 lbs. 8 oz. - Very Low Birth Weight: <1500g or <3 lbs. 5 oz. - Extremely Low Birth Weight: 1000g or 2 lbs. 3oz. - Small for Gestational Age: <10th percentile birth weight for gestational age - Appropriate for Gestational Age: 10th-90th percentile - Large for Gestational Age: >90th percentile
Results of dietary surveys show that a negative correlation exists between high blood levels of beta-carotene, ascorbic acid, and alpha-tocopherols and the prevalence of heart disease. This correlation suggests the: a. lower the intake of these vitamins, the higher the risk of heart disease. b. higher the intake of these vitamins, the higher the risk of heart disease. c. lower the intake of these vitamins, the lower the risk of heart disease. d. risk of heart disease is not affected by the intake of these vitamins. Content Outline: I.C
a. lower the intake of these vitamins, the higher the risk of heart disease.
Monoglycerides and diglycerides are added to margarine to: a. maintain the fat and water in a permanent emulsion. b. decrease the caloric content of the product. c. increase the essential fatty acid content. d. improve the "spreadability" of the margarine. Content Outline: I.A
a. maintain the fat and water in a permanent emulsion. - Emulsifiers are used to allow oil and water to mix - Monoglycerides and diglycerides are examples of emulsifiers
A goal in a green foodservice design project includes reducing: a. the negative impact of the building on the ecosystem. b. food storage costs by buying locally. c. financial costs by making less expensive purchases. d. equipment costs by purchasing smaller equipment. Content Outline: IV.D
a. the negative impact of the building on the ecosystem.
In an experimental trial, the intervention diet resulted in a reduction of systolic blood pressure by 5 mm Hg (P=0.03) after 3 months. This result means that: a. there is a 3% chance that the blood pressure reduction is due to the diet. b. there is a 3% chance that the diet resulted in a 5-mm Hg reduction in blood pressure. c. there is a 97% certainty that the reduction in blood pressure is due to the diet. d. the diet will reduce blood pressure in 97% of clients. Content Outline: I.C
a. there is a 3% chance that the blood pressure reduction is due to the diet.
The highest priority for counseling for the parents of an exclusively breastfed, 2-month-old infant whose growth is on target should be: a. vitamin D supplementation. b. iron supplementation. c. transition to formula feeding. d. introduction of solid foods. Content Outline: II.A
a. vitamin D supplementation. - Breastfed infants need 400 IU vitamin D from birth - Vitamin D requirement is met if infant receives at least 1 qt. of standard (vit. D fortified) infant formula daily
Using the 5-week, simple moving average method of forecasting and the data below, the dietitian will need how many servings for October 17th? a. 115 b. 120 c. 121 d. 125 Content Outline: IV.B
b. 120
An appropriate portion size of each food served to a 2-year-old child is: a. 2 tsp. b. 2 Tbsp. c. ⅓ cup. d. ½ cup. Content Outline: I.A
b. 2 Tbsp.
Based on the following labor and production figures, what is the number of full-time equivalent employees (40 h/wk) needed for the next fiscal year? a. 69 b. 72 c. 998 d. 3,744 Content Outline: III.A
b. 72
Which of the following beverages has been shown to increase the risk for head and neck cancer, breast cancer, and colon cancer? a. Coffee b. Alcohol c. Diet soda d. Unpasteurized juice Content Outline: II.A
b. Alcohol
A dietitian is screening an older nursing home patient. Which of the following factors would indicate higher nutrition risk? a. A change in bowel habits b. An 11-lb weight loss c. Polypharmacy d. Dehydration Content Outline: II.A
b. An 11-lb weight loss
Which of the following antioxidants is found in blueberries and cranberries? a. Lutein b. Anthocyanin c. Lycopene d. Tocopherol Content Outline: I.A
b. Anthocyanin
The financial plan for a large facility renovation is expressed by which of the following budgets? a. Cash budget b. Capital budget c. Master budget d. Operating budget Content Outline: III.C
b. Capital budget
A foodservice director is considering purchasing energy-efficient equipment for the kitchen. This equipment should be: a. UL-approved. b. Energy Star-rated. c. NSF-rated. d. FDA-approved. Content Outline: IV.D
b. Energy Star-rated.
Which of the following amino acids must be restricted following the diagnosis of Maple Syrup Urine Disease? a. Methionine, valine, glycine b. Isoleucine, leucine, valine c. Alanine, methionine, leucine d. Isoleucine, glutamine, glycine Content Outline: II.C
b. Isoleucine, leucine, valine
To be eligible for the medical nutrition therapy services of a dietitian for diabetes self-management, a Medicare beneficiary must be enrolled in: a. Medicare part A. b. Medicare part B. c. a Medigap policy. d. Medicaid. Content Outline: II.C
b. Medicare part B.
An intervention aimed at increasing fruit and vegetable consumption among school-age children from low-income families would be implemented in which of the following programs? a. Head Start Program b. National School Lunch Program c. Commodity Supplemental Food Program d. Special Supplemental Nutrition Program for Women, Infants, and Children Content Outline: II.D
b. National School Lunch Program
A patient's birth weight was 8 lb, 2 oz (3.68 kg). At one year, the patient's weight was 18 lb, 2 oz (8.24 kg) and showing signs of picky eating. What is the nutrition diagnosis? a. Altered gastrointestinal function b. Suboptimal growth rate c. Excessive growth rate d. Growth failure Content Outline: II.B
b. Suboptimal growth rate
Which of the following types of sweetener should be used in yeast-leavened breads to achieve an even, deep-brown crust? a. Dextrose b. Sucrose c. Corn Syrup d. Saccharin Content Outline: I.A
b. Sucrose Sucrose = table sugar
What is the significance of the U symbol that appears on the label of food containers? a. Organically grown b. Suitable for Kosher diets c. Processed using ultraviolet radiation d. Manufactured in a gluten-free facility Content Outline: I.A
b. Suitable for Kosher diets
A client taking a thiazide diuretic daily meets with a dietitian for advice on which foods to eat. The client's serum potassium level is 3.2 mEq/L. Which of the following foods would be appropriate to recommend? a. Cranberry juice b. Sweet potato c. Asparagus d. Apples Content Outline: II.C
b. Sweet potato
How is a periodic employee evaluation best used? a. To recognize excellent attendance b. To improve performance c. To provide a basis for a pay raise d. As a self-assessment tool Content Outline: III.B
b. To improve performance
Flakiness in pastry is due to the formation of: a. a network of gluten developed by kneading and puffed up by steam. b. layers of dough separated by solid fat and puffed up by steam. c. starch granules developed by the mixing of liquid fat and flour. d. polymerized fat embedded in coagulated protein and starch. Content Outline: I.A
b. layers of dough separated by solid fat and puffed up by steam.
Body composition changes in patients with HIV disease most often has been associated with: a. edema. b. lipodystrophy. c. ascites. d. physical inactivity. Content Outline: II.B
b. lipodystrophy. - Significant loss of lean body mass can be obscured by edema and HALS (HIV Associated Lipodystrophy Syndrome) - HALS may develop from therapy and is associated with high cholesterol, high triglycerides, insulin resistance, and changes in body fat distribution
What is the September food cost if beginning inventory was $6,080, ending inventory was $7,030, and monthly purchases were $10,300? a. $3,270 b. $7,030 c. $9,350 d. $11,250 Content Outline: IV.B
c. $9,350
Which of the following foods could address the most common nutrient deficiency found in a vegan diet? a. 4 Tbsp olive oil b. ½ cup of raw almonds c. 2 Tbsp nutritional yeast d. ¾ cup of steamed broccoli Content Outline: I.A
c. 2 Tbsp nutritional yeast
If ground turkey has a 75% yield, how many pounds of ground turkey must be used in a recipe to ensure a 3 oz meat portion for 120 people? a. 6 pounds b. 17 pounds c. 30 pounds d. 480 pounds Content Outline: IV.B
c. 30 pounds
Aseptically packaged Grade A milk and dairy products, canned tuna, and sardines would be optimally stored at which of the following temperature ranges? a. 0°F to 25°F b. 30°F to 45°F c. 50°F to 70°F d. 75°F to 85°F Content Outline: IV.C
c. 50°F to 70°F Aseptic processing: sterilized package is filled with a commercially sterile food product and sterilized to kill harmful microorganisms; does not need to be refrigerated
What is the maximum calories from lipids for a person consuming 1,800 kcal per day based on the Dietary Reference Intake recommendations? a. 180 b. 360 c. 630 d. 1,170 Content Outline: I.A
c. 630
What is the best food source of vitamin E? a. Coconut oil b. Spinach c. Almonds d. Butter Content Outline: I.A
c. Almonds
A 15-year-old girl who has severe food allergies to multiple foods reports that her diet mostly consists of rice, poultry, and a few fruits and vegetables, primarily broccoli. Which of the following nutrients most likely is lacking in the client's diet? a. Folate b. Iron c. Calcium d. Vitamin K Content Outline: II.A
c. Calcium
A cafeteria is in its fourth week of service. Which of the following would be the best way to forecast appropriate changes to the cafeteria menu and production practices? a. Profit margins b. Benchmarking c. Daily sales records d. Customer focus groups Content Outline: IV.B
c. Daily sales records
A patient is receiving radiation therapy to the pelvic region to treat prostate cancer. Which of the following symptoms or side effects requires monitoring? a. Dysphagia b. Heartburn c. Diarrhea d. Xerostomia Content Outline: II.D
c. Diarrhea
Which of the following dietary recommendations is best for a patient who underwent gastric bypass surgery and has frequent nausea and vomiting? a. Avoid high-sugar foods. b. Increase fluid intake with meals. c. Eat meals more slowly. d. Eat one large meal daily. Content Outline: II.C
c. Eat meals more slowly.
Which of the following purchases is classified as an operational expenditure versus a capital expenditure? a. Salad bar b. Ingredient room renovation c. Employee uniforms d. Steam-jacketed kettle Content Outline: III.C
c. Employee uniforms
Which of the following dietary supplements may reduce inflammation in a client who has Crohn disease? a. Selenium b. Coenzyme Q10 c. Omega-3 fatty acids d. Omega-6 fatty acids Content Outline: I.A
c. Omega-3 fatty acids Omega-3 fatty acids have anti-inflammatory properties
Which of the following steps in the employee selection process is completed first? a. Application b. Interviewing c. Recruitment d. Testing Content Outline: III.B
c. Recruitment
What is the best strategy for measuring short-term behaviors of participants of a series of classes in healthy meal preparation offered by the local WIC office in conjunction with the Cooperative Extension? a. Increased WIC enrollment b. Increased frequency of normal hemoglobin levels c. Self-reported increase in consumption of fruits and vegetables d. Self-reported increase in breastfeeding Content Outline: II.D
c. Self-reported increase in consumption of fruits and vegetables
A patient with a peanut allergy consumes a stir-fry item that contains peanuts, which results in the patient experiencing anaphylaxis. According to guidelines for continuous quality improvement, this situation would be classified as what type of event? a. Critical b. Compliance c. Sentinel d. Near miss Content Outline: III.E
c. Sentinel
A patient shared the frustration with overeating at a recent family reunion and has regained two pounds since the last appointment. The dietitian responds, "This is not uncommon at a family gathering. I understand why you had a difficult time." This is an example of: a. reflection. b. autonomy. c. affirmation. d. summation. Content Outline: I.B
c. affirmation.
A client with type 1 diabetes, hypertension, and hypercholesterolemia has the following findings: BMI, 32.3; blood pressure level, 121/82 mm Hg; glycosylated A1c hemoglobin, 6.4%; and cholesterol, 178 mg/dl. The client's blood glucose (mg/dl) log shows: a. low-fat foods. b. low-sodium foods. c. carbohydrate counting. d. weight reduction. Content Outline: II.C
c. carbohydrate counting.
To reduce food waste, a dietitian reviews past quantities served. This food-control procedure is called: a. standardizing recipes. b. controlling inventory. c. forecasting food items. d. production scheduling. Content Outline: IV.B
c. forecasting food items.
The safest way to cool food is to: a. allow to cool slightly at room temperature before refrigerating. b. place in a shallow container and allow to cool at room temperature. c. place in a shallow container and refrigerate immediately. d. transfer to a clean container, cover tightly, and refrigerate. Content Outline: IV.C
c. place in a shallow container and refrigerate immediately.
A decision-making technique where the entire process is carried out by individuals who never meet as a group is referred to as: a. groupthink. b. brainstorming. c. the Delphi technique d. the nominal group technique. Content Outline: III.A
c. the Delphi technique
Which of the following degrees of unintentional weight loss is suggestive of malnutrition? a. 2% of body weight in 1 month b. 5% of body weight in 3 months c. 7.5% of body weight in 5 months d. 10% of body weight in 6 months Content Outline: II.B
d. 10% of body weight in 6 months
A client is trying to restrict fat intake to less than 30% of total calories at each meal and snack. Which of the following would meet this requirement? a. 80 kcal, 3 g fat b. 110 kcal, 4 g fat c. 120 kcal, 5 g fat d. 130 kcal, 4 g fat Content Outline: II.C
d. 130 kcal, 4 g fat
A patient is receiving a 1.2 Kcal/mL formula with 68 gm protein/L and 81% free water content, running at 75 mL/hour for the last 24 hours. The patient is also receiving water flushes of 120 mL every 4 hours. What is the total free water intake for this patient over the past 24 hours a. 1,458 mL b. 1,578 mL c. 1,938 mL d. 2,178 mL Content Outline: II.C
d. 2,178 mL
According to the Older Americans Act, programs that offer one meal per day should provide: a. 100% of the Dietary Reference Intakes. b. 75% of the Dietary Reference Intakes. c. 50% of the Dietary Reference Intakes d. 33% of the Dietary Reference Intakes. Content Outline: II.C
d. 33% of the Dietary Reference Intakes.
Which of the following motives is included in McClelland's theory of motivation? a. Esteem b. Expectancy c. Commitment d. Achievement Content Outline: III.A
d. Achievement
Which of the following outcomes on blood levels should be expected for a patient who has iron deficiency anemia and is currently taking iron supplements? a. A decrease in mean corpuscular volume and mean corpuscular hemoglobin concentration, and an increase in iron and ferritin b. A decrease in mean corpuscular volume and mean corpuscular hemoglobin concentration, and a decrease in iron and ferritin c. An increase in mean corpuscular volume and mean corpuscular hemoglobin concentration, and a decrease in iron and ferritin d. An increase in mean corpuscular volume and mean corpuscular hemoglobin concentration, and an increase in iron and ferritin Content Outline: II.D
d. An increase in mean corpuscular volume and mean corpuscular hemoglobin concentration, and an increase in iron and ferritin
For a patient with a wound, which of the following requirements is most likely greater than the Dietary Reference Intakes? a. Vitamin D and zinc b. Vitamin C and magnesium c. Fat and carbohydrate d. Calories and protein Content Outline: II.A
d. Calories and protein
After a review of documentation for cooking temperatures, food preparation procedures, and storage temperatures, the foodservice manager determines that a recent case of foodborne illness may have been caused by a contaminated tuna product. Which government agency should the manager report to for further investigation? a. Bureau of Marine Resources b. Food and Drug Administration c. U.S. Department of Agriculture d. Centers for Disease Control and Prevention Content Outline: III.E
d. Centers for Disease Control and Prevention
What is the most appropriate next step for meeting a community's health needs based on the following nutrition diagnosis for the community? a. Collaborate with the local recreation center to expand walking trails. b. Educate community members on the benefits of achieving a healthy weight. c. Organize a community garden to increase availability of fresh fruits and vegetables. d. Conduct focus groups with community members to elicit suggestions for programs. Content Outline: II.C
d. Conduct focus groups with community members to elicit suggestions for programs.
When counseling a patient with congestive heart failure, the dietitian should stress the importance of consuming foods that supply which nutrients? a. Copper and zinc b. Calcium and iron c. Iron and selenium d. Magnesium and potassium Content Outline: II.C
d. Magnesium and potassium
Which of the following counseling styles is directive, client-centered, and elicits behavioral change by helping clients to explore and resolve ambivalence? a. Cognitive-behavioral therapy b. Self-management approach c. Rational-emotive therapy d. Motivational interviewing Content Outline: I.B
d. Motivational interviewing
Which of the following types of feeding tube is most likely to be inserted after diagnosis of tonsil cancer but before treatment? a. Oral gastric b. Nasojejunal c. Percutaneous endoscopic jejunostomy d. Percutaneous endoscopic gastrostomy Content Outline: II.C
d. Percutaneous endoscopic gastrostomy
Desired results at a definite level of quality for a specified job is defined by which of the following human resource tools? a. Job description b. Job specification c. Code of Conduct d. Performance standards Content Outline: III.B
d. Performance standards
A dietitian employed by a university has been working with a professor on formulating a research study where they will determine how exercise impacts high blood pressure. The subjects will be assigned by a computer to either an intervention group or a control group. All participants will know to which group they will be assigned. Which of the following types of research studies is the dietitian designing? a. Cohort study b. Case control study c. Single blind experiment d. Randomized trial experiment Content Outline: I.C
d. Randomized trial experiment
A client who takes simvastatin with breakfast for dyslipidemia eats the following items every morning: 1 egg, 2 slices of toast, 1 tsp butter, 8 oz of grapefruit juice, and 6 oz of regular, black coffee. Which of the following interventions is most appropriate? a. No changes are needed at this time. b. Use only egg whites at breakfast. c. Switch to decaffeinated coffee. d. Select another fruit juice. Content Outline: II.A
d. Select another fruit juice.
A client is an avid runner and wants to maximize performance. The client is considering a high-energy supplement enriched with large doses of B vitamins and caffeine. Which of the following should be communicated by the dietitian? a. B vitamins are involved in energy metabolism; caffeine has no effect on exercise. b. Large doses of B vitamins can be dangerous; caffeine should be avoided before or during exercise. c. B vitamins inhibit the metabolism of carbohydrates to ATP; caffeine will aid in alertness during exercise. d. Supplementation with B vitamins is unnecessary in the absence of deficiency; caffeine is a performance enhancer during exercise. Content Outline: I.A
d. Supplementation with B vitamins is unnecessary in the absence of deficiency; caffeine is a performance enhancer during exercise.
A dietitian wants to determine the changes in exercise behavior of the 1,000 participants for a health and wellness program. Which of the following approaches to data collection is most appropriate? a. Calculation of BMI for all participants at the beginning and end of the program b. Observation of gym attendance during the last week of the program c. Collection of exercise records during the last week of the program d. Survey of participants at the beginning and end of the program Content Outline: I.C
d. Survey of participants at the beginning and end of the program
A dietitian needs to convey evaluation findings from a community nutrition project to the funding agency. Which of the following methods of communicating the findings is most appropriate? a. Press release b. Memorandum c. Public meeting d. Technical report Content Outline: I.B
d. Technical report
A dietitian identifies a family as being food insecure. The family currently is participating in the Supplemental Nutrition Assistance Program, but runs out of food before the end of each month. The dietitian should refer this family to which of the following programs to obtain additional food? a. Child and Adult Care Food Program b. Special Milk Program for Children c. Nutrition Services Incentive Program d. Temporary Emergency Food Assistance Program Content Outline: II.C
d. Temporary Emergency Food Assistance Program CACFP - supports public and non-profit food service programs; reimburses operators and provides commodity foods and nutrition education SMP - provides milk to children in schools/institutions who do not participate in other federal meal service programs NSIP - administered by Administration on Aging TEFAP - quarterly distribution of commodity foods; supplements diets of low-income households
A community dietitian needs to identify proposed rules for a national nutrition program. The dietitian should refer to which of the following resources? a. The Congressional Budget Process Timetable report b. The House Appropriations Committee Report c. The Code of Federal Regulations d. The Federal Register Content Outline: II.C
d. The Federal Register
Which of the following entities is an independent, not-for-profit organization dedicated to improving the quality of care in organized healthcare settings? a. Occupational Safety and Health Organization b. Institute for Healthcare Improvement c. The American Public Health Association d. The Joint Commission Content Outline: III.E
d. The Joint Commission
Which of the following legislation addresses sexual harassment? a. Fair Labor Standards Act of 1938 b. National Labor Relations Act of 1935 c. Occupational Safety and Health Act of 1970 d. Title VII of the Civil Rights Act of 1964 Content Outline: III.B
d. Title VII of the Civil Rights Act of 1964
A method for measuring an organization's performance against internal and external standards is: a. productivity management. b. outcome measurement. c. quality improvement. d. benchmarking. Content Outline: III.E
d. benchmarking.
The dietitian receives numerous complaints about delivery problems associated with evening nourishments for patients who have diabetes. The dietitian should first: a. develop a sign-off sheet for patients served. b. develop and monitor standards. c. initiate disciplinary documentation. d. compare current practice to current procedure. Content Outline: III.E
d. compare current practice to current procedure.
A nutrition survey is used to: a. implement an intervention. b. educate on behavior changes. c. establish a cause-and-effect relationship. d. describe the nutritional status at a given point in time. Content Outline: I.C
d. describe the nutritional status at a given point in time.
The monthly financial report shows that food costs have increased by 6%. The most effective way to determine the cause of the increase is to: a. review the cash and charge receipts. b. compare the prices charged by the purveyor to the bid specifications and seasonal availability of products. c. assign a second person to take the physical inventory and review the inventory pricing. d. evaluate food purchases and inventory for the period. Content Outline: III.C
d. evaluate food purchases and inventory for the period. Need to evaluate inventory turnover to determine effectiveness of inventory control
A resident in an extended-care facility has Alzheimer dementia and has received tube feedings for 2 years. In the past several months the resident has been confined to bed, is frequently contracted, and has had a weight decrease of 10%. When asked by the resident's family how to proceed, the dietitian should: a. increase the tube feeding infusion rate. b. recommend the tube feeding be withdrawn. c. advise the family to consult an ethicist. d. provide information regarding tube feeding options. Content Outline: II.C
d. provide information regarding tube feeding options.
A patient with newly diagnosed bladder cancer has a history of chronic kidney disease and is maintained on hemodialysis three times a week. He eats less than 50% of the renal diet served at his assisted living facility. The dietitian should start medical nutrition therapy by: a. continuing the renal diet as prescribed and reassessing in two weeks. b. ordering a calorie count to determine the exact amount of intake. c. ordering a renal oral supplement to be taken three times daily. d. recommending a liberalized diet to allow greater food choices. Content Outline: II.C
d. recommending a liberalized diet to allow greater food choices. Supplements are used as last resort; giving more freedom should be implemented first
On Monday morning the dietitian learns that a foodservice employee slipped on water in the dining room over the weekend. The dietitian should: a. present an in-service program on safety. b. file a maintenance request. c. document the problem. d. review the incident report. Content Outline: IV.C
d. review the incident report.
An incontinent but otherwise healthy resident of a senior's apartment complex who becomes dehydrated should first be evaluated for: a. self-medication with laxatives. b. self-medication with diuretics. c. self-restriction of food. d. self-restriction of fluids. Content Outline: II.A
d. self-restriction of fluids. Elderly often have a fear of incontinence and tend to try to prevent themselves from having to go to the bathroom