RD Domain 2
A patient with severe acute pancreatitis experiences nausea and vomiting and requires 2500 calories/ day. Which of the following would you recommend? a. 3000cc of a 1cal/cc tube feeding through the jejunum b. 1500cc of a 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"
A 7 year old on a ketogenic diet requires 1500 calories. Which is the appropriate order? a. "145 g fat, 25 g protein, 25 g carbohydrate" b. "95 g fat, 40 g protein, 25 g carbohydrate" c. "102 g fat, 56 g protein, 12 g carbohydrate" d. "75 g fat, 32 g protein, 43 g carbohydrate"
"145 g fat, 25 g protein, 25 g carbohydrate"
Which of the following provides 60 g of CHO? "1English muffin, 1c. skim milk, 112 c. apple juice" "1fat-free granola bar, l/2 c. raisins, 1c. fruited yogurt with aspartame" 2 small waffles with 2T lite syrup and 1T peanut butter 1four oz. Bagel with 2 T lite cream cheese and 1Tjelly
"1English muffin, 1c. skim milk, 112 c. apple juice"
"Which of the following would be appropriate for a hemodialysis patient on a 6ogram protein diet, with 75% from HBV protein?" "1egg, 2 ounces chicken, 3 ounces beef, 112 cup milk" "1egg, 2 ounces chicken, 3 slices bread, 3 ounces beef" "2 eggs, 3 ounces chicken, 3 ounces beef, 1cup milk" "1egg, 3
"1egg, 3 ounces, chicken, 2 cups milk, 5 slices bread"
Who is most at risk for gestational diabetes? BMI <30 "age <25, overweight" "BMI > 30, history of GSM" conception within 10 months of last pregnancy
"BMI > 30, history of GSM"
Who is most at risk for gestational diabetes? a. BMI <30 b. "age <25, overweight" c. "BMI > 30, history of GSM" d. conception within 10 months of last pregnancy
"BMI > 30, history of GSM"
Symptoms of nephrosis include a. "dehydration, hypocholesterolemia" b. "albuminuria, hypercholesterolemia" c. "edema, hypocholesterolemia" d. "hypotension, hyperalbuminemia"
"albuminuria, hypercholesterolemia"
The diet for stomatitis is: low fat, high carbohydrate, normal protein" "avoid spices, very hot, very cold, sour, tart foods" "high protein, high carbohydrate" "liquids, mostly carbohydrates"
"avoid spices, very hot, very cold, sour, tart foods"
What is the best therapy for weight loss? "reducing 500 calories per day, and exercise" "support groups, exercise, diet control." "exercise, diet, behavior modification" exercise and diet control
"exercise, diet, behavior modification"
What would be an expected outcome of WIC? fewer women breast feed fewer babies, better birth control better educated low income women concerning nutrition less anemia, increased HG and HT levels
"less anemia, increased HG and HT levels"
"Compared to whole milk, breast milk is:" "lower in protein, higher in carbohydrate and fat" "higher in protein and fat, lower in carbohydrate" "lower in protein, carbohydrate and fat" has the same nutrient composition
"lower in protein, higher in carbohydrate and fat"
An appropriate menu for a Kosher meal is: "macaroni and cheese, green beans" "roast beef, potato, vegetable, cream soup" "veal parmesan, noodles, green beans" "crabmeat salad, lettuce, milk"
"macaroni and cheese, green beans"
"Urea excretion is related to _, while creatinine excretion is related to" a. "muscle mass, protein intake" b. "protein intake, muscle mass" c. "protein intake, adipose reserves" d. "protein intake, calcium intake"
"protein intake, muscle mass"
Iatrogenic malnutrition is: a. vitamin and mineral malabsorption b. protein malabsorption c. protein, calorie malnutrition d. kwashiorkor
"protein, calorie malnutrition"
Southeast Asian populations would likely consume the following foods: a. "rice, vegetables and small amounts of meat" b. "fruits, cheese, and small amounts of rice and meat" c. "large amounts of rice and milk, and small amounts of meat and fruit" d. "large amounts of meat and milk, small amounts of fruits and vegetables"
"rice, vegetables and small amounts of meat"
What elements of the diet vary the most in hepatic disease? "fat, carbohydrate, potassium" "sodium, fluid, protein" "sodium, potassium, protein" "fat, sodium, potassium"
"sodium, fluid, protein"
The Year 2010 Healthy People Goals are an outgrowth of a report by: ADA the Surgeon General, under HHS WHO FAO
"the Surgeon General, under HHS"
Why might a child with PKU have an increased incidence of dental caries? a. phenylalanine is not converted to tyrosine b. the diet is high in carbohydrates, low in protein c. pyruvate is not converted to alanine d. the diet is devoid of protein
"the diet is high in carbohydrates, low in protein
Why might a child with PKU have an increased incidence of dental caries? phenylalanine is not converted to tyrosine the diet is high in carbohydrates, low in protein pyruvate is not converted to alanine the diet is devoid of protein
"the diet is high in carbohydrates, low in protein"
Which of the following is permitted on a diet restricting tyramine? hard cheese like cheddar or swiss "uncured cheese like cottage, ricotta" pickled or smoked foods tofu
"uncured cheese like cottage, ricotta"
The above patient should receive how many grams of protein per KG? a. ò5- .6 b. .6-.8 c. .8 -1.0 d. 1.0-1.4
0.8 - 1.0
"If a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how much weight will he lose in one week?
1.0 kg
"A tube feeding ran from 7PM till 6AM, providing 1800 calories, at1.6 calories/cc. How many cc/hour were given?" a. 100 b. 125 c. 210 d. 65
100
A PN regimen than contains 1L of D5oW and 1L of 7% Aminosyn provides how many non-protein calories? 300 1400 1700 2000
1700
A PN regimen than contains 1L of D5oW and 1L of 7% Aminosyn provides how many non-protein calories? a. 300 b. 1400 c. 1700 d. 2000
1700
A 60 KG female receives 2700 calories on PN. The calorie to nitrogen ratio is 150:1. How many grams of nitrogen is she getting?
18
"A 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. One third of the carbohydrate grams is met with 1/2 cup orange juice, 1cup 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 of toastt
"A 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. One third of the carbohydrate grams is met with 1/2 cup orange juice, 1cup milk, and:" 1 slice toast 2 slices toast 2 slices toast and 1/2 cup oatmeal 1/2 slice toast
2 slices toast
Open tube feedings should be disposed of after: a. 48 hours b. 24 hours c. 6 hours d. 3 hours
24 hours
At what age should children be measured standing up?
24 months (2 years)
In which of the following would you likely see very low albumin if it is drawn a few days after admission to an acute care facility? a. anorexia nervosa b. 30% full thickness burn c. patient with newly diagnosed colon cancer d. patient with COPD
30% full thickness burn
Infants should be given solid foods at: a. 1-3 months b. 3-4 months c. 5-8 months d. 10-12 months
5-8 months
How many calories are in 300ml of a 5% dextrose solution? 51 60 15 200
51
Which level of HgA1c suggests good compliance with dietary recommendations in a diabetic after 3 months of counseling? 6.5 mg/dl 4.omgjdl 8.2 mg/dl 10.3 mg/dl
6.5 mg/dl
Children and adolescents need what level of physical activity? 60 minutes every day 30 minutes every day 60 minutes at least three days each week 90 minutes at least three days each week
60 minutes every day
How many grams of protein would you receive on a 1500 calorie diet which is 20% protein?
70
How many grams of protein would you receive on a 1500 calorie diet which is 20% protein? 70 75 64 300
75 1500 x .20 = 300kcal 300kcal/4= 75
A TPN solution is to be delivered at 50ml per hour at 3/4 strength. What is the appropriate order? "900 m1 formula, 300 ml water" "6oo ml formula, 6oo ml water" "800 ml formula, 400 ml water" "300 m1 formula, 900 ml water"
900 m1 formula, 300 ml water
Determine the calorie contribution of carbohydrate from the following parenteral formula. The amounts Stated are given per liter. 300 ml 6o% dextrose; 500 ml10% amino acids; 200 ml2o% lipid; total nutrient mixture administered at 65 ml/hour for 24 hours 393 calories per day 1550 calories per day 955 calories per day 1572 calories per day
955 calories per day
Which statement applies to nutritional screening? Only a physician makes the referral Only a Dietitian makes the referral It is exclusively done by Nursing All health team members can participate according to policy.
All health team members can participate according to policy.
Which of the following is not a governmental agency? Health and Human Services Food and Drug Administration Food and Nutrition Board American Heart Association
American Heart Association
Which formula is high in calories and low in protein? a. AminAid b. Osmolite c. Sustacal d. Jevity
AminAid
For which disease would a low sodium diet be recommended? a. ascites b. esophageal varices c. pancreatitis d. appendicitis
Ascites
Which is the most appropriate bedtime snack for a diabetic on NPH insulin? a. apple juice and crackers b. graham crackers and diet soda c. fresh fruit and crackers d. cheese and crackers
Cheese and crackers
Which of the following is included in a subjective global assessment? a. standard weight for height b. mid-arm muscle circumference c. prealbumin d. dietary intake
Dietary intake
Where can a pregnant teen learn to cook? a. EFNEP b. Child Nutrition Services c. UNICEF d. WIC
EFNEP
Which is the primary fuel used by resting muscle and at low intensity exercise? a. glucose b. fatty acids c. branch chain amino acids d. keto-acids
Fatty acids
"A father needs help in feeding his children, ages 6 and 8. Which are the best options?." WIC and TANF Head Start and Food Stamps Food Stamps and School Lunch Commodity Foods and WIC
Food Stamps and School Lunch
"A mother with 2 daughters, ages 8 and 11, does not earn enough money to feed her family. Which program would you suggest?" a. WIC b. Food Stamps c. Child Care Food Program d. Medicaid
Food stamps
"A single man with two daughters, ages 10 and 11, is looking for aid. Which program might provide assistance?" a. WIC b. Food Stamps c. Child Care Food Program d. Headstart
Food stamps
Which fiber is insoluble in water? a. Pectin b. Gums c. hemicellulose d. polysaccharides
Hemicellulose
What are the similarities between WIC and Food Stamps? I. regulated by USDA II. have at risk criteria III. have income criteria IV. a health exam is required
I, III
"Based on the DRG's, Medicare reimbursement depends on:I.length of patient stay II. age of patient III. primary diagnosis"
II & III
What section of the intestine is most likely to be involved in Crohn's disease? ileum jejunum duodenum appendix
Ileum
A child is below the 5th percentile weight for height. What can be said about the child? The child is tall for their age. The child has a disease that inhibits growth. It is an indication of long term under-nutrition. It is an indication of recent under-nutrition.
It is an indication of recent under-nutrition.
A patient with diabetes has not eaten for more than three days. You should: a. liberalize the diet b. provide multivitamin/mineral supplements c. provide increased fluids d. stay with her plan and encourage small frequent feedings
Liberalize the diet
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
Levodopa is used in the treatment of: a. rheumatoid arthritis b. Parkinson's disease c. diabetic ketoacidosis d. nephrotic syndrome
Parkinson's disease
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 HTN
Which has the greatest effect on the renal solute load? a. potassium b. sodium c. glucose d. protein
Protein
Which of the following about nutrition screening in a hospital is true? a. provides direction for patient care b. cost-effective for all patients c. it has universal criteria for all age groups d. it should be performed only when ordered
Provide direction for patient care
Which would you recommend for a patient with mild dysphagia? a. honey b. apple juice c. nectar d. pudding
Pudding
A new patient with a BMI of 32 and hypertension comes to you for counseling. What is your first recommendation? a. achieve DBW b. maintain weight and exercise c. reduce sodium intake d. "reduce sodium, reduce fluid, reduce caloric intake"
Reduce sodium intake
Which of the following indicates protein calorie malnutrition? a creatinine height index of 93% height for weight ratio of 89% triceps skinfold and arm muscle circumference of 79% Serum albumin of 4.5; transferrin of 410
Serum albumin of 4.5; transferrin of 410
Expected creatinine clearance is estimated from the client's: a. weight b. "TSF,AMC" c. height d. waist circumference
Weight
A Rabbi is admitted to the hospital. What question will he ask the Dietitian? a. What time are meals served? b. Who cooks the food? c. What is the mixture of foods in combination dishes? d. Where will he eat?
What is the mixture of foods in combination dishes?
"Who has the greatest water, protein and calorie needs per unit of body weight?" a 6 month old infant a so year old female a 16 year old male a 25 year old male
a 6 month old infant
What is not a likely cause of failure to thrive in a child? a. a vegetarian diet b. a chronic illness c. parental food restrictions due to them being overly concerned with obesity d. lack of fiber in the diet
a vegetarian diet
What is the most important advice to give a patient with a peptic ulcer? a. drink milk every 1-2 hours b. consume small portions c. eat everything in balance d. abstain from spicy food
abstain from spicy food
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
What can be done to lower the respiratory quotient of a tube fed pulmonary patient? add MCI' oil to decrease energy required for growth change the type of fat to improve oxygen exchange add carbohydrate to decrease the respiratory quotient add a fat emulsion to replace some of the carbohydrate
add a fat emulsion to replace some of the carbohydrate
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
Hypertension will decrease with a decrease in: a. fiber b. alcohol c. potassium d. calcium
alcohol
Which is not a fiber in the diet? a. cellulose b. hemicellulose c. amylose d. pectin
amylose
The effectiveness of a group education program for decreasing the number of anemic pregnant women enrolled in a community nutrition program is best indicated by: a. improved scores on a nutrition knowledge posttest b. improved scores on a Likert-type attitudinal scale c. an increase in hematocrit or hemoglobin levels d. an increase in the intake of dietary iron
an increase in hematocrit or hemoglobin levels
Lactic acid is a result of: a. aerobic glycolysis b. anaerobic glycolysis c. TCA cycle d. Cori cycle
anaerobic glycolysis
"In reviewing the patient's medical record, you note a hemoglobin of10 g/dl and an MCV oh10 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
How long should a new mother breast-feed? a. at least 6 months b. at least 12 months c. "until6 months, then add cow's milk" d. "until4 months, then switch to cow's milk
at least 12 months
"When counseling an anorexic, the best advice is to:" be real strict in their food choices be flexible and help them choose reasonable goals provide a large variety of menu items give them free rein with their intake
be flexible and help them choose reasonable goals
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
A patient on warfarin should avoid: a. black cohosh b. thiamin supplements c. simple carbohydrates d. B vitamin supplements
black cohosh
Creatine supplements may be beneficial for the: body builder marathon runner soccer player hockey player
body builder
Which provides the most vitamin A for a Mexican? tortillas and refried beans cantaloupe and squash cheese tortillas and milk
cantaloupe and squash
What would you do to decrease fat intake for a Hispanic? a. change from whole milk to 2% milk b. change beans from refried to boiled c. change to low fat yogurt d. serve low fat cheese
change beans from refried to boiled
Which is the most appropriate bedtime snack for a diabetic on NPH insulin? apple juice and crackers graham crackers and diet soda fresh fruit and crackers cheese and crackers
cheese and crackers
An acid ash would be created by ingesting: a. com, cranberries b. milk c. vegetables d. fruits
com, cranberries
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
"An insulin-dependent diabetes living alone calls you with symptoms of nausea, vomiting and anorexia. What do you recommend?" continue with insulin and eat anything he can continue with insulin and drink anything he can discontinue the insulin until he feels better discontinue the insulin and eat whatever he can
continue with insulin and drink anything he can
Which is permitted on a diet which excludes gluten? a. rye b. corn c. barley d. wheat bread
corn
A cholesterol level of 240 mgs needs treatment first with: diet diet and drugs drugs "exercise, diet and drugs"
diet
Medicare is for who?
elderly
An elderly obese patient has been diagnosed with Type 2 diabetes. Which of the following is an appropriate nutrition diagnosis? a. elevated serum triglycerides b. high HDL cholesterol c. low blood pressure d. low serum insulin
elevated serum triglycerides
A clinical Dietitian has successfully met an indicator for 6 months. The next step should be to: establish a new indicator report the successful completion of intervention evaluate the need to continue monitoring the indicator evaluate the need to revise the standard of care
evaluate the need to continue monitoring the indicator
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
"In metabolic acidosis, which of the following is involved?" excretion of potassium excess calcium retention excretion of sodium bicarbonate excess calcium loss
excretion of sodium bicarbonate
Why may a patient with ascites be dehydrated? a. fluid has moved to interstitial spaces b. fluid has moved to intravascular spaces c. fluid has moved to vascular spaces d. fluid has moved to the lungs
fluid has moved to interstitial spaces
Why may a patient with ascites be dehydrated? a. fluid has moved to interstitial spaces b. fluid has moved to intravascular spaces c. fluid has moved to vascular spaces d. fluid has moved to the lungs
fluid has moved to interstitial spaces
The most effective nutrition assessment method for large groups is the: food diary 24 hour recall food frequency list diet history
food frequency list
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
A patient on parenteral nutrition is to be transitioned to enteral feeding. He should receive: half-strength enteral feeding initially "half-strength, then 3/4 strength enteral feeding" half-strength enteral feeding with a low osmolality full strength enteral feeding at a low rate
full strength enteral feeding at a low rate
How can you enhance usage of commodity foods from a food donation program? a. teach food donation staff how to use the items b. make a poster on usage c. give each participant recipes using the food items d. calculate the amounts of nutrients provided in the donated foods
give each participant recipes using the food items
"Low levels of folate, pyridoxine and cyanocobalamin are associated with:" glycogen storage disease homocystinurias phenylketonuria galactosemia
homocystinurias
The catecholamines released during stress cause: hypertension hyperglycemia diuresis elevated BUN
hyperglycemia
A nutrition surveillance program is designed primarily to: verify data from other surveys identify the nutritional needs of the population indicate the number of people at increased risk for medical conditions indicate the causes underlying the nutrition problems identified
identify the nutritional needs of the population
Which of the following would be classified as NB in the NCP? hypermetabolism inadequate enteral intake impaired ability to prepare foods excessive protein intake
impaired ability to prepare foods
A client who primarily consumes frozen dinners and breakfast cereal because of limited access to transportation most likely would have a nutrition diagnosis of: not ready for diet change inability to manage self-care impaired ability to prepare meals poor nutrition quality of foods
impaired ability to prepare meals
"Fiber, like that found in oats, beans and bran cereals, results in:" increased water absorption from the intestine binding of bile acids decreased sodium excretion in the stool "small, compact stools"
increased water absorption from the intestine
"A patient with hepatitis needs a high protein intake. Besides helping the liver to regenerate, what other purpose is served?" it helps increase iron absorption it restores glycogen reserves it helps prevent a fatty liver it helps prevent necrosis of the liver
it helps prevent a fatty liver
Current research on the relationship between cancer and diet includes all of the following except.... a. cancer is associated with the intake of vitamin A b. it is related to demographic factors c. it is related to epidemiologic data d. it is associated with ascorbic acid
it is related to demographic factors
Current research on the relationship between cancer and diet includes all of the following except.... cancer is associated with the intake of vitamin A it is related to demographic factors it is related to epidemiologic data it is associated with ascorbic acid
it is related to demographic factors
A pork chop is which type of meat exchange? high fat medium fat medium fat plus one fat exchange lean
lean
An appropriate menu for a Kosher meal is: a. "macaroni and cheese, green beans" b. "roast beef, potato, vegetable, cream soup" c. "veal parmesan, noodles, green beans" d. "crabmeat salad, lettuce, milk"
macaroni and cheese, green beans
A common result of treating an AIDS patient with zidovudine is? a. diarrhea b. constipation c. macrocytic anemia d. hypokalemia
macrocytic anemia
A common result of treating an AIDS patient with zidovudine is? diarrhea constipation macrocytic anemia hypokalemia
macrocytic anemia
What is the best approach for controlling obesity in an otherwise healthy ten year old girl? reduction of caloric intake to allow weight loss of 1- 2 lbs weekly reduction of energy intake to no less than 1000 calf day avoidance of simple sugars and sugar-containing products maintenance of weight during continued growth
maintenance of weight during continued growth
A female who eats a wide variety of foods and takes supplemental iron and birth control pills may be: marginally deficient in folic acid low in calcium low in vitamin A low in zinc
marginally deficient in folic acid
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
A patient with Parkinson's disease on Levodopa should: increase protein intake at breakfast consume no more than 40 grams protein per day evenly divide protein intake throughout the day minimize protein at breakfast and lunch and add it to the evening meal
minimize protein at breakfast and lunch and add it to the evening meal
"The BMI for a woman who is 5'7"" tall and weighs 148lbs. indicates:" underweight normal weight overweight obese
normal weight
Which is most associated with the incidence of Type 2 diabetes? sugar intake protein intake overweight salt intake
overweight
Which hormone moves milk through the mammary ducts? prolactin progesterone estrogen oxytocin
oxytocin
Four patients are admitted to your service. Who would you address first? patient who had a recent MI patient with gastric distress patient with cancer patient admitted for an appendectomy
patient with gastric distress
A child has been identified as being at high risk for food allergies. What should be withheld for the first few years? peanut butter and milk eggs and strawberries oats and fish citrus fruits and chocolate
peanut butter and milk
A Crohn's patient who was previously well-nourished has a fever and ileus 7 days PO. Which feeding method should you recommend? central venous hyperalimentation full liquids peripheral IV infusion half-strength tube feeding
peripheral IV infusion
Which of the following best reflects protein status? serum albumin serum transferrin retinol-binding protein prealbumin
prealbumin
Which hormone regulates breast milk production? a. prolactin b. progesterone c. estrogen d. oxytocin
prolactin
An indication for use of a protein hydrolysate infant formula is: a. prematurity b. constipation c. phenylketonuria d. protein hypersensitivity
protein hypersensitivity
Which of the following may result in hypoalbuminemia? amino acid supplementation prior to surgery a high protein diet with inadequate water providing only a 5% dextrose in water solution after stress giving a trauma patient enteral feeding only
providing only a 5% dextrose in water solution after stress
A nutritional care plan for overweight children should include restrict intake to maintain current weight maintain body weight reduce weight with caloric reductions of 500 per day reduce rate of body weight gain while allowing growth
reduce rate of body weight gain while allowing growth
Which of the following diseases may lead to anemia? myocardial infarction galactosemia renal failure diabetes mellitus
renal failure
A tube fed patient develops diarrhea. What needs to be done first? a. review their nutritional needs b. increase the rate of the feeding c. review the osmolality of the feeding d. discontinue the feeding until the diarrhea stops
review the osmolality of the feeding
Milk is packaged in opaque containers to avoid UV destruction of: thiamin riboflavin niacin ascorbic acid
riboflavin
Which is most characteristic of marasmus? a. serum albumin of 2.5 g/d1 b. edema c. severe fat and muscle wasting d. decreased lymphocytes
severe fat and muscle wasting
Chemically defined formulas are used for: short bowel syndrome post chemotherapy treatment hypermetabolism galactosemia
short bowel syndrome
Enteral feeding products that contain protein in the form of small peptides and amino acids are recommended for patients who have: short-bowel syndrome undergone gastrectomy undergone colectomy undergone jejunostomy
short-bowel syndrome
Which best applies to nutritional screening? a. JCAHO standards must be followed b. should include nutritional parameters c. done after nutritional problems are identified d. only done on at risk patients
should include nutritional parameters
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"
Your patient is on Coumadin. Which foods would you make sure to consistently include in their diet? a. "oranges, peaches" b. sweet potatoes c. "beef, lamb" d. "spinach, collard greens"
spinach, collard greens
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: first thing in the morning standing up after breakfast with light clothing
standing up
A cancer patient receiving radiation therapy to the head and neck presents with weight loss. The nutrition diagnosis would be: swallowing difficulty involuntary weight loss impaired nutrient utilization hypermetabolism
swallowing difficulty
The breast-fed infant is drinking primarily colostrum for: a. the first 24 hours b. the first few days c. 1-2 weeks d. 3 months
the first few days
The best way to justify continuation of WIC would be to show improvement in: a. the number of participants enrolled b. the infant morbidity rate c. maternal weight gains during pregnancy d. infant head circumference
the infant morbidity rate
Hormones that control blood pressure and blood components are produced in: the heart the liver the kidneys the lungs
the kidneys
"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
A patient with dysphagia waiting for a swallow test may receive: thick liquids thin liquids peripheral parenteral nutrition parenteral nutrition
thick liquids
Which is a part of the nutritional therapy for IDDM in a lean person? time meals decrease caloric intake it is not crucial to maintain consistency of calories if average intake is low decrease the frequency of feedings
time meals
What best measures excess calorie reserves? a. weight b. creatinine c. triceps skinfold d. arm circumference
triceps skinfold
An athlete needs 4000 calories. The cornflakes nutrient label says that one serving provides 25% of the RDA for CHO. How many servings of cornflakes does he need to get his 25%? one two three four
two
Which of the following is permitted on a diet restricting tyramine? a. hard cheese like cheddar or swiss b. uncured cheese like cottage, ricotta c. pickled or smoked foods d. tofu
uncured cheese like cottage, ricotta"
"When measuring a child's somatic protein mass, in addition to the BMI, use:" a. upper arm muscle area b. triceps skinfold c. mid-arm muscle circumference d. knee to height ratio
upper arm muscle area
"When measuring a child's somatic protein mass, in addition to the BMI, use:" upper arm muscle area triceps skinfold mid-arm muscle circumference knee to height ratio
upper arm muscle area
A 11 month old infant is at the 95th percentile weight for age and has been for the past 9 months. What should you do? A. recommend increasing food intake by 25% B. recommend decreasing food intake by so% C."nothing, he is fine" D. watch his growth over the next six months
watch his growth over the next six months
A 11month old infant is at the 95th percentile weight for age and has been for the past 9 months. What should you do? recommend increasing food intake by 25% recommend decreasing food intake by so% "nothing, he is fine" watch his growth over the next six months
watch his growth over the next six months
Which is the least useful evaluation tool in a community assessment program? a. height for age b. weight for height c. weight for age d. length for weight
weight for age
Which of the following would provide the most useful data when conducting nutrition screening on preschool children at a health fair? a. triceps skinfold thickness b. weight for age c. weight for stature d. stature for age
weight for stature
