443 Quiz Questions
The equations learned to use for fluid requirements, are reasonable for Question options: Everyone Anyone that is not dehydrated or not retaining fluid
Anyone that is not dehydrated or not retaining fluid
An important step that health practitioners can take to limit the risk of medication-related side effects is to: A. Recommend use of over-the-counter drugs instead of prescription medications. B. Encourage use of herbal supplements rather than prescription medications. D. Advise patients to take medications separately from meals E. Ask patients to fully describe the types and amounts of medications they are taking
Ask patients to fully describe the types and amounts of medications they are taking
If a 22 year old male, is consuming 100 grams of protein per day, and weighs 186 lbs, how many grams of protein/kg are they consuming? 1.2 g/kg 1.9 g/kg 1.5 g/kg 0.9 g/kIF
1.2 g/kg
A reasonable amount of weight to lose for a client that weighs 200 lbs, and needs to lower his blood pressure, and blood sugar, would be 5 - 10 lbs 10 - 20 lbs 20 - 30 lbs 30 - 40 lbs
10 - 20 lb
Prediabetes is used to classify blood glucose levels between normal and those of diabetes; this is, if a fasting plasma glucose is between: 74 and 106mg/dl 100 and 126mg/dl 126 and 140mg/dl 60 and 74 mg/dl
100 and 126mg/dl
A fasting blood sugar level above _________ is classified as diabetes. 126 mg/dl 90 mg/dl 100 mg/dl 140 mg/dl
126 mg/dl
The MNA is used primarily as: A form to monitor and evaluate plan of care A method to determine the nutrition diagnosis A form to complete a full nutrition assessment A screening tool
A screening tool
Mr. Jones has no significant past medical history. He comes to you because he is overweight (BMI - 29) and he tells you his blood pressure is fine, it is 135/82. What do you tell him? he should decrease the amount of saturated fat in his diet he should increase his intake of fruits and vegetables he should gradually increase his physical activity All answers are correct- this will have the greatest benefit
All answers are correct- this will have the greatest benefit
Which of the following is NOT a characteristic of malnutrition according to AND and ASPEN? Insufficient intake Loss of muscle mass Loss of fat mass Weight loss All are characteristics
All are characteristics
Impaired glucose tolerance indicates blood sugar is between 140mg/dl and 200mg/dl after Consuming 75g glucose A 12 hour fast Consuming 150 g glucose An 8 hour fast Exercising for 30 minute
Consuming 75g glucose
Which of the exchange lists have foods that contain ONLY carbohydrates, meaning they contain no fat and no protein? A. Starches B. Milk C. Fruits D. Meats E. None of the above
Fruits
Which is not included in the assessment of Metabolic Syndrome? BP > 135/85 FBS >100 HDL >60 mg/dl Waist circumference > 35 inches for women
HDL >60 mg/dl
An important difference between medications and herbal products that reach the marketplace is that: A. Medications that cause adverse effects cannot be sold B. Medications are subject to contamination with toxic metals, molds, and bacteria C. Herbal products are not required to prove safety and effectiveness D. Herbal products must provide standard amounts of active ingredients.
Herbal products are not required to prove safety and effectiveness
The sites for skinfold measurements that can be taken are exactly the same for males and females Question options: False True
False
True or False? According to Stephanie's lecture on Friday, Dec. 4th, for someone to practice in Integrative and Functional nutrition, they must be certified through IFNA. False True
False
Portion sizes on the exchange lists are made so they are all approximately equivalent in: A. grams of CHO B. grams of fat C. grams of protein D. A and B E. all of the above
E. all of the above
When calculating kcal needs with the Harris Benedict and Mifflin equation, weight should be in: Lbs Kg Can be either kg or lbs
Kg
Which of the following is NOT an indicator of malnutrition on the SGA form? Weight Loss GI Symptoms Lab Values Muscle Wasting Energy Intake
Lab Values
Which of the following is NOT included on the SGA? GI symptoms Weight history Lab values Diet history Physical exam
Lab values
Consumption of aged cheeses should be limited by people using: A. Lithium B. Warfarin C. MAO Inhibitors D. Tetracycline E. None of the above
MAO Inhibitors
Several antibiotics are known to bind with which of the following, and therefore should be taken separately? A. Fat soluble vitamins B. Vitamin B12 C. Minerals, such as calcium, iron and zinc D. All of the above
Minerals, such as calcium, iron and zinc
Which of the following is NOT a domain within Intervention? Nutrition Assessment Population Based Action Nutrition Education Nutrition Counseling
Nutrition Assessment
Integrative and functional nutrition MNT centers around: Nutrition Care Process Lifestyle Core Imbalances Systems signs and symptoms
Nutrition Care Process
The Standards of Practice follow the: Behavioral standards Scope of Practice Code of ethics Nutrition Care Process
Nutrition Care Process
The recommendation to decrease saturated fat intake to 5-6 percent of kcals is for: Everyone People with high waist circumference People with a BMI over 30 People who have CHD, elevated LDL, or multiple risk factors for CHD
People who have CHD, elevated LDL, or multiple risk factors for CHD
The Standards of Professional Performance (SOPP) relate to: Professional behaviors Financial management Best business practices Interviewing skills
Professional behaviors
MCV (mean corpuscular volume) refers to: A. Shape of a RBC B. Color of a RBC C. Size of a RBC D. None of the above
Size of a RBC
Which of the following encompasses the range of roles, activities, and regulations within which nutrition and dietetics practitioners perform? Standards of Care Scope of Practice Code of Ethics Standards of Professional Performance cannot determine because grams of CHO are not given
Scope of Practice
Which of the following is not one of the 5 domains of Nutrition assessment? Biochemical Data Food/Nutrient Related History Intervention Anthropometric Data Nutrition Focused Physical Exam
Intervention
According to the eNCPT tutorial, which of the following is the best example of the way part of the nutrition assessment should be documented? Total energy intake: 1200 - 1400 kcals/day Sub-sub class : Energy Intake: Total energy intake: 1200 - 1400 kcals/day Sub-class Energy Intake: Total energy intake: 1200 - 1400 kcals/day Total energy intake (FH.1.1.1.1): 1200 - 1400 kcals/day
Total energy intake: 1200 - 1400 kcals/day
There is significant evidence that for someone with prediabetes - the progression to type 2 diabetes can be prevented with diet and exercise. True or false? A. True B. False
True
True of False? Kidney disease increases with age, even if there is no diabetes or hypertension. True False
True
Medications that reduce stomach acidity can impair the absorption of: A. Fat - soluble vitamins B. Thiamin and riboflavin C. Sodium and potassium D. Vitamin B12, folate and iron
Vitamin B12, folate and iron
Vitamin K consumption should be consistent in patients using: A. Tetracycline B. Warfarin C. Lithium D. Isoniazid E. All answers are correct
Warfarin
When using the SGA form, which of the following shows how patients can be classified? Mild malnutrition, moderate malnutrition, severe malnutrition High risk or low risk At risk or no risk Well-nourished, mild/moderate malnutrition, severe malnutrition
Well-nourished, mild/moderate malnutrition, severe malnutrition
Which of the following is NOT one of the recommendations for lifestyle changes by the ACC/AHA? S odium should be limited to 500mg/day Saturated fat should be limited to 7% of kcals Cholesterol should be limited to 200 mg/d Plant stanols should be a consideration for adding to the diet
Sodium should be limited to 500mg/day
Creatinine-height index is used to assess Visceral protein Kcal needs None of the above Somatic protein
Somatic protein
The piece of equipment used to measure height is called a/n: Question options: Lange Caliper BIA InBody Stadiometer
Stadiometer
Compounds in grapefruit juice: A. bind to antibiotics reducing their absorption B. cause excessive drug excretion C. Strengthen the effects of certain drugs D. Alter the acidity in the stomach, impairing drug absoprtion
Strengthen the effects of certain drugs
Which of the following is NOT true? The SOPP are more global and provide guidance for all aspects of professional behavior The SOP in Nutrition Care describes the minimal level for delivering patient care The SOP apply to the RD when they are using the Nutrition Care Process The SOPP apply to administrative functions of the RD profession and the SOP in Nutrition Care to the clinical functions
The SOPP apply to administrative functions of the RD profession and the SOP in Nutrition Care to the clinical functions
Which would be most appropriate to recommend for a patient with kidney disease trying to maintain muscle mass? increase protein intake to 1.5g/kg begin resistance training begin an aerobic exercise program increase protein intake to 2.0g/kd
begin resistance training
Which of the following is / are considered to be a macrocytic anemia? A. Iron deficiency anemia B. Anemia from Vit B12 deficiency C. Anemia from folate deficiency D. both B and C are true
both B and C are true
A physician approaches a DTR and asks the DTR to provide a patient that the Physician just diagnosed with stage 4 renal disease some initial nutrition counseling "right away". The DTRcomplies with the physician's request. Is the DTR in compliance with the SOP? If yes, why? If no, which are they not compliant with? no, not in compliance with SOP 4 yes, a DTR should always provide education if there is a need yes, a DTR should always comply with physician request no, not in complicance with SOP 3
no, not in complicance with SOP 3
If someone is dehydrated, in general, labs will be: decreased elevated unchanged
elevated
An effective way to help prevent someone from having a relapse is set broad goals change their negative thinking habits promise them rewards make sure they understand the benefits of making changes
change their negative thinking habits
If Hgb and Hct are both low, this by itself, indicates the person has? A. iron deficiency anemia B. pernicious anemia C. folate deficiency D. anemia - but does not indicate which type
anemia - but does not indicate which type
A common side effect of taking iron supplements is: constipation nausea/vomiting diarrhea skin rash
constipation
As kidney function decreases, GFR: remains the same 30 - 40 lbs increases decreases
decreases
Someone who is taking a diuretic should do what to their potassium intake? A. decrease it B. increase it C. depends on the medication and their serum potassium levels D. increase it and take supplements
depends on the medication and their serum potassium levels
Megace and Dronabinol are both medications used to control blood sugar decrease appetite increase appetite lower blood pressure
increase appetite
If MCHC is elevated, which of the following is true? A. it indicates iron deficiency B. it indicates folate deficiency C. it indicates vitamin B12 deficiency D. it could be folate or B12 deficiency
it could be folate or B12 deficiency
If your patient's goal is to lower is LDL from 180mg/dl to 130 mg/dl, what would an appropriate intervention be? limit saturated fat intake to less than 15% limit total fat intake to less than 20% limit saturated fat intake to less than 7% limit total fat intake to less than 40%
limit saturated fat intake to less than 7%
Which of the following would work to help increase ones efficacy? setting small measurable goals setting large broad goals recommending monthly sessions rather than every other week setting small measurable goals not allowing a reward for themselves until three goals are met
setting small measurable goals
When someone is in the precontemplation stage of change, the best thing to do is have them come back in another month or when they are ready to make changes talk about benefits of making change and consequences of not changing set small measurable goals set broad goals
talk about benefits of making change and consequences of not changing
Which of the following increase in iron deficiency? TIBC ferritin and TIBC transferrin and TIBC ferritin transferrin
transferrin and TIBC
The NIH uses what, in addition to BMI, to determine level of risk of chronic disease? %IBW waist circumference Smoking LDL
waist circumference
Frame size can be determined using: wrist circumference and elbow breadth Wrist circumference and elbow breadth Waist circumference Waist circumference and elbow breadth Wrist Circumference Elbow
wrist circumference and elbow breadth
Which of the following is NOT true about the health belief model? changing behavior will have a beneficial effect the problem will have a negative impact on their life the person needs to believe that something bad could happen to them the person needs to feel positive that nothing bad will happen to them
the person needs to feel positive that nothing bad will happen to them
Which of the following is considered an OPEN question? Did the doctor tell you to decrease the amount of fat in your diet? Do you eat out at restaurants? Can you tell me about your meals eaten at home? Do you like to eat meat?
Can you tell me about your meals eaten at home?
Sally has a total cholesterol of 240 and HDL of 60. Joe has a total cholesterol of 180mg/dl and HDL of 30. Who is at higher risk, based on this ratio? Sally - b/c lower ratio Sally - b/c higher ratio Joe - b/c lower ratio Joe - b/c higher ratio
Joe - b/c higher ratio
Which are the two organs in the body that are responsible for metabolizing drugs and eliminating them from the body? A. Liver and lungs B. Spleen and adrenal glands C. Kidney and pancreas D. Liver and pancreas E. Liver and kidney
Liver and kidney
NIH has specific goals for treatment of obesity. Which of the following in NOT one of the goals? focus on weight loss over six month period modest weight loss of 5 - 10% rate of weight loss approximately one pound per week aim for BMI < 25
aim for BMI < 25
Which of the following have the longest half life? C- reactive protein tranferrin albumin pre-albumin
albumin
people taking orlistat (Xenical) for weight loss generally reduce their fat intake because this medication decreases function of bile salts fat digestion/absorption appetite rate of gastric emptying
fat digestion/absorption
When someone has iron deficiency, which of the following typically will be the first to decrease? A. ferritin B. transferrin C. Hgb D. TIBC
ferritin
Calorie needs will vary depending on activity level, body composition, and whether disease state is present, but are usually within the following range: 40 - 50 kcals/kg 15 - 25 kcals/kg 25 - 35 kcals/kg 50 - 60 kcals/kg
25 - 35 kcals/kg
Using the formula learned in class for fluid requirements, what are the fluid needs for someone that is 36 years old and 180 lbs? Question options: 2560 ml/day 2410 ml/day 2720 ml/day 2200 ml/day
2720 ml/day
The most appropriate diet order for someone with congestive heart failure is: 2g Na low fat 1200 kcal ADA cardiac
2g Na
Sam consumes 4 oz orange juice, 2 slices of whole wheat toast with 2 tsp margarine, 2 scrambled eggs, and 8 oz of skim milk for breakfast. How many CHO exchanges does he need to count this for if he is CHO counting for his meal plan? 3 6 cannot determine because grams of CHO are not given 2 4
4
A Low Fat diet order typically contains less than how many grams of fat per day? 25g 75g 50g 40g
50g
Normal fasting plasma glucose levels are approximately: 126 - 140mg/dl 101 - 125mg/dl 74 - 100 mg/dl 60 - 74 mg/dl
74 - 100 mg/dl
What is the %IBW for a female who weighs 96 lbs and is 5'5"? 130% 70% 77% 85%
77%
How many grams of fat are in a high fat meat/protein exchange? 3 8 5 10
8
For a patient that weighs 128 lbs, and requires 1.5g protein/kg, how many grams of protein do they need per day? 102 grams 87 grams 54 grams 70 grams
87 grams
Which of the following is equivalent to a 2,000mg Na diet? 44 mEq Na 22 mEq Na 1,000mEq Na 88 mEq Na
88 mEq Na
What is the %UBW for a male that is 5'10" weighs 178 lbs and his UBW is 190 lbs? 98% 107% 94% 102%
94%
Skinfold measurements should be taken on which side of the body? Question options: Left Right Does not matter
Right
Which of the following is NOT a method that could be used to determine body composition? X-ray DEXA MRI Bod pod
X-ray
Which of the following statements about nutrition screening is/are true? Nutrition screening can only be done by the dietitian The patient can be identified to be at nutritional risk with nutrition screening Nutrition screening is an in-depth evaluation of the patient's nutritional status All answers are correct
The patient can be identified to be at nutritional risk with nutrition screening
Keeping food records is helpful when making changes, and everyone should be encouraged to do this - true or false? true false
false
What is the BMI for a female that is 96 lbs and 5'5? 18.2 20.4 21.3 16.2
16.2
What is the ideal body weight for a male that is 5'9" using the Hamwi method? 150 lbs 160 lbs 172 lbs 156 lbs
160 lbs
Your client has a total cholesterol of 246, HDL - 48, and TG - 180. What is their LDL? 234 mg/dl 162 mg/dl 132 mg/dl 116mg/dl
162 mg/dl
According to the NIH guidelines an appropriate amount of weight loss is: an amount to decrease BMI to 25 an amount to decrease BMI to 30 depends on person's starting weight, more if they are obese 5% - 10 % of current weight
5% - 10 % of current weight
Estimated average requirements (EARs) are probably sufficient for what percent of the population? 50% 100% 75% 98%
50%
Which of the following would NOT be found on a screening form - Recent weight loss Stage III or IV decubitus ulcer Recent decrease in intake Client hx
Client hx
Because of the side effects of Orlistat, people taking this medication often: Follow a higher fat diet, because they can still lose weight End up gaining weight No answers are correct Follow a low fat diet to reduce side effects
Follow a low fat diet to reduce side effects
An extensive, accurate log of foods eaten over a period of several days or weeks is called a(n) Food-frequency checklist Food record Usual Intake No answers are correct 24-hour recall
Food Record
According the AND and ASPEN, with which type of malnutrition is inflammation NOT present? Acute disease related malnutrition Chronic disease related malnutrition Starvation related malnutrition
Starvation related malnutrition
AI is set for a specific nutrient, instead of RDA, if which of the following is true If the tolerable upper limit is close to the RDA There is good scientific evidence to support the recommendation There is not enough scientific evidence None of the above are true
There is not enough scientific evidence
Your client asks you about switching to Benecol, which contains plant stanols, instead of using their regular margarine. They have elevated chol, LDL, and TG, and their HDL is 60mg/dl. You tell them: This is a good idea b/c evidence shows it will decrease LDL Not a good idea because it will cause weight gain Not a good idea b/c although it will help lower lipids, will also lower HDL This is a good idea b/c evidence shows it will help promote weight loss
This is a good idea b/c evidence shows it will decrease LDL
Parathryroid hormone helps regulate levels of which of the following in the blood? potassium calcium sodium phosphorus
calcium
