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467 Cards in this Set
- Front
- Back
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In community surveys, a frequent symptom of malnutrition is: a. survey b. rickets c. low serum albumin d. low hemoglobin |
d. low hemoglobin |
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Which is the least common symptom in the elderly? a. osteomalacia b. osteoporosis c. obesity d. hypertension |
a. osteomalacia |
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What is included in the study of demographics? I. age of individuals II. population statistics III. sex of individuals IV. socioeconomic factors a. I only b. all of the above c. II, III d. I, II, III |
d. I, II, III |
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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 |
d. water during an event to relace lost fluids |
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How many grams of protein would you recive on a 1500 calorie diet which is 20% protein? a. 70 b. 75 c. 64 d. 300 |
b. 75 1500 calorie x .2 / 4 calorie/grams = 75 grams of protein |
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A patient is on a high protein, low carbohydrate diet. What advice should you offer? a. increase fluid intake b. decrease the intake of complex carbohydrates c. decrease fluid intake d. decrease the intake of saturated fats |
a. increase fluid intake |
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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 |
b. low sodium, low saturated fat, low cholesterol, high calorie
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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 |
d. 30 lbs. hemoglobin 9 |
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Which of the infants in the above question have a normal hemoglobin level? a. a, b, d b. b, d c. c, d d. a, b, c |
d. a, b, c
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An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. Why is he on a 500mg sodium diet? a. secondary renal failure b. hypoaldosteronism c. hypoalbuminemia d. hyperammonemia |
c. hypoalbuminemia
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Which of the following should the patient in the above question have for lunch? a. 4 ounces cottage cheese b. 1 ounce cheddar cheese c. 1 ounce roast beef d. 1 ounce cold cuts |
c. 1 ounce roast beef
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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 |
a. II, III |
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Whos 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 prgnancy |
c. BMI >30, history of GDM
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A child is lethargic, irritable with diarrhea. The cause may be: a. zinc toxicity b. lead poisoning c. iron overload d. vitamin A toxicity |
b. lead poisoning
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How many calories are in 300ml of a 5% dextrose solution? a. 51 b. 60 c. 15 d. 200 |
a. 51 300ml x .05 x 3.4 calories = 51 calories |
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A single 19 year old female is 6 months pregnant. She has not gained any weight and has not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important recommendation for her? a. see a physician immediately b. apply for WIC immediately c. join a teenage pregnancy support group d. begin taking iron supplements |
a. see a physician immediately
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A female, 5'7" tall, weighs 115 lbs. Six months ago she weighed 130 lbs. What is her percent of ideal body weight? a. 85% b. 83% c. 81% d. 87% |
a. 85%
IBW= 135 lbs 115 /135 = .85 x 100% = 85% |
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A vegan is allergic to milk. Which nutrients would you expect might be deficient in her intake? a. protein, calories b. vitamin B12, D c. vitamin C, calcium d. vitamin A, D |
b. vitamin B12, D
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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. V |
b. II, III |
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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 high protein, high fat, high carbohydrate |
a. reduce intake of concentrated carbohydrates, 5-6 small meals
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Which patient has marasmus? Patient A Patient B Patient C Male Female Male albumin 3.5 2.6 4.0 transferrin 275 125 450 triceps skin fold 3 16.8 17 MAMC 15 24.1 28.1 TLC 1000 3500 a. A b. B c. C d. A,B |
a. A |
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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 |
d. diet intake info, clinical data, laboratory data
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The first function of the public health nutritionist is: a. assess the needs of the community b. counsel patients with special dietary needs c. clinical observation, weight status, cultural habits d. diet intake info, clinical data, laboratory data |
a. assess the needs of the community
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What nutrients most affect the renal solute load? a. protein and carbohydrate b. sodium and carbohydrate c. protein and sodium d. sodium and fat |
c. protein and sodium
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The elderly need how many ml of water per KG? a. 35-40 b. 45 c. 25-30 d. 25 |
c. 25-30
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According to the Diabetic Exchange Lists, when substituting 2% milk for fat-free milk, you must omit how many fat exchanges? a. 1/2 b. 1 c. 1 1/2 d. 2 |
b. 1 |
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If a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how many weight will he lose in one week? a. 0.5 KG b. 1.0 KG c. 1.5 KG d. 2.0 KG |
b. 1.0 kg
2600-1500 =1100 x 7=7700/3500=2.2 lb or 1 kg |
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For which of the following diseases is diet therapy the primary treatment? a. peptic ulcer b. diabetes c. Wilson's disease d. galactosemia |
d. galactosemia
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Which of the following best reflects protein status? a. serum albumin b. serum transferrin c. retinol-binding protein d. prealbumin |
d. prealbumin
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Following a Billroth II, steatorrhea often results. What is the likely cause? 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 |
b. lack of pancreatic secretion due to less duodenal hormone secretion
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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 |
c. I |
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Chemically defined formulas are used for: a. short bowel syndrome b. post chemotherapy treatment c. hypermetabolism d. galactosemia |
a. short bowel syndrome
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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 |
a. head or neck cancer, who will not be able to eat normally for weeks
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A patient with hepatitis needs a high protein intake. Besides helping the liver 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 |
c. it helps prevent a fatty liver
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The additive influence of foods and constituents which when eaten have a beneficial effect on health refers to: a. nutraceuticals b. food synergy c. positive corollaries d. medical foods |
b. food synergy
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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 |
a. shellfish, peanuts, wheat
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Which set of conditions is most commonly seen in American children? a. obesity, dental caries, anemia b. hypertension, dental caries, rickets c. hyperkinesis, anemia, dental caries d. diabetes, obesity, anemia |
a. obesity, dental caries, anemia
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A 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. One third of the carbohydrate grams is met with 1/2 cup orange juice, 1 cup milk, and: a. 1 slice toast b. 2 slices toast c. 2 slices toast and 1/2 cup oatmeal d. 1/2 slice toast |
b. 2 slices toast .45 x 1500= 675 calorie/4 cal/g= 168 1/3 of 168g = 56g 15g+12g+30g (2 slice toast)=57g |
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Which of the following is a medium fat protein? a. peanut butter b. tunafish packed in water c. corned beef d. chicken without skin |
c. corned beef |
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Which government agency would you contact regarding food distribution? a. USDA b. FDA c. HHS d. FTC |
a. USDA
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Which has the greatest effect on the renal solute load? a. potassium b. sodium c. glucose d. protein |
d. protein
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Which is not a fiber in the diet? a. cellulose b. hemicellulose c. amylose d. pectin |
c. amylose |
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What is the diet for hypertension? a. low sodium b. low sodium, high potassium d. low sodium, high calcium d. low sodium, high potassium, high calcium |
a. low sodium
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The NHANES study looks at which parameters? a. nutritional b. nutritional, clinical c. nutritional, biochemical d. nutritional, clinical, biochemical |
d. nutritional, clinical, biochemical
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What is a major reason for constipation in the elderly? a. a diet low in high residue foods b. a diet high in low residue foods c. decreased gastric motility d. lack of physical exercise |
c. decreased gastric motility
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The programs that provides nutrition education training to teachers and food service personnel is the: a. TEFAP b. CACFP c. EFNEP d. NETP |
d. NETP
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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 |
b. lose 20 lbs. slowly following balanced diet
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A patient with chronic pancreatitis should consume oral pancreatic enzymes: 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 |
c. with all meals and snacks
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If a patient is about to be discharged when you receive the 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. |
c. Enroll him in the Outpatient Clinic and schedule an appointment. |
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Following a cholecystectomy, bile is produced by the: a. pancreas b. liver c. spleen d. portal vein |
b. liver
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How many calories are in 1.5 liters of a 25% dextrose solution? a. 850 b. 1275 c. 1000 d. 1500 |
b. 1275
1500 ml x .25 x 3.4 calories =1275 |
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Research suggests that in order to guard against cancer you should ingest: a. carotene and vitamin C b. vitamins C and B12 c. protein and vitamin A d. vitamins E and K |
a. carotene and vitamin C
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Which of the following may be the cause of loose stools in a tube fed patient? 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 |
d. I, IV
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An elevated T4 indicates: a. galactosemia b. hypothyroidism c. hyperthyroidism d. ketonuria |
c. hyperthyroidism
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Before discontinuing a parenteral feeding, provide enteral support to prevent: a. development of a fatty liver b. ketoacidosis c. hypoglycemia d. hepatic encephalopathy |
c. hypoglycemia
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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 |
a. increased intake of foods high in iron and vitamin C
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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 |
b. small, pale cells, hypochromic, microcytic |
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Which hormone moves milk through the mammary ducts? a. prolactin b. progesterone c. estrogen d. oxytocin |
d. oxytocin
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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 |
d. triceps skinfold, arm muscle circumference, height, weight
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Which is a measure of somatic protein? a. serum albumin b. serum transferrin c. mid-arm muscle circumference d. triceps skinfold |
c. mid-arm muscle circumference
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Muscle mass is determined using the: a. triceps skinfold and arm circumference b. skinfold caliper c. BEE d. urinary creatinine measurement |
a. triceps skinfold and arm circumference
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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 |
a. black pepper, chili powder, caffeine, alcohol, cocoa
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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 |
c. don't eat before bed
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The dumping syndrome: I. follows a gastrectomy II. is secondary to carbohydrate overload III. draws fluid into the intestine IV. need s high carbohydrate diet a. I, III, IV b. II, III, IV c. I d. I, II, III |
d. I, II, III
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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 |
a. high protein, high carbohydrate, moderate fat, high calories
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Esophageal varices may be caused by: a. portal hypotension b. portal hypertension c. a high fiber diet d. a high fiber, high residue diet |
b. portal hypertension
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The diet for hepatic coma is low in protein due to: a. low ammonia levels b. high cholesterol levels c. high ammonia levels d. high LDL |
c. high ammonia levels
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In cystic fibrosis, the most impaired nutrients is: a. protein b. disaccharides c. electrolytes d. fat |
d. fat
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Hormones that control blood pressure and blood components are produed in: a. the heart b. the liver c. the kidneys d. the lungs |
c. the kidneys
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An acid ash would be created by ingesting: a. corn, cranberries b. milk c. vegetables d. fruits |
a. corn, cranberries
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Symptoms of nephrosis include: a. dehydration, hypocholesterolemia b. albuminuria, hypercholesterolemia c. edema, hypocholesterolemia d. hypotension, hyperalbuminemia |
b. albuminuria, hypercholesterolemia
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The catecholamines released during stress cause: a. hypertension b. hyperglycemia c. diuresis d. elevated BUN |
b. hyperglycemia
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Which is a part of the nutritional therapy for IDDM in a lean person? a. time meals b. decrease caloric intake c. it is not crucial to maintain consistency of calories if average intake is low d. decrease the frequency of feedings |
a. time meals
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Increased serum uric acid levels may lead to: a. galactosemia b. glycogen storage disease c. gout d. PKU |
c. gout
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The diet for galactosemia should exclude: a. high fat foods b. high cholesterol foods c. organ meats, MSG d. simple carbohydrates |
c. organ meats, MSG
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The ketogenic diet is used to help treat: a. cystic fibrosis b. seizures c. chronic renal failure d. hypotension |
b. seizures
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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 |
d. fluid and electrolyte replacement
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The theory of obesity that refers to receptors in the hypothalamus is the: a. lipostatic theory b. set point theory c. glucostatic theory d. glucose-obese theory |
c. glucostatic theory
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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 |
b. 24-48 hours
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A fecal excretion of __grams of fat/24 hours is considered fat malabsorption. a. less than 1 b. more than 7 c. 3-5 d. 2-4 |
b. more than 7
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Iatrogenic malnutrition is: a. vitamin and mineral malabsorption b. protein malabsorption c. protein, calorie malnutrition d. kwashiorkor |
c. protein, calorie malnutrition
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What are the similarites between WIC and SNAP? I. regulated by USDA II. have a 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 |
d. I, III
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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? a. 14 b. 16 c. 18 d. 20 |
c. 18
2700/150=18 |
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What type of food would you feed to a patient who has the athetoid form of cerebral palsy? a. milk-based products b. finger foods like a hot dog in a roll c. milk-free products d. galactose-free foods |
b. finger foods like a hot dog in a roll
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Osteoporosis is most likely to occur in: a. the physically active adult b. a non-smoker c. a black female d. a white female |
d. a white female
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Which is a quick diet assessment tool for a large group? a. food frequency list b. diet history forms c. weighing food samples and recording intake d. food records |
a. food frequency list
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Compared to human milk, commmerically prepared infant formiula is: a. similar in nutrient content b. equivalent to human milk in nutrient content and antibodies c. higher in protein and iron but lacks antibodies d. lower in protein and iron and lacks antibodies |
c. higher in protein and iron but lacks antibodies
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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 |
c. schizophrenia |
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What is the appropriate advice for a person with anorexia nervosa? a. offer a wide variety of foods and frequent feedings b. offer liquids high in calories and protein c. offer nasogastric feedings d. regular mealtimes, and a varied moderate intake |
d. regular mealtimes, and a varied moderate intake
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A female who eats a wide variety of foods and takes supplemental iron and birth control pills may be: a. marginally deficient in folic acid b. low in calcium c. low in vitamin A d. low in zinc |
a. marginally deficient in folic acid
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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 |
a. albumin and calcium
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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 |
c. a balanced diet he can tolerate
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Which nutrient may be absorbed during peritoneal dialysis and continuous renal replacement therapy, thus requiring a modification of his diet? a. carbohydrate b. protein c. fat-soluble vitamins d. water-soluble vitamins |
a. carbohydrate
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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 |
b. II, III
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A patient with the nephrotic syndrome will likely exhibit: a. hypercholesterolemia, hypoalbuminemia, edema b. hypertension, hypocholesterolemia c. hypotension, azotemia d. malnutrition, hyperalbuminemia |
a. hypercholesterolemia, hypoalbuminemia, edema
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A nephrotic syndrome patient should recieve how many grams of protein per KG? a. .5-.6 b. .6-.8 c. .8-1.0 d. 1.0-1.4 |
c. .8-1.0
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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 |
a. increased water absorption from the intestine
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A patient suffering form bulimia may have all of the following symptoms except: a. a sore throat b. dental problems c. extreme weight loss d. rectal bleeding |
c. extreme weight loss
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Research on the effets of a low sugar, low artificial flavor diet on hyperkinesis 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 |
b. it has not been scientifically proven effective
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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 |
c. edema
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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 |
b. protein intake, muscle mass
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When conducting a phyisical assessment of a patient, which method is used to estimate fat stores? a. inspection b. palaption c. pallor d. auscultation |
a. inspection
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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. |
d. All health team members can participate according to policy.
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A sandwich with two pieces of white bread and two ounces of turkey provides how many calories? a. 250 b. 145 c. 198 d. 290 |
a. 250
80+80+45+45=250 |
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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 |
b. it is related to demographic factors
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Two liters of a 5% dextrose solution provide how many calories? a. 170 b. 340 c. 212 d. 195 |
b. 340
2000ml x .05 x 3.4 cal = 340 |
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When instructing a patient on diet therapy needed during intake of a monoamine 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 |
d. cheddar cheese, swiss cheese
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Catecholamines have what physiological effect? a. induce diuresis b. cause hypoglycemia c. cause sodium retention d. cause potassium retention |
c. cause sodium retention
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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 |
b. sunken eyes, decreased renal function, increased tachycardia
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Why would a man who eats very little protein have an albumin of 5.5g/dl? a. Carbohydrate keeps albumin levels elevated. b. He is dehydrated. c. Serum albumin falls quickly with protein deprivation. d. It is a sign of protein malnutrition. |
b. He is dehydrated.
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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 |
b. avoid spices, very hot, very cold , sour, tart foods
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The BMI for a woman who is 5'7" tall and weights 148 lbs. indicates: a. underweight b. normal weight c. overweight d. obese |
b. normal weight
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Which of the following is not a guide line for Medicaid? I. low income II. over the age of 60 only III. nutritional need a. I b. II, III c. II d. III |
b. II, III |
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Which survey is repeated every few years? a. NHANES b. WHO c. Ten State d. FAO |
a. NHANES
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The Healthy People 2020 Goals are an outgrowth of a report by: a. ADA b. the Surgeon General, under HHS c. WHO d. FAO |
b. the Surgeon General, under HHS
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An example of a "Healthy People 2020" goal is: a. a decrease in saturated fat consumption b. an increase in iron intake c. promote health behaviors across every stage of life d. an increase in the intake of complex carbohydrates |
c. promote health behaviors across every stage of life
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When a starved patient begins to eat, they might expect: a. constipation b. an increased workload on the heart c. lethargy d. diarrhea |
b. an increased workload on the heart
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Which of the following would be classified as NB in NCP? a. hypermetabolism b. inadequate enteral intake c. impaired ability to prepare foods d. excessive protein intake |
c. impaired ability to prepare foods |
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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 |
b. increases glucose release into the bloodstream
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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 |
c. 1.3 grams protein, 35 cals/KG
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Which program provides food to needy individuals and families? a. Food Banks b. SNAP c. CACFP d. WIC |
a. Food Banks
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Which formula is high in protein, low in potassium and phosphorus? a. Nepro b. Osmolite c. Sustacal d. Jevity |
a. Nepro |
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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 |
a. prevention of chronic disease
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If an IDDM tells you she eats meals on an irregular scheduel, and often misses 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 |
b. explain that insulin therapy is related to intake
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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 |
b. the USDA Thrifty Food Program
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A single man with two daughters, ages 10 and 11, is looking for aid. Which program provide assistance? a. WIC b. Food Stamp c. Child Care Food Program d. Headstart` |
b. Food Stamp |
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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 lean the house |
d. they can lean the house
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Which is permitted on a diet which excludes gluten? a. rye b. corn c. barley d. wheat bread |
b. corn |
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Nutritional advice to a parent with a child with autism spectrum disorder should include: a. oral supplements between meals b. high sodium, high fiber foods c. normal intake based on age d. low fiber, high calories |
c. normal intake based on age
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Where can a pregnant teen learn to cook? a. EFNEP b. Child Nutrition Services c. UNICEF d. WIC |
a. EFNEP |
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Which of the following tube feeding ingredients might precipitate an allergic reaction in a child with a milk allergy? a. hydrolyzed maltodextrin b. modified starch c. casein d. carrageenan |
c. casein |
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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 |
c. give each participant recipes using the food items
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A poor, healthy 19 year old mother is unsure how to feed her 4 year old child. Which program may offer her the most help? a. EFNEP b. WIC c. HHS d. CACFP |
a. EFNEP |
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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 him drink more water |
b. examine other anthropometric measurements
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Which of the following affects bioelectrical impedance analysis? a. adipose stores b. muscle mass c. water d. protein stores |
c. water
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Which is the most appropriate bed time 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 |
d. cheese and crackers
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What can be done to lower the respiratory quotient of a tube fed pulmonary 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 |
d. add a fat emulsion to replace some of the carbohydrate
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Which correlates best with energy intake? a. lean body mass b. triceps skinfold c. body mass index d. body weight |
d. body weight |
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Which of the following most affects osmolarity? a. protein b. sugar c. electrolytes d. fat |
c. electrolytes |
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Which fiber is insoluble in water? a. pectin b. gums c. hemicellulose d. polysaccharides |
c. hemicellulose
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An infant wants a bottle at bedtime. You should counsel the parents to: a. give the bottle only at bedtime b. give the bottle only if the baby insists c. only give milk in the bottle d. only give water in the bottle |
d. only give water in the bottle
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A diabetic wants to exhange 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 |
a. 1 oz. cheese and 1/2 cup orange juice
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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 |
c. providing only a 5% dextrose in water solution after stress
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A mother with 2 daughters, ages 8 and 11, does not earn enough money to feed her famly. Which program would you suggest? a. WIC b. SNAP c. Child and Adult Care Food Program d. Medicaid |
b. SNAP |
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Which drink would a Mormon choose? a. cola b. 7-up c. tea d. coffee |
b. 7-up |
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What section of the intestine is most likely to be involved in Crohn's disease? a. ileum b. jejunum c. duodenum d. appendix |
a. ileum
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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 |
c. swallowing difficulty
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An infant's failure to thrive can be seen in: a. their behavior b. comparison with growth charts c. weight for height d. height for age |
b. comparison with growth charts
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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 |
a. plain hamburger on a bun
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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 |
c. triceps skinfold and arm muscle circumference of 79%
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A child with AIDS needs a high calorie and ___ intake. a. megadose vitamins b. high protein c. low fat d. low residue |
b. high protein
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An appropriate measurement for iron status in a local community is: a. serum iron b. transferrin c. TIBC d. hematocrit |
d. hematocrit
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Which of the following may help decrese cavities? a. raisins b. carrots c. cheese d. yogurt |
c. cheese
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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 |
c. glycosylated hemoglobin
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You discover an incorrect diet order entered in the patients' 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. |
c. Discuss the order with the physician and make suggestions.
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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 modifications d. exercise and diet control |
c. exercise, diet, behavior modifications
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Which is most associated with the incidence of Type 2 diabetes? a. sugar intake b. protein intake c. overweight d. salt intake |
c. overweight
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According to the ADA exhange lists, what is the nutrient content of the following: 1 cup raspberries, 1/2 cup cereal, 1 cup 1% milk, 1 tsp. margarine, black coffee, 1 slice toast, 1 egg calories protein CHO fat a. 397 12 61 6.5 b. 346 12 52 9 c. 365 21 57 14 d. 327 13 58 10 |
calories protein CHO fat
c. 365 21 57 14 |
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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 |
b. increases drug metabolism and decreases its effect
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Which bacteria may cause gastric ulcers? a. Salmonella b. Streptococcus aureus c. Helicobacter pylori d. Clostridium perfringens |
c. Helicobacter pylori
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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 |
c. decrease simple carbohydrates, high protein, moderate fat, B12 supplements
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Which of the following diseases may lead to anemia? a. myocardial infarction b. galactosemia c. renal failure d. diabetes mellitus |
c. renal failure
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To learn about prenatal problems in the community, go to: a. Center for Disease Control b. WIC c. NHANES d. FDA |
b. WIC |
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Which best applies to nutritional screening? a. HIPAA standards must be followed. b. It should include nutritional parameters. c. It is done after nutritional problems are identified. d. It is only done on at risk patients. |
b. It should include nutritional parameters.
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Which of the following can be offered to a patient when his diet prescription is moved from NDD Level 3 to Level 2? a. soft pancake b. bread pudding c. rice pudding d. saltine crackers |
a. soft pancake |
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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 |
d. lean protein
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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 |
a. nutrition activities related to food
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Medicaid benefits apply to: a. healthy adults b. a 60 year old female c. those at nutritional risk d. low income individuals |
d. low income individuals
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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 |
d. it is a Kosher designation
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Congregate meals and home delivered meals fall under: a. WIC b. EFNEP c. Older Americans Act Nutrition Program Title III d. Medicare |
c. Older Americans Act Nutrition Program Title III
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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 |
c. severe fat and muscle wasting
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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 |
d. I, II and III
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A side effect of antidepressants is: a. chronic diarrhea b. muscle wasting c. excess weight gain d. nausea and vomiting |
c. excess weight gain
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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 |
c. beans and rice
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Hypertension will decrease with a decrease in: a. fiber b. alcohol c. potassium d. calcium |
b. alcohol
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What medication is affected by serum sodium levels? a. Lithium carbonate b. Mellaril c. Valproate d. Tetracycline |
a. Lithium carbonate
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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 |
b. standing up
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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 |
d. American Heart Association
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Low levels of folate, pyridoxine and cyanocobalamin are associated with: a. glycogen storage disease b. homocystinuria c. phenylketonuria d. galactosemia |
b. homocystinuria
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A patient with low hemoglobin and low MCV might have: a. microcytic anemia b. macrocytic anemia c. megaloblastic anemia d. normochromic anemia |
a. microcytic anemia
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According to the Food Lists for Diabetes Exchanges, 2T peanut 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 |
a. 2 high fat proteins |
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After a gastrectomy, the diet order should indicate a decrease in: a. disaccharides b. fats c. protein d. complex carbohydrates |
a. disaccharides
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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 |
a. 60 minutes every day
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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 |
a. one cup pasta
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The Prader Willi syndrome is associated with.. a. hyperactivity b. deficiency of glucose-6-phosphatase c. macrocytic anemia d. obesity |
d. obesity
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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 food d. tofu |
b. uncured cheese like cottage and ricotta
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What does a fecal fat of 12 grams indicate? a. severe fat malabsorption b. normal fat absorption c. high normal fat absorption d. nothing |
a. severe fat malabsorption
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If a patient cannot metabolize urea properly, what will accumulate in his blood? a. uric acid b. ammonia c. protein d. glucose |
b. ammonia
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A patient with cystic fibrosis, who is non-compliant with their nutritional prescription, may present with: a. hypernatremia b. hyponatremia c. hypokalemia d. hyperkalemia |
b. hyponatremia
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Who is the most appropriate candidate for parenteral nutrition? a. a 12 year old girl coming in for an appendectomy b. a middle aged woman who will begin chemotherapy c. at health fairs, refer high risk individuals to appropriate programs d. education programs for those recently diagnosed with diabetes |
b. a middle aged woman who will begin chemotherapy
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An example of a primary prevention program for a local community would be: a. low sodium cooking classes for hypertensive patients b. have local farmers bring fresh fruits and vegetables into schools c. an health fairs, refer high risk individuals to appropriate programs d. education programs for those recently diagnosed with diabetes |
b. have local farmers bring fresh fruits and vegetables into schools
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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 |
b. breast feed
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In reviewing the patient's medical record, you note a hemoglobin of 10 g/dl and an MCV of 110 cu mm. You should document: 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 |
c. anemia with larger than normal erythrocytes
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For which disease would a low sodium diet be recommended? a. ascites b. esophageal varices c. pancreatitis d. appendicitis |
a. ascites
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A patient needs a 2000 calorie, 2 gram sodium feeding. Which formula is best? calories/cc g Na/liter a. formula 1 1 2 b. formula 2 1.5 2 c. formula 3 2 1 d. formula 4 1 1 |
calories/cc g Na/liter
d. formula 4 1 1 |
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A 75 year old female with adequate income would benefit from: a. SNAP b. Congregate Meals c. EFNEP d. WIC |
b. Congregate Meals
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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 |
c. potatoes with butter
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Phytochemicals, which may influence the development of tumors, are found in: a. fruits, vegetables, gains b. lean poultry and fish c. low fat dairy products d. polyunsaturated fats |
a. fruits, vegetables, gains
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A patient with hyperhosphatemia, hyperkalemia, and hypermagnesemia may have: a. renal disease b. re-feeding syndrome c. pancreatic disease d. liver diease |
a. renal disease
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Which supplements are recommended with hemodialysis? a. vitamins C, B6, folate, B12 b. vitamins A, D, E, K c. thiamin, riboflavin, vitamin C d. thiamin, folate, vitamins E and C |
a. vitamins C, B6, folate, B12
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A person with the dumping syndrome cannot handle: a. complex carbohydrates b. polysaccharides c. disaccharides d. amino acids |
c. disaccharides
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What is the appropriate diet for heart failure? a. low potassium b. low calcium c. low sodium d. low fat |
c. low sodium
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How many calories are provided in 1.5 liters of D25W? a. 1275 b. 2275 c. 1500 d. 2000 |
a. 1275; 1500x.25x3.4 |
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A homeless patient who is deficient in all nutrients is to be discharged. What organization may help? a. WIC b. EFNEP c. a local social services organization d. a shelter for the homeless |
c. a local social services organization
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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 |
b. the diet is high in carbohydrates, low in protein
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Trauma can place the patient in: a. an anabolic state b. a hypermetabolic state c. a hypothermic state d. a hypometabolic state |
b. a hypermetabolic state
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A patient who had an ileal resection is placed on a tube feeding and begins to have diarrhea. 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 |
a. use of a hypertonic formula |
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Which is restricted in a diet for hepatic encephalopathy? a. protein, sodium, fluid b. protein, fluid, calories c. calories, protein, fat d. sodium, fat, calories |
a. protein, sodium, fluid
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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 |
a. 340; 1000ml x.1 x 3.4
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What 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 |
b. immediately upon diagnosis
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Medicare is for: a. the elderly b. the financially needy c. those at nutritional risk d. those with medical needs |
a. the elderly
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What best measures excess calorie reserves? a. weight b. creatinine c. triceps skinfold d. arm circumference |
c. triceps skinfold |
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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 |
a. fluid has moved to interstitial spaces
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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 |
a. 1/4 cup low fat cottage cheese
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Which is a common complication of AIDS? a. constipation b. diarrhea c. hypoglycemia d. hyperkalemia |
b. diarrhea
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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 |
d. parenteral nutrition
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A common result of treating an AIDS patient with zidovudine is? a. diarrhea b. constipation c. macrocytic anemia d. hypokalemia |
c. macrocytic anemia
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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 |
c. 70-89
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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 |
c. achieve DBW
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A tube fed patient receiveing bolus feedings develops a distended abdonmen. 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 |
d. decrease the rate
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Which food is highest in fiber? a. cooked dried beans b. a tomato c. wheat bread d. lettuce |
a. cooked dried beans
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Which of the following is lowest in fat? a. hamburger b. salami c. goat cheese d. Canadian bacon |
a. hamburger
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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 |
c. it is common in those 65 years of age and older
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The maxiumum hang time for open enteral systems is: a. 2 hours b. 4 hours c. 6 hours d. 8 hours |
b. 4 hours
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What is a guide for calculating water neds 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 |
b. 1 cc water/ 1.0 calories
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Following a colectomy, the absorption of which of the following would be of the most concern? a. vitamins D and E b. water and sodium c. B vitamins d. vitamin C |
b. water and sodium
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According to the diabetic exhange lists, which of the following is equivalent to one medium fat protein? a. 4 ounces tofu b. 2 ounces pork c. 2 eggs d. 2 T. peanut butter |
a. 4 ounces tofu
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A long term care patient has normal intestinal function but cannot eat. 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 |
b. isotonic, polymeric formula
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Which food should someone on MAOI not eat? a. cottage cheese b. herbal tea c. pepperoni d. butter |
c. pepperoni |
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If you have a lactose intolerance, which food could you most likely tolerate?
a. whole milk b. skim milk c. ice cream d. yogurt |
d. yogurt
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The normal range for hemoglobin A1C is: a. 1-2% b. 4-6% c. 10-12% d. 35-40% |
b. 4-6%
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If a diabetic patient reduces his calorie intake from 2300 to 1800 calories per day, how much will he lose in one month? a. 4 pounds b. 6 pounds c. 2 pounds d. 8 pounds |
a. 4 pounds
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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 |
b. fewer calories, increased fluid and fiber
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An athlete complains of weakness, rapid weight gain and muscle spasms. What may be the cause? a. a lack of adequate rest b. too much exercise c. carbohydrate loading d. not enough iron |
c. carbohydrate loading
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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 |
a. a cancer patient on chemotherapy
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Patient with decubitus ulcers will likely demonstrate low: a. serum sodium b. serum albumin c. serum potassium d. serum glucose |
b. serum albumin
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NHANES III increased the number of participants in which age group? a. infants and children b. the elderly c. adolescents d. pregnant women and infants |
b. the elderly
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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 |
b. anemia secondary to chronic disease
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A TPN soluction 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 |
a. 900 ml formula, 300 ml water;
50ml x 24 hr=1200 1200x .75= 900 ml formula 1200-900= 300 ml water |
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Determine the calorie contribution of carbohydrate from the following parenteral formula. The amounts stated are given per liter. 300 ml 60% dextrose; 500 ml 10% amino acids; 200 ml 20% lipid; Total nutrient mixture administered at 65 ml/hour for 24 hours a. 393 calories per day b. 1550 calories per day c. 955 calories per day d. 1572 calories per day |
c. 955 calories per day;
300ml x .6 x 3.4 = 612 kcal of CHO 65 ml/hour x 24 hr= 1560 ml or 1.56 L 612 x 1.56 = 955 |
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Using the above formula, determine the calories coming from lipids per day. a. 519 b. 561 c. 577 d. 624 |
d. 624
200 ml x 2.0 kcal = 400 400x 1.56 = 624 |
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Using the above formula, determine the protein intake per day in grams. a. 78 b. 80 c. 84 d. 86 |
a. 78 500 x .1 = 50 50x1.56 = 78 |
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How much free water is in 1.5 liters of an enteral feeding that has 1.5 calories per cc? a. 1155 cc b. 1057 cc c. 926 cc d. 901 cc |
a. 1155 cc; 1500 x .77=1155cc
1.5 cals/cc are 76-78% water |
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A patient receives 4 ounces whole milk and 6 graham crackers as a 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 |
d. 1 T peanut butter in place of 3 graham crackers
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Which will cause the most delay in gastric emptying? a. lean baked meat b. broiled cod c. shrimp d. corned beef |
d. corned beef
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If a patient's GFR is <50 ml/minute, what should their protein intake be (in g/KG)? a. 1 b. .6-.8 c. .55 - .6 d. .2-.4 |
b. .6-.8
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A 2 year old child with iron-deficiency anemia has anorexia, vomiting, weight loss and retlessness. 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 |
d. pica and lead poisoning
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A program that links sources of unused, cooked and fresh foods with social service agencies that serve the hungry is the: a. PPFP b. USDA c. CACFP d. TEFAP |
a. PPFP
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A man with HIV disease presernts with the following data. What should be you primary concern as his Dietitian? Height 5'10" Weight 115 lbs Hematocrit 35% MCV 102 fl BUN 11 mg/dl Serum albumin 2.8 g/dl CD4 280 Total lymphocytes 1200/cubic a. anemia b. weight c. renal failure d. protein deficiency |
a. anemia
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An example of a teriary 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 |
b. exercise classes in a cardiac rehabilitation program
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A side effect of the herb yohimbe is: a. lowering of blood pressure b. elevated blood pressure c. hyperglycemia d. hypoglycemia |
b. elevated blood pressure
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Which program teaches good nutrition practices and provides foods with certain nutrients? a. EFNEP b. FFVP c. WIC d. CACFP |
c. WIC |
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|
A PN patient is receiving 45 calories/KG. What may be the result? a. hypocalcemia b. hyperkalemia c. hypokalemia d. hyperphosphatemia |
c. hypokalemia
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A tube fed patient develops diarrhea. What is the most likely cause? a. medication b. the osmolality is too low c. the strength is too weak d. it is being given at an improper rate |
a. medication
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A male paient has hypertension, high cholesterol, diabetes, and is 55 pounds above his desirable body weight. What do you recommend? a. low sodium b. low carbohydrates c. low calories d. low fat |
c. low calories
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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 |
b. protein, fluids, sodium
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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 |
c. energy intake and health history
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The dietary intake component of NHANES is: a. WWEIA b. BRFSS c. Ten State Nutrition Survey d. PNSS |
a. WWEIA
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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 |
a. the Dietary Guidelines for Americans
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Cystic fibrosis patients may present with: a. hypernatremia b. hyperglycemia c. hyponatremia d. hyperkalemia |
c. hyponatremia
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Memory loss may be associated with a deficiency of: a. riboflavin b. thiamin c. protein d. electrolytes |
b. thiamin
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Which of the following would lower serum cholesterol levels? a. dried beans b. green beans c. yellow beans d. summer squash |
a. dried beans
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In a PN mixture, what volume of the amino acid solutions listed would come closest to providing 185 calories? a. 1000 ml of 8.5% 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 |
b. 850 ml of 5.5% amino acids;
850ml x.055 x4kcal/g =187 calories |
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Enternal 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 |
a. short-bowel syndrome
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Which diet follows the AHA recommendations for healthy hearts? a. 25-30% calories from fat, <10% saturated fats, <200 mg cholesterol b. _<35% calories from fat, <2 grams sodium, <200 mg cholesterol c. 25-30% calories from fat, <10% saturated fats, <200 mg cholesterol, 5-10% MUFA, 20% PUFA d. _<35% calories from fat, <7% saturated fats, 5-10% PUFA, up to 20% MUFA, <200 mg cholesterol |
d. _<35% calories from fat, <7% saturated fats, 5-10% PUFA, up to 20% MUFA, <200 mg cholesterol
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A renal patient has come for dialysis on Monday morning with a serum sodium of 130 mEq/L, a BUN of 100 mg/dl, creatinine 8.0, and a 4 KG weight gain since his last dialysis on Friday morning. His laboratory indicators were in acceptable ranges on Friday afternoon. What would you expet 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 |
c. consumed too much sodium, too much water, too much protein
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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 |
b. decreased bicarbonate, increased potassium, increased phosphorus
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What would the lab values above have likely reflected if the patient had been nauseated and had averaged only 400 calories from primarily starchy foods over the weekend? 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 |
a. little or no rise in potassium, BUN/creatinine ratio <10
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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 |
b. identify the nutritional needs of the population
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A standing height should first be obtained when an infant is how many months old? a. 18 b. 20 c. 22 d. 24 |
d. 24
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Which nutrient would most effectively reduce starvation ketosis? a. corn oil b. MCT oil c. glucose d. essential amino acids |
c. glucose
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An albumin of 5.0mg/dl in a patient who has consumed very few calories 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 |
b. an increase in albumin due to dehydration
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Macrocytic, pernicious anemia resembles the anemia due to a deficiency of: a. folic acid b. iron c. megaloblastic cells d. pyridoxine |
a. folic acid
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A PN regimen than contains 1L of D50W and 1L of 7% Aminosyn provides how many non-protein calories? a. 300 b. 1400 c. 1700 d. 2000 |
c. 1700
1000 x .5 x 3.4 |
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Who has the greatest water, protein and calorie needs per unit of body weight? 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. a 6 month old infant
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The theory that a person must percive the severity of a condition, and that 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 |
d. Health Belief Model
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A patient with a redundant ileum may develop a deficiency of: a. fat-soluble vitamins b. folic acid c. vitamin B12 d. vitamin K |
c. vitamin B12
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An example of an educational objective for a low fat cooking class given at a seniors 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 decrease their risk of heart disease |
c. name two ways to decrease fat intake at breakfast
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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 |
b. congealed fruit salad
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Which contains more total dietary fiber: a. 1/2 cup raw spinach b. 1 oz raisin bran cereal c. 1 slice whole wheat bread d. 2 T peanut butter |
b. 1 oz raisin bran cereal
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What change should be made in the following menu if it is to be served to Seventh Day Adventists? tomato juice, cottage cheese fruit plate or egg salad sandwich, milk, coffee, tea 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 |
b. offer decaffeinated beverages
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The best way to counsel a patient with anorexia nerviosa is to: a. recommend that the patient increase food intake and attend weekly counseling sessions b. emphasize the health benefits associated with increased intake c. maintain a constant regimen to decrease inappropriate choices d. remain flexible to help the patient set realistic goals |
b. emphasize the health benefits associated with increased intake
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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 |
b. FFVP and SFMNP
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Which of the following would likely have a very low albumin a few days after admission to an acute care hospital? a. a patient with anorexia nervosa b. a patient with a 30% full thickness burn c. a patient with newly diagnosed colon cancer d. a patient with COPD |
b. a patient with a 30% full thickness burn
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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 |
a. upper arm muscle area
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An AIDS patient should select the following fresh fruit: a. grapes, orange b. orange, banana, pineapple c. apple, grapes, peach d. grapes, pear |
b. orange, banana, pineapple
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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 |
c. they consume little milk
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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 |
d. spinach, collard greens
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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 |
c. obtain administrative support
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Funding for public health programs comes primarily from: a. foundation grants b. general revenue c. charitable organizations d. public/private partnerships |
b. general revenue
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In acute hepatitis, you would likely see: a. decreases in SGOT, increase in SGPT b. increase in both SGOT and SGPT c. decrease in both SGOT and SGPT d. increase in SGOT and decrease in SGPT |
b. increase in both SGOT and SGPT
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In serere cirrhosis with ascites, diet therapy should be: a. restrict sodium b. restrict CHO and fat c. restrict protein and sodium d. restrict fat |
a. restrict sodium
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An AIDS patient's temperature has risen to 102 degrees. His BMR has increased: a. 24% b. 36% c. 12% d. 5% |
102F -98.6F (normal temp.)= 3.4 F; Estimated with every temperature increase, the BMR increases by 7 percent. 3.4F x 7% = 24% |
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How much additional water would a 65kg patient need when receiving 2400ml of a standard formula, 85% free water, was given daily? a. 125 ml b. 235 ml c. 155 ml d. 270 ml |
b. 235 ml
65kg x 33.3ml/kg=2164.5ml 2400-2164.5=235.5 |
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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%? a. one b. two c. three d. four |
b. two
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The steps in planning community based nutrition programs are: a. goals, develop mission statement, objectives b. develop measurable goals, develop mission statement c. develop mission statement, goals and measurable objectives d. goals, objectives, develop mission statement |
c. develop mission statement, goals and measurable objectives |
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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 |
b. sodium, fluid, protein
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What is the most effective tool for providing nutrition education to the community? a. the RDI's b. the Healthy People 2020 report c. the MyPlate Food Guidance System d. the Healthy Eating Index |
c. the MyPlate Food Guidance System
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What should a Jewish patient include in his diet to increase the intake of zinc? a. fresh green vegetables b. pork c. turkey d. wheat bread |
c. turkey
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A 7 year old on 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 |
a. 145 g fat, 25 g protein, 25 g carbohydrate
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A new patient with a BMI of 32 and hypertension comes to you for counseling. What is you first recommendation? a. achieve DBW b. maintain weight and exercise c. reduce sodium intake d. reduce sodium, reduce fluid, reduce caloric intake |
c. reduce sodium intake
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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 |
c. heart disease
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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 |
b. fortified soy milk
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A patient with a GFR of 20 ml/min should receive how many grams of protein/kg? a. 1.1 b. 0.8 c. 0.6 d. 0.2 |
c. 0.6
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A patient is recovering from an ileocecal resection, where 100 cm was removed. What are your recommendations? a. oral vitamin B12, increase fluids b. parenteral vitamin B12, increase fluids, increase protein c. decrease fluids, increase protein, parenteral B12 d. decrease protein, decrease fluids, oral B12 |
b. parenteral vitamin B12, increase fluids, increase protein
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A patient on Lithium carbonate decreases his sodium intake to 2 grams/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 |
b. enhanced activity of the drug
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In the Dietary Guidelines, what represents the fat included? 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 |
a. 20-35% calories, <10% saturated fat
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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 |
b. chemotherapy
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Following resection of the small intestine, patients initially receive: a. parenteral nutrition b. elemental formula through an enteral feeding c. predigested nutrients through a gastrostomy tube d. lactose-free, low osmolar, jejunal feeding |
a. parenteral nutrition
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A tube feeding ran from 7PM till 6AM, providing 1800 calories, at 1.6 calories/cc. How many cc/hours were given: a. 100 b. 125 c. 210 d. 65 |
a. 100;
1800 calories/ 1.6 calories/cc =1125 ml/hr 1125 ml/hr / 11hrs= 102 cc/hr |
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A patient on parenteral support develops sepsis. What is the likely cause? 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 |
d. bacterial translocation
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A sedated patient receives 25cc of Propoforl per hour. How many calories will he receive from the medication daily? a. 500 b. 660 c. 720 d. 785 |
b. 660 25cc x 1.1kcal/ml x 24 hr |
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A patient receives an enteral feeding providing 1cal/ml from 8PM until 9AM. 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 |
d. 92 ml/hour
92 ml/hour x 13 hours=1196 ~1200 calories |
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A critical 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 |
c. on the first day of admission
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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. a vegetarian diet
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A child with PKU can eat: a. spaghetti with tomato sauce b. vanilla ice cream c. carrots and celery sticks d. aspartame-sweetened gelatin |
c. carrots and celery sticks
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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 |
a. peanut butter and milk
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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. increased energy expenditure |
d. increased energy expenditure
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Which of the following would be appropriate for a hemodialysis patient on a 60 gram protein diet, with 75% from HBV protein? a. 2 eggs, 2 ounces chicken, 3 ounces beef, 1/2 cup milk b. 1 egg, 2 ounces chicken, 3 slices bread, 3 ounces beef c. 2 eggs, 3 ounces chicken, 3 ounces beef, 1 cup milk d. 1 egg, 3 ounces chicken, 2 cups milk, 5 slices bread |
d. 1 egg, 3 ounces chicken, 2 cups milk, 5 slices bread
7+ 3x7+ 2x8+ 5x3= 59g protein; 75% from HBV protein |
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Who resolves differences in bills from the House and the Senate? a. House committee b. Senate committee c. Committee on resolutions d. Joint conference committee of the House and Senate |
d. Joint conference committee of the House and Senate |
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Which bill requests government funding? a. budget bill b. markup bill c. appropriations bill d. spending grant bill |
c. appropriations bill
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Infuse a peripheral solution at a maximum rate of how many mOsm/L? a. 300 b. 800 c. 1400 d. 2000 |
b. 800
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A father needs help in feeding his children, ages 6 and 8. Which are the best options? a. WIC and TANF b. Head Start and SNAP c. SNAP and School Lunch d. Commodity Foods and WIC |
c. SNAP and School Lunch
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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 |
d. less anemia, increased HG and HT levels in women |
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The main reason why commodity foods obtained from a USDA program may not be brought to a Kosher facility: 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-ovovegetarian d. Jewish dietary practices are lactovegetarian |
b. kosher foods are not allowed to be mixed with non-kosher foods
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What is the administration rate of enteral feeding if the patinet is receiving 1800 ml of a 1 cal /ml solution daily? a. 65 ml/hour b. 75 ml/hour c. 87 ml/hour d. 92 ml/hour |
b. 75 ml/hour
1800 ml/24 hr =75 |
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The immune system reacts to foods that are normally harmless. This is: a. food intoxication b. an inflammatory response c. an immunoglobulin E (IgE) mediated reaction d. food intolerance |
c. an immunoglobulin E (IgE) mediated reaction
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Which level of HgA1C suggests good compliance with dietary recommendations in a diabetic? a. 6.8 mg/dl b. 3.0 mg/dl c. 8.8 mg/dl d. 9.2 mg/dl |
a. 6.8 mg/dl
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What do theses values represent... 2.5 mg/dl serum phosphorus level and 1.3 mEq/L serum magnesium level? a.hypophosphatemia, hypomagnesemia b. hyperphosphatemia, hypomagnesemia c. hyperphosphatemia, hyponatremia d. hyperkalemia, hypermagnesemia |
a.hypophosphatemia, hypomagnesemia
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A concern with parenteral feeding is: a. hypokalemia b. hypercalcemia c. hyponatremia d. hypernatremia |
a. hypokalemia
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An infant requires 340 calories/24 hours. How many ounces of formula should be given every 6 hours? a. 2 oz. b. 3 oz. c. 3.5 oz. d. 4.25 oz |
d. 4.25 oz infant formula 20 calories/ounce; 340/20=17 17/(24/6)=4.25 |
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Which assessment tool might be given to clients prior to screening at a congregate meal site? a. PEACH survey b. DETERMINE checklist c. NSI Level I screen d. NSI Level II screen |
b. DETERMINE checklist
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A Crohn's patient who was previously well-nourished has a fever and illeus 7 day PO. Which feeding method should you recommend? a. central venous hyperalimentation b. full liquids c. peripheral IV infusion d. half-strength tube feeding |
c. peripheral IV infusion
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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 |
c. evaluate the need to continue monitoring the indicator
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A nephrotic syndrome patient with edema has a declining serum albumin 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 |
d. a loss of protein in the urine |
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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 |
d. nutrition screening results
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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 |
b. the infant morbidity rate decreased
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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 1 cal/cc tube feeding though the jejunum b. 1500cc of a 2 cal/cc nasogastric tube feeding c. 1000cc 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 |
d. 1000cc of D50W, 1000cc of 7% amino acids, 500cc of 10% lipids |
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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 |
c. to be served on Ash Wednesday and Fridays during Lent |
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Tube-fed patients should have gastric residuals checked: a. once a day until volume goals have been met b. 2 hours after feeding begins c. every 4 hours during the first 48 hours of feeding d. only if abdomen becomes distended |
c. every 4 hours during the first 48 hours of feeding
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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 |
c. patient with third degree burns
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A Rabbi is admitted to the hospital. What question might 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 I eat? |
c. What is the mixture of foods in combination dishes? |
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In most patients, a normal gastric residual volume would be: a. less than 100 ml b. less than 200 ml c. less than 200 ml? d. less than 250 ml |
d. less than 250 ml
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A patient on parenteral nutrition is to be transitioned to enteral feeding. He should receive: a. half-strength enteral feeding initially b. half-strength, then 3/4 strength enteral feeding c. half-strength enteral feeding with a low osmolality d. full strength enteral feeding at a low rate |
d. full strength enteral feeding at a low rate
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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 |
b. macrocytic anemia from lack of folate or B12 |
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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 calories consumed |
a. evaluate weight gain and weight loss
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Which supplements are recommended with peritoneal dialysis a. same as those for hemodialysis b. only the water-soluble vitamins c. same as those for hemodialysis plus thiamine d. only iron and folate |
c. same as those for hemodialysis plus thiamin
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Patients with cardiac cachexia on a loop diuretic should be evaluated for: a. riboflavin status b. adcidosis c. thiamin status d. alkalosis |
c. thiamin status
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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 |
a. macaroni and cheese, green beans
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A Hispanic woman needs more calcium in her diet. What do you recommend? a. milk b. plantains c. avocados d. pinto beans |
d. pinto beans
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Which of the following would lacto-ovo-vegetarian not eat? a. eggs b. halibut c. cheese d. beans |
b. halibut
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Which provides the most vitamin A for Mexican? a. tortillas and refried beans b. cantaloupe and squash c. cheese d. tortillas and milk |
b. cantaloupe and squash
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Which snack would you not give to an infant? a. yogurt b. cheese sticks c. graham crackers d. grapes |
d. grapes
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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 |
a. calcium, magnesium, zinc, fat-soluble vitamins
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Which supplements are recommended with cirrhosis? a. B complex, calcium, zinc, magnesium b. fat-soluble vitamins and zinc c. water-soluble vitamins and magnesium d. chromium, zinc, riboflavin, thiamin |
a. B complex, calcium, zinc, magnesium
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The nutrition prescription for an infant with phenylketonuria includes: a. high phenylalanine, low tyrosine b. low phenylalanine, high tryrosine c. low phenylalanine, high isoleucine d. low phenylalanine, high valine |
b. low phenylalanine, high tryrosine
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An infant with acute diarrhea should receive: a. glucose and electrolytes only for the first 24 hours b. a half-strength formula until the diarrhea stops c. rehydration within 4-6 hours d. a formula that is low in fiber |
c. rehydration within 4-6 hours
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A patient requires 1800 calories per day and is restricted to 1500 ml fluid. The enteral formula selected has 1.5 cal/cc, 55 g protein per liter, and 77% water. How much formula does she need daily? a. 1500 ml b. 1400 ml c. 1300 ml d. 1200 ml |
d. 1200 ml; 1800 cal/d /1.5 cal/cc |
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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 |
c. increase fluids and fiber intake
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A patient with dysphagia waiting for a swallow test may receive: a. thick liquids b. thin liquids c. peripheral parenteral nutrition d. parenteral nutrition |
a. thick liquids
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What diet is typically recommended for a patient who has undergone a 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 fluids with meals |
d. carbohydrate, protein, and fat at each meal, and restriction of fluids with meals
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A parenteral solution includes 65 grams of protein, 200 grams dextrose and 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 |
b. 1276
65 g Prox4 cal/g= 260 cal 200 g dextrosex3.4cal/g= 680 cal 2.0 cal/cc x 7 ml/hr x 24hr = 336 cal 260+680+336=1276 |
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When a patient is receiving an isotonic, polymeric enteral feeding and the mediation Propofol, your concern is: a. not providing adequate protein b. providing too many calories c. delivery of excessive sodium d. development of diarrhea |
b. providing too many calories
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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 |
b. salad with imitation bacon bits
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The medication megestrol acetate may be used to: a. correct a vitamin A deficiency b. increase appetite c. initiate weight loss d. promote sleep |
b. increase appetite
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What may be lacking in the traditional diet for Asians living in America? a. iron b. calcium c. folic acid d. thiamin |
b. calcium |
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Maple syrup urine disease and homocystinuria: a. have non-dietary treatments b. have protein as the nutrient of concern c. requires a fluid restriction d. have carbohydrate as the nutrient of concern |
b. have protein as the nutrient of concern
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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 provided. d. Let him do as he wishes. |
b. Explain why it is not good.
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Following a Roux-en-Y procedure, assess the need to supplement: a. folate, vitamin B12, potassium, magnesium b. no supplementation is needed c. fat-soluble vitamins d. potassium and magnesium |
a. folate, vitamin B12, potassium, magnesium
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Retrovir (NRTI) can lead to low levels of: a. vitamin B12, copper, zinc b. water-soluble vitamins c. calcium and phosphorus d. folate, pyridoxine, vitamin C |
a. vitamin B12, copper, zinc
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Which guideline is used in planning meals for healthy people? a. EAR b. UL c. Al d. DRI |
a. EAR
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Which of the following is true about SGOT: a. it is increased with hepatitis and diabetes b. it is increased with hepatitis, decreased with diabetes c. it is decreased in both hepatitis and diabetes d. it is decreased with hepatitis and increased with diabetes |
b. it is increased with hepatitis, decreased with diabetes
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What is the best way to increase attendance at a nutrition seminar for 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 |
d. have it sponsored by a dental organization
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After one year, which of the following would justify continuing a monthly 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 c. participants report decreased cholesterol levels |
c. participants report decreased cholesterol levels
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The Dietitian's analytical skills are needed most in which component of the NSI? a. DETERMINE checklist b. Level I c. Level II d. Level III |
c. Level II |
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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 |
b. change beans from refried to boiled
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A patient receives 1800ml of a 1 cal/cc formula with 44 grams protein per liter. How much protein will he receive? a. 44 b. 79 c. 65 d. 88 |
b. 79
44 x 1.8 =79.2 |
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Which test measure somatic protein: a. prealbumin, albumin b. creatinine clearance, serum creatinine c. serum transferrin d. prealbumin, albumin, transferrin |
b. creatinine clearance, serum creatinine
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Expected creatinine clearance is estimated from the client's: a. weight and height b. TSF, AMC c. height d. waist circumference |
a. weight and height
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How much water does an athlete need if they have lost 2 pounds during a marathon? a. 8 ounces b. 16 ounces c. 24 ounces d. 32 ounces |
d. 32 ounces
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Which vitamin will interfere with Levodopa? a. pyridoxine b. cyanocobalamin c. thiamin d. riboflavin |
a. pyridoxine
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Levodopa is used in the treatment of: a. rheumatoid arthritis b. Parkinson's disease c. diabetic ketoacidosis d. nephrotic syndrome |
b. Parkinson's disease
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Quickly stopping a 25% dextrose solution leads to: a. hyperglycemia b. hypoglycemia c. hypophosphatemia d. hyperkalemia |
b. hypoglycemia
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Infants born to mothers with diabetes may be: a. larger than normal, and be hypoglycemia shortly after birth b. smaller than normal and be hyperglycemia shortly after birth c. larger than normal and be hyperglycemia shortly after birth d. smaller than normal and be hypoglycemic shortly after birth |
a. larger than normal, and be hypoglycemia shortly after birth
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The mother of an infant who weighed 4.5KG at birth and was hypoglycemic, may: a. have gained excessive amounts of weight during pregnancy b. not have gained enough weight during pregnancy c. have had gastational diabetes d. have reactive hypoglycemia |
c. have had gastational diabetes
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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 |
d. abstain from spicy food
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A tube fed patient develops diarrhea. What needs to be done first? a. review their nutritional needs b. increase the rate of feeding c. review the osmolality of feeding d. discontinue the feeding until the diarrhea stops |
c. review the osmolality of feeding
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Which nutrients would be most helpful when treating a patient with a progressive infection? a. phosphorus and zinc b. sodium and potassium c. sodium and chromium d. potassium and magnesium |
a. phosphorus and zinc
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An outpatient would like to take vitamin C supplements. You should: a. ignore the request and talk about incorporating better balanced foods 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 |
d. ask her to keep a food diary to see where she is lacking
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Why would you add bicarbonate to a solution for a person with 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 exchange phosphorus of potassium d. it exchanges hydrogen for potassium |
d. it exchanges hydrogen for potassium
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A patient on Levodopa should: a. increase protein intake at breakfast b. consume no more than 40 grams protein per day c. evenly divided protein intake throughout the day d. minimize protein at breakfast and lunch, and add it to dinner |
d. minimize protein at breakfast and lunch, and add it to dinner
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Which fat source would be best for a patient with pancreatitis? a. essential fatty acid supplements b. polyunsaturated fats c. LCT d. MCT |
d. MCT
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Four patients are admitted to your service. Who would you address first? a. patient who had a recent MI b. patient with gastric distress c. patient with cancer d. patient admitted for an appendectomy |
b. patient with gastric distress
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Which of the following is an example of a secondary prevention program? 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 |
a. offer health risk appraisals with referrals as needed for follow-up
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When counseling a hypertensive patient with limited education, which would be the most appropriate question to ask in assessing her comprehensive 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 |
b. name a food that is high in sodium
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Based on the DRG's, Medicare reimbursement depends on: I. length of patient stay II. age of patient III. primary diagnosis a. I b. II, III c. I, II d. I, II, III |
b. II, III
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A patient is diagnosed with iatrogenic malnutrition. Nutritional therapy should be: a. high calorie b. high protein c. high calorie, high protein d. low calorie, high protein |
c. high calorie, high protein
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Within 2-3 hours of continuous exercise at 60-80% of maximum: a. muscle glycogen is depleted b. muscle glycogen is the main energy source c. amino acids begin to contribute to a source of energy d. fatty acids are the favored substrates |
a. muscle glycogen is depleted
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To maintain hydration during continuous endurance physical activity of 4 hours, consume:
a. fluids b. fluids and sodium c. fluids, sodium, carbohydrates d. non-CHO electrolyte solutions |
c. fluid, sodium, carbohydrate
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To maintain hydration during continuous endurance activity of 2 hours, consume: a. fluid, carbohydrate, sodium b. non-CHO electrolyte solutions c. fluids d. fluids and sodium |
a. fluid, carbohydrate, sodium
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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 |
b. free erythrocyte protopophyrin test
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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 |
b. offer one food at a time, avoid distractions
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Anasarca is extreme generalized edema and swelling of the skin associated with: a. uncontrolled diabetes b. heart, liver or renal failure c. short bowel syndrome d. pancreatitis |
b. heart, liver or renal failure
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Glucophage(Metformin) functions by: a. stimulates insulin secretion b. inhibits digestive enzyme action c. decreases peripheral resistance d. enhances insulin action |
d. enhances insulin action
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Constipation in an infant would most likely be due to: a. GI distress b. lack of fruits c. inadequate fluid intake d. excessive formula |
c. inadequate fluid intake
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Which is not included in a subjective global assessment: a. a. dietary intake information from a 24 hour recall b. information from patient regarding weight changes c. serum albumin levels d. physical appearance |
c. serum albumin levels
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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 |
a. individuals over 65 years of age
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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 living independently d. the health status of an outpatient with chronic disease |
a. a population's general health status
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What We Eat in America (WWEIA): 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 is needed |
b. is the dietary intake component of NHANES
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Which of the following is an achievable outcome for a weight loss program? a. Promote desirable body weight among young adults b. Increase by 25% the number of physicians who refer patients for weight-management counseling c. Screen and refer for treatment within two years those whose body weight is 10% above desirable. d. Reduce by 10% the number of obese adults, ages 25-49, within two years of starting the program. |
d. Reduce by 10% the number of obese adults, ages 25-49, within two years of starting the program.
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If a child with cystic fibrosis has daily large, foul-smelling stools you should first check their: a. fecal fat b. total fat intake c. compliance with PERT d. calorie intake |
c. compliance with PERT
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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 |
a. liberalize the diet
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Nursing can participate in which step of the Nutrition Care Process? a. Assessment b. Diagnosis c. Intervention d. Monitor and Evaluation |
a. Assessment
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An increased intake of which of the following might be the cause of diarrhea without malabsorption in children? a. sorbital b. fat c. protein d. fruit |
a. sorbital
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A strict Muslim would not consume: a. fruited gelatin, ham b. dairy products c. non-carbonated beverages d. eggs, cheese |
a. fruited gelatin, ham
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With a CHO:insulin ratio of 16:1, how much insulin is needed with this meal? 2 ounces beef, 2/3 cup steamed brown rice, 1/2 cup cooked beets, 1 slice bread, 1 teaspoon butter, 1/2 cup vanilla ice cream a. 7 units b. 6 units c. 5 units d. 4 units |
d. 4 units
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A diabetic needs 1800 calories, 50% from carbohydrates. How many CHO choices can he have at each meal if he has 2 snacks with 2 CHO choices each? a. 2 b. 3 c. 4 d. 5 |
c. 4
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A patient with inflammatory bowel disease has steatorrhea. In addition to 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 |
d. calcium, magnesium and zinc
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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 |
d. normal liver function
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A patient on warfarin should avoid: a. black cohosh, ginseng b. thiamin supplements c. simple carbohydrates d. B vitamin supplements |
a. black cohosh, ginseng
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The best way for you to follow-up on a patient's application of diet 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 |
b. evaluate his actual intake over time
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A family enrolled in the SNAP program is unsure of the best way to plan meals and budget. Refer them to: a. a congregate meal site b. TANF c. WIC d. EFNEP |
d. EFNEP
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When estimating the desirable body weight of a patine who has a below the knee amputation of his right leg, decrease the estimate by: a. 6% b. 8% c. 12% d. 16% |
a. 6%
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The oral-glucose lowering medication Glucotrol: a. enhances insulin action b. inhibits enzymes that digest carbohydrate c. promotes insulin secretion d. decreases glucagon production |
c. promotes insulin secretion
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The immunosuppressant drug cyclosporine may cause: a. hypokalemia and hypoglycemia b. hyperlipidemia and hyperkalemia c. hypermagnesemia d. hyponatremia |
b. hyperlipidemia and hyperkalemia
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A patient with heart failure on a loop diuretic needs to have the status of which vitamin evaluated: a. pantothenic acid b. niacin c. riboflavin d. thiamin |
d. thiamin
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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 |
d. contemplation
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Which stage of change is represented by this comment: "I asked for the recipe for the vegetable dish." a. preparation b. action c. contemplation d. pre-contemplation |
a. preparation
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Which stage of change is represented by this comment: "I served the vegetable dish to my family and surprisingly we all enjoyed it." a. action b. preparation c. maintenance c. contemplation |
a. action
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Which stage of change is represented by this comment: "Each week I prepare a vegetable dish found on a great website recommended by my friend." a. preparation b. contemplation c. action d. maintenance |
d. maintenance
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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 |
c. decrease AAA and increase BCAA
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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 |
a. health-risk appraisals
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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 |
b. decreased serum albumin levels are normal after catabolic stress
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Which of the following guidelines should be used when you are estimating the prevalence of inadequate intake levels of vitamin A with a group of adults?
a. Recommended Dietary Allowance RDA b. Estimated Average Requirement EAR c. Tolerable upper intake level UL d. Adequate Intake AI |
b. Estimated Average Requirement EAR
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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 |
d. the presence of edema and wasting or dehydration
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The primary focus of nutrition care for a man with hypertension and a BMI of 32 should be to:
a. decrease sodium intake b. increase potassium intake c. increase calcium intake d. decrease body weight |
d. decrease body weight
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When screening pregnant women for gestational diabetes, the amount of oral glucose used is:
a. 25 grams b. 40 grams c. 50 grams d. 100 grams |
c. 50 grams
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An 80 year old female receives Meals on Wheels. What other nutrition assistance program would she qualify for?
a. CACFP b. TEFAP c. SFMNP d. TANF |
c. SFMNP
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The absorption of calcium and iron is likely to be affected by the:
a. Billroth II procedure b. ileostomy c. cholecystectomy d. Billroth I procedure |
a. Billroth II procedure
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Bitot's spots indicate a deficiency of:
a. vitamin A b. vitamin E c. thiamin d. niacin |
a. vitamin A
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To calculate the estimated caloric needs of a patient who is significantly underweight 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 |
a. the patient's actual body weight
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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 |
b. a 36 year old athlete
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Which of the following lab values would most likely indicate that dialysis in necessary?
Serum creatinine mg/dl BUN mg/dl a. 2.0 80 b. 3.0 90 c. 4.0 100 d. 6.0 70 |
d. 6.0 70 |
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Following a Roux-en-Y bypass, which should be recommended first?
a. potassium, magnesium b. folate, vitamin B12, iron c. multi-vitamin with iron d. calcium and multi-vitamin with iron |
d. calcium and multi-vitamin with iron
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Which of the following medications is an appetite suppressant?
a. Prednisone b. Dextroamphetamine c. Erythromycin d. Dronabinol |
b. Dextroamphetamine
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The drug methylphenidate may have the adverse effect of:
a. increased excretion of folate requiring supplementation b. type 2 diabetes c. anorexia affecting growth d. involuntary weight gain |
c. anorexia affecting growth
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Hemodialysis requires supplementation of:
a. pyridoxine, folic acid, 1-25-dihydroxyvitamin D3 b. pyridoxine, folic and vitamin A c. vitamin C, calcium, 25-hydroxyvitamin D3 d. vitamin C, calcium and vitamin A |
a. pyridoxine, folic acid, 1-25-dihydroxyvitamin D3
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Which of the following directly assists the greatest number of people?
a. Supplemental Nutrition Assistance Program b. National School Lunch Program c. Child and Adult Care Program d. Supplemental Nutrition Program for Women, Infants, and Children |
a. Supplemental Nutrition Assistance Program
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Which program helps provide nutritious meals to an adolescent residential facility?
a. Supplemental Nutrition Assistance Program b. National School Breakfast Program c. Expanded Food and Nutrition Education Program d. The Emergency Food Assistance Program |
b. National School Breakfast Program
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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 |
c. plan menus for healthy people
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The full function of the GI tract is utilized with which type 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 |
a. an isotonic, polymeric formula delivered by a nasogastric tube
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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 |
b. take a multivitamin supplement
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Which program supports public and non-profit food service programs for homeless shelters?
a. CACFP b. SFSP c. SNAP d. CSFP |
a. CACFP
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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 |
b. high in fat
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Which would be the least expensive enteral nutrition formula?
a. elemental b. chemically-defined c. isotonic, intact protein, polymeric d. modular |
c. isotonic, intact protein, polymeric
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Which is an example of an entitlement program run by the government?
a. EFNEP b. SFMNP c. SNAP d. CACFP |
c. SNAP
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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 |
b. 20-25% of total calories
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A swallowing test has been ordered for a patient who holds food in his mouth for a long time and is coughing. Which food can he have for dessert?a. ice cream
b. smooth pudding c. gelatin d. bread pudding |
b. smooth pudding
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How many total calories are provided in 500 ml of a 20% dextrose solution with 500 ml of a 4% protein solution and 250 ml of a 20% lipid emulsion?
a. 870 b. 920 c. 1020 d. 1125 |
b. 920
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How many grams of protein are provided in the above solution?
a. 15 b. 20 c. 25 d. 30 |
b. 20
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What is the calorie:nitrogen ratio in the above solution?
a. 287:1 b. 920:3.2 c. 1020:6.25 d. 318:1 |
b. 920:3.2
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Which religious group can consume alcohol?
a. Mormons b. Muslims c. Hindus d. Buddhists |
d. Buddhists
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The full function of the GI tract is utilized with which type 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 |
a. an isotonic, polymeric formula delivered by a nasogastric tube
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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 |
a. increased intake of foods high in iron and vitamin C
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A patient weighing 104 KG is placed on a 1.5 cal/ml formula with 75% 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 |
a. 2000 ml
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Referring to the patient above, how much protein will he receive?
a. 64 g b. 108 g c. 146 g d. 150 g |
b. 108 g
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Referring to the above patient, how much additional water should be provided per hour?
a. 52 ml b. 89 ml c. 78.5 ml d. 64 ml |
d. 64 ml
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