RD ACTUAL TEST EXAM STUDY GUIDE
SOLVED QUESTIONS 2026 GRADED A+.
⫸ A 23 year old young woman has been following a high
carbohydrate diet while training vigorously for a triathlon. She
collapsed during one of her training runs. At the hospital it was
determined; she had biventricular heart failure with pulmonary
congestion. What nutritional deficiency was she determined to have
developed? Answer: Thiamine. Rationale: Without thiamine
pyrophosphate, pyruvate is unable to be converted to acetyl CoA and
enter into tri-carboxylic acid cycle. This results in energy deprivation
of the heart muscle
⫸ The hospital dietitian has a weight loss clinic for teens after school.
The school provides individual sessions by the system's dietitian. The
comparison of the results from both programs would be a: Answer:
Cost-effectiveness analysis. Remember that benefit refers to how
much money is saved while effectiveness is concerned with outcome
and comparison of similar programs.
⫸ The Body Mass Index-for-age percentile in reference to weight
classify Normal as Answer: 5th-85th. The normal range is now 5th-
85th and 85th-95th is at risk for overweight
⫸ The program that was designed for non-profit non-residential day
care facilities is: Answer: Child and Adult Care Food program. The
,program that was designed for non-profit non-residential day care
facilities is:
⫸ You are preparing a menu for Seventh Day Adventists. Which
menu would be the most acceptable? Answer: spinach quiche, salad,
fresh fruit, and decaffeinated coffee. Item shellfish is prohibited, as
well as caffeinated beverages. pork is prohibited. caffeinated tea is
prohibited.
⫸ A 5 year old child is being evaluated in the clinic for
hypercholesterolemia. The mother asks you if all children with high
cholesterol levels will grow up to be adults with high cholesterol.
Your response is: Answer: It is recommended that children with
immediate family members with heart disease be screened. While not
all children with elevated cholesterol levels will have elevated levels
as adults it is recommended that a diet of no more than 30 percent fat
but more than 20 percent, and less that 300 mg of cholesterol be part
of the initial therapy.
⫸ A bill has a better chance of becoming a law if it has a large
number of: Answer: Sponsors and co-sponsors. A bill must have a
member of the House or Senate as its sponsor. A majority vote is
needed to pass the bill. The more sponsors and co-sponsors, the better
chance it has for passage
⫸ Which of the following is a cost-benefit analysis? Answer: A pre-
natal program spends $200 per participant on nutrition counseling,
which results in reduced medical costs of $800. Cost-benefit analysis
examines program outcomes in terms of money saved or reduced cost.
,This example could be expressed as a cost-benefit ratio of 1:4. For
every one dollar required to produce the program, there is a four-
dollar savings in medical costs. These savings are expressed in
monetary terms, i.e. dollars saved. Cost effectiveness is often used to
compare alternative methods of intervention.
⫸ Communities forming partnerships and coalitions to implement
activities and measuring outcomes with BRFSS and YRBSS
describes: Answer: The STEPS program is designed to help
Americans live longer lives. The programs are community driven.
Eleven communities were awarded grants to fight obesity, DM, and
asthma
⫸ Hunger still exists in America today. Limited access to food needs
to be considered as a contributing cause in nutrition related
conditions. Using the Nutrition Care Process, limited access to food
is: Answer: A nutrition diagnosis. Rationale: Limited access to food is
diagnosis NB-3.1 under the Behavioral-Environmental domain
⫸ Legislation impacts community nutrition because federal, state, or
local agencies fund most programs. Which of the following will not
result in changes to the delivery of programs: Answer: The following
may impact programs: licensure laws may change employees
qualified to deliver services; consolidation of food agencies calls for
the establishment of a single agency to handle food safety, inspection,
and labeling, causing some education programs to change;
implementation of the results act requires federal agencies to define
mission, goals, and objectives and to specify their performance
measures. Food stamps are not currently affected
, ⫸ n developing guidelines for professional practices in ethical
decision making; which principle would not be used? Answer:
maleficence.
Rationale: The four principles include: 1.) Autonomy - respecting the
individual's rights of self-determination, independence and privacy;
2.) Beneficence - protecting clients from harm and maximizing
possible benefits; 3.) Nonmaleficence - the obligation not to inflict
harm intentionally; and 4.) Justice - Striving for fairness in one's
actions and equality in the allocation of resources.
Source: Boyle, p.35, 3rd Edition
⫸ What menu would you recommend for an elderly Orthodox Jew?
Answer: fettuccine alfredo, salad, broccoli, garlic bread, ice cream,
and coffee
Rationale: Items (a) and (d) are incorrect since meat and dairy
products are prohibited in the same meal. Item (b) is incorrect because
shellfish is prohibited. Item (c) is correct; there is no meat with dairy
in this meal
⫸ How would you adjust this menu for a Mormon:
Beef Stroganoff, steamed broccoli, buttered rolls, pumpkin pie, iced
tea? Answer: Rationale: Mormons do not drink alcohol or partake of
caffeine-containing beverages. Additionally, many fast one day per
month.
⫸ The set of activities that provides regular information about the
contribution that diet and nutritional status make to the health of the
U.S. and factors affecting diet and nutrition status is the responsibility
of Answer:
SOLVED QUESTIONS 2026 GRADED A+.
⫸ A 23 year old young woman has been following a high
carbohydrate diet while training vigorously for a triathlon. She
collapsed during one of her training runs. At the hospital it was
determined; she had biventricular heart failure with pulmonary
congestion. What nutritional deficiency was she determined to have
developed? Answer: Thiamine. Rationale: Without thiamine
pyrophosphate, pyruvate is unable to be converted to acetyl CoA and
enter into tri-carboxylic acid cycle. This results in energy deprivation
of the heart muscle
⫸ The hospital dietitian has a weight loss clinic for teens after school.
The school provides individual sessions by the system's dietitian. The
comparison of the results from both programs would be a: Answer:
Cost-effectiveness analysis. Remember that benefit refers to how
much money is saved while effectiveness is concerned with outcome
and comparison of similar programs.
⫸ The Body Mass Index-for-age percentile in reference to weight
classify Normal as Answer: 5th-85th. The normal range is now 5th-
85th and 85th-95th is at risk for overweight
⫸ The program that was designed for non-profit non-residential day
care facilities is: Answer: Child and Adult Care Food program. The
,program that was designed for non-profit non-residential day care
facilities is:
⫸ You are preparing a menu for Seventh Day Adventists. Which
menu would be the most acceptable? Answer: spinach quiche, salad,
fresh fruit, and decaffeinated coffee. Item shellfish is prohibited, as
well as caffeinated beverages. pork is prohibited. caffeinated tea is
prohibited.
⫸ A 5 year old child is being evaluated in the clinic for
hypercholesterolemia. The mother asks you if all children with high
cholesterol levels will grow up to be adults with high cholesterol.
Your response is: Answer: It is recommended that children with
immediate family members with heart disease be screened. While not
all children with elevated cholesterol levels will have elevated levels
as adults it is recommended that a diet of no more than 30 percent fat
but more than 20 percent, and less that 300 mg of cholesterol be part
of the initial therapy.
⫸ A bill has a better chance of becoming a law if it has a large
number of: Answer: Sponsors and co-sponsors. A bill must have a
member of the House or Senate as its sponsor. A majority vote is
needed to pass the bill. The more sponsors and co-sponsors, the better
chance it has for passage
⫸ Which of the following is a cost-benefit analysis? Answer: A pre-
natal program spends $200 per participant on nutrition counseling,
which results in reduced medical costs of $800. Cost-benefit analysis
examines program outcomes in terms of money saved or reduced cost.
,This example could be expressed as a cost-benefit ratio of 1:4. For
every one dollar required to produce the program, there is a four-
dollar savings in medical costs. These savings are expressed in
monetary terms, i.e. dollars saved. Cost effectiveness is often used to
compare alternative methods of intervention.
⫸ Communities forming partnerships and coalitions to implement
activities and measuring outcomes with BRFSS and YRBSS
describes: Answer: The STEPS program is designed to help
Americans live longer lives. The programs are community driven.
Eleven communities were awarded grants to fight obesity, DM, and
asthma
⫸ Hunger still exists in America today. Limited access to food needs
to be considered as a contributing cause in nutrition related
conditions. Using the Nutrition Care Process, limited access to food
is: Answer: A nutrition diagnosis. Rationale: Limited access to food is
diagnosis NB-3.1 under the Behavioral-Environmental domain
⫸ Legislation impacts community nutrition because federal, state, or
local agencies fund most programs. Which of the following will not
result in changes to the delivery of programs: Answer: The following
may impact programs: licensure laws may change employees
qualified to deliver services; consolidation of food agencies calls for
the establishment of a single agency to handle food safety, inspection,
and labeling, causing some education programs to change;
implementation of the results act requires federal agencies to define
mission, goals, and objectives and to specify their performance
measures. Food stamps are not currently affected
, ⫸ n developing guidelines for professional practices in ethical
decision making; which principle would not be used? Answer:
maleficence.
Rationale: The four principles include: 1.) Autonomy - respecting the
individual's rights of self-determination, independence and privacy;
2.) Beneficence - protecting clients from harm and maximizing
possible benefits; 3.) Nonmaleficence - the obligation not to inflict
harm intentionally; and 4.) Justice - Striving for fairness in one's
actions and equality in the allocation of resources.
Source: Boyle, p.35, 3rd Edition
⫸ What menu would you recommend for an elderly Orthodox Jew?
Answer: fettuccine alfredo, salad, broccoli, garlic bread, ice cream,
and coffee
Rationale: Items (a) and (d) are incorrect since meat and dairy
products are prohibited in the same meal. Item (b) is incorrect because
shellfish is prohibited. Item (c) is correct; there is no meat with dairy
in this meal
⫸ How would you adjust this menu for a Mormon:
Beef Stroganoff, steamed broccoli, buttered rolls, pumpkin pie, iced
tea? Answer: Rationale: Mormons do not drink alcohol or partake of
caffeine-containing beverages. Additionally, many fast one day per
month.
⫸ The set of activities that provides regular information about the
contribution that diet and nutritional status make to the health of the
U.S. and factors affecting diet and nutrition status is the responsibility
of Answer:
