Answers & Rationales/ 2024-2025.
Which of the following statements best describes the samples that fall within the
shaded areas?
*Curve with x in the middle
A. Positively Skewed
B. Negatively Skewed
C. Indicate a bimodal distribution
D. They are two standard deviations from the mean - ANSWER: D. They are two
standard deviations from the mean
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,A patient has a pre-surgery serum albumin level of 3.7 mg/dl and a post-surgery
level of 3.1 mg/dl. The dietitian should recognize that?
A. a laboratory error has likely occurred
B. The patient is experiencing a protein-losing enteropathy
C. A decreased serum albumin level is normal after surgery
D. The patient is experiencing severe visceral protein storage depletion -
ANSWER: C. A decreased serum albumin level is normal after surgery
An adolescent's BMI is plotted on the 90th percentile on the Centers for Disease
Control and Prevention growth chart. The adolescent is:
A. Obese
B. Overweight
C. Normal weight
D. At risk for overweight - ANSWER: B. Overweight
Underweight is <5 percentile
Normal weight is 5-84th percentile
Overweight is 85-94th percentile
Obese is greater or equal to 95th percentile
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,A patient with chronic kidney disease on hemodialysis has the following
laboratory tests: BUN 50 mg/dL; albumin 2.8 mg/dL; and calcium 8 mg/dL. What
recommendations should the dietitian make to improve these lab values?
A. Decrease fluid intake
B. Increase protein intake
C. Use a calcium supplement
D. Increase the amount of phosphate binders - ANSWER: B. Increase protein
intake
Why: Albumin is a good indicator of long term protein stores in non acute
situations.
Which of the following foods would be the best source of zinc for Jewish clients
who observe dietary laws?
A. Roast Turkey
B. Stuffed Pork Chops
C. Whole Wheat Bread
D. Frozen Green Beans - ANSWER: A. Roast Turkey
Why: Jewish Dietary law restrict pork and zinc is found in mainly in red meat and
poultry. Other good sources of zinc include beans, nuts, and certain types of
seafood, whole grains, fortified breakfast cereals and dairy products. However, the
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, phytates in whole-grains, cereals, and legumes bind zinc and can inhibit its
absorption.
A dietitian who is counseling the mother of a child with eating difficulties has
evaluated needs and decided on the best alternatives for feeding. The dietitian
should do next:
A. Evaluate the mother's level of comprehension
B. Instruct the mother in various feeding approaches
C. Obtain a list of the child's food preferences and typical eating patterns
D. Review with the mother the ways to implement the recommended approaches
- ANSWER: D. Review with the mother the ways to implement the recommended
approaches
Why: This is the best answer because the dietitian has already evaluated needs
and decided on the best alternatives.
During the counseling session about lowering sodium, the client states, "i have
begun reading labels to identify sodium contents of food." The client is in which of
the following stages of change?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action - ANSWER: C. Preparation
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