RD STUDY GUIDE Questions and
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What advice would you give to a person complaining of symptoms of GERD?
A. Eat small meals with high-fat snacks
B. Chew spearmint gum
C. Avoid eating before bed
D. Use pepper instead of salt for seasoning - CORRECT ANSWERS C. Avoid
eating before bed
GERD is a digestive disease where stomach acid or bile irritates the food
pipeline, causing a feeling of heartburn and pain. The nutrition intervention for
GERD involves avoidance of the following; eating before bed, large high-fat
meals, caffeine, chocolate, alcohol, pepper, peppermint, and spearmint
Joyce is a 46 YO female patient with cirrhosis. During a physical exam, the RD
presses her thumb 4-5mm into Joyce's right leg. In 10-15 seconds the
depression disappears. What grade edema does Joyce most likely have?
A. 4+ severe pitting edema
B. 2+ moderate pitting edema
C. 3+ moderately severe pitting edema
D. 1+ mild pitting edema - CORRECT ANSWERS B. 2+ moderate pitting edema
Edema is swelling caused by fluid retention, which can be caused by diseases
such as cirrhosis and CHF. The stages of edema are as follows:
-- 0+ no pitting edema
-- 1+ mild pitting edema: 2mm depression dissappears rapidly
-- 2+ moderate pitting edema: 4mm depression disappears in 10-15 seconds
-- 3+ moderately severe pitting edema: 6mm depression that lasts more than 1
minute
--4+ Severe pitting edema: 8mm depression that lasts more than 2 minutes
What is the largest contributor to renal solute load?
A. Creatinine
B. Ammonia
C. Nitrogen
,D. Uric Acid - CORRECT ANSWERS C. Nitrogen
The largest contributor to renal solute load is nitrogenous waste. Renal solute
load is the end waste product of metabolism and mainly measures nitrogen
(~60%) and electrolytes. (NA+) Other contributors to renal solute load include
uric acid, creatinine, and ammonia (found in smaller amounts)
A lunch includes the following: sandwich ( 1 piece of white bread, 3 ounces of
low sodium turkey breast, 1 ounce cheese) and 1 medium banana with 2
tablespoons peanut butter. Using the carbohydrate exchange, how many
calories and grams of protein does the meal provide?
A. 45g PRO, 610 calories
B. 35g PRO, 300 calories
C. 75g PRO, 700 calories
D. 54g PRO, 601 calories - CORRECT ANSWERS A. 45g PRO, 610 calories
Using the carbohydrate exchange, the lunch meal includes:
1 slice white bread = 1 starch/bread serving = 3g PRO, 80 calories
3 oz. turkey = 3 lean protein servings = 21g PRO, 135 calories
1 oz. cheese = 1 medium-fat protein serving = 7g PRO, 75 calories
2 tbsp peanut butter = 2 servings high-fat protein = 14G PRO, 200 calories
TOTAL PROTEIN = 3+21++7+0+14= 45g PRO
TOTAL CALORIES = 80+135+75+120+200= 610 calories
During a hospital employee in-service training session, health care
professionals are given instruction on the diabetic diet. The in-service
materials briefly cover the types of diabetic meal plans available, how to order
different diabetic diets, and how to make a registered dietitian referral. What
would a situational assessment tell you about this audience?
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS C. They are moderately
experienced
A situational assessment determines the needs and readiness of learners
based on their sophistication level. The audience in this in-service training
session would be classified as moderately experienced based on their
profession and the brief training. Moderately experienced audiences are
, typically teachers or patients that have been previously educated and only
require emphasis or review of the materials
_____________ would include health care professionals receiving training in
their unique field, for example a nutrition seminar for a registered dietitian?
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS A. They are very
experienced
____________ would include young children or adults lacking knowledge of the
topic being addressed. This audience requires thorough introduction and
background
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS B. They are inexperienced
___________ is represented by individuals with a keen interest in the topic and
who voluntarily participate
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS D. They are highly
motivated
A female patient is 65 inches tall and weighs 130 pounds. She is receiving a TPN
of D5W at 100 ml/hr. What is her GIR?
A. 14 mg/kg/min
B. 0.14 mg/kg/min
C. 1.4 mg/kg/min
D. 3.4 mg/kg/min - CORRECT ANSWERS C. 1.4 mg/kg/min
GIR is a measure of how quickly the patient receives carbohydrates. The max
rate should not exceed 4-6 mg/kg/min to prevent hyperglycemia and steatosis.
To determine GIR, simply convert the units into mg/kg/min
GIR = IV Rate * Dextrose Conc. * 1000 (mg/kg)
GIR = 100 * 5 * 1000
Weight (kg) + 60 (min/hr) * 100 (ml/ dl)
Correct Answers Verified 100%
Guaranteed Pass
What advice would you give to a person complaining of symptoms of GERD?
A. Eat small meals with high-fat snacks
B. Chew spearmint gum
C. Avoid eating before bed
D. Use pepper instead of salt for seasoning - CORRECT ANSWERS C. Avoid
eating before bed
GERD is a digestive disease where stomach acid or bile irritates the food
pipeline, causing a feeling of heartburn and pain. The nutrition intervention for
GERD involves avoidance of the following; eating before bed, large high-fat
meals, caffeine, chocolate, alcohol, pepper, peppermint, and spearmint
Joyce is a 46 YO female patient with cirrhosis. During a physical exam, the RD
presses her thumb 4-5mm into Joyce's right leg. In 10-15 seconds the
depression disappears. What grade edema does Joyce most likely have?
A. 4+ severe pitting edema
B. 2+ moderate pitting edema
C. 3+ moderately severe pitting edema
D. 1+ mild pitting edema - CORRECT ANSWERS B. 2+ moderate pitting edema
Edema is swelling caused by fluid retention, which can be caused by diseases
such as cirrhosis and CHF. The stages of edema are as follows:
-- 0+ no pitting edema
-- 1+ mild pitting edema: 2mm depression dissappears rapidly
-- 2+ moderate pitting edema: 4mm depression disappears in 10-15 seconds
-- 3+ moderately severe pitting edema: 6mm depression that lasts more than 1
minute
--4+ Severe pitting edema: 8mm depression that lasts more than 2 minutes
What is the largest contributor to renal solute load?
A. Creatinine
B. Ammonia
C. Nitrogen
,D. Uric Acid - CORRECT ANSWERS C. Nitrogen
The largest contributor to renal solute load is nitrogenous waste. Renal solute
load is the end waste product of metabolism and mainly measures nitrogen
(~60%) and electrolytes. (NA+) Other contributors to renal solute load include
uric acid, creatinine, and ammonia (found in smaller amounts)
A lunch includes the following: sandwich ( 1 piece of white bread, 3 ounces of
low sodium turkey breast, 1 ounce cheese) and 1 medium banana with 2
tablespoons peanut butter. Using the carbohydrate exchange, how many
calories and grams of protein does the meal provide?
A. 45g PRO, 610 calories
B. 35g PRO, 300 calories
C. 75g PRO, 700 calories
D. 54g PRO, 601 calories - CORRECT ANSWERS A. 45g PRO, 610 calories
Using the carbohydrate exchange, the lunch meal includes:
1 slice white bread = 1 starch/bread serving = 3g PRO, 80 calories
3 oz. turkey = 3 lean protein servings = 21g PRO, 135 calories
1 oz. cheese = 1 medium-fat protein serving = 7g PRO, 75 calories
2 tbsp peanut butter = 2 servings high-fat protein = 14G PRO, 200 calories
TOTAL PROTEIN = 3+21++7+0+14= 45g PRO
TOTAL CALORIES = 80+135+75+120+200= 610 calories
During a hospital employee in-service training session, health care
professionals are given instruction on the diabetic diet. The in-service
materials briefly cover the types of diabetic meal plans available, how to order
different diabetic diets, and how to make a registered dietitian referral. What
would a situational assessment tell you about this audience?
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS C. They are moderately
experienced
A situational assessment determines the needs and readiness of learners
based on their sophistication level. The audience in this in-service training
session would be classified as moderately experienced based on their
profession and the brief training. Moderately experienced audiences are
, typically teachers or patients that have been previously educated and only
require emphasis or review of the materials
_____________ would include health care professionals receiving training in
their unique field, for example a nutrition seminar for a registered dietitian?
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS A. They are very
experienced
____________ would include young children or adults lacking knowledge of the
topic being addressed. This audience requires thorough introduction and
background
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS B. They are inexperienced
___________ is represented by individuals with a keen interest in the topic and
who voluntarily participate
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated - CORRECT ANSWERS D. They are highly
motivated
A female patient is 65 inches tall and weighs 130 pounds. She is receiving a TPN
of D5W at 100 ml/hr. What is her GIR?
A. 14 mg/kg/min
B. 0.14 mg/kg/min
C. 1.4 mg/kg/min
D. 3.4 mg/kg/min - CORRECT ANSWERS C. 1.4 mg/kg/min
GIR is a measure of how quickly the patient receives carbohydrates. The max
rate should not exceed 4-6 mg/kg/min to prevent hyperglycemia and steatosis.
To determine GIR, simply convert the units into mg/kg/min
GIR = IV Rate * Dextrose Conc. * 1000 (mg/kg)
GIR = 100 * 5 * 1000
Weight (kg) + 60 (min/hr) * 100 (ml/ dl)
