Specialist in Geriatric Nutrition Exam CSG Exam
QUESTIONS WITH ANSWERS.
_____ is not considered when determining payment - CORRECT ANSWER✅✅Length
of stay
_______ becomes a natural anesthesia in the dying process - CORRECT
ANSWER✅✅Dehydration
_________ significantly impacts lab results - CORRECT ANSWER✅✅Hydration
. Which of the following health behaviors have been shown to lower mortality rates in
older adults by 50 percent?
A. Mediterranean diet, physical activity and not smoking
B. High fiber diet, physical activity and not smoking
C. DASH diet, weight training, stress reduction
D. Low carbohydrate diet, weight training, prayer - CORRECT ANSWER✅✅A
3 primary etiology of UWL - CORRECT ANSWER✅✅Starvation- most extreme. Is
reversible
Sarcopenia- loss of muscle mass
Cachexia- severe wasting with disease states. Can be with or without fat loss
A #10 Can holds how many cups? - CORRECT ANSWER✅✅13 cups
A 75yof with adequate income would benefit from?
A- Food stamps
B- Congregate meals
C- EFNEP
D- WIC - CORRECT ANSWER✅✅B
A bilroth II procedure is most likely to affect a patients absorption of:
A- calcium and iron
B- Vitamins A & D
C- Folic acid and B12
D- Potassium and sodium - CORRECT ANSWER✅✅A
Billroth's operation II, is an operation in which a partial gastrectomy (removal of the
stomach) is performed and the cut end of the stomach is close
A cancer patient receiving radiation therapy to the head and neck presents with wt loss.
The nutrition dx would be:
A- Swallowing difficulty
,B- Involuntary wt loss
C- impaired nutrient utilization
D- Hypermetabolism - CORRECT ANSWER✅✅A- radiation to the neck causes
swallowing difficulty
A cholesterol level of 240 mgs needs treatment first with:
A- Diet
B- Diet and Drugs
C- Drugs
D- Exercise, Diet and Drugs - CORRECT ANSWER✅✅A- Diet
A client taking orlistat may need to:
A- Use MCT supp
B- Take MVI
C- Take omega 3 supp
D- Avoid caffeinated and carbonated beverages - CORRECT ANSWER✅✅B
Orlistat helps people lose weight by decreasing fat absorbed
A client who consumes primarily frozen dinners and BF cereals because of limited
access to transportation would most likely have nutrition dx of:
A- Not ready for diet change
B- Inability to manage self care
C- Impaired ability to prepare meals
D- Poor nutrition quality of foods - CORRECT ANSWER✅✅C- impaired ability to
prepare meals ( d/t lack of transportation)
A common result of treating an AIDS patient with Zidovudine is? - CORRECT
ANSWER✅✅Macrocytic anemia- Anemia is caused by lack of RBCs from drug admin
A component of the DRIs is the EAR in which is used?
A- Assess the nutrient adequacy of an individual
B- Assess the nutrient adequacy of the population
C- Evidence is not available to calculate RDA
D- Reduce adverse affects from overconsumption - CORRECT ANSWER✅✅B
A concern with parenteral feeding is:
a. hypokalemia
b. hypercalcemia
c. hyponatremia
d. Hypernatremia - CORRECT ANSWER✅✅A- hypokalemia
A cutting board was used to cut up raw chicken. It was then used to cut up raw
vegetables. Guests eating the meal became ill most likely from: - CORRECT
ANSWER✅✅Salmonella
,A dietary deficiency of which of the following causes a macrocytic anemia resembling
pernicious anemia?
- Folacin
- Pyridoxine
- B6
-C - CORRECT ANSWER✅✅Folacin - Another word for folic acid
( B6 & pyridoxine are the same thing)
A family receiving food stamps often runs out of food by the middle of the month. Obtain
an emergency food voucher and refer them to?
A- congregate meal site
B- Social services agency
C- WIC
D- EFNEP - CORRECT ANSWER✅✅D
A food is bacteria-safe if it is:
a. neutral and moist
b. neutral and dry
c. acidic and dry
d. acidic and moist - CORRECT ANSWER✅✅C- Acidic and Dry
A guest complained about vomiting and diarrhea a few hours after eating raw oysters.
Which pathogen probably caused illness? - CORRECT ANSWER✅✅Norovirus- found
in ready to eat food or shellfish
A home-delivered meals program for the elderly chooses a Nonselective menu primarily
to:
a. control food volume
b. encourage client participation
c. minimize food drop-off time
d. minimize labor costs - CORRECT ANSWER✅✅D- Minimize labor costs
A homeless patient who is deficient in all nutrients is to be D/C. What organization may
help.
A- WIC
B- EFNEP
C- The social workers group
D- The shelter - CORRECT ANSWER✅✅C
A male pt has HTN, HLD, DM, and is 55# above his DBW. What do you recommend? -
CORRECT ANSWER✅✅Low calories
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 - CORRECT ANSWER✅✅C- Balanced diet he can tolerate
Peptic ulcer- hole in the SI/ stomach/ esophagus
A nephrotic syndrome patient should receive how many grams of protein per Kg?
A- .5-.6
B- .6-.8
C- .8-1.0
D- 1-1.4 - CORRECT ANSWER✅✅C
A nephrotic syndrome patient with edema has a serum albumin level that continues to
fall, recognize that:
A- liver dysfunction is causing decreased alb synthesis
B- Volume overload has diluted the albumin
C- Patient is getting sicker and eating less
D- Protein is being lost in urine - CORRECT ANSWER✅✅D- Nephrotic syndrome is a
kidney disorder that causes your body to pass too much protein in your urine
A nutrition surveillance program is designed primarily to:
- Verify data from other surveys
- Identify nutrition needs in population
- Indicate # of people with increased risk for medical conditions
- Indicate the causes underlying the nutrition programs identified - CORRECT
ANSWER✅✅B- Identify nutrition needs of population
A patient complains of abdominal distention, mouth lesions, and 10% wt loss over the
past 6 months, the Nutriiton dx would be
A- impaired nutrient utilization
B- Inadequate vitamin intake
C- Involuntary wt loss
D- Altered GI function - CORRECT ANSWER✅✅A- impaired nutrient utilization
A patient is diagnosed with iatrogenic malnutrition. Nutritional therapy should be:
- high calorie
- high protein
- high calorie, high protein
- low calorie high protein - CORRECT ANSWER✅✅C
A patient is unable to synthesize urea. What may be the result?
A- Elevated Ammonia Levels
B- Elevated BUN
C- Elevated Glucagon
D- Compromised Visceral Protein Levels - CORRECT ANSWER✅✅A- Elevated
Ammonia
Ammonia is excreted from the body as urea
QUESTIONS WITH ANSWERS.
_____ is not considered when determining payment - CORRECT ANSWER✅✅Length
of stay
_______ becomes a natural anesthesia in the dying process - CORRECT
ANSWER✅✅Dehydration
_________ significantly impacts lab results - CORRECT ANSWER✅✅Hydration
. Which of the following health behaviors have been shown to lower mortality rates in
older adults by 50 percent?
A. Mediterranean diet, physical activity and not smoking
B. High fiber diet, physical activity and not smoking
C. DASH diet, weight training, stress reduction
D. Low carbohydrate diet, weight training, prayer - CORRECT ANSWER✅✅A
3 primary etiology of UWL - CORRECT ANSWER✅✅Starvation- most extreme. Is
reversible
Sarcopenia- loss of muscle mass
Cachexia- severe wasting with disease states. Can be with or without fat loss
A #10 Can holds how many cups? - CORRECT ANSWER✅✅13 cups
A 75yof with adequate income would benefit from?
A- Food stamps
B- Congregate meals
C- EFNEP
D- WIC - CORRECT ANSWER✅✅B
A bilroth II procedure is most likely to affect a patients absorption of:
A- calcium and iron
B- Vitamins A & D
C- Folic acid and B12
D- Potassium and sodium - CORRECT ANSWER✅✅A
Billroth's operation II, is an operation in which a partial gastrectomy (removal of the
stomach) is performed and the cut end of the stomach is close
A cancer patient receiving radiation therapy to the head and neck presents with wt loss.
The nutrition dx would be:
A- Swallowing difficulty
,B- Involuntary wt loss
C- impaired nutrient utilization
D- Hypermetabolism - CORRECT ANSWER✅✅A- radiation to the neck causes
swallowing difficulty
A cholesterol level of 240 mgs needs treatment first with:
A- Diet
B- Diet and Drugs
C- Drugs
D- Exercise, Diet and Drugs - CORRECT ANSWER✅✅A- Diet
A client taking orlistat may need to:
A- Use MCT supp
B- Take MVI
C- Take omega 3 supp
D- Avoid caffeinated and carbonated beverages - CORRECT ANSWER✅✅B
Orlistat helps people lose weight by decreasing fat absorbed
A client who consumes primarily frozen dinners and BF cereals because of limited
access to transportation would most likely have nutrition dx of:
A- Not ready for diet change
B- Inability to manage self care
C- Impaired ability to prepare meals
D- Poor nutrition quality of foods - CORRECT ANSWER✅✅C- impaired ability to
prepare meals ( d/t lack of transportation)
A common result of treating an AIDS patient with Zidovudine is? - CORRECT
ANSWER✅✅Macrocytic anemia- Anemia is caused by lack of RBCs from drug admin
A component of the DRIs is the EAR in which is used?
A- Assess the nutrient adequacy of an individual
B- Assess the nutrient adequacy of the population
C- Evidence is not available to calculate RDA
D- Reduce adverse affects from overconsumption - CORRECT ANSWER✅✅B
A concern with parenteral feeding is:
a. hypokalemia
b. hypercalcemia
c. hyponatremia
d. Hypernatremia - CORRECT ANSWER✅✅A- hypokalemia
A cutting board was used to cut up raw chicken. It was then used to cut up raw
vegetables. Guests eating the meal became ill most likely from: - CORRECT
ANSWER✅✅Salmonella
,A dietary deficiency of which of the following causes a macrocytic anemia resembling
pernicious anemia?
- Folacin
- Pyridoxine
- B6
-C - CORRECT ANSWER✅✅Folacin - Another word for folic acid
( B6 & pyridoxine are the same thing)
A family receiving food stamps often runs out of food by the middle of the month. Obtain
an emergency food voucher and refer them to?
A- congregate meal site
B- Social services agency
C- WIC
D- EFNEP - CORRECT ANSWER✅✅D
A food is bacteria-safe if it is:
a. neutral and moist
b. neutral and dry
c. acidic and dry
d. acidic and moist - CORRECT ANSWER✅✅C- Acidic and Dry
A guest complained about vomiting and diarrhea a few hours after eating raw oysters.
Which pathogen probably caused illness? - CORRECT ANSWER✅✅Norovirus- found
in ready to eat food or shellfish
A home-delivered meals program for the elderly chooses a Nonselective menu primarily
to:
a. control food volume
b. encourage client participation
c. minimize food drop-off time
d. minimize labor costs - CORRECT ANSWER✅✅D- Minimize labor costs
A homeless patient who is deficient in all nutrients is to be D/C. What organization may
help.
A- WIC
B- EFNEP
C- The social workers group
D- The shelter - CORRECT ANSWER✅✅C
A male pt has HTN, HLD, DM, and is 55# above his DBW. What do you recommend? -
CORRECT ANSWER✅✅Low calories
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 - CORRECT ANSWER✅✅C- Balanced diet he can tolerate
Peptic ulcer- hole in the SI/ stomach/ esophagus
A nephrotic syndrome patient should receive how many grams of protein per Kg?
A- .5-.6
B- .6-.8
C- .8-1.0
D- 1-1.4 - CORRECT ANSWER✅✅C
A nephrotic syndrome patient with edema has a serum albumin level that continues to
fall, recognize that:
A- liver dysfunction is causing decreased alb synthesis
B- Volume overload has diluted the albumin
C- Patient is getting sicker and eating less
D- Protein is being lost in urine - CORRECT ANSWER✅✅D- Nephrotic syndrome is a
kidney disorder that causes your body to pass too much protein in your urine
A nutrition surveillance program is designed primarily to:
- Verify data from other surveys
- Identify nutrition needs in population
- Indicate # of people with increased risk for medical conditions
- Indicate the causes underlying the nutrition programs identified - CORRECT
ANSWER✅✅B- Identify nutrition needs of population
A patient complains of abdominal distention, mouth lesions, and 10% wt loss over the
past 6 months, the Nutriiton dx would be
A- impaired nutrient utilization
B- Inadequate vitamin intake
C- Involuntary wt loss
D- Altered GI function - CORRECT ANSWER✅✅A- impaired nutrient utilization
A patient is diagnosed with iatrogenic malnutrition. Nutritional therapy should be:
- high calorie
- high protein
- high calorie, high protein
- low calorie high protein - CORRECT ANSWER✅✅C
A patient is unable to synthesize urea. What may be the result?
A- Elevated Ammonia Levels
B- Elevated BUN
C- Elevated Glucagon
D- Compromised Visceral Protein Levels - CORRECT ANSWER✅✅A- Elevated
Ammonia
Ammonia is excreted from the body as urea
