PRACTICE CDR EXAM WITH ACCURATE
SOLUTIONS
A clinic that serves approximately 140 patients per week has a staffing standard of one
dietitian for every 200 patients per month. The number of dietitian full-time equivalents
(FTE) needed for the clinic is: - ANSWER-2.8—140patients/week x 4weeks/month =
560patients/month, 560patients/month / 200patients/RD = 2.8 FTE
A level teaspoon of salt contains about how much sodium? - ANSWER-2000 mg
A patient is prescribed 1000 ml of a 10% dextrose solution. How many calories will he
receive? - ANSWER-340---10gdex / 100ml = 0.1, 0.1 x 1000ml = 100, 100 x 3.4 =
340kcalsDex
A patient who is receiving thiazide diuretics may benefit from increased consumption of
- ANSWER-Potatoes and Cantaloupe—The use of thiazide diuretics cause a decrease
in serum potassium. Potatoes and cantaloupe are examples of foods high in potassium.
A person who has atrophic gastritis might be at risk for what nutrient? - ANSWER-
cobalamin(any cobalt-containing substance incl. vit. B-12)---Autoimmune chronic
atrophic gastritis is a rare etiology of vitamin B12 deficiency, which results in a
destruction of the parietal cells, leading to a reduction in intrinsic factor, which is
essential to the absorption of vitamin B12.
A reason for iron deficiency anemia in children would be - ANSWER-excess milk
consumption---cow's milk makes it harder to absorb iron
A study showed that 60 out of 2200 children were hungry in a rural community. This is: -
ANSWER-2727/100,000—60 is 2.727% of 2200. This is the same as 2727/100,000
because 2727 is 2.727% of 100,000.
A study which provides ongoing information about nutrition status is called a -
ANSWER-surveillance project
A system which minimizes inventory on hand is known as -
ANSWER-Minimum/maximum- "A system to control supplies so that quantities in stock
generally fall within an established range"
A young boy is brought into the ER at supper time with breathing, swallowing, and
speaking difficulties. His mother mentions that he ate some home-canned vegetables at
,lunch. Food contamination is suspected with the most likely toxin being - ANSWER-
botulinum
An appropriate meal for a patient with chronic celiac sprue is - ANSWER-hamburger
steak, rice, and green beans
An elderly woman has rheumatoid arthritis. Lab values show normocytic anemia. This is
probably due to: - ANSWER-anemia secondary to chronic disease
Antioxidant substances that are believed to help protect against cancer include all of the
following except - ANSWER-molybdenum
Carla is receiving Trophocal ¾ strength at 50 cc q h, which provides 55 g protein/L full
strength and consists of 79% water. The tube feeding was turned off for 4 ½ hours on
Tuesday. How much protein did Carla receive? - ANSWER-you know that it is 50 ml/hr,
but was turned off for 4.5 hours, so it was running for 19.5 hours So 50 ml/hr x 19.5
hours provides = 975 ml per day. So it has 55 gm /liter (1000ml) .975 x 55= 54 gm
protein/day it is at 3/4 strength - no one does this, but take the amount and multiple by
75% 54 gm x .75= 40 gm protein The water does not play into calculating the answer
Carlos has end stage liver disease and is being managed nutritionally. Which of the
following best represents key components of the diet for Carlos (and his health care
team) to monitor? - ANSWER-sodium, protein, and fluid
Characteristics of refeeding syndrome include - ANSWER-hypophosphatemia
Characteristics that are desired in a food product are outlined in the - ANSWER-
specifications
Choose the appropriate formula for a baby with galactosemia: - ANSWER-Casein
hydrolysate, glucose, corn oil—This is because babies with galactosemia cannot
consume lactose or galactose. Although Casein should be avoided, casein hydrolysate
is casein that goes through hydrolysis and is broken down into peptides. When
hydrolysed, the casein is pre-digested and is able to get past the immune system
without causing a reaction.
Decreasing calorie levels by 1100 per day in a weight-stable patient will result in the
loss of how many kg per week? - ANSWER-1.0 kg---1kg=7716kcals, 1lb=3500kcals
Extreme hyperphagia with abnormal, bizarre eating habits is a concern in - ANSWER-
Prader-Willi syndrome---a genetic disorder caused by a loss of function of specific
genes on chromosome 15. In newborns, symptoms include weak muscles, poor
feeding, and slow development. Beginning in childhood, those affected become
constantly hungry, which often leads to obesity and type 2 diabetes.
,Failure to thrive (FTT) in infants is measured by - ANSWER-Weight for length—WHO
growth charts are recommended to assess infants up to 2 years old.
Fluid is typically not restricted in - ANSWER-renal insufficiency---dialysis is usually
suggested after a PT has a GFR of >15, when kidneys cannot filter much, including
fluid.
Fluid needs for parenteral/enteral feedings can be estimated by - ANSWER-1.0ml/kcal
ingested
For a diabetic diet, a croissant containing 17 grams of carbohydrate and 30 grams of fat
should be counted as - ANSWER-1 bread and 6 fats---FOOD EXCHANGE: 5g of Fat=1
fat, 15g CHO=1 Bread
For a vegan, soy milk is best fortified with - ANSWER-vitamin B12, calcium, and vitamin
D---these typically come from animal products
For quality assurance, the RD would consider which of the following regarding food
deliveries received at the loading dock the most important? - ANSWER-appropriate
temperature
Generally, a straight line layout for dishwashing is the most efficient because it is in
accord with the design principle of - ANSWER-Flow—We want the sanitation process to
be as smooth as possible. By using a straight line layout, we can ensure that we can
wash, rinse, and sanitize with ease.
Glucose and amino acids are pumped across membranes during absorption through -
ANSWER-Active Transport—Glucose and amino acids are pumped through the
membrane by membrane proteins using energy.
Good dietary sources of folate include all except - ANSWER-milk
How many hours is equivalent to 1.75 FTE's? - ANSWER-70hours—standard hours per
week / 40 = 1.75FTE=SHPW = 40 x 1.75 = 70SHPW
Identify the false statement about objective testing measurement - ANSWER-A
viscometer can measure the clarity of honey—Objective testing measurement must
result in a numeric or measurable value. The clarity of honey is not something that can
be objectively measured.
In management theory, power accruing to an individual in authority as a result of being
liked or identified with by others is known as what kind of power? - ANSWER-referent
In setting up a new WIC program in a large, rural, and economically depressed county,
what is probably the most crucial aspect to making sure eligible clients use your
program? - ANSWER-Providing adequate transportation to and from the WIC site—
, Because the community is large and rural, there is a good chance that many people
cannot access it if they need it.
Mr. Brown's wife recently died. He is very lonely and has financial problems as well.
Which program is probably the single best one for him to be referred to by the
community nutritionist? - ANSWER-congregate meal program---provides nutritious
meals to people in a group setting. Most congregate meal programs are for people 60
and above. Most programs are free of charge but give people the opportunity to make a
small donation. Most programs ask for a small donation of under $3 per meal. The
typical congregate meal program offers activities during the meal such as games, light
exercise, and informative guest speakers.
Negotiations between representatives of both management and employees regarding
employment and working conditions is called - ANSWER-collective bargaining
Phosphorus in foods is associated with - ANSWER-high protein foods
Potatoes, tomatoes, dried fruits, nuts, and legumes are all rich sources of - ANSWER-
potassium
Sheila is receiving a PN solution containing 1000 cc 8.5% amino acids and 500 cc of
D40W with no lipids. What percent carbohydrate is her solution? - ANSWER-67% —
First, we figure out how many grams of amino acids and grams of dextrose in the
solution. 8.5% amino acids mean that there are 8.5g of amino acids in 100ml of
solution. 8.5gaa / 1000ml = 85gaa. We know that protein provides 4 kcals per gram so...
85gAA x 4kcals/g = 340. For dextrose: 49gdex / 500ml =200. We know that
carbohydrates provide 3.4 kcals per gram so... 200gCHO x 3.4kcals/g = 680. 680 +340
= 1020... Since we want to find what percent CHO is in her solution, we find the percent
of 680 out of 1020 which is 66.67% or 67%.
The ATP III dietary guidelines for the prevention and treatment of coronary heart
disease include - ANSWER-Total fat 25-35% of kcal, saturated fat <7% of kcal, and
cholesterol < 200 mg/day
The dietitian at an outpatient clinic is planning a training program to improve the skills of
clinic aides in weighing and measuring infants and children. An appropriate outcome
objective for the program would be to - ANSWER-provide accurate measures of heights
and weights---established to define in measurable terms what is to be achieved through
the interventions regarding health status of participants; and changes in knowledge,
attitudes, beliefs, behaviors and conditions related to health and nutrition status.
Process objectives - ANSWER-Process objectives describe what will be changed or
implemented to achieve the outcome objectives
A woman has rheumatoid arthritis and normocytic anemia. What is the most likely cause
of the anemia? - ANSWER-Anemia secondary to chronic disease
SOLUTIONS
A clinic that serves approximately 140 patients per week has a staffing standard of one
dietitian for every 200 patients per month. The number of dietitian full-time equivalents
(FTE) needed for the clinic is: - ANSWER-2.8—140patients/week x 4weeks/month =
560patients/month, 560patients/month / 200patients/RD = 2.8 FTE
A level teaspoon of salt contains about how much sodium? - ANSWER-2000 mg
A patient is prescribed 1000 ml of a 10% dextrose solution. How many calories will he
receive? - ANSWER-340---10gdex / 100ml = 0.1, 0.1 x 1000ml = 100, 100 x 3.4 =
340kcalsDex
A patient who is receiving thiazide diuretics may benefit from increased consumption of
- ANSWER-Potatoes and Cantaloupe—The use of thiazide diuretics cause a decrease
in serum potassium. Potatoes and cantaloupe are examples of foods high in potassium.
A person who has atrophic gastritis might be at risk for what nutrient? - ANSWER-
cobalamin(any cobalt-containing substance incl. vit. B-12)---Autoimmune chronic
atrophic gastritis is a rare etiology of vitamin B12 deficiency, which results in a
destruction of the parietal cells, leading to a reduction in intrinsic factor, which is
essential to the absorption of vitamin B12.
A reason for iron deficiency anemia in children would be - ANSWER-excess milk
consumption---cow's milk makes it harder to absorb iron
A study showed that 60 out of 2200 children were hungry in a rural community. This is: -
ANSWER-2727/100,000—60 is 2.727% of 2200. This is the same as 2727/100,000
because 2727 is 2.727% of 100,000.
A study which provides ongoing information about nutrition status is called a -
ANSWER-surveillance project
A system which minimizes inventory on hand is known as -
ANSWER-Minimum/maximum- "A system to control supplies so that quantities in stock
generally fall within an established range"
A young boy is brought into the ER at supper time with breathing, swallowing, and
speaking difficulties. His mother mentions that he ate some home-canned vegetables at
,lunch. Food contamination is suspected with the most likely toxin being - ANSWER-
botulinum
An appropriate meal for a patient with chronic celiac sprue is - ANSWER-hamburger
steak, rice, and green beans
An elderly woman has rheumatoid arthritis. Lab values show normocytic anemia. This is
probably due to: - ANSWER-anemia secondary to chronic disease
Antioxidant substances that are believed to help protect against cancer include all of the
following except - ANSWER-molybdenum
Carla is receiving Trophocal ¾ strength at 50 cc q h, which provides 55 g protein/L full
strength and consists of 79% water. The tube feeding was turned off for 4 ½ hours on
Tuesday. How much protein did Carla receive? - ANSWER-you know that it is 50 ml/hr,
but was turned off for 4.5 hours, so it was running for 19.5 hours So 50 ml/hr x 19.5
hours provides = 975 ml per day. So it has 55 gm /liter (1000ml) .975 x 55= 54 gm
protein/day it is at 3/4 strength - no one does this, but take the amount and multiple by
75% 54 gm x .75= 40 gm protein The water does not play into calculating the answer
Carlos has end stage liver disease and is being managed nutritionally. Which of the
following best represents key components of the diet for Carlos (and his health care
team) to monitor? - ANSWER-sodium, protein, and fluid
Characteristics of refeeding syndrome include - ANSWER-hypophosphatemia
Characteristics that are desired in a food product are outlined in the - ANSWER-
specifications
Choose the appropriate formula for a baby with galactosemia: - ANSWER-Casein
hydrolysate, glucose, corn oil—This is because babies with galactosemia cannot
consume lactose or galactose. Although Casein should be avoided, casein hydrolysate
is casein that goes through hydrolysis and is broken down into peptides. When
hydrolysed, the casein is pre-digested and is able to get past the immune system
without causing a reaction.
Decreasing calorie levels by 1100 per day in a weight-stable patient will result in the
loss of how many kg per week? - ANSWER-1.0 kg---1kg=7716kcals, 1lb=3500kcals
Extreme hyperphagia with abnormal, bizarre eating habits is a concern in - ANSWER-
Prader-Willi syndrome---a genetic disorder caused by a loss of function of specific
genes on chromosome 15. In newborns, symptoms include weak muscles, poor
feeding, and slow development. Beginning in childhood, those affected become
constantly hungry, which often leads to obesity and type 2 diabetes.
,Failure to thrive (FTT) in infants is measured by - ANSWER-Weight for length—WHO
growth charts are recommended to assess infants up to 2 years old.
Fluid is typically not restricted in - ANSWER-renal insufficiency---dialysis is usually
suggested after a PT has a GFR of >15, when kidneys cannot filter much, including
fluid.
Fluid needs for parenteral/enteral feedings can be estimated by - ANSWER-1.0ml/kcal
ingested
For a diabetic diet, a croissant containing 17 grams of carbohydrate and 30 grams of fat
should be counted as - ANSWER-1 bread and 6 fats---FOOD EXCHANGE: 5g of Fat=1
fat, 15g CHO=1 Bread
For a vegan, soy milk is best fortified with - ANSWER-vitamin B12, calcium, and vitamin
D---these typically come from animal products
For quality assurance, the RD would consider which of the following regarding food
deliveries received at the loading dock the most important? - ANSWER-appropriate
temperature
Generally, a straight line layout for dishwashing is the most efficient because it is in
accord with the design principle of - ANSWER-Flow—We want the sanitation process to
be as smooth as possible. By using a straight line layout, we can ensure that we can
wash, rinse, and sanitize with ease.
Glucose and amino acids are pumped across membranes during absorption through -
ANSWER-Active Transport—Glucose and amino acids are pumped through the
membrane by membrane proteins using energy.
Good dietary sources of folate include all except - ANSWER-milk
How many hours is equivalent to 1.75 FTE's? - ANSWER-70hours—standard hours per
week / 40 = 1.75FTE=SHPW = 40 x 1.75 = 70SHPW
Identify the false statement about objective testing measurement - ANSWER-A
viscometer can measure the clarity of honey—Objective testing measurement must
result in a numeric or measurable value. The clarity of honey is not something that can
be objectively measured.
In management theory, power accruing to an individual in authority as a result of being
liked or identified with by others is known as what kind of power? - ANSWER-referent
In setting up a new WIC program in a large, rural, and economically depressed county,
what is probably the most crucial aspect to making sure eligible clients use your
program? - ANSWER-Providing adequate transportation to and from the WIC site—
, Because the community is large and rural, there is a good chance that many people
cannot access it if they need it.
Mr. Brown's wife recently died. He is very lonely and has financial problems as well.
Which program is probably the single best one for him to be referred to by the
community nutritionist? - ANSWER-congregate meal program---provides nutritious
meals to people in a group setting. Most congregate meal programs are for people 60
and above. Most programs are free of charge but give people the opportunity to make a
small donation. Most programs ask for a small donation of under $3 per meal. The
typical congregate meal program offers activities during the meal such as games, light
exercise, and informative guest speakers.
Negotiations between representatives of both management and employees regarding
employment and working conditions is called - ANSWER-collective bargaining
Phosphorus in foods is associated with - ANSWER-high protein foods
Potatoes, tomatoes, dried fruits, nuts, and legumes are all rich sources of - ANSWER-
potassium
Sheila is receiving a PN solution containing 1000 cc 8.5% amino acids and 500 cc of
D40W with no lipids. What percent carbohydrate is her solution? - ANSWER-67% —
First, we figure out how many grams of amino acids and grams of dextrose in the
solution. 8.5% amino acids mean that there are 8.5g of amino acids in 100ml of
solution. 8.5gaa / 1000ml = 85gaa. We know that protein provides 4 kcals per gram so...
85gAA x 4kcals/g = 340. For dextrose: 49gdex / 500ml =200. We know that
carbohydrates provide 3.4 kcals per gram so... 200gCHO x 3.4kcals/g = 680. 680 +340
= 1020... Since we want to find what percent CHO is in her solution, we find the percent
of 680 out of 1020 which is 66.67% or 67%.
The ATP III dietary guidelines for the prevention and treatment of coronary heart
disease include - ANSWER-Total fat 25-35% of kcal, saturated fat <7% of kcal, and
cholesterol < 200 mg/day
The dietitian at an outpatient clinic is planning a training program to improve the skills of
clinic aides in weighing and measuring infants and children. An appropriate outcome
objective for the program would be to - ANSWER-provide accurate measures of heights
and weights---established to define in measurable terms what is to be achieved through
the interventions regarding health status of participants; and changes in knowledge,
attitudes, beliefs, behaviors and conditions related to health and nutrition status.
Process objectives - ANSWER-Process objectives describe what will be changed or
implemented to achieve the outcome objectives
A woman has rheumatoid arthritis and normocytic anemia. What is the most likely cause
of the anemia? - ANSWER-Anemia secondary to chronic disease
