CERTIFIED NUTRITION SPECIALIST II PRACTICE
SOLUTION 2026 TESTED QUESTIONS AND
EXPERT VERIFIED ANSWERS GUARANTEED TO
PASS
◉ What do white specs in the nails indicate a deficiency in.
Answer: zinc
◉ Q - Which of the following is a common side effect of
immunosuppressive drug therapy used in organ transplantation?
A. Sodium and fluid diuresis
B. Hyperphosphatemia
C. Hyperkalemia
D. Decreased vitamin C requirements.
Answer: Answer: C - Hyperkalemia (elevated potassium levels) is a
common side effect of immunosuppressive drug therapy used in
organ transplantation, as a result of disturbances in renal hormone
activity. Sodium and fluid retention and hypophosphatemia
(electrolyte disturbance with abnormally low level of phosphate in
the blood) are also side effects of immunosuppressive drugs.
◉ Q - Which of the following is true for reactive hypoglycemia?
,A. It is defined as a plasma glucose level less than 70 mg/dl.
B. It is treated with a diet high in complex carbohydrates.
C. It is diagnosed by measuring blood glucose levels one hour after
eating.
D. Peak insulin activity occurs 90-180 minutes after food is eaten..
Answer: Answer: D - Initially after eating, blood glucose levels
become dangerously low following a meal. In reactive hypoglycemia
peak insulin activity occurs 90-180 minutes after food is eaten, vs.
the normal insulin response which occurs 30-60 minutes after
eating. Reactive hypoglycemia is defined as a plasma glucose level
LESS than 50 mg/dl, is treated with a moderate carbohydrate (40 to
55%) diet, and is diagnosed by measuring blood glucose levels
immediately after eating. Some critical illnesses can cause it--liver
and kidney disorders.
◉ Q - Nutrient needs of infants diagnosed with bronchopulmonary
dysplasia:
A. Are linked with linear growth
B. May include a resting energy expenditure 50% higher than that of
normal infants
C. May include use of diuretics to regulate water balance
D. All of the above.
,Answer: Answer: D - Nutrient needs of infants diagnosed with
bronchopulmonary disease are linked with linear growth (a
measure of lung development), may include a resting energy
expenditure that is 50% higher than that of normal infants, and may
include the use of diuretics to regulate water balance.
Bronchopulmonary disease is a common lung disorder in premature
infants which increases energy needs. Diuretics are often needed to
regulate water balance as a result of respiratory compromise.
◉ Q - A food frequency questionnaire differs from a 24-hour recall in
what way:
A. A food frequency questionnaire does not inquire about portion
sizes.
B. The 24-hour recall asks about typical meal patterns.
C. A food frequency questionnaire allows open-ended responses.
D. A food frequency questionnaire always asks about the same types
of foods..
Answer: Answer: B - A food frequency questionnaire differs from a
24-hour recall because it does not ask about typical meal patterns. A
food frequency questionnaire asks about intakes of different types of
foods and usual portion sizes over time, and does not allow open-
ended responses. The types of foods asked about on a food
frequency questionnaire may be changed to reflect the population of
interest.
, ◉ Q - Examples of foods avoided on a low-purine diet are:
A. Eggs, cheese, peanut butter
B. Sardines, broth, organ meats
C. Carrots, tomatoes, corn
D. Bread, crackers, cold cereal.
Answer: Answer: B - Examples of foods avoided on a low-purine diet
are sardines, broth, and organ meats. These foods are high in purine
and are eliminated in the treatment of gout, caused by high levels of
uric acid in the blood. Purines (chemical compound found in some
foods) are broken down into uric acid.
◉ Q - A 25-year old female patient recovering from surgery to
correct an intestinal obstruction needs complete bowel rest which
necessitates the use of Total Parenteral Nutrition (TPN). The patient
was 10 pounds underweight prior to surgery and is occasionally
febrile. Which of the following formulations would be most
appropriate for this patient?
A. 30 kcals, 1 g protein, 30 ml fluid per kg/body weight;100 mg
vitamin C, 5 mg zinc per day
B. 45 kcals, 2 g protein, 35 ml fluid per kg/body weight; 200 mg
vitamin C, 6 mg zinc per day
C. 60 kcals, 3 g protein, 40 ml fluid per kg/body weight; 500 mg
vitamin C, 10 mg zinc per day
SOLUTION 2026 TESTED QUESTIONS AND
EXPERT VERIFIED ANSWERS GUARANTEED TO
PASS
◉ What do white specs in the nails indicate a deficiency in.
Answer: zinc
◉ Q - Which of the following is a common side effect of
immunosuppressive drug therapy used in organ transplantation?
A. Sodium and fluid diuresis
B. Hyperphosphatemia
C. Hyperkalemia
D. Decreased vitamin C requirements.
Answer: Answer: C - Hyperkalemia (elevated potassium levels) is a
common side effect of immunosuppressive drug therapy used in
organ transplantation, as a result of disturbances in renal hormone
activity. Sodium and fluid retention and hypophosphatemia
(electrolyte disturbance with abnormally low level of phosphate in
the blood) are also side effects of immunosuppressive drugs.
◉ Q - Which of the following is true for reactive hypoglycemia?
,A. It is defined as a plasma glucose level less than 70 mg/dl.
B. It is treated with a diet high in complex carbohydrates.
C. It is diagnosed by measuring blood glucose levels one hour after
eating.
D. Peak insulin activity occurs 90-180 minutes after food is eaten..
Answer: Answer: D - Initially after eating, blood glucose levels
become dangerously low following a meal. In reactive hypoglycemia
peak insulin activity occurs 90-180 minutes after food is eaten, vs.
the normal insulin response which occurs 30-60 minutes after
eating. Reactive hypoglycemia is defined as a plasma glucose level
LESS than 50 mg/dl, is treated with a moderate carbohydrate (40 to
55%) diet, and is diagnosed by measuring blood glucose levels
immediately after eating. Some critical illnesses can cause it--liver
and kidney disorders.
◉ Q - Nutrient needs of infants diagnosed with bronchopulmonary
dysplasia:
A. Are linked with linear growth
B. May include a resting energy expenditure 50% higher than that of
normal infants
C. May include use of diuretics to regulate water balance
D. All of the above.
,Answer: Answer: D - Nutrient needs of infants diagnosed with
bronchopulmonary disease are linked with linear growth (a
measure of lung development), may include a resting energy
expenditure that is 50% higher than that of normal infants, and may
include the use of diuretics to regulate water balance.
Bronchopulmonary disease is a common lung disorder in premature
infants which increases energy needs. Diuretics are often needed to
regulate water balance as a result of respiratory compromise.
◉ Q - A food frequency questionnaire differs from a 24-hour recall in
what way:
A. A food frequency questionnaire does not inquire about portion
sizes.
B. The 24-hour recall asks about typical meal patterns.
C. A food frequency questionnaire allows open-ended responses.
D. A food frequency questionnaire always asks about the same types
of foods..
Answer: Answer: B - A food frequency questionnaire differs from a
24-hour recall because it does not ask about typical meal patterns. A
food frequency questionnaire asks about intakes of different types of
foods and usual portion sizes over time, and does not allow open-
ended responses. The types of foods asked about on a food
frequency questionnaire may be changed to reflect the population of
interest.
, ◉ Q - Examples of foods avoided on a low-purine diet are:
A. Eggs, cheese, peanut butter
B. Sardines, broth, organ meats
C. Carrots, tomatoes, corn
D. Bread, crackers, cold cereal.
Answer: Answer: B - Examples of foods avoided on a low-purine diet
are sardines, broth, and organ meats. These foods are high in purine
and are eliminated in the treatment of gout, caused by high levels of
uric acid in the blood. Purines (chemical compound found in some
foods) are broken down into uric acid.
◉ Q - A 25-year old female patient recovering from surgery to
correct an intestinal obstruction needs complete bowel rest which
necessitates the use of Total Parenteral Nutrition (TPN). The patient
was 10 pounds underweight prior to surgery and is occasionally
febrile. Which of the following formulations would be most
appropriate for this patient?
A. 30 kcals, 1 g protein, 30 ml fluid per kg/body weight;100 mg
vitamin C, 5 mg zinc per day
B. 45 kcals, 2 g protein, 35 ml fluid per kg/body weight; 200 mg
vitamin C, 6 mg zinc per day
C. 60 kcals, 3 g protein, 40 ml fluid per kg/body weight; 500 mg
vitamin C, 10 mg zinc per day