Summary CDR RD Exam Questions & Answers Complete: updated 2023.

CDR RD Exam Questions & Answers Complete: updated 2023. A 42 year old woman who is 5'10" needs how many grams of protein per day? A. 60 B. 70 C. 75 D. 80 A 49-year-old overweight woman smokes one PPD of cigarettes, has a BP level of 140/85 mmHG and a medical hx of hypertension and hyperlipidemia. What is the best nutrition intervention for this client? A. complex CHO, low sat fat B. complex CHO, high protein C. simple CHO, high protein D. simple CHO, low sat fat A 70 YO woman who is ambulatory and has low income is referred to a dietitian. When discussing her 24-hour dietary recall, the woman states she does not like to eat by herself. The most appropriate referral would be to which of the following programs? A. EFNEP (Expanded Food and Nutrition Education Program) B. CACFP (Child and Adult Care Food Program) C. Home-Delivered Meals Program D. ENP (Elderly Nutrition Program) A 72 YO patient who experienced a cerebrovascular accident demonstrated normal lab values when an enteral feeding was initiated 5 days ago. Current lab values are: Serum sodium: 146 mEq/L Serum potassium: 3.9 mEq/L Serum creatinine: 1.2 mg/dl Serum glucose: 132 mg/dl BUN: 43 mg/dl The appropriate intervention should be: A. reduce carb intake B. decrease sodium intake C. reduce protein intake D. increase fluid intake A 75 year old man is to undergo a partial colectomy for treatment of adenocarcinoma of the colon. He is 167.6 cm tall, and he has weighed 65 kg for several years. His diet consists primarily of convenience foods. Nutritional assessment reveals a serum albumin level of 3.5 mg/dl and a total lymphocyte count of 2,000/mm3. The most likely assessment of the nutritional status of this patient is: A. Kwashiorkor, mild risk B. Marasmus, moderate risk C. Marasmus-Kwashiorkor mix, mild risk D. Adequate nutritional status, increased risk A background check reveals that an employee failed to disclose an arrest from 5 years ago for domestic violence on the employment application. The employee explains that the charges were dropped, so it was not necessary to provide the information. The foodservice manager wants to terminate the employee. The nutrition director should: A. Terminate the employee for dishonesty and fraud B. Make a decision in consultation with HR C. Convince the food service manager to retain the employee D. Discuss the circumstances of the arrest with the employee A client is 5'5" and weighs 189#. What is the client's BMI? A. 14 B. 32 C. 44 D. 52 A client says to a dietitian, "I realize I am overweight, but this is not the time for me to change my diet." The RD should respond by asking: A. "How will your life improve as you make these changes?" B. "What do you know about the relationship between weight and stress?" C. "What are the advantages and disadvantages of focusing on change now?" D. "What obstacles are you facing that are keeping you from reaching your goals?" A client who has a seizure disorder take phenytoin, gingko biloba, St. John's wort, saw palmetto, and glucosamine daily. The RD should counsel the client to stop taking the: A. St. John's Wort B. gingko biloba C. saw palmetto D. glucosamine A client's laboratory tests indicate a GFR of 14 mL/min/1.73^2, BUN level of 70 mg/dl, serum potassium 5.9 mEq/L, serum phosphorus 9.6 mg/dl. These values are associated with which of the following conditions? A. Nephrolithiasis B. Nephrotic Syndrome C. End-stage renal disease D. Stage 1 CKD A clinical manager has created a marketing strategy for a new pediatric weight-loss program to be competitively prices and held at a local school. Another factor required for a successful marketing mix is: A. a logo and brand B. expert guest speakers C. Advertising to parents D. additional convenient meeting locations Why: Advertising is a form of promotion and in order to get kids involved in the program they need the parents consent. A community dietitian wants to investigate how many residents in each of two counties has a myocardial infarction (MI) and determine which county has the highest incidence of MI. Which of the following studies would be best? A. cohort study B. correlational study C. case-control study D. cross-sectional study A cook who was injured in a motor vehicle accident is still not able to perform a majority of the job duties after a period of recuperation. To comply with the Americans with Disabilities Act, the manager should: A. hire another employee to assist the cook B. transfer the employee to another department C. create a new position that the employee can perform D. obtain written recommendations from the employee's physician A customer who has eaten lunch in the cafeteria informs the dietitian that she became ill 1 hour after eating a chicken sandwich. Which of the following responses should be first? A. Accept responsibility and offer a coupon for a complimentary meal B. Report the complaint immediately to the risk-management department C. Ask where the person ate the night before and deny any responsibility D. Listen carefully, take the complaint seriously, and conduct an investigation. A dietitian can best evaluate a client's knowledge and ability to apply dietary modifications by asking the client to: A. Name five foods that must be avoided B. Explain what is known about the new diet C. Select an appropriate dinner meal from a menu D. List everything on the diet that he or she had to eat or drink in a day They have knowledge of the diet and are able to APPLY the knowledge to select the appropriate dinner meal. A dietitian conducting a nutrition analysis of a recipe that uses 10lb of 80/20 raw ground beef can best ensure analysis accuracy by: A. using data for the "pre-portioned" cooked ground beef B. using data for the "edible portion" weight of raw ground beef C. using data for the "edible portion" weight of cooked ground beef D. using data for the "as purchased" raw ground beef, multiplied by 80% A dietitian in a small rural community is conducting research to explore barriers to healthy eating. The dietitian will use a focus group. An advantage of using this methodology instead of others for this study is that focus groups: A. are most cost effective B. require statistical analysis C. yield limited contextual data D. involve more interaction with information A dietitian is asked to prepare a breakfast promotion for a school nutrition program. What is the most important information the dietitian needs before beginning the campaign? A. Students' attitudes about eating breakfast B. The nutritional content of a typical American breakfast C. the cost of hot cereal versus cold cereal on the menu D. how the school administrator feels about increasing the number of cafeteria employees A dietitian is counseling parents of a child with attention-deficit / hyperactivity disorder and who is being treated with methylphenidate (Ritalin). The dietitian's intervention for this child should be based on the understanding that: A. Type 2 diabetes can be a likely adverse side effect B. Involuntary weight gain can be a likely adverse side effect C. Anorexia can be an adverse side effect that may affect growth D. Folate supplements may be required due to urinary excretion A dietitian is developing a pamphlet about breastfeeding for distribution by public health nurses. The first step is to: A. Identify nutrition standards B. Establish pamphlet content C. Determine the needs of the target population D. Evaluate the reading level of the target population A dietitian performs and repeats bioelectrical impedance tests on 200 people over a 6-month period of time. Consistent results are obtained, demonstrating that they are: A. valid B. reliable C. precise D. statistically significant A dietitian planning a health promotion program for state employee collaborates with other health professionals to assess employee needs. The best way to gain health information from the employees is: A. Nutrition assessment B. Health-risk appraisal C. Medical record D. Food frequency A dietitian should consider a client's absorption of which of the following nutrients during peritoneal dialysis before modifying his or her diet? A. Protein B. Carbohydrate C. Fat-soluble vitamins D. Water-soluble vitamins A dietitian suspects that a partially breastfed 1-month-old infant has a cow's milk allergy. The dietitian should recommend: A. Exclusive feeding with a soy-based formula B. Breastfeeding supplemented with a soy-based formula C. Exclusive feeding with an extensively hydrolyzed casein-based formula D. Breastfeeding supplemented with an extensively hydrolyzed casein-based formula (Correct Ans): D. Breastfeeding supplemented with an extensively hydrolyzed casein-based formula 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 Why: This is the best answer because the dietitian has already evaluated needs and decided on the best alternatives. A dietitian who wished to delegate work to a subordinate should first: A. evaluate employee skills and task difficulty B. give the employee authority to make decisions C. give the employee the info needed to complete the task D. ensure that the employee has the necessary materials and funds A dining facility uses loss-leader pricing to increase sales. Therefore, the manager will: A. round prices to $0.05 B. Set an end price of $0.99 C. Provide a free soda with purchase D. Lower the price below the purchase price A loss leader pricing is selling a product below markets costs. A dining hall manager at a university hires a new cook in anticipation of an increase in volume due to the opening of a new residence hall. This additional labor cost is best described as which of the following types of costs? A. Fixed B. Direct C. Variable D. Semi-Variable What is the RDs most appropriate first intervention? A. Counsel the client on the DASH diet B. Advise the client to reduce kcal intake C. Educate the client on carbohydrate counting D. Calculate a meal plan with very low CHO With diabetes the first thing is to control CHO. Even if she reduced her kilocalories her BG could still be out of control due to high CHO intake. Sodium restriction can wait and meal plan won't work if she doesn't know how to count carbs. A food service operation has 18 FTEs that produce 7,000 meals in a 40-hour work week. How many meals per labor hour are being produced? A. 22.2 B. 19.4 C. 10.3 D. 9.7 A gastrojejunostomy is most likely to affect a patient's absorption of: A. calcium and iron B. vitamins A and D C. potassium and sodium D. folic acid and B12 A group of individuals in a weight loss class appear to have a good understanding of what they need to do to lose weight. However, they have difficulty taking the necessary steps. The RD's first step should be to: A. review fast food nutrient information with the participants B. teach the participants about the exchange system C. encourage the participants to share recipes D. help the participants set realistic goals A healthcare foodservice department has developed several high-quality, sugar-free desserts that are identified as unique to the department. This product represents what type of branding? A. Manufacturer B. Restaurant C. Retail item D. Signature A morbidly obese, ventilator-dependent ICU patient has ESRD, DM, and sacral decubiti. The primary concern for recommending tube feedings should be: A. increased protein B. adequate calories C. increased electrolytes D. decreased CHO A nurse reports that a tube feeding is causing a patient to have diarrhea. The first step the dietitian should take is to: A. initiate parenteral nutrition B. change the tube feeding formula C. evaluate the client's medications D. check for bacterial contamination A nutritional assessment of a man with HIV reveals the lab results shown below: Height: 5'10" Weight: 115# Hematocrit: 35% MCV: 102 BUN: 11 mg/dl Serum albumin: 2.8 g/dl CD4: 280 Total lymphocytes: 1200/mm3 The primary concern of the dietitian should be: A. weight B. anemia C. renal failure D. protein deficiency 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 A patient needs a diet for dysphagia. Which of the following foods must be avoided to meet the nectar consistency requirement? A. pudding B. plain yogurt C. flavored gelatin D. strained cream soup A patient receiving hospice care eats poorly. The patient's spouse is upset by this and attends all meals to encourage the patient. The dietitian's best intervention is to ask the spouse to: A. visit less during meal times B. bring nutrition supplements C. bring the patient's favorite foods D. reminisce with the patient at meals A patient reports decreased oral intake, persistent nausea and vomiting, and decreased functional capacity. To complete a subjective global assessment, the dietitian needs to evaluate: A. current body weight to ideal body weight B. the presence of edema and wasting or dehydration C. serial laboratory parameters over the last 6 months D. usual dietary intake using a food frequency questionnaire A patient who receives bolus tube feedings experiences abdominal distention shortly after feeding, most likely related to the: A. feeding volume B. formula osmolarity C. formula osmolality D. fat content of the product A patient who recently experienced a cerebrovascular accident has dysphagia. The first recommendation the dietitian should make is to: A. initiate a tube feeding B. initiate small, frequent feedings C. recommend a swallow evaluation D. provide liquids with a nectar consistency 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 Why: Albumin is a good indicator of long term protein stores in non acute situations. A patient with diabetic gastroparesis should avoid foods that are: A. high in simple sugars B. low in protein C. low in fiber D. high in fat A patient with dry, scaly skin and Bitot's spots has the classical signs of a deficiency in: A. vitamin A B. vitamin E C. thiamin D. niacin A primary benefit to using physical inventory versus perpetual inventory is: A. less time and supervision needed B. Increased speed and efficiency of process C. Having a continual inventory of foods purchased D. real-time feedback on item demand or unpopularity A primary use of Dietary Reference Intakes is to: A. assess nutrient intakes of at-risk populations B. calculate nutrition requirements C. use for nutrition education D. plan menus for health people A resident in an extended-care facility is experiencing elevated levels of BUN and serum sodium, poor skin turgor, and decreased urinary output. The most likely cause is: A. renal failure B. the fluid-restricted diet order C. voluntary restriction of fluid intake D. poor compliance with the sodium-restricted diet A simple, targeted health-promotion message might ask consumer to eat: A. more than six complex carbohydrates a day B. five servings of fruits and vegetables a day C. less than 30% of daily calories as fat D. foods that are low in salt A study finds that people who drink at least two cups of green tea per day have a relative risk of 0.85 of developing heart disease compared to those who do not drink green tea. This finding indicates that, compared to people who do not drink green tea, the people in the study who drink two cups of green tea daily are: A. 85% less likely to develop heart disease B. 85% more likely to develop heart disease C. 15% less likely to develop heart disease D. 15% more likely to develop heart disease A study is being conducted to evaluate and compare the effectiveness of two different interventions for reducing serum cholesterol levels. Changes in serum cholesterol levels, nutrition knowledge, and attitudes and behaviors regarding the two interventions will be assessed at the beginning and at the end of the study. What is the independent variable in this study? A. serum cholesterol B. Nutrition knowledge C. type of intervention D. nutrition attitudes and behaviors According to the Exchange Lists for Meal Planning, the menu below includes how many carbohydrate servings? 3 oz baked chicken 1 cup cooked noodles 1/2 cup carrots lettuce wedge 1 tbsp of low-calorie dressing 1/2 cup of sugar-free gelatin 1 cup of black coffee A. 1.5 B. 2 C. 2.5 D. 3 After iron-fortified rice cereal, which of the following foods would be best to introduce to an infant next? A. Yogurt B. Farina C. Pureed beef D. Pureed carrots After participating in a program to increase intake of low fat milk, study results showed participants were more likely to choose milk than soda. This is an example of which type of evaluation? A. structure B. efficiency C. formative D. summative An adolescent diagnosed with anorexia nervosa, who is exhibiting growth retardation and skin lesions may also have a deficiency in: A. manganese B. selenium C. cobalt D. zinc 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 An athlete has recently changed his diet to include large amounts of protein in order to increase muscle mass. Since the change, he reports decreased energy during the day and poor performance at practice. What is the most likely cause of these symptoms? A. inadequate energy intake B. excessive protein intake C. excessive fat intake D. inadequate carbohydrate intake An employee becomes loud and disruptive and refuses to comply with the dietitian;s request concerning a tray with errors. What should the RD do? A. Attempt to calm the employee while meeting tray-line deadlines B. Stop the line, take the employee aside, and determine whether insubordination can be established C. Ignore the employee's behavior and concentrate on completing the tray-line D. Designate a replacement and remove the employee from the line for further discussion An important element of a food specification for purchasing fruits and vegetables is the: A. edible portion yield B. delivery schedule C. market form D. invoice term An individual status post Roux-en-Y surgery for weight loss is craving ice and reports chewing large quantities daily. What condition is likely responsible for this behavior? A. Malnutrition B. Dehydration C. Oral fixation D. Iron deficiency An infant with phenylketonuria requires which of the following dietary alterations? A. Low isoleucine, high valine B. High isoleucine, low valine C. Low phenylalanine, high tyrosine D. High phenylalanine, low tyrosine An interdisciplinary healthcare team has been formed to improve care for inpatients with diabetes. An appropriate outcome indicator would be: A. documentation of blood glucose monitoring B. readmission rates for patients with DM C. the number of admissions of patients with DM D. initiation of patient education within the first 48 hours of admission An overweight adult client who has type 2 DM and hypercholesterolemia will most likely comply with dietary counseling if instructions are: A. detailed to avoid confusion B. provided to the spouse C. photocopied and sent to the physician D. presented as simple and clear as possible At birth, an infant was at the 75th percentile for weight-for-age. At 6 months, the baby is at the 60th percentile for weight-for-age. The growth chart data most likely indicates: A. insufficient calorie intake B. inaccurate birth data C. normal growth rate D. failure to thrive Bacillus cereus intoxication is most likely to occur following the consumption of: A. mac and cheese B. baked beans C. corn pudding D. fried rice Based on the data below, what is the popularity index for chile rellenos? Chicken Fajitas : 30 servings : $1.25 / serving Chicken Rellenos : 65 servings : $0.75 / serving Spanish Rice : 25 servings : $0.65 / serving A. 11% B. 38% C. 49% D. 54% Carrots rank in the middle of the glycemic index scale, but the glycemic load of carrots is low. Which of the following explanations for this fact is best? A. Heating carrots lowers the glycemic load B. The fiber in carrots negatively affects the glycemic load C. There is a small amount of absorbable carbohydrates present in carrots D. The carbohydrate in carrots are cleared from tissues at a slow rate During a nutrition assessment before elective surgery, a client reports regularly taking a multivitamin, a mineral supplement, and several natural herbal supplements. The RD should: A. validate the client's interest in holistic health B. advise the client to talk with the physician about the supplements C. ask the client to discontinue use of all supplements until after the surgery D. investigate the supplements and discuss supplement use with a physician 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 Given the following financial expenses, what would be the direct cost? Cost of goods sold: $6,000 Salary: $5,200 Employee benefits: $1,300 Direct operating: $3,250 Administrative: $500 Depreciation: $565 A. $6000 B. $11,200 C. $14,450 D. $15,750 High doses of which supplement is contraindicated for a client who takes warfarin? A. Kava kava B. Echinacea C. Black cohosh D. Gingko Biloba How many FTE employees would be required to staff ten 8-hour positions that require coverage 7 days a week? A. 10 B. 14 C. 14.4 D. 15.5 In an organization of 4000 employees, a food service department has 90 positions and 23 employees have been terminated and replaced in the last 12 months. What is the turnover rate? A. 5% B. 13% C. 26% D. 52% Individual training of a new employee is sometimes delegated to a more experienced employee. The primary disadvantage of this one-to-one teaching method is that it: A. causes dissension among other employees B. is costly and time consuming for the employer C. is difficult to evaluate the effectiveness of the training D. results in inconsistent training and may perpetuate poor work habits One month ago, patient began receiving parenteral nutrition that delivers 2,300 kcal/day. Since then, the patient has experienced undesirable weight gain. Which of the following formulations would be appropriate? A. 1800 ml of 25% dextrose and 5% amino acids plus 250 ml of 20% lipid emulsion B. 1800 ml of 20% dextrose and 5% amino acids plus 250 ml of 20% lipid emulsion C. 1680 ml of 25% dextrose and 5% amino acids plus 500 ml of 20% lipid emulsion D. 1560 ml of 20% dextrose and 5% amino acids plus 500 ml of 20% lipid emulsion Patients who have COPD may better tolerate diets in which fat, rather than carbohydrate, is the primary source of energy, because oxidation of fat: A. raises the respiratory quotient B. Increases the respiratory rate C. consumes less oxygen D. spares protein Senior management has determined a reduction of FTEs. As a manager, what would be the next step in reducing staff? A. Revise a master employee schedule B. Review production needs C. Cross-train employees D. Determine seniority Skinfold thickness measurements are best for assessing which of the following individuals? A. an 18-month-old child with growth failure B. a 36-year-old athlete C. a 54-year-old woman with significant weight loss D. an 82-year-old man with diabetes Standards of the Americans with Disabilities Act require a cafeteria to feature: A. adjustable tables B. automatic door openers C. 40" high bars and counters D. 36" wide aisles between tables and counters Standards that specify the amount of pesticide residue allowed on raw and processed foods are established by the: A. US Dept of Agriculture B. Food and Drug Administration C. Environmental Protection Agency D. Centers for Disease Control and Prevention The best choice of a food-production system in an area where labor costs for skilled employees are extremely high is: A. Cook-chill B. Commissary C. Conventional D. Assembly/serve The best way to evaluate whether clients in a community nutrition education class view the class as informative and necessary would be to: A. ask participant representatives to read the lesson plans and provide feedback B. calculate the percentage of clients who return for another class C. have participants complete a course evaluation D. document participants' verbal comments A. variable cost-per-unit would be greater than the fixed cost-per-unit B. contribution margin would be greater than 1 C. break-even point would be achieved D. sales would not result in a profit The effectiveness of nutrition screening at a senior citizens' center is best measured by: A. identifying older adults at nutritional risk B. identifying the number of individuals take nutrition supplements C. determining the number of older adults attending the center D. determining the number of educational brochures distributed What is the labor cost per meal? A. $1.85 B. $2.03 C. $3.98 D. $4.36 Which of the curves best illustrates the appropriate temperature of food when transported? A. 180 then decreases to 160 B. 145 then increases to ~160 C. 0 up to 170 then plateaus D. 180 down to below 140 The management function in which performance is measured and corrective action is taken to ensure the accomplishment of an organizational goal is known as: A. planning B. directing C. controlling D. organizing Think IN CONTROL means success and reaching goals The most accurate method of evaluating an in-service training session is to: A. determine the number of requests for additional training B. measure the performance of the employees before and after training C. circulate an evaluative questionnaire to participants at the end of the program D. compare the performance of employees in the training group with those who were not in the group The most important critical control point to monitor in the preparation and service of canned cream soup is the temperature of: A. at delivery B. of storage C. during end-point cooking D. During service holding The process of comparing a program's advantages to net savings is called: A. cost-effective analysis B. cost-benefit analysis C. formative evaluation D. program evaluation The relationship among positions and functions within a food service department are indicated primarily by the: A. job description B. policy statement C. mission statement D. organizational chart The statement "to increase diabetes awareness in the community, the dietitian will present diabetes classes six times each year" is which of the following types of objectives? A. Educational B. Outcome C. Process D. Structure The dietitian should: A. increase the temperature of the wash cycle B. decrease the temperature of the wash cycle C. increase the temperature of the pre-rinse cycle D. decrease the temperature of the final rinse cycle To assess the adequacy of a patient's tube feeding in meeting calorie needs, the RD should request: A. albumin test B. transferrin test C. indirect calorimetry D. nitrogen balance study To calculate the estimated calorie needs of a patient who is significantly underweight, the dietitian should use the patient's: A. actual BW B. adjusted BW C. desirable BW D. usual BW Transferring a staff member who is rumored to have chronic obstructive pulmonary disease violates which of the following acts? A. Equal Employment Opportunity Act B. Americans with Disabilities Act C. Fair Labor Standards Act D. Civil Rights Act Using a No. 8 disher to serve 1/2 gallon of ice cream will yield how many portions? A. 4 B. 8 C. 16 D. 32 Using the 5-week, simple moving average method of forecasting and the date below, the dietitian will need to buy how many serving on October 7? September 5 : 125 servings September 12 : 115 servings September 19 : 119 servings September 26 : 123 servings October 2 : 120 servings October 10 : 121 servings A. 115 B. 120 C. 121 D. 125 What amount of protein per kg of body weight is the minimum recommended daily intake of protein, based on nitrogen-balance studies, for most older men and women? A. 0.6 g B. 1.0 g C. 1.4 g D. 1.8 g What diet is typically recommended for a client who has undergone a gastrectomy? A. low-fiber foods and adequate fluids with meals B. high-fiber foods and restriction of fluids with meals C. carbohydrate, protein, and fat at each meal, no dairy D. carbohydrate, protein, and fat at each meal with restriction of fluids with meals What is the best way to ensure compliance when a client is counseled about a meal plan for diabetes management? A. Emphasize the benefits of portion control B. Stress the importance of following the meal plan C. Recommend healthy food choices consistent with food preferences D. Review the health consequences associated with poor dietary control What is the correct diagnosis for a client who frequently eats in restaurants and has the following laboratory finding: blood pressure: 135/86 mmHG, fasting BG: 130 mg/dl, total cholesterol: 256 mg/dl, LDL: 192 mg/dl, and HDL: 34 mg/dl? A. Limited access to food B. Excessive oral food/beverage intake C. Impaired ability to prepare food/meals D. Altered nutrition-related laboratory values When a manager updates the director about activities occurring on the patient tray line, he is demonstrating which of the following managerial roles? A. Interpersonal B. Informational C. Decisional D. Technical When seeing a client for an initial outpatient appointment, the RD should begin the session by: A. providing the client with written material B. assessing the client's usual calorie intake C. identifying what the client wants to learn D. suggesting ways to improve the client's diet Which action would be most effective in conserving utility resources? A. Properly using and maintaining equipment B. Sourcing all products from recycled material C. Disposing of unused food in trash compactors D. Having a dedicated waste-management department Which management function involves the development of policies and procedures? A. Planning B. Organizing C. Controlling D. Evaluating Which of the following actions most likely will reduce the average food cost percentage? A. Replace nonselective nemu with a selective menu B. Implement forecasting into the production process C. Increase the frequency of food deliveries D. Add ready-prepared foods to the menu Which of the following actions would reduce direct expenses in a food service facility? A. reduced rent B. reduced food costs C. increased selling prices D. increase part-time labor Which of the following advantages is the primary benefit of a closed system for tube feedings? A. decreased risk of bacterial contamination B. decreased risk for formula separation C. decreased risk of dilution errors D. decreased formula hang time Which of the following factors leads to acceptable turnover rate? A. outdated equipment B. hiring based on referrals C. excessive span of control D. hiring based on job descriptions Which of the following foods is safe for a 30-month old child to eat? A. sliced grapes B. raw carrots C. popcorn D. nuts 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 Which of the following is a descriptive statistic? A. confidence interval B. standard deviation C. two-tailed t-test D. odds ratio Which of the following is an example of a secondary prevention program? A. Changing vending machine options available in a workplace B. A billboard that encourages fruit and vegetable consumption C. Osteoporosis education classes for postmenopausal women D. Nutrition and menu planning classes for post-bariatric surgery patients Secondary community health prevention focuses on strategies to stop or slow down the progression of a disease. it includes screening and detection for early diagnosis, treatment, and follow-up. Secondary prevention activities target those who are more susceptible to health problems because of family history, age, lifestyle, health condition, or environmental factors. because they are at high risk for osteoperosis and secondary prevention is about stoping or slowing the progression of a disease. A and B are primary prevention - prevent against exposure to risk factors, change the environment D is tertiary prevention - reduce complications Which of the following is the most appropriate as an alternative to dairy products for a vegan? A. rice milk B. almond milk C. acidophilus milk D. Fortified soy milk Which of the following lab values would most likely indicate that dialysis is necessary to maintain homeostasis? A. Serum creatinine 2.0 mg/dl ; BUN 80 mg/dl B. Serum creatinine 3.0 mg/dl ; BUN 90 mg/dl C. Serum creatinine 4.0 mg/dl ; BUN 100 mg/dl D. Serum creatinine 6.0 mg/dl ; BUN 50 mg/dl Which of the following lunch menus would be most appropriate for an 18-month old infant? A. baked chicken leg, lettuce with low-fat dressing, broccoli, mashed potatoes, and 2% milk B. beef patty, whole wheat bread, cooked carrots, banana chunks, and whole milk C. cottage cheese, canned peaches, cooked carrots, white bread, and 2% milk D. sliced turkey, rice, slices cucumber, applesauce and whole milk Self-feeding skills of an 18 month year old include good pincer control - finger foods and whole milk. Which of the following menu items would most adversely affect the absorption of iron? A. Tea B. Milk C. Club Soda D. Orange Juice Compounds in tea called tannins can act as chelators, binding to minerals and inhibiting the body's ability to absorb them. Which of the following nonessential amino acids may be useful in post burn therapy? A. Proline B. Leucine C. Arginine D. Asparagine Which of the following nutrition outcome indicators is most appropriate for a patient with the assessment parameters as shown below? BMI: 28 Total cholesterol: 263 mg/dl HDL: 41 mg/dl LDL: 139 mg/dl Fasting BG: 129 mg/dl Blood pressure: 136/89 mmHg A. decreased blood pressure level B. consistent CHO intake C. increased fiber intake D. weight loss Which of the following sanitizers is most quickly inactivated by the presence of organic contaminants? A. Iodine B. Chlorine C. Hot water D. Quaternary 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 Which of the following statements is an example of an outcome indicator? A. Temperature of foods satisfied customers 95% of the time B. Diet orders are verified with 24 hours of admission C. Temperatures of dish machines are recorded prior to each use D. Cash receipts from the cafeteria are reported daily Which of the following statements represents an outcome objective? A. the patient will understand the role of calcium in the diet B. the patient will know the symptoms of osteoporosis C. the patient will review an osteoporosis brochure D. the patient will list three foods high in calcium Which of the following types of enteral nutrition is recommended for patients who will need enteral feeding for more than 4 weeks after undergoing an esophagectomy? A. nasogastric B. gastrostomy C. jejunostomy D. nasojejunal