Jean
Inman
Domain
2
practice
a
140#
female
on
dialysis
should
have
how
many
grams
of
protein?
-
✅✅
-70-89
(1.1
-
1.4
g/kg)
a
1500
calorie
diabetic
diet
with
45%
of
the
calories
from
CHOs
is
prescribed.
1/3
of
CHO
grams
is
met
with
1/2
cup
OJ,
1
cup
milk
and:
a.
1
slice
toast
b.
2
slices
toast
c.
2
slices
toast
and
1/2
c
oatmeal
d.
1/2
slice
toast
-
✅✅
-2
slices
toast
1500
kcal
x
.45
=
675
calories
÷
1/3
=
225
kcals
÷
4
g/kcal
CHO
=
56.25
g
CHO
1/2
cup
juice
=
15
g
CHO
8
oz
milk
=
12
g
CHO
2
slices
toast
=
30
g
CHO
Total
CHO
grams
=
about
57
g
CHO
a
2
year
old
child
with
iron
deficiency
anemia
has
anorexia,
vomiting,
weight
loss
and
restlessness?
look
for:
-
✅✅
-pica
and
lead
poisoning
a
35
yo
female
with
T1DM
received
nutrition
counseling
and
started
NPH
therapy
one
month
ago.
Today
her
fasting
blood
glc
levelis
290mg/dl
and
chol
leve
is
185mg/dl.
she
eats
one
meal
per
day.
which
need
to
you
address
first?
-
✅✅
-instruction
about
the
relationship
of
diet
to
blood
glucose
level
a
60
KG
female
receives
2700
kcals
on
PN.
The
calorie
to
nitrogen
ratio
is
150:1.
How
many
grams
of
nitrogen
is
she
getting?
a.
14
b.
16
c.
18
d.
20
-
✅✅
-18
in
this
question,
the
pt
weight
is
irrelevant
2700
kcals
÷
150
nitrogen/kcal
=
18
grams
N
a
7
yo
on
a
ketogenic
diet
requires
1500
kcals.
what
is
appropriate?
-
✅✅
-145g
fat,
25g
pro,
25
g
CHO
A
75
yo
female
with
adequate
income
would
benefit
from:
-
✅✅
-Congregate
Meals a
9
month
old
infant
being
fed
iron-fortified,
milk-based
formula
is
obese.
you
should
recommend:
-
✅✅
-monitoring
weight
and
intake
a
baby
is
treated
with
an
UV
light
for
hyperbilirubinemia.
you
should
prescribe
a
diet
that
is:
-
✅✅
-high
fluid
a
Billroth
II
procedure
is
most
likely
to
affect
a
pt's
absorption
of:
-
✅✅
-calcium
and
Fe
a
cancer
pt
receiving
radiation
therapy
to
the
head
and
neck
presents
with
weight
loss.
the
nutrition
dx
would
be:
-
✅✅
-swallowing
difficulty
a
child
has
been
identified
as
being
at
risk
for
food
allergies.
what
should
be
withheld
for
the
first
few
years?
-
✅✅
-peanut
butter
and
milk
A
child
has
been
measured
several
times
before
the
age
of
2
yrs.
Results
of
the
measurements
were
not
accurate
because
the
child
was
measured:
-
✅✅
-standing
up
a
child
has
chronic
non-specific
diarrhea
whithout
malabsorption.
an
increased
intake
of
which
of
the
following
might
be
the
cause?
-
✅✅
-sorbitol
a
child
is
below
the
5th
%ile
weight
for
ht.
what
can
be
said
about
the
child?
-
✅✅
-indication
for
recent
under-nutrition
a
child
is
lethargic,
irritable
with
diarrhea.
the
cause
may
be:
A.
zinc
toxicity
B.
lead
poisoning
C.
iron
overload
D.
vit
A
toxicity
-
✅✅
-B.
lead
poisoning*
a
child
presents
at
the
65th
%ile
height
for
age.
what
does
this
signify?
-
✅✅
-normal
a
child
with
AIDS
needs
a
high
calorie
and
____
intake.
-
✅✅
-high
protein
a
child
with
CF
has
had
a
recent
weight
loss
and
several
large
foul
smelling
stools
eachday
over
the
past
two
months.
to
evalusate
the
situation.
the
first
step
should
be
to
assess
her:
-
✅✅
-compliance
with
PERT
(Pancreatic
enzyme
replacement
therapy)
a
child
with
PKU
can
eat:
-
✅✅
-carrots
and
celerey
sticks
a
cholesterol
level
of
240mgs
needs
treatment
first
with
-
✅✅
-diet
a
client
who
primarily
consumes
frozen
dinners
and
breakfast
cereal
because
of
limited
access
to
transportation
most
likely
would
have
a
nutrition
dx
of:
-
✅✅
-impaired
ability
to
prepare
meals a
client
who
takes
orlistat
may
need
to:
-
✅✅
-take
a
m/v
supplement
a
clinical
RD
has
successfully
met
an
indicator
for
6
months.
the
next
step
would
be
to:
-
✅✅
-evaluate
the
need
to
continue
moinotring
the
indicator
a
common
result
of
treating
an
AIDS
pt
with
zidovdine
is?
-
✅✅
-macrocytic
anemia
a
concern
with
parenteral
feeding
is
-
✅✅
-hypokalemia
a
Crohn's
pt
who
has
previously
well-nourished
has
a
fever
an
ileus
7
days
PO.
which
feeding
method
should
you
recommend?
-
✅✅
-periphereal
IV
infusion
a
diabetic
wants
to
exhange
his
bedtime
snack
of
8
oz
whole
milk.
What
do
you
suggest?
-
✅✅
-1
oz
cheese
and
1/2
c
OJ
a
dietary
deficiency
of
which
of
the
following
causes
a
macrocytic
anemia
resembling
pernicious
anemia?
-
✅✅
-folacin
a
family
receiving
food
stamps
often
runs
out
of
food
by
the
middle
of
the
month.
obtain
an
emergency
food
voucher
for
them
and
refer
them
to:
-
✅✅
-EFNEP
a
father
needs
help
in
feeding
his
children,
ages
6
&
8.
which
are
the
best
options?
-
✅✅
-food
stamps
and
school
lunch
a
fecal
excretion
of
____
grams
of
fat/24
hours
is
consider
fat
malabsorption.
a.
less
than
1
b.
more
than
7
c.
3-5
d.
2-4
-
✅✅
-more
than
7
a
female
has
a
36"
waist
and
a
40"
hip.
She
is
at
risk
for
-
✅✅
-heart
disease
a
female
who
eats
a
wide
variety
of
foods
and
takes
supplemental
iron
and
birth
control
pills
may
be:
-
✅✅
-marginally
deficient
in
folic
acid
a
female,
5'7"
tall,
115#s.
Six
months
ago
she
was
130#s.
What
is
her
%
IBW?
A.
85%
B.
83%
C.
81%
D.
87%
-
✅✅
-A.
85%*
85%;
IBW
=
100
+
7(5)
=
135#
------>
115#
CBW
÷
135#
IBW
=
85% a
five
month
old
baby
has
changed
from
the
65th
to
the
95th
%ile
weight
for
height.
the
RD
should
first:
-
✅✅
-check
to
see
if
weights
have
been
plotted
properly
a
hispanic
woman
needs
more
calcium
in
her
diet.
what
do
you
recommend?
-
✅✅
-pinto
beans
a
homeless
patient
who
is
deficient
in
all
nutrients
is
to
be
dishcarged.
what
organization
may
help?
-
✅✅
-the
social
workers
group
a
hospitalized
pt
who
had
not
eaten
well
for
2
weeks
had
a
2.3
serum
phosphorus
level
and
a
1.3
serum
magnesium
level.
he
has
-
✅✅
-hypophosphatemia,
hypomagnesemia
a
long
term
care
patient
has
normal
intestinal
function
but
cannot
eat.
what
tube
feeding
should
you
provide?
-
✅✅
-isotonic
lactose-free
formula
a
man
with
a
peptic
ulcer
should
consume:
-
✅✅
-a
balanced
diet
he
can
tolerate
a
man
with
HIV
presents
-
✅✅
-wt
(see
questions)
a
middle
income
female
needs
support
for
breast
feeding.
which
group
will
help?
-
✅✅
-la
leche
league
a
morbidly
obese
pt
in
ICU
on
a
ventilator
has
end-stage
renal
disease,
DM
and
sacral
decubiti
(ulcer).
the
primary
concern
for
recommending
a
tube
feeding
formula
and
rate
should
be?
-
✅✅
-adequate
calories
a
mother
with
2
daughters,
ages
8
and
11,
doesn't
earn
enough
money
to
feed
her
familly.
Which
program
would
you
suggest?
-
✅✅
-Food
Stamps
a
nephrotic
syndrome
pt
with
edema
has
a
serum
albumin
level
that
continues
to
fall.
recognize
that:
-
✅✅
-protein
is
being
lost
in
the
urine
a
new
pt
with
a
BMI
of
32
and
HTN
comes
to
you
for
counseling.
what
is
your
first
recommendation?
-
✅✅
-reduce
sodium
a
newly
dx
DM
needs
2200
kcals,
50%
from
cho.
how
many
cho
choices
can
he
have
at
each
meal
if
he
has
3
snacks
with
2
cho
choices
each?
-
✅✅
-4
a
normal
pregnancy
requires
supplementation
of:
-
✅✅
-iron
and
folic
acid
a
nutrition
surveillance
program
is
designed
primarily
to:
-
✅✅
-identify
the
nutrional
needs
of
the
population
a
nutritional
care
plan
for
overweight
children
should
include:
-
✅✅
-reduce
rateof
body
weight
gain
while
allowing
growth
Inman
Domain
2
practice
a
140#
female
on
dialysis
should
have
how
many
grams
of
protein?
-
✅✅
-70-89
(1.1
-
1.4
g/kg)
a
1500
calorie
diabetic
diet
with
45%
of
the
calories
from
CHOs
is
prescribed.
1/3
of
CHO
grams
is
met
with
1/2
cup
OJ,
1
cup
milk
and:
a.
1
slice
toast
b.
2
slices
toast
c.
2
slices
toast
and
1/2
c
oatmeal
d.
1/2
slice
toast
-
✅✅
-2
slices
toast
1500
kcal
x
.45
=
675
calories
÷
1/3
=
225
kcals
÷
4
g/kcal
CHO
=
56.25
g
CHO
1/2
cup
juice
=
15
g
CHO
8
oz
milk
=
12
g
CHO
2
slices
toast
=
30
g
CHO
Total
CHO
grams
=
about
57
g
CHO
a
2
year
old
child
with
iron
deficiency
anemia
has
anorexia,
vomiting,
weight
loss
and
restlessness?
look
for:
-
✅✅
-pica
and
lead
poisoning
a
35
yo
female
with
T1DM
received
nutrition
counseling
and
started
NPH
therapy
one
month
ago.
Today
her
fasting
blood
glc
levelis
290mg/dl
and
chol
leve
is
185mg/dl.
she
eats
one
meal
per
day.
which
need
to
you
address
first?
-
✅✅
-instruction
about
the
relationship
of
diet
to
blood
glucose
level
a
60
KG
female
receives
2700
kcals
on
PN.
The
calorie
to
nitrogen
ratio
is
150:1.
How
many
grams
of
nitrogen
is
she
getting?
a.
14
b.
16
c.
18
d.
20
-
✅✅
-18
in
this
question,
the
pt
weight
is
irrelevant
2700
kcals
÷
150
nitrogen/kcal
=
18
grams
N
a
7
yo
on
a
ketogenic
diet
requires
1500
kcals.
what
is
appropriate?
-
✅✅
-145g
fat,
25g
pro,
25
g
CHO
A
75
yo
female
with
adequate
income
would
benefit
from:
-
✅✅
-Congregate
Meals a
9
month
old
infant
being
fed
iron-fortified,
milk-based
formula
is
obese.
you
should
recommend:
-
✅✅
-monitoring
weight
and
intake
a
baby
is
treated
with
an
UV
light
for
hyperbilirubinemia.
you
should
prescribe
a
diet
that
is:
-
✅✅
-high
fluid
a
Billroth
II
procedure
is
most
likely
to
affect
a
pt's
absorption
of:
-
✅✅
-calcium
and
Fe
a
cancer
pt
receiving
radiation
therapy
to
the
head
and
neck
presents
with
weight
loss.
the
nutrition
dx
would
be:
-
✅✅
-swallowing
difficulty
a
child
has
been
identified
as
being
at
risk
for
food
allergies.
what
should
be
withheld
for
the
first
few
years?
-
✅✅
-peanut
butter
and
milk
A
child
has
been
measured
several
times
before
the
age
of
2
yrs.
Results
of
the
measurements
were
not
accurate
because
the
child
was
measured:
-
✅✅
-standing
up
a
child
has
chronic
non-specific
diarrhea
whithout
malabsorption.
an
increased
intake
of
which
of
the
following
might
be
the
cause?
-
✅✅
-sorbitol
a
child
is
below
the
5th
%ile
weight
for
ht.
what
can
be
said
about
the
child?
-
✅✅
-indication
for
recent
under-nutrition
a
child
is
lethargic,
irritable
with
diarrhea.
the
cause
may
be:
A.
zinc
toxicity
B.
lead
poisoning
C.
iron
overload
D.
vit
A
toxicity
-
✅✅
-B.
lead
poisoning*
a
child
presents
at
the
65th
%ile
height
for
age.
what
does
this
signify?
-
✅✅
-normal
a
child
with
AIDS
needs
a
high
calorie
and
____
intake.
-
✅✅
-high
protein
a
child
with
CF
has
had
a
recent
weight
loss
and
several
large
foul
smelling
stools
eachday
over
the
past
two
months.
to
evalusate
the
situation.
the
first
step
should
be
to
assess
her:
-
✅✅
-compliance
with
PERT
(Pancreatic
enzyme
replacement
therapy)
a
child
with
PKU
can
eat:
-
✅✅
-carrots
and
celerey
sticks
a
cholesterol
level
of
240mgs
needs
treatment
first
with
-
✅✅
-diet
a
client
who
primarily
consumes
frozen
dinners
and
breakfast
cereal
because
of
limited
access
to
transportation
most
likely
would
have
a
nutrition
dx
of:
-
✅✅
-impaired
ability
to
prepare
meals a
client
who
takes
orlistat
may
need
to:
-
✅✅
-take
a
m/v
supplement
a
clinical
RD
has
successfully
met
an
indicator
for
6
months.
the
next
step
would
be
to:
-
✅✅
-evaluate
the
need
to
continue
moinotring
the
indicator
a
common
result
of
treating
an
AIDS
pt
with
zidovdine
is?
-
✅✅
-macrocytic
anemia
a
concern
with
parenteral
feeding
is
-
✅✅
-hypokalemia
a
Crohn's
pt
who
has
previously
well-nourished
has
a
fever
an
ileus
7
days
PO.
which
feeding
method
should
you
recommend?
-
✅✅
-periphereal
IV
infusion
a
diabetic
wants
to
exhange
his
bedtime
snack
of
8
oz
whole
milk.
What
do
you
suggest?
-
✅✅
-1
oz
cheese
and
1/2
c
OJ
a
dietary
deficiency
of
which
of
the
following
causes
a
macrocytic
anemia
resembling
pernicious
anemia?
-
✅✅
-folacin
a
family
receiving
food
stamps
often
runs
out
of
food
by
the
middle
of
the
month.
obtain
an
emergency
food
voucher
for
them
and
refer
them
to:
-
✅✅
-EFNEP
a
father
needs
help
in
feeding
his
children,
ages
6
&
8.
which
are
the
best
options?
-
✅✅
-food
stamps
and
school
lunch
a
fecal
excretion
of
____
grams
of
fat/24
hours
is
consider
fat
malabsorption.
a.
less
than
1
b.
more
than
7
c.
3-5
d.
2-4
-
✅✅
-more
than
7
a
female
has
a
36"
waist
and
a
40"
hip.
She
is
at
risk
for
-
✅✅
-heart
disease
a
female
who
eats
a
wide
variety
of
foods
and
takes
supplemental
iron
and
birth
control
pills
may
be:
-
✅✅
-marginally
deficient
in
folic
acid
a
female,
5'7"
tall,
115#s.
Six
months
ago
she
was
130#s.
What
is
her
%
IBW?
A.
85%
B.
83%
C.
81%
D.
87%
-
✅✅
-A.
85%*
85%;
IBW
=
100
+
7(5)
=
135#
------>
115#
CBW
÷
135#
IBW
=
85% a
five
month
old
baby
has
changed
from
the
65th
to
the
95th
%ile
weight
for
height.
the
RD
should
first:
-
✅✅
-check
to
see
if
weights
have
been
plotted
properly
a
hispanic
woman
needs
more
calcium
in
her
diet.
what
do
you
recommend?
-
✅✅
-pinto
beans
a
homeless
patient
who
is
deficient
in
all
nutrients
is
to
be
dishcarged.
what
organization
may
help?
-
✅✅
-the
social
workers
group
a
hospitalized
pt
who
had
not
eaten
well
for
2
weeks
had
a
2.3
serum
phosphorus
level
and
a
1.3
serum
magnesium
level.
he
has
-
✅✅
-hypophosphatemia,
hypomagnesemia
a
long
term
care
patient
has
normal
intestinal
function
but
cannot
eat.
what
tube
feeding
should
you
provide?
-
✅✅
-isotonic
lactose-free
formula
a
man
with
a
peptic
ulcer
should
consume:
-
✅✅
-a
balanced
diet
he
can
tolerate
a
man
with
HIV
presents
-
✅✅
-wt
(see
questions)
a
middle
income
female
needs
support
for
breast
feeding.
which
group
will
help?
-
✅✅
-la
leche
league
a
morbidly
obese
pt
in
ICU
on
a
ventilator
has
end-stage
renal
disease,
DM
and
sacral
decubiti
(ulcer).
the
primary
concern
for
recommending
a
tube
feeding
formula
and
rate
should
be?
-
✅✅
-adequate
calories
a
mother
with
2
daughters,
ages
8
and
11,
doesn't
earn
enough
money
to
feed
her
familly.
Which
program
would
you
suggest?
-
✅✅
-Food
Stamps
a
nephrotic
syndrome
pt
with
edema
has
a
serum
albumin
level
that
continues
to
fall.
recognize
that:
-
✅✅
-protein
is
being
lost
in
the
urine
a
new
pt
with
a
BMI
of
32
and
HTN
comes
to
you
for
counseling.
what
is
your
first
recommendation?
-
✅✅
-reduce
sodium
a
newly
dx
DM
needs
2200
kcals,
50%
from
cho.
how
many
cho
choices
can
he
have
at
each
meal
if
he
has
3
snacks
with
2
cho
choices
each?
-
✅✅
-4
a
normal
pregnancy
requires
supplementation
of:
-
✅✅
-iron
and
folic
acid
a
nutrition
surveillance
program
is
designed
primarily
to:
-
✅✅
-identify
the
nutrional
needs
of
the
population
a
nutritional
care
plan
for
overweight
children
should
include:
-
✅✅
-reduce
rateof
body
weight
gain
while
allowing
growth
