RD STUDY GUIDE WITH COMPLETE
SOLUTIONS
C. Avoid eating before bed
GERD is a digestive disease where stomach acid or bile irritates the food pipeline,
causing a feeling of heartburn and pain. The nutrition intervention for GERD involves
avoidance of the following; eating before bed, large high-fat meals, caffeine, chocolate,
alcohol, pepper, peppermint, and spearmint - correct Answer-What advice would you
give to a person complaining of symptoms of GERD?
A. Eat small meals with high-fat snacks
B. Chew spearmint gum
C. Avoid eating before bed
D. Use pepper instead of salt for seasoning
B. 2+ moderate pitting edema
Edema is swelling caused by fluid retention, which can be caused by diseases such as
cirrhosis and CHF. The stages of edema are as follows:
-- 0+ no pitting edema
-- 1+ mild pitting edema: 2mm depression dissappears rapidly
-- 2+ moderate pitting edema: 4mm depression disappears in 10-15 seconds
-- 3+ moderately severe pitting edema: 6mm depression that lasts more than 1 minute
--4+ Severe pitting edema: 8mm depression that lasts more than 2 minutes - correct
Answer-Joyce is a 46 YO female patient with cirrhosis. During a physical exam, the RD
presses her thumb 4-5mm into Joyce's right leg. In 10-15 seconds the depression
disappears. What grade edema does Joyce most likely have?
A. 4+ severe pitting edema
B. 2+ moderate pitting edema
C. 3+ moderately severe pitting edema
D. 1+ mild pitting edema
C. Nitrogen
The largest contributor to renal solute load is nitrogenous waste. Renal solute load is
the end waste products of metabolism and mainly measure nitrogen (~60%) and
electrolytes. (NA+) Other contributors to renal solute load include uric acid, creatinine,
,and ammonia (found in smaller amounts) - correct Answer-What is the largest
contributor to renal solute load?
A. Creatinine
B. Ammonia
C. Nitrogen
D. Uric Acid
A. 45g PRO, 610 calories
Using the carbohydrate exchange, the lunch meal includes:
1 slice white bread = 1 starch/bread serving = 3g PRO, 80 calories
3 oz. turkey = 3 lean protein servings = 21g PRO, 135 calories
1 oz. cheese = 1 medium-fat protein serving = 7g PRO, 75 calories
2 tbsp peanut butter = 2 servings high-fat protein = 14G PRO, 200 calories
TOTAL PROTEIN = 3+21++7+0+14= 45g PRO
TOTAL CALORIES = 80+135+75+120+200= 610 calories - correct Answer-A lunch
includes the following: sandwich ( 1lise of white bread, 3 ounces of low0sodium turkey
breast, 1 ounce cheese) and 1 medium banana with 2 tablespoons peanut butter. Using
the carbohydrate exchange, how many calories and grams of protein does the meal
provide?
A. 45g PRO, 610 calories
B. 35g PRO, 300 calories
C. 75g PRO, 700 calories
D. 54g PRO, 601 calories
C. They are moderately experienced
A situational assessment determines the needs and readiness of learners based on
their sophistication level. The audience in this in-service training session would be
classified as moderately experienced based on their profession and the brief training.
Moderately experienced audiences are typically teachers or patients that have been
previously educated and only require emphasis or review of the materials - correct
Answer-During a hospital employee in-service training session, health care
professionals are given instruction on the diabetic diet. The in-service materials briefly
cover the types of diabetic meal plans available, how to order different diabetic diets,
and ow to make a registered dietitian referral. What would a situational assessment tell
you about this audience?
A. They are very experienced
, B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
A. They are very experienced - correct Answer-_____________ would include health
care professionals receiving training in their unique field, for example a nutrition seminar
for a registered dietitian?
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
B. They are inexperienced - correct Answer-____________ would include young
children or adults lacking knowledge of the topic being addressed. this audience
requires thorough introduction and background
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
D. They are highly motivated - correct Answer-___________ is represented by
individuals with a keen interest in the topic and who voluntarily participate
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
C. 1.4 mg/kg/min
GIR is a measure of how quickly the patient receives carbohydrates. The max rate
should not exceed 4-6 mg/kg/min to prevent hyperglycemia and steatosis. To determine
GIR, simply convert the units into mg/kg/min
GIR = IV Rate * Dextrose Conc. * 1000 (mg/kg)
GIR = 100 * 5 * 1000
Weight (kg) + 60 (min/hr) * 100 (ml/ dl)
59 + 60 * 1000
GIR = 1.4 mg/kg/min - correct Answer-A female patient is 65 inches tall and weighs 130
pounds. She is receiving a TPN of D5W at 100 ml/hr. What is her GIR?
A. 14 mg/kg/min
SOLUTIONS
C. Avoid eating before bed
GERD is a digestive disease where stomach acid or bile irritates the food pipeline,
causing a feeling of heartburn and pain. The nutrition intervention for GERD involves
avoidance of the following; eating before bed, large high-fat meals, caffeine, chocolate,
alcohol, pepper, peppermint, and spearmint - correct Answer-What advice would you
give to a person complaining of symptoms of GERD?
A. Eat small meals with high-fat snacks
B. Chew spearmint gum
C. Avoid eating before bed
D. Use pepper instead of salt for seasoning
B. 2+ moderate pitting edema
Edema is swelling caused by fluid retention, which can be caused by diseases such as
cirrhosis and CHF. The stages of edema are as follows:
-- 0+ no pitting edema
-- 1+ mild pitting edema: 2mm depression dissappears rapidly
-- 2+ moderate pitting edema: 4mm depression disappears in 10-15 seconds
-- 3+ moderately severe pitting edema: 6mm depression that lasts more than 1 minute
--4+ Severe pitting edema: 8mm depression that lasts more than 2 minutes - correct
Answer-Joyce is a 46 YO female patient with cirrhosis. During a physical exam, the RD
presses her thumb 4-5mm into Joyce's right leg. In 10-15 seconds the depression
disappears. What grade edema does Joyce most likely have?
A. 4+ severe pitting edema
B. 2+ moderate pitting edema
C. 3+ moderately severe pitting edema
D. 1+ mild pitting edema
C. Nitrogen
The largest contributor to renal solute load is nitrogenous waste. Renal solute load is
the end waste products of metabolism and mainly measure nitrogen (~60%) and
electrolytes. (NA+) Other contributors to renal solute load include uric acid, creatinine,
,and ammonia (found in smaller amounts) - correct Answer-What is the largest
contributor to renal solute load?
A. Creatinine
B. Ammonia
C. Nitrogen
D. Uric Acid
A. 45g PRO, 610 calories
Using the carbohydrate exchange, the lunch meal includes:
1 slice white bread = 1 starch/bread serving = 3g PRO, 80 calories
3 oz. turkey = 3 lean protein servings = 21g PRO, 135 calories
1 oz. cheese = 1 medium-fat protein serving = 7g PRO, 75 calories
2 tbsp peanut butter = 2 servings high-fat protein = 14G PRO, 200 calories
TOTAL PROTEIN = 3+21++7+0+14= 45g PRO
TOTAL CALORIES = 80+135+75+120+200= 610 calories - correct Answer-A lunch
includes the following: sandwich ( 1lise of white bread, 3 ounces of low0sodium turkey
breast, 1 ounce cheese) and 1 medium banana with 2 tablespoons peanut butter. Using
the carbohydrate exchange, how many calories and grams of protein does the meal
provide?
A. 45g PRO, 610 calories
B. 35g PRO, 300 calories
C. 75g PRO, 700 calories
D. 54g PRO, 601 calories
C. They are moderately experienced
A situational assessment determines the needs and readiness of learners based on
their sophistication level. The audience in this in-service training session would be
classified as moderately experienced based on their profession and the brief training.
Moderately experienced audiences are typically teachers or patients that have been
previously educated and only require emphasis or review of the materials - correct
Answer-During a hospital employee in-service training session, health care
professionals are given instruction on the diabetic diet. The in-service materials briefly
cover the types of diabetic meal plans available, how to order different diabetic diets,
and ow to make a registered dietitian referral. What would a situational assessment tell
you about this audience?
A. They are very experienced
, B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
A. They are very experienced - correct Answer-_____________ would include health
care professionals receiving training in their unique field, for example a nutrition seminar
for a registered dietitian?
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
B. They are inexperienced - correct Answer-____________ would include young
children or adults lacking knowledge of the topic being addressed. this audience
requires thorough introduction and background
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
D. They are highly motivated - correct Answer-___________ is represented by
individuals with a keen interest in the topic and who voluntarily participate
A. They are very experienced
B. They are inexperienced
C. They are moderately experienced
D. They are highly motivated
C. 1.4 mg/kg/min
GIR is a measure of how quickly the patient receives carbohydrates. The max rate
should not exceed 4-6 mg/kg/min to prevent hyperglycemia and steatosis. To determine
GIR, simply convert the units into mg/kg/min
GIR = IV Rate * Dextrose Conc. * 1000 (mg/kg)
GIR = 100 * 5 * 1000
Weight (kg) + 60 (min/hr) * 100 (ml/ dl)
59 + 60 * 1000
GIR = 1.4 mg/kg/min - correct Answer-A female patient is 65 inches tall and weighs 130
pounds. She is receiving a TPN of D5W at 100 ml/hr. What is her GIR?
A. 14 mg/kg/min
