RD Exam Practice Test 1 (CDR)
____________ must be up to date and reflect consistent expectations.
Personnel policies
Vacation schedules
Equipment
Menus - ANS-The correct answer is A.
Personnel policies should reflect current realities of the workplace. Supervisors should employ
these policies to ensure that employees are being treated fairly and expectations are consistent.
\A client verbally attacks the registered dietitian nutritionist, indicating that weight loss
expectations are unrealistic and no one could meet them. What defense mechanism is being
exhibited?
Regression
Repression
Aggression
Projection - ANS-The correct answer is C.
Aggression is directly attacking the source of frustration—in this case, the RDN.
\A community RDN develops an educational and awareness program to teach employees of a
local industry to reduce the sodium in their diets. This is an example of
primary prevention.
secondary prevention.
tertiary prevention.
workplace rehabilitation. - ANS-The correct answer is A.
Primary prevention is to protect healthy people before a disease (for example, hypertension)
develops. Secondary and tertiary prevention do not occur until a disease has already presented.
Workplace rehabilitation is specific to an injury sustained at work.
\A diagnosis of hypersensitivity to food requires
conducting a food challenge without restricting the suspected food.
documented atopic dermatitis.
using an elimination diet for 3 weeks.
verifying the food that causes an adverse reaction and excluding other causes of adverse
reactions. - ANS-The correct answer is D.
,To confirm a food hypersensitivity diagnosis, the clinician is required to verify that the food
allergen alone causes the adverse reaction.
\A dietary supplement with the statement "Vitamin K helps support normal blood clotting" on the
label is making a
health claim.
nutrient claim.
structure/function claim.
qualified health claim. - ANS-The correct answer is C.
A dietary supplement that makes this type of statement is presenting a structure/function claim
as per the FDA's functional foods guidelines.
\A foodservice facility posted signs indicating that all employees must wash hands before
returning to the production area after a break. This is referred to as a
single-use plan.
procedure.
policy.
foodservice law. - ANS-The correct answer is C.
Policy indicates what should be done whereas a procedure indicates how it should be done.
There is no such thing as foodservice law. A single-use plan is not applicable in this context.
\A patient with a new diagnosis of iron-deficiency anemia has been referred to the dietetics
practitioner. She did not know she was anemic; however, she admits to feeling tired lately. At
which stage of change is this person?
Prepared
Contemplative
Precontemplative
Maintenance - ANS-The correct answer is C.
This patient is in the precontemplative stage, because she was not aware that she had anemia,
and she was not thinking about changing her diet. Ignorance and denial are characteristics of
precontemplation.
\A pregnant woman should avoid excessive intake of which of the following nutrients?
Vitamin A
Vitamin B-6
Folic acid
Iron - ANS-The correct answer is A.
A pregnant woman should avoid excessive intake of vitamin A, as it appears to cause birth
defects. Vitamin B-6 is water soluble, and folic acid and iron should be increased during
pregnancy.
,\A storeroom staffed with a full-time employee would be considered a(n) ___________ of a
university residence hall foodservice.
input
subsystem
interface
technical core - ANS-The correct answer is B.
A subsystem is a complete system unto itself (such as a storeroom) that is part of a larger
system (in this case, a university residence hall foodservice).
\A typical feeding/eating pattern for infants is
to require apple juice at 4 months to regulate stooling.
to require cereal at bedtime after 3 months to sleep through the night.
to require only breastmilk or iron-fortified formula for the first 6 months of age.
hard to predict since their interest in eating is so variable. - ANS-The correct answer is C.
Infants only need breastmilk or iron-fortified formula for the first 6 months of life.
\A worksite weight management program is being planned for use with small groups of
employees. A long-term goal is to reduce health care claims. During a pilot series, participants
are asked to rate and comment on the relevance of the visuals, handouts, and activities. Results
will be used in revising the program before widespread implementation. This is an example of
outcome evaluation.
income evaluation.
formative evaluation.
impact evaluation. - ANS-The correct answer is C.
A formative evaluation occurs as a program is being developed, perhaps as a pilot test, as
contrasted with a summative evaluation that occurs at the end of the program or as participants
complete the program.
\ABC Hospital Food and Nutrition Department prepares and delivers meals to other health care
operations in a large metropolitan area. Other hospital foodservices in the metropolitan area
have recently begun offering meal delivery service. ABC Hospital modified its service to offer
home meal replacements to the health care staff in addition to its other meal delivery service.
ABC Hospital is using
strategic analysis.
competitive advantage.
focus strategy.
strategic implementation. - ANS-The correct answer is C.
Focus strategy uses a cost leadership or differentiation strategy to target a specific, limited-size
market niche. ABC Hospital changed its service to reach out to a specific population/market
, niche in home meal replacement to health care staff. The other hospital is using a competitive
approach against ABC hospital.
\According to the Academy of Nutrition and Dietetics, each registered dietitian nutritionist is
expected to promote public access and referral to credentialed dietetics practitioners for quality
food and nutrition programs and services by
participating in public service or other mass media efforts to educate the citizenry.
monitoring support of food and nutrition programs and services for populations with special
needs.
participating in interdisciplinary teams efforts and referring patients in a manner consistent with
HIPAA rules for use and disclosure.
monitoring the effectiveness of referral systems and modifying them as needed to achieve
desirable outcomes. - ANS-The correct answer is D.
Standard 3 of the Standards of Professional Performance for Registered Dietitians includes
3.2—promotes public access and referral to credentialed dietetics practitioners for quality food
and nutrition programs and service. The three components are: 3.2A "Contributes to or designs
referral systems that promote access to qualified, credentialed dietetics practitioners"; 3.2B
"Refers customers to appropriate providers when requested services or identified needs exceed
the RD's individual scope of practice"; and 3.2c "Monitors effectiveness of referral systems and
modifies as needed to achieve desirable outcomes."
\According to the Centers for Disease Control and Prevention's worst-case projection made in
2010, what proportion of the US adult population will have diabetes by the year 2050?
15%
20%
30%
50% - ANS-The correct answer is C.
Approximately 30% of the nation's adults are projected to have diabetes by 2050.
\According to the Joint Commission, which of the following is fundamental to cost-effective
performance improvement?
Safety
Professional expertise
Technology
Employee motivation - ANS-The correct answer is A.
Patient safety is a major concern in all health care settings. A focus on safety in performance
improvement programs leads to cost savings through prevention of medical errors.
\After completing this step in the Nutrition Care Process, the dietetics professional can decide
whether or not a nutrition diagnosis/problem exists.
Nutrition Assessment
____________ must be up to date and reflect consistent expectations.
Personnel policies
Vacation schedules
Equipment
Menus - ANS-The correct answer is A.
Personnel policies should reflect current realities of the workplace. Supervisors should employ
these policies to ensure that employees are being treated fairly and expectations are consistent.
\A client verbally attacks the registered dietitian nutritionist, indicating that weight loss
expectations are unrealistic and no one could meet them. What defense mechanism is being
exhibited?
Regression
Repression
Aggression
Projection - ANS-The correct answer is C.
Aggression is directly attacking the source of frustration—in this case, the RDN.
\A community RDN develops an educational and awareness program to teach employees of a
local industry to reduce the sodium in their diets. This is an example of
primary prevention.
secondary prevention.
tertiary prevention.
workplace rehabilitation. - ANS-The correct answer is A.
Primary prevention is to protect healthy people before a disease (for example, hypertension)
develops. Secondary and tertiary prevention do not occur until a disease has already presented.
Workplace rehabilitation is specific to an injury sustained at work.
\A diagnosis of hypersensitivity to food requires
conducting a food challenge without restricting the suspected food.
documented atopic dermatitis.
using an elimination diet for 3 weeks.
verifying the food that causes an adverse reaction and excluding other causes of adverse
reactions. - ANS-The correct answer is D.
,To confirm a food hypersensitivity diagnosis, the clinician is required to verify that the food
allergen alone causes the adverse reaction.
\A dietary supplement with the statement "Vitamin K helps support normal blood clotting" on the
label is making a
health claim.
nutrient claim.
structure/function claim.
qualified health claim. - ANS-The correct answer is C.
A dietary supplement that makes this type of statement is presenting a structure/function claim
as per the FDA's functional foods guidelines.
\A foodservice facility posted signs indicating that all employees must wash hands before
returning to the production area after a break. This is referred to as a
single-use plan.
procedure.
policy.
foodservice law. - ANS-The correct answer is C.
Policy indicates what should be done whereas a procedure indicates how it should be done.
There is no such thing as foodservice law. A single-use plan is not applicable in this context.
\A patient with a new diagnosis of iron-deficiency anemia has been referred to the dietetics
practitioner. She did not know she was anemic; however, she admits to feeling tired lately. At
which stage of change is this person?
Prepared
Contemplative
Precontemplative
Maintenance - ANS-The correct answer is C.
This patient is in the precontemplative stage, because she was not aware that she had anemia,
and she was not thinking about changing her diet. Ignorance and denial are characteristics of
precontemplation.
\A pregnant woman should avoid excessive intake of which of the following nutrients?
Vitamin A
Vitamin B-6
Folic acid
Iron - ANS-The correct answer is A.
A pregnant woman should avoid excessive intake of vitamin A, as it appears to cause birth
defects. Vitamin B-6 is water soluble, and folic acid and iron should be increased during
pregnancy.
,\A storeroom staffed with a full-time employee would be considered a(n) ___________ of a
university residence hall foodservice.
input
subsystem
interface
technical core - ANS-The correct answer is B.
A subsystem is a complete system unto itself (such as a storeroom) that is part of a larger
system (in this case, a university residence hall foodservice).
\A typical feeding/eating pattern for infants is
to require apple juice at 4 months to regulate stooling.
to require cereal at bedtime after 3 months to sleep through the night.
to require only breastmilk or iron-fortified formula for the first 6 months of age.
hard to predict since their interest in eating is so variable. - ANS-The correct answer is C.
Infants only need breastmilk or iron-fortified formula for the first 6 months of life.
\A worksite weight management program is being planned for use with small groups of
employees. A long-term goal is to reduce health care claims. During a pilot series, participants
are asked to rate and comment on the relevance of the visuals, handouts, and activities. Results
will be used in revising the program before widespread implementation. This is an example of
outcome evaluation.
income evaluation.
formative evaluation.
impact evaluation. - ANS-The correct answer is C.
A formative evaluation occurs as a program is being developed, perhaps as a pilot test, as
contrasted with a summative evaluation that occurs at the end of the program or as participants
complete the program.
\ABC Hospital Food and Nutrition Department prepares and delivers meals to other health care
operations in a large metropolitan area. Other hospital foodservices in the metropolitan area
have recently begun offering meal delivery service. ABC Hospital modified its service to offer
home meal replacements to the health care staff in addition to its other meal delivery service.
ABC Hospital is using
strategic analysis.
competitive advantage.
focus strategy.
strategic implementation. - ANS-The correct answer is C.
Focus strategy uses a cost leadership or differentiation strategy to target a specific, limited-size
market niche. ABC Hospital changed its service to reach out to a specific population/market
, niche in home meal replacement to health care staff. The other hospital is using a competitive
approach against ABC hospital.
\According to the Academy of Nutrition and Dietetics, each registered dietitian nutritionist is
expected to promote public access and referral to credentialed dietetics practitioners for quality
food and nutrition programs and services by
participating in public service or other mass media efforts to educate the citizenry.
monitoring support of food and nutrition programs and services for populations with special
needs.
participating in interdisciplinary teams efforts and referring patients in a manner consistent with
HIPAA rules for use and disclosure.
monitoring the effectiveness of referral systems and modifying them as needed to achieve
desirable outcomes. - ANS-The correct answer is D.
Standard 3 of the Standards of Professional Performance for Registered Dietitians includes
3.2—promotes public access and referral to credentialed dietetics practitioners for quality food
and nutrition programs and service. The three components are: 3.2A "Contributes to or designs
referral systems that promote access to qualified, credentialed dietetics practitioners"; 3.2B
"Refers customers to appropriate providers when requested services or identified needs exceed
the RD's individual scope of practice"; and 3.2c "Monitors effectiveness of referral systems and
modifies as needed to achieve desirable outcomes."
\According to the Centers for Disease Control and Prevention's worst-case projection made in
2010, what proportion of the US adult population will have diabetes by the year 2050?
15%
20%
30%
50% - ANS-The correct answer is C.
Approximately 30% of the nation's adults are projected to have diabetes by 2050.
\According to the Joint Commission, which of the following is fundamental to cost-effective
performance improvement?
Safety
Professional expertise
Technology
Employee motivation - ANS-The correct answer is A.
Patient safety is a major concern in all health care settings. A focus on safety in performance
improvement programs leads to cost savings through prevention of medical errors.
\After completing this step in the Nutrition Care Process, the dietetics professional can decide
whether or not a nutrition diagnosis/problem exists.
Nutrition Assessment
