RD Sample Test 2

Question 1

A vegetarian patient is given a clear liquid diet. What can you give them?

A. Apple juice, vegetable broth, jello
B. Apricot nectar, vegetable broth, hot tea
C. Cranberry juice, vegetable broth, popsicle
D. Grape juice, vegetable broth, sherbert

Answer 1

C. Cranberry juice, vegetable broth, popsicle

Question 2

The reason most of us enjoy turkey and pumpkin pie at Thanksgiving is due to

A. Habit
B. Associations
C. Values
D. Emotional state

Answer 2

B. Associations

Question 3

In counseling a patient, you discover his wife cooks all the meals. What’s to be your next step?

A. Counsel the patient and have him relay the info to his wife
B. Counsel patient and give handout to wife
C. Schedule a time where you meet his wife
D. Schedule a time where you can meet with both the patient and his wife

Answer 3

D. Schedule a time where you can meet with both

Question 4

The most important recommendation for clients taking a class about how to reduce salt intake would be to:

A. Use fresh foods instead of processed foods
B. Use frozen rather than canned
C. Stop using the salt shaker
D. Use salt substitutes

Answer 4

A. Use fresh foods instead of processed foods

Question 5

A patient has an elevated MCV and is diagnosed with megaloblastic anemia. You suspect——— deficiency and recommend———- as good food sources of this nutrient.

A. Folic acid: cheese and raisins
B. Iron: leafy green vegetables and red meats
C. Folic acid: beans and spinach
D. Iron: dried figs and liver

Answer 5

C. Folic acid: beans and spinach

Megaloblastic anemia is a result of abnormally large, immature red blood cells. MCV is elevated in this type of anemia. The vitamin deficiency for this type of anemia is FOLATE OR B12.

If it was iron deficiency anemia, then small red blood cells and MCV would be LOWER instead of higher

Question 6

A patient drinks 200 ml of a 15.3% protein product that had a 1 kcal/ ml. How many calories and how much protein did he consume?

A. 30.6 kcal and 7.65 G protein
B. 25.9 kcal and 4.54 G protein
C. 33.5 kcal and 3.75 G protein
D. None of the above

Answer 6

A. 30.6 kcal and 7.65 G protein

200 ml= 200 kcal

200ml x .153= 30.6 kcal

30.6 kcal/ 4 kcal= 7.65 gm protein

Question 7

Calculate the # of cans needed. Patient needs 1.2 kcal/ml totaling 1400 kcal for the day. Each can contains 240 ml worth of formula.

A. 1 can
B. 3 cans
C. 8 cans
D. 5 cans

Answer 7

D. 5 cans

Calories in one can: 1.2 kcal/ml x 240 ml= 288 kcal/ can

1400 cal/ 288 cal= 4.85= 5 cans

Question 8

Calculate the cc/ hour( rate) for a 1.5 kcal/cc at full strength. A patient needs a continuous (24 hrs) tube feeding drip totaling 1800 kcal worth for the day.

A. 25
B. 50
C. 75
D. 100

Answer 8

B. 50 cc/ hr

1800/1.5/24= 50

Question 9

Whole wheat sandwich sales last month totaled $67,500. Variable cost/sandwich was $3.00 and each sandwich sells for $5.00 each. What was the total variable cost of sandwiches sold last month?

A. $ 38,500
B. $ 31,800
C. $ 49,500
D. $ 41,500

Answer 9

C. $ 40,500

of sandwiches sold: 67,500/ 5.00= 13, 500 x variable cost ($3.00)= $40, 500

Question 10

Which of the following parameters most closely reflect nutritional status for children?

A. Growth rate
B head circumference
C. Hair quality/ color
D. Skin

Answer 10

A. Growth rate

Anything between 10% and 90% percentile of the growth chart is fine

Question 11

Protein RDA for pregnancy is how many grams higher than for non pregnant women

A. 2
B. 4
C. 6
D. 8

Answer 11

D. 8 grams

Problem with this question. Normally you add an additional 10 grams for pregnancy ( 15 gm for BF). Therefore you pick the next best answer

Question 12

The school lunch program is expected to provide at least what % of RDA for each meal

A. 1/4
B 1/3
C 100%
D no equivalent

Answer 12

B. 1/3

Question 13

An infant who is formula fed and is growing at a normal rate has a hemoglobin level of 10.5 g/dL. The RD/DTR should first determine:

A. Type of formula the infant is receiving
B. How much formula the infant is receiving
C. How the formula is being prepared
D. How often the infant receives formula

Answer 13

A. Type of formula the infant is receiving

Normal HgB= 12-18 g/dL
Baby is low indicating anemia, protein- calorie malnutrition, pernicious anemia and folate deficiency.

Ex of formula: Enfacare lipid (22 kcal/Oz)
Simulacra (24 kcal/Oz)

Question 14

The elevated need for folate in the pregnant woman is due to:

A. GERD
B. Cell division
C. Clay
D. Low BMI

Answer 14

B. Cell division

Question 15

Cravings for non food items such as dirt, clay, or ice during pregnancy may indicate

A. Low iron levels
B. Higher vitamin B levels
C. High iron levels
D. High potassium levels

Answer 15

A. Low iron levels

Called PICA- eating of nonfood items

Question 16

A woman gained 15 lbs during the first 32 weeks of pregnancy before the weight gain can be assessed the RD must calculate the:

A. % of weight gain
B. % of usual body weigh
C. Pre-pregnancy BMI
D. Pre-pregnancy basal energy expenditure

Answer 16

C. Pre- pregnancy BMI

Question 17

Average daily intake of folate for pregnant woman is 200 micrograms. How many additional micrograms does she need to meet DRI?

A. 150
B. 200
C. 300
D. 450

Answer 17

B. 200

Pregnant women need to increase intake of folic acid and iron

Question 18

You are conducting a study to evaluate the effects of a high fat diet on blood triglyceride levels of obese women. What is the independent variable?

A. Triglyceride levels
B. Obese women
C. High fat diet
D. None

Answer 18

C. High fat diet

IV= cause ( high fat diet)
DV= effect ( high TG levels)

Independent variable= one that I fluences

Question 19

Which of the following performance standards would be the most difficult to accurately measure?

A. Quality and quantity of work
B. Accuracy of work
C. Responsiveness to patient or client needs
D. Cooperation with other personnel

Answer 19

C. Responsiveness to patient or client needs

Question 20

A renal patient in a low potassium diet is encouraged to eat fewer:

A. Apples and pears
B. Oranges and cantaloupe
C. Grapes and berries
D. Pineapples and nectarines

Answer 20

B. Oranges and cantaloupes

Orange= 237 mg
Cantaloupe= 274 mg

Grapes, pineapple, berries and apples are all lower in potassium and therefore better choices for a low potassium diet all at
under 145 mg

Question 21

If 80,000 hours were worked in the year, how many total FTEs would you need for that year?

A. .85
B. .87
C. .96
D. .98

Answer 21

C. .96

80,000/40= 2000
2000/ 40 hr per week= 50
50/ 52 wk in 1 year= .96

Question 22

If hours worked totaled 52,689 per year and the total hours paid ( including paid vacation) are 62,758 based on a 40-hr work week, how many productive FTEs are in the department

Answer 22

A. 25.33

52 weeks= 1 year
52,689/52= 1013.25/40 hr work week= 25.33

Question 23

A school foodservice expects to serve 31, 250 meals to students and an additional 7,500 meals to staff and visitors during the month of September. It has been established that this foodservice produces 14 meals per hour of labor. Calculate the number of FTEs needed for the month of September

A. 16
B. 20
C. 14
D. 10

Answer 23

A. 16

31,250+ 7,500= 38, 750 meals served in September

38,750 meal/ 14 meals per labor hour= 2, 768 hours per month

40 hrs x 52 weeks= 2080 hours/12= 173 hours per month

2,768/173= 16 FTEs

Question 24

You have an 80 year old patient who weighs 154 lbs. what are the patients fluid needs?

A. 8370 ml
B. 2100 ml
C. 3849 ml
D. 3388 ml

Answer 24

B. 2100 ml

154/2.2= 70 kg x 30= 2100 ml

Question 25

Patient wants to increase weight by 1.5 lbs/wk. how many calories would need to be added to the current daily meal plan to achieve the goal?

A. 750 cal
B. 659 cal
C. 359 cal
D. 323 cal

Answer 25

A. 750 cal

3500 cal= 1 LB
3500/2= 1750
1750+ 3500= 5250
5250= 1.5 lb weight gain
5250/7 days= 750 cal

Question 26

Determine the amount of lean body mass in pounds. Height: 67”, body fat %: 27%, weight: 165 lbs, mid-arm muscle circumference: 24.6 cm

A. 198 lbs
B. 120 lbs
C. 395 lbs
D. 390 lbs

Answer 26

B. 120

165 lbs x .27= 165= 44.55
165-44.55= 120