Internship Review Tests - Flashcards

question

after a patient has received instruction about weight loss, the best way for the dietitian to follow-up on the patients application of that knowledge is by a. administering knowledge tests before and after instruction b. evaluating the patients food diary for 1 week c. asking the patients food preference d. determining the patients interests in diet by observing posture and body language

answer

b. evaluating the patients food diary for 1 week

question

in which of the following cooking methods will collagen convert to gelatin a. deep fat frying b. simmering with liquids c. broiling to medium rare d. pan broiling and pouring off fat

answer

b. simmering with liquids

question

a client states that he can no longer return to the clinic for counseling due to changes in his work schedule. to help ensure continued compliance with his diet, the client should be a. given additional practice to ensure thorough understanding of the diet b. instructed to phone the dietitian at home if he has a problem c. informed about community resources for follow up counseling d. given several educational pamphlets about the diet

answer

c. informed about community resources for follow up counseling

question

the first step in evaluating the effectiveness of a service of nutrition education programs would be to a. identify the objectives of each of the programs b. ask all the participants to complete 24 hour dietary recall records c. administer nutrition knowledge test to participants d. verify attendance at each of the programs

answer

a. identify the objectives of each of the programs

question

what is the non-protein calorie to nitrogen ratio of a patient receiving TPN consisting of the following parenteral solution: 500ml 30% dextrose, 500ml 20% lipids, 500ml 8.5% amino acid a. 155:1 b. 222:1 c. 235:1 d. 247:1

answer

b. 222:1 (510kcal CHO + 1000kcal lipids (2kcal/ml) = 1510/6.8g nitrogen (42.5g PRO/6.25)

question

a behavioral strategy for weight control intended to limit exposure to food would require an individual to a. record daily food intake b. portion the food before serving at the table c. clear the table immediately after eating d. put the fork down between bites

answer

b. portion the food before serving at the table

question

an employee consistently telephones in sick the day before a scheduled weekend off. the supervisor should first a. complain to other staff members b. telephone the employee to verify his illness c. schedule a counseling session with the employee d. file a letter of understanding with the human resource department

answer

c. schedule a counseling session with the employee

question

which of the following statements describe an achievable outcome for a community weight loss program a. promote desirable body weight among young adults throughout the community b. increase by 25% the number of community physicians who refer patients for weight-management counseling c. screen and refer for treatment within 2 years those individuals whose body weight >10% of desirable weight d. reduce by 10% the number of obese adults, ages 25-49 years, within 2 years of initiation of the program

answer

d. reduce by 10% the number of obese adults, ages 25-49 years, within 2 years of initiation of the program

question

a client refuses to follow the diet after the RD has explained a specific food plan and its rationale. the RD should next a. reinforce the rationale and benefits of the diet b. review the danger of noncompliance c. ask what changes the client is willing to make d. restate what the client needs to do to meet the goal of the diet

answer

c. ask what changes the client is willing to make

question

which of the following statements about nutrition screening in a hospital setting is true a. it provides direction for patient care b. it is cost-effective for all patients c. it has universal criteria for all age groups d. it should be performed only when ordered

answer

a. it provides direction for patient care

question

an infant is most likely to develop baby-bottle syndrome if the infant a. sleeps with a bottle of formula b. is bottle-fed Kool-Aid soft drink c. is from a low income family d. drinks a non-fluoridated water

answer

a. sleeps with a bottle of formula

question

a low income family receiving food stamps frequently runs out of food by the third week of the month. the community RD should obtain an emergency food voucher and refer the family to the local bank and a. a congregate meal site b. a social service agency c. the Special Supplemental Nutrition Program for Women, Infants and Children d. the Expanded Food and Nutrition Education Program

answer

d. the Expanded Food and Nutrition Education Program

question

after congress passes a law affecting dietetics practice, federal regulations to implement the law are prepared by a. the staff of the federal agencies that enforce the regulations b. the staff of members of congress c. regulatory experts in the judicial branch d. select committees of experts appointed by the executive branch

answer

a. the staff of the federal agencies that enforce the regulations

question

which of the following questions best encourages a client to take responsibility for making appropriate dietary changes a. "do you think you'll be able to do that" b. "do you think you'll have the family support for these changes" c. "what changes do you think you'll be comfortable trying to achieve first" d. "these changes shouldn't be too difficult for you, should they"

answer

c. what changes do you think you'll be comfortable trying to achieve first

question

based on an 8 hour day the number of hours worked in a hospital food service department was 55,267/year and the total number of hours paid was 59,995/year. the actual number of productive FTEs was a. 2.27 b. 18.90 c. 26.60 d. 28.80

answer

c. 26.60 (55267/2080)

question

iron would primarily be available in which of the following meals a. cottage cheese and fresh fruits b. omelet, green beans and home fries c. baked chicken, mashed potatoes and sliced tomatoes d. vegetarian casserole with beans and carrots

answer

c. baked chicken, mashed potatoes and sliced tomatoes

question

the statement "patients will be screened within 48 hours of admission to the hospital" is an example of a a. quality indicator b. process indicator c. productivity indicator d. cost-control measure

answer

a. quality indicator

question

a client consumes a meal that contains 52g carbohydrate, 25g protein and 12g fat. the exchange value of the meal is a. 2 starches, 1 fruit, 2 medium-fat meats, 1 vegetable b. 2 starches, 1 medium fat meat, 2 vegetables and 1 2% milk c. 1 starch, 1 fruit, 1 medium fat meat, 2 low fat milk d. 3 starches, 2 medium fat meats, 2 vegetables and 1 2% milk

answer

b. 2 starches, 1 medium fat meat, 2 vegetables and 1 2% milk

question

which of the following foods contain phytochemicals that could reduce the risk of disease a. aged meats b. smoked fish c. fermented dairy products d. cruciferous vegetables

answer

d. cruciferous vegetables

question

the director of a community health center who wants to hire an RD to provide nutrition services should first a. publish a job listing in the Journal of the Academy of Nutrition and Dietetics b. screen potential applicants to determine who has the RD credentials c. develop a job description and specifications for the position d. review dietitians resumes that are on file

answer

c. develop a job description and specifications for the position

question

which of the following organizations has been instrumental in establishing quality guidelines for most healthcare institutions a. Centers for Medicare and Medicaid Services b. Occupational Safety and Health Administration c. Joint Commission of the Accreditation of Healthcare Organizations d. Academy of Nutrition and Dietetics

answer

c. Joint Commission of the Accreditation of Healthcare Organizations

question

which of the following statements is an example of an outcome indicator a. refrigeration temperatures are recorded daily b. customers are satisfied with their quality of service c. tube feeding bags and sets are changed every 24 hours d. food allergies are documented in the medical record

answer

b. customers are satisfied with their quality of service

question

a 9 month old infant being fed iron-fortified milk based formula is obese. the RD should recommend a. limiting the formula feeding to 16oz b. changing the formula to 2% milk c. changing the formula to whole milk d. monitoring weight and intake

answer

d. monitoring weight and intake

question

compared to a typical individual who is without food for 5 days, the profile of a physiologically stressed patient who is without food for 5 days most likely would indicate a. higher blood glucose levels, little or no ketosis and elevated glucagon levels b. lower blood glucose levels, ketosis and elevated serum cortisol levels c. higher cortisol levels, ketosis and lower serum glucagon levels d. lower serum insulin levels, high serum glucagon levels and lower norepinephrine levels

answer

a. higher blood glucose levels, little or no ketosis and elevated glucagon levels

question

the term performance indicator is best defined as a. a measure of the difference in a set of observations b. a tool to measure functions, processes and outcomes over time c. a predetermined level of performance that triggers further analysis of corrective action d. data transformed through analysis and interpretation into a form useful for decision making

answer

b. a tool to measure functions, processes and outcomes over time

question

an adult client consumed 20g protein and had a total nitrogen loss of 10g. the clients nitrogen balance would most appropriately be described as a. positive b. negative c. imbalanced d. homeostatic

answer

b. negative

question

a community dietitian who received a grant to implement a safe food campaign has identified partners and community needs. the next step would be to a. identify needs that can be addressed by other resources b. negotiate a plan to meet community wants and needs c. solicit additional resources from community partners d. plan campaign strategies and goals

answer

d. plan campaign strategies and goals

question

a 40 year old man with type 1 DM was counseled about an appropriate diet plan and began NPH insulin therapy 1 month ago. on follow up his fasting blood glucose level was 280mg/dl and cholesterol level was 180mg/dl. a food record indicates he eats one meal daily. what is the most immediate nutrition therapy need a. instruction about the relationship of diet to blood glucose levels b. instruction about maintaining current body weight c. advice to include MyPlate recommendations d. advice about controlling cholesterol levels

answer

a. instruction about the relationship of diet to blood glucose levels

question

which of the following types of menu most likely would increase participation in a high school lunch program a. static menu with six choices b. 1 week cycle menu with six choices c. 2 week cycle menu with two choices d. 2 week cycle menu with four choices

answer

d. 2 week cycle menu with four choices

question

which of the following menus is appropriate for a strict Muslim a. steak, baked potatoes, salad, angel food cake b. ham, mashed potatoes, green beans, pears c. shrimp, scalloped potatoes, broccoli, pears d. ground steak patty, red potatoes, corn fruited gelatin

answer

a. steak, baked potatoes, salad, angel food cake

question

when considering development of employee weight loss programs, the dietitian most likely would be successful in marketing products and services by first a. establishing an affordable price to attract employees b. establishing employee discounts to encourage greater participation c. surveying employees about their motivation and interest in weight loss d. recruiting a celebrity spokesperson to promote the program

answer

c. surveying employees about their motivation and interest in weight loss

question

a dietitian has designed a nutrition internet web site for children ages 8-10. to determine the effectiveness of the site, the dietitian should first a. determine the frequency of site access b. pilot test the site in elementary schools c. request a review of the site by a panel of dietitian d. offer a form for feedback on the site

answer

b. pilot test the site in elementary schools

question

according to the formula for recommended caloric allowance per unit of body weight, the total daily caloric needs for a full-term infant weighing 11 pounds at age 2 1/2 months would be how many calories a. 108 b. 490 c. 540 d. 600

answer

d. 600 (11/2.2 = 5 x 120 = 600)

question

absorbed and resynthesized exogenous triglycerides are transported into the lymphatic system by means of a. micells b. chylomicrons c. high density lipoproteins d. low density lipoproteins

answer

b. chylomicrons

question

when conducting a research study, the first step is to identify the problem. the next step is a. design the study b. design the data c. review current literature d. develop a hypothesis

answer

d. develop a hypothesis

question

a food service employee reports seeing a rodent in the dry storage area. the dietitian should first a. conduct a thorough inspection b. ask an employee to set out institutionally approved traps c. request services from the maintenance department d. contact a licensed pest control company

answer

d. contact a licensed pest control company

question

the kitchen below is characteristic of which of the following food service systems: stack oven, range/broiler, tilting skillet, steam jacketed kettle, reach-in refrigerator, walk-in refrigerator/freezer, preparation counter, bulk hot carts, bulk cold carts a. commissary b. conventional c. ready-prepared d. assembly/serve

answer

a. commissary

question

which of the following types of cost should be first considered if a foodservice manager is asked to reduce expenses a. maintenance b. office supplies c. capital d. labor

answer

d. labor

question

a woman who is lacto-ovo-vegetarian is concerned about vitamin B12 intake. the RD should recommend that she consume a. soy protein b. 2 tbsp. of vegetable oil daily c. 3 cups of skim milk daily d. one serving of meat daily

answer

c. 3 cups of skim milk daily

question

an RD wishes to develop a practical nutrition screening program for preschool children as part of a health fair event. which of the following measures will provide the most meaningful data a. triceps skinfold thickness measurement b. weight for age c. weight for stature d. stature for age

answer

c. weight for stature

question

the RD is to determine the potential nutrition risk of patients in a rehabilitation facility for drug and alcohol abuse. assessment should include information about a. a history of recent weight change b. the consumption of sugar-containing foods c. the type of alcohol consumed d. the intake of thiamine rich foods

answer

a history of recent weight change

question

which of the following is synthesized by the bacteria in the intestine a. pantothenic acid b. vitamin A c. vitamin D d. biotin

answer

d. biotin

question

the best source for specifications applicable to fresh fruits and vegetables is the a. food distributors product list b. food and drug administration c. US department of agriculture d. USDA cooperative extension

answer

c. US Department of Agriculture

question

which of the following pieces of equipment would most likely be used in a large facility to re-thermalize meatloaf in a bulk cook-chill system a. compartment steamer b. convection oven c. conduction oven d. rotary oven

answer

b. convection oven

question

which of the following statements is an application of HACCP in the production of spaghetti and sauce a. divide the prepared sauce among small containers before chilling b. rinse spaghetti in cold running water before mixing with sauce c. cook the meat thoroughly before adding to the tomato sauce d. stir occasionally throughout the hot holding time

answer

a. divide the prepared sauce among small containers before chilling

question

dishes are greasy when unloaded from the dish machine. the problem is most likely due to a. inadequate scraping of dishes b. a low wash temperature c. a low pre-rinse temperature d. a high level of water hardness

answer

b. a low wash temperature

question

the primary consideration in the purchase of foodservice equipment are its a. cost and performance b. safety and versatility c. safety and performance d. cleanability and versatility

answer

a. cost and performance

question

the profitability of a department catering service may be determined by calculating the ratio of profit to a. sales b. labor cost c. current liabilities d. indirect costs

answer

a. sales

question

which of the following organisms produces the quickest onset of foodborne illness after contaminated food is consumed a. clostridium perfringens b. campylobacter jejuni c. clostridium botulinum d. staphylococcus aureus

answer

d. staphylococcus aureus

question

the first step in developing a nutrition education program for pregnant women to decrease the incidence of neural tube defect is to a. secure funding for the program b. consider the prevalence and severity of the disease c. identify nutrition related causes of the disease d. gather data showing the effectiveness of similar programs

answer

b. consider the prevalence and severity of the disease

question

an RD conducting a nutrition assessment of the community should use which of the following nutrition status measures a. anthropometric, biochemical, clinical, dietary b. weight, clinical observations, medical history, food intake c. lab test data, food history, triceps skinfold thickness, clinical observations d. height, 24 hour dietary recall, food frequency checklist, food inventory

answer

a. anthropometric, biochemical, clinical, dietary (this was answer given as correct but... b. weight, clinical observations, medical history, food intake (was debated when graded and per Donna...seemed to be the best answer)

question

a RD wants to determine the consumption of a new vegetable dish among high school students. which of the following evaluation tools would be best a. obtain 24 hour dietary recall records b. conduct plate-waste studies at school c. conduct focus groups with students d. track school cafeteria sales record

answer

b. conduct plate-waste studies at school

question

a RD is counseling the parents of an obese prepubescent child. which of the following outcomes would best indicate parental support a. elimination of sweets from the child's diet b. discussion of weight loss indicators with the child's pediatrician c. decision to defer action until after puberty d. enrollment of the child in a physical activity program

answer

d. enrollment of the child in a physical activity program

question

which of the following nutrition diagnosis is most likely to be associated with cyclosporine a. hyperphosphatemia b. hyperlipidemia c. hypoglycemia d. hypokalemia

answer

b. hyperlipidemia

question

over the past 3 months a child with cystic fibrosis has had a weight loss of 2 kg and three or more large, foul smelling stools daily. the best first step to evaluate the situation is to assess the childs a. total caloric intake b. total dietary fat intake c. compliance with the pancreatic enzyme therapy d. 24 hour fecal fat output

answer

c. compliance with the pancreatic enzyme therapy

question

if a formula made from cow's milk is eliminated form the diet of an infant with milk hypersensitivity, it could safely be replaced with a. soy milk fortified with calcium b. goats milk fortified with folic acid c. a modular formula with crystalline amino acids d. a formula made from casein-hydrolysate or amino acid

answer

d. a formula made from casein-hydrolysate or amino acid

question

cost effectiveness analysis is used to a. compare two or more alternatives to achieve the same objectives b. evaluate direct, indirect, intangible and anticipated benefits c. place a dollar amount on the outcome of the procedure d. calculate a profit margin

answer

a. compare two or more alternatives to achieve the same objectives

question

which of the following items in last weeks menu generate the most revenue Menu Item Selling price Raw food cost #of svngs a.clams casino $12.95 $4.05 75 b.chicken parmesan $13.50 $2.83 193 c. herbed tuna $15.95 $4.39 172 d.ziti w/vegetables $12.99 $3.07 51

answer

b. chicken parmesan

question

which of the following pieces of information is LEAST valuable in a specification a. federal grade, brand or other quality designation b. quality tolerance limits c. count per container or approximate number per pound d. unit on which the price is based

answer

b. quality tolerance limits

question

a client with DM uses an insulin pump and had a carbohydrate to insulin ratio of 16:1, the client plans to eat the following meal: 1 1/2 cups spaghetti, 1 cup marinara sauce, 1 cup cooked green beans, 1 slice bread, 1 TB garlic butter, 1/2 cup ice cream. how much insulin would he need a. 5 units b. 6 units c. 7 units d. 8 units

answer

d. 8 units

question

a RD is given a poor performance appraisal by her manager. the RD is surprised and says previous managers never told her of those problems. what should the manager have done to avoid the conflict a. conduct informal coaching in areas of poor performance b. schedule additional in-service training c. consul with the previous manager about the RDs performance d. revise the evaluation form to be more objective

answer

a. conduct informal coaching in areas of poor performance

question

a manger discusses a situation with selected employees and asks them individually for information and advice. the manager will make the final decision, which may or may not reflect the input provided by the employees. the strategy is an example of what type of managerial decision making style a. democratic b. autocratic c. group d. consultative

answer

d. consultative

question

the primary goal of outcome research in a health care setting is to guide decisions to a. decrease health care costs b. increase cost effectiveness c. improve the quality of services d. give the facility a competitive advantage

answer

c. improve the quality of services (Outcomes research is applied clinical and population based research that seeks to study and optimize the end results of healthcare in terms of benefits to the patient and society. The intent of this research is to identify shortfalls in practice and to develop strategies to improve care.)

question

the most effective way to increase the incidence and duration of breastfeeding among clients receiving prenatal care is to a. post breastfeeding posters in the clinics waiting room b. conduct prenatal breast feeding classes c. show breastfeeding DVD in the waiting room d. implement a breastfeeding peer counselor program

answer

d. implement a breastfeeding peer counselor program

question

which of the following formulas is used to determine a meal equivalent in a commercial operation a. average of a prototype meal b. average dollars spent per patron over a 1 week period c. total sales divided by budget cost per meal d. total revenues for a specific time period divided by cost of a prototype meal

answer

d. total revenues for a specific time period divided by cost of a prototype meal

question

when a supervisor says to a subordinate, "do it because I say so; I'm the boss" the supervisor is using what type of power a. position b. referent c. personal d. incumbent

answer

a. position

question

which of the following medications for managing DM stimulates insulin secretion from the pancreas a. glipizide (Glucotrol) b. metformin (Glucophage) c. acarbose (precose) d. rosiglitazone (Avandia)

answer

a. glipizide (Glucotrol)

question

which of the following foods may include plant stanol esters a. soy products b. orange juice c. margarine spread d. fruited yogurt

answer

c. margarine spread

question

a white female is sedentary and post menopausal, 5'4" tall and 110#; she is at the greatest risk for a. atherosclerosis b. hypertension c. osteoporosis d. metabolic syndrome

answer

c. osteoporosis

question

which of the following supplements used by a client who has a history of liver disease should be discontinued a. ginseng b. valerian root c. st john's wort d. coenzyme Q10

answer

b. valerian root (valerian has been shown to cause liver toxicity when used over the long term, Valerian inhibits liver enzymes such as cytochrome P450 (CYP) 2D6 and CYP3A4 and may interfere with medications metabolized by them)

question

which of the following parameters is include in a subjective assessment of nutrition status a. standard weight for height b. upper arm circumference c. prealbumin d. dietary intake

answer

d. dietary intake

question

which of the following physical activities should be recommended for a client to increase lean body mass a. traditional yoga b. brisk walking c. Tai Chi d. strength training

answer

d. strength training

question

which of the following food items are typically included in the diets of Southeast Asian populations a. large amounts of rice and vegetables and small amounts of meat b. large amounts of fruits and cheese and small amounts of rice and meat c. small amounts of meat and fruits, large amounts of vegetables d. small amounts of fruits and vegetables and large amounts of meat and milk

answer

a. large amounts of rice and vegetables and small amounts of meat

question

a client who has been maintained on central parenteral nutrition for short bowel syndrome is ready to begin transitional feeding. the RD should recommend a. small, frequent oral feedings b. defined formulas taken orally c. high fat, high calorie meals d. peripheral parenteral nutrition

answer

a. small, frequent oral feedings

question

the dietary intervention of choice for a client who is hypertensive and has a desirable body weight is a a. moderate calorie restricted diet b. potassium restricted diet c. calcium restricted diet d. DASH diet

answer

d. DASH diet

question

an elderly client who is obese has newly diagnosed DM2. which of the following findings is most likely true a. elevated serum triglycerides b. high HDL c. low blood pressure d. low serum insulin

answer

a. elevated serum triglycerides

question

below are the results of a dietitians analysis of the sale of four menu items Contribution Margin Low High Sales Low grilled lemon chicken beef burritos glazed pork chop pasta primavera which of the following strategies is most likely to result in increased revenue a. decreasing the portion size of the beef burritos b. offering glazed pork chops more frequently c. replacing the pasta primavera with prime rib d. replacing the grilled lemon chicken

answer

d. replacing the grilled lemon chicken

question

an indication for the use of a protein hydrolysate infant formula is a. prematurity b. constipation c. phenylketonuria d. protein hypersensitivity

answer

d. protein hypersensitivity

question

a client returns to a follow up visit after diet instructions and states "i just haven't lost any weight on this diet" which of the following responses is best a. did you follow my advise b. what is your typical day like c. did you follow the exercise plan d. have you been eating out

answer

b. what is your typical day like

question

which of the following methods of buying is characterized by contacting various vendors to obtain price quotes and placing orders a. contract b. formal c. informal d. prime vendor

answer

c. informal

question

a food service employee submits a request for an immediate 10 weeks of unpaid leave from work to care for a sick parent. under which of the following laws will the employee's job be protected a. public authorities (equal employment opportunity) act b. American with disabilities act c. family and medical leave act d. national labor standards act

answer

c. family and medical leave act

question

eighty-five chef salads were prepared for a catered lunch that was canceled. which of the following decisions about how to sell the salads during the lunch meal is best from a business perspective a. sell the salads at the breakeven price b. place the salads for high visibility c. distribute a flyer advertising the salads d. offer the salads as an employee benefit

answer

a. sell the salads at the breakeven price

question

which is the most appropriate recommendations for protein intake for a patient who shows signs and symptoms of hepatic encephalopathy a. eliminate all protein sources b. consider protein based on the individuals tolerance c. restrict protein to meat sources only d. restrict protein to vegetable sources only

answer

b. consider protein based on the individuals toelrance

question

a culturally acceptable way to help a pregnant, 20 year old Central American women get adequate folate would be to encourage her to eat more a. corn b. broccoli c. black beans d. raisins

answer

c. black beans

question

omega 3 fatty acids are desirable in the diet because of their effect on the level of a. serum glucose b. triglycerides c. lipoprotein d. bile acid sequestrantes

answer

b. triglycerides

question

an older adult client has signs and symptoms of xerophthalmia. the best food source for the RD to recommend is a. corn b. poultry c. cabbage d. liver

answer

d. liver (xerophthalmia = vitamin A deficiency, dryness of conjunctiva and cornea)

question

ice tea, colas and other beverages that contain caffeine are NOT desirable as fluid replacement for a person exercising in a hot environment because caffeine a. depresses the thirst mechanism b. represses the ability to sweat c. acts as a diuretic d. depletes strength and endurance

answer

c. acts as a diuretic

question

a uniformed surgical nurse entering the kitchen to question the foodservice staff violates which of the following policies a. jewelry is discouraged b. employees must wear effective hair net c. employees should wear clean, washable clothing d. only authorized personnel should be allowed in production area

answer

d. only authorized personnel should be allowed in production area

question

which of the following examples of accommodations meets criteria of the Americans with Disabilities Act a. install doors that are 30" wide b. install ceramic tile flooring c. install flashing alarm lights d. remove glass doors

answer

c. install flashing alarm lights

question

a cancer patient is experiencing nausea and vomiting. which of the following would be best a. spaghetti, tossed salad, dressing, chocolate ice cream and soft drink b. grilled cheese sandwich, steamed broccoli, peaches and coffee c. cottage cheese and fruit plate, crackers and apple juice d. steak, baked potato with sour cream, glazed carrots and hot tea

answer

c. cottage cheese and fruit place, crackers and apple juice

question

a 10 month old infant experiences constipation. which is the most likely nutrition diagnosis a. inadequate fluid intake b. inadequate bioactive substances intake c. excessive vitamin intake d. hypometabolism

answer

a. inadequate fluid intake

question

a RD decides to conduct systematic marketing research to improve low cafeteria sales. the next step is to a. recommend a strategy b. define a problem c. analyze data d. collect data

answer

d. collect data

question

a cancer patient receiving radiation therapy to the head and neck presents with weight loss. the cause is most likely a. swallowing difficulty b. involuntary weight loss c. impaired nutrient utilization d. hypermetabolism

answer

a. swallowing difficulty

question

the following micro nutrients should be supplemented in a patient with history of alcoholism a. thiamine and folate b. folic acid and magnesium c. calcium and thiamin d. calcium and magnesium

answer

a. thiamine and folate

question

a client who primarily consumes frozen dinners and breakfast cereal because of limited access to cooking facilities most likely would have a nutrition diagnosis of a. not ready for diet/lifestyle changes b. inability or lack of desire to manage self-care c. impaired ability to prepare meals d. poor nutrition quality of life

answer

c. impaired ability to prepare meals

question

your patient is newly diagnosed with DM2 and tells you she is relieve to only have a touch of sugar and will avoid desserts when she goes out for a big meal after leaving the hospital. which lab results will you review with your patient a. glucose and A1c b. triglycerides c. cholesterol/lipid panel d. all of the above

answer

d. all of the above

question

risk factors that may contribute to clients failure in a breastfeeding program include a. mastitis b. cultural restrictions c. lack of social support d. infant related feeding problems

answer

c. lack of social support

question

when an RD works with patients who have food allergies in a pediatric gastrointestinal clinic, which of the following outcomes is most appropriate to measure a. frequency of patient failure to comply with instructions b. reduction of food related reactions among patients c. level of knowledge about causes of food allergies d. parent satisfaction with medical staff

answer

b. reduction of food related reactions among patients

question

a patient has participated in counseling sessions regarding the diabetic diet. at the 3 month follow-up visit, which of the following glycosylated hemoglobin levels suggest good compliance with the RDs recommendations a. 4.0 b. 6.5 c. 8.2 d. 10.3

answer

b. 6.5

question

fats used in frying can become rancid due to the a. oxidation of unsaturated fatty acids b. spontaneous uptake of oxygen at the point of saturation c. removal of high melting triglyceride fractions d. prolonged exposure to high temperature

answer

a. oxidation of unsaturated fatty acids

question

in which of the following pairs of amino acids does an excess of the first amino acid decrease the need for the second a. leucine, lysine b. methylhistidine, histidine c. tyrosine, phenylalanine d. glycine, arginine

answer

c. tyrosine, phenylalanine

question

patients who have chronic obstructive pulmonary disease may better tolerate diet in which fat, rather than carbohydrates, is the primary energy source because fat a. consumes less oxygen b. raises the respiratory quotient c. increases the respiratory rate d. spares protein

answer

a. consumes less oxygen

question

which of the following menu items would most adversely affect the absorption of iron a. tea b. milk c. club soda d. orange juice

answer

a. tea

question

under normal physiological conditions a serum calcium level of 11.5mg/dl will trigger an adaptive response involving the release of a. parathyroid hormone b. calcitonin from the thyroid gland c. calcium from osteoclasts d. calcium binding protein from the intestine

answer

c. calcitonin from the thyroid gland (calcitonin acts to reduce blood calcium levels, opposes effects of parathyroid hormone which increases calcium levels in the blood)

question

a lactose-intolerant individual is most likely to tolerate a. goat's milk b. whole milk c. cottage cheese d. parmesan cheese

answer

d. parmesan cheese

question

a dietitian can best evaluate a clients knowledge and application of dietary modifications by asking the client to a. explain what he/she knows about the new diet b. name five foods that must be avoided c. select an appropriate meal from a menu d. list everything on the diet that he/she has had to eat or drink in a day

answer

c. select an appropriate meal from a menu

question

materials developed for general nutrition education should be written at a reading level no higher than what grade a. 4th b. 8th c. 10th d. 11th

answer

b. 8th

question

the statement "the county's infant mortality rate is 12.8 and the states infant mortality rate is 10.5" means that a. more infants died in the county than in the state b. for every 1000 live births in the county, 12.8 infants died c. two more infants died in the county than in the state d. 12.8% of the infants born in the county died before the age of 1 year

answer

b. for every 1000 live births in the county, 12.8 infants died

question

children participating in a research study about the effects of sugar on short-term behavior are divided into two groups. group A is given food containing sugar and group B is give a placebo. foods appropriate for the research study include a. sugar-sweetened drink for group A and de-ionized water for group B b. sugar cookies for group A and hamburger patties for group B c. sugar sweetened fruit drink for group A and fresh fruit for group B d. sugar sweetened gelatin for group A and aspartame sweetened gelatin for group B

answer

d. sugar sweetened gelatin for group A and aspartame sweetened gelatin for group B

question

the process of comparing a programs benefits to net saving is called a. cost effective analysis b. cost benefit analysis c. formative evaluation d. program evaluation

answer

b. cost benefit analysis

question

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

answer

c. controlling

question

the traditional diets of the Asian populations in the US are low in a. iron b. calcium c. vitamin C d. essential fatty acids

answer

b. calcium

question

a patient has pre-surgery serum albumin level of 3.7mg/dl and a post-surgery level of 3.1mg/dl a. a laboratory error has likely occurred b. a decreased serum albumin level is normal after surgery c. the patient is experiencing a protein losing enteropathy d. the patient is experiencing severe visceral protein storage depletion

answer

b. a decreased serum albumin level is normal after surgery

question

a nutrition assessment of a man who has HIV disease reveals the laboratory results shown below Height: 5'10"; weight 115#; hematocrit 35%; mean corpuscular volume 102 cubic micrometers; BUN 11mg/dl; serum albumin 2.8g/dl; CD4 280; total lymphocytes 1200 cubic millimeters the primary concern of the dietitian should be the a. anemia b. weight c. renal failure d. protein deiciency

answer

b. weight

question

the primary focus of nutrition care for a man with hypertension and a BMI of 32 should be to a. decrease sodium intake b. increase potassium intake c. increase calcium intake d. decrease body weight

answer

d. decrease body weight

question

a dietitian planning a health promotion program for state employees collaborates with other health professionals to assess employee needs. the best information will most likely be gained from employee a. health risk appraisals b. nutrition assessments c. medical records d. interviews

answer

a. health risk appraisals

question

at birth a neonate was at the 75th percentile weight for age, at age 6 months he appears healthy and is at the 60th percentile weight for age. the growth chart data most likely indicates that a. the child has a low calorie intake b. the child is experiencing normal growth c. the child may be experiencing protein-energy malnutrition d. birth data were incorrect

answer

b. the child is experiencing normal growth

question

employees of a congregate feeding program serving an Orthodox Jewish community are not allowed to bring food items into the facility. this policy is most likely related to the Jewish dietary law that states that a. kosher foods should not be allowed to mix with nonkosher foods b. consumption of fruits, vegetables and cereals is restricted to the noon meal c. only unleavened bread or matzo products are allowed in a kosher kitchen d. no pork or shellfish are allowed in a kosher kitchen

answer

a. kosher foods should not be allowed to mix with nonkosher foods

question

which of the following assessment methods is most appropriate for evaluating nutritional risk in elderly participants at a health fair a. BMI b. 24 hour dietary recall c. triceps skin fold thickness d. midarm muscle

answer

a. BMI

question

a young woman who has been referred to the dietitian for diet counseling has pale conjunctivae. diet history questions should address her intake of a. vitamin C b. vitamin D c. zinc d. iron

answer

d. iron

question

the first step in planning nutrition services for a new community health center should be to a. survey the area to determine what services are already available b. establish goals and objectives for the services to be offered c. identify nutrition related health problems in the community d. develop program protocols for client care

answer

c. identify nutrition related health problems in the community

question

the dietitian at a school foodservice receives several telephone calls concerning the possible risk of cancer to children who consume fresh fruit treated with pesticides. the initial response by the dietitian should be to a. refer the callers to the American Cancer Society b. remove the suspected fruit from the menu c. investigate the issue and decide on a course of action d. do nothing unless the vendor initiates a recall of the fruit

answer

c. investigate the issue and decide on a course of action

question

a billroth II procedure is most likely to affect a patients absorption of a. calcium and iron b. vitamins A and D c. folic acid and vitamin B12 d. potassium and sodium

answer

a. calcium and iron

question

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

answer

a. vitamin A (Bitot's spots - buildup of keratin in the conjunctiva)

question

a 4 year old child with a seizure disorder that is resistant to drug therapy has been prescribed a 1500 kcal diet. which of the following dietary regimens, measured in grams, would be most appropriate Fat Protein Carbohydrate a. 50 113 150 b. 67 115 110 c. 83 12 73 d. 100 50 38

answer

d. 100 50 38

question

a registered dietitian wants to estimate the prevalence of inadequate intake levels within a group of breastfeeding women. which of the following dietary reference intake guidelines should be used a. recommended dietary allowance b. estimated average requirement c. tolerable upper intake level d. adequate intake

answer

b. estimated average requirement

question

a 4 year old child experiences a stomachache and nausea after eating ice cream. blood tests indicate no antibody production. the child's symptoms most likely can be classified as a food a. allergy b. intolerance c. toxicity d. sensitivity

answer

b. intolerance

question

to calculate the estimated calorie needs of a patient who is significantly underweight, the dietitian should use a. the patients actual body weight b. the patients adjusted body weight c. the patients desirable body weight d. 90% of the patients desirable weight

answer

a. the patients actual body weight

question

skin fold 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

answer

b. a 36 year old athlete

question

specialized growth charts are available for children who a. are taller than average b. are obese c. have phenylketonuria d. have down syndrome

answer

d. have down syndrome

question

which of the following tube feeding ingredients might precipitate an allergic reaction in a child with a milk allergy a. casein b. whey c. carrageenan d. modified starch

answer

a. casein

question

according to the Joint Commission standards for hospitals, nutrition screening must occur within how many hours of admission a. 12 b. 24 c. 36 d. 48

answer

b. 24

question

which of the following laboratory values would most likely indicate that dialysis is necessary to maintain homeostasis Serum Creatinine/BUN/GFR a. 2.0 /80 /35 b. 3.0 /90 /22 c. 4.0 /100 /16 d. 5.0 /70 /12

answer

d. 5.0/70/12

question

a dietitian is asked to determine the prevalence of overweight children within a local school district. the last step of the community needs assessment would be to a. share the findings with the school health team b. collect data on soda consumption c. measure the BMIs of all of the school children d. set a plan of action

answer

d. set a plan of action

question

an adolescents BMI is plotted at the 90th percentile on the Centers for Disease Control and Prevention growth chart. the adolescent is a. normal weight b. at risk for overweight c. overweight d. obese

answer

c. overweight

question

which of the following medications is an appetite stimulant a. prednisone b. dextroamphetamine c. erythromycin d. dronabinol

answer

d. dronabinol (Megace and Merinol)

question

a dietitian is counseling parents of a child with attention deficit hyperactivity disorder and who is being treated with methylphenidate (Ritalin). the dietitians intervention for this child should be based on an understand that a. folate supplements usually are warranted to counter increased urinary excretion b. type 2 diabetes can be a likely adverse effect c. anorexia can be an adverse effect that may affect growth d. involuntary weight gain can be a likely adverse effect

answer

c. anorexia can be an adverse effect that may affect growth

question

an athlete's dietary history reveals recent increase in intake of chicken, tuna, and beef. the athlete reports that these foods are meant to increase muscle mass but he reports decreased energy during the day and poor performance at practice. what is the likely cause of these symptoms a. excessive protein intake b. inadequate carbohydrate intake c. depletion of sodium d. increasing cholesterol levels

answer

b. inadequate carbohydrate intake

question

the combination of hypertension, insulin resistance and central body obesity is referred to as a. hypertensive diabetes b. metabolic syndrome c. cardiovascular disease d. prediabetic state

answer

b. metabolic syndrome

question

what diet is typically recommended for a patient who has undergone a gastrectomy a. low fiber foods and two glasses of milk a day b. high fiber foods and restriction of fluids with meals c. carbohydrate, protein and fat at each meal and restriction of fluids with meals d. carbohydrate, protein and fat at each meal and no dairy products

answer

c. carbohydrate, protein and fat at each meal and restriction of fluids with meals

question

a patient undergoing hemodialysis may require supplementation of which of the following micronutrients a. pyridoxine, folic acid and 1-25-dihydroxyvitamin D3 b. pyridoxine, folic acid and vitamin A c. vitamin C, calcium, dihydroxyvitamin D3 d. vitamin C, calcium and vitamin A

answer

a. pyridoxine, folic acid and 1-25-dihydroxyvitamin D3

question

which of the following programs directly assists the greatest number of people a. supplemental nutrition assistance program b. national school lunch program c. child and adult care food program d. supplemental nutrition program for women, infants and children

answer

a. supplemental nutrition assistance program

question

a typical meal of a pregnant teenager consist of a hamburger, French fries and diet cola. in addition to a prenatal supplement, which of the following diet changes would be most beneficial a. substitute fresh vegetable for French fries b. substitute milkshake for diet cola c. add fresh fruit to the meal d. add another hamburger

answer

b. substitute milkshake for diet cola

question

the recommendation to treat an infant with acute diarrhea is to a. use half strength formula b. rehydrate within 4-6 hours c. limit or restrict use of a formula containing fiber d. administer glucose and electrolytes for the first 24 hours only

answer

b. rehydrate within 4-6 hours

question

a patient who has cancer reports using herbs in addition to prescribed medications. the dietitian should a. tell the patient to stop taking herbs while using medications b. recommend adjustments of herbal dosages according to symptoms c. consult with the healthcare team d. encourage high doses of the herbs to promote healing

answer

c. consult with the healthcare team

question

a patient who recently experienced a cerebral vascular accident has dysphagia. the first recommendation the dietitian should make is to a. initiate a tube feeding b. initiate small frequent feedings c. conduct a swallow evaluation d. provide liquids with a nectar consistency

answer

c. conduct a swallow evaluation

question

which of the following programs enables a juvenile justice residential facility to provide nutritious meals to its residents a. supplemental nutrition assistance program b. national school breakfast program c. expanded food and nutrition education program d. the emergency food assistance program

answer

b. national school breakfast program

question

a primary use of dietary reference intakes is to a. calculate parenteral nutrition requirements b. assess nutrient intakes of at risk populations c. plan menus for healthy people d. educate an individual with hyperlipidemia

answer

c. plan menus for healthy people

question

a patient with a colostomy receives diuretic medications and appears dehydrated. the diet history confirms suboptimal fluid intake. the dietitian should a. use the standard colostomy diet form which advises 2L of fluid daily b. use the standard colostomy diet form and substitute "adequate fluid" for a specific quantity c. evaluate the patients intake and output and assess fluid status d. recommend discontinuing the diuretic medications

answer

evaluate the patients intake and output and assess fluid status

question

a patient who is morbidly obese and in the intensive care unit has end stage renal disease, diabetes and sacral decubiti. the patient is ventilator dependent. the primary concern for recommending a tube feeding formula and rate should be a. adequate calories b. increased protein c. increased electrolytes d. decreased carbohydrates

answer

a. adequate calories

question

how many carbohydrate exchanges per serving does the product with the nutrition facts label below provide CHO - 50g dietary fiber - 5g sugars - 5g a. 3 b. 3.3 c. 4 d. 5

answer

a. 3 (CHO - fiber/15)

question

what is the most serious risk associated with parenteral nutrition a. gastrointestinal atrophy b. catheter infection c. hepatic abnormalities d. metabolic bone disease

answer

b. catheter infection

question

a 70 year old woman who is ambulatory and has low income is referred to a dietitian. when discussing her 24 hour dietary recall, the woman states that she doesn't like to eat by herself. the most appropriate referral would be to which of the following programs a. home delivered meals program b. child and adult care food program c. expanded food nutrition program d. elderly nutrition program

answer

d. elderly nutrition program

question

a dietitian is assessing a hospitalized patient with renal failure who has eaten 0-10% of meals for the past 3 days. the dietitian should a. recommend tube feeding b. recommend liberalizing the diet c. switch to a liquid diet d. initiate peripheral parenteral nutrition

answer

b. recommend liberalizing the diet

question

a client who takes orlistat may need to a. use MCT as a supplement b. take a multivitamin supplement c. take an omega 3 fatty acid supplement d. avoid caffeinated and carbonated beverages

answer

b. take a multivitamin supplement

question

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

answer

c. low phenylalanine, high tyrosine

question

an appropriate food choice for a patient who has thrush would be a. citrus juice b. saltine crackers c. ice cream d. consommé

answer

c. ice cream

question

a dietitian should consider a clients absorption of which of the following nutrients during peritoneal dialysis and continuous replacement therapy before modifying his or her diet a. protein b. carbohydrate c. fat soluble vitamins d. water soluble vitamins

answer

c. carbohydrate

question

a father reports that his infant has just begun to drink from a cup and uses pincher grasp. the dietitian should recommend introducing which of the following foods to the infants diet a. finely cut meat b. unflavored yogurt c. graham crackers d. pureed vegetables

answer

c. graham crackers

question

which of the following nonessential amino acids may be useful in post burn therapy a. arginine b. asparagine c. proline d. leucine

answer

a. arginine

question

a patient with diabetic gastroparesis should avoid foods that are a. high in simple sugars b. high in fat c. low in fiber d. low in protein

answer

b. high in fat

question

a facility with a labor turnover rate of 50% also experiences numerous equipment malfunctions. both problems might be resolved through improved a. employee training b. repair standards c. equipment quality d. ergonomics

answer

a. employee training

question

a hospital RD attempting to implement the baby-friendly hospital initiative to enhance successful breastfeeding should first a. send a cover letter and summary of the initiative to all hospital staff b. form a multidisciplinary task force to develop an implementation plan c. offer an in-service training session about the benefits of breastfeeding to nurses d. investigate the feasibility of rooming in for mother and babies

answer

b. form a multidisciplinary task force to develop an implementation plan

question

a food service operation has 18 FTEs that produce 7000 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

answer

d. 9.7

question

to implement an effective staffing plan and adhere to budget constraints, the dietitian can ensure that labor costs are controlled best by a. master schedules b. job descriptions c. compensation changes d. cross-training

answer

a. master schedules

question

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 for this period a. 5% b. 13% c. 26% d. 52%

answer

c. 26%

question

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. technical d. decisional

answer

b. informational

question

delegation of responsibilities to an employee allows the manager to share responsibility for a task. what is the best example of delegation a. tell the employee what to do b. allow the employee to change procedures to achieve the desired outcome c. require the employee to provide daily progress reports d. select an employee who is interested in management

answer

b. allow the employee to change procedures to achieve the desired outcome

question

a dietitian who wishes to delegate work to a subordinate should first a. evaluate employees skills and task difficulty b. give the employee the authority to make decisions c. give the employee the information needed to complete the task d. ensure that the employee has the necessary materials and funds

answer

a. evaluate employees skills and task difficulty

question

a disgruntled employee exhibits loud and disruptive behavior in the kitchen and appears to be out of control even after the manager counseled the employee. the manager should a. take the employee into the office and discuss the consequences of the behavior b. return to the office to write a disciplinary sheet for misconduct c. send the employee to break room to calm down d. send the employee off the premises immediately and alert security

answer

d. send the employee off the premises immediately and alert security

question

employees will most likely consider and be committed to the implementation of an innovative decision if the decision is the result of a. consensus b. a majority vote c. consultation with an expert d. evaluation by an authority figure

answer

a. consensus

question

employees are consistently late returning from break periods. the manager should first a. have all employees clock in and out for breaks b. analyze activities to identify the best break times c. discipline tardy employees the next time they are late returning from work d. meet with all employees as a group and solicit recommendations for improvement

answer

d. meet with all employees as a group and solicit recommendations for improvement

question

during the annual performance appraisal, the employees report that the process is highly subjective and unfair. when preparing the performance standards for next year, the manager should prepare objectives that a. meet the mission and goals of the department b. are developed with input from the employees c. emphasize the employees best skills d. are clear and measurable

answer

d. are clear and measurable

question

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 tha 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. convince the foodservice manager to retain the employee c. discuss the circumstances of the arrest with the employee d. make a decision in consultation with human resources

answer

d. make a decision in consultation with human resources

question

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. create a new position that the employee can perform b. transfer the employee to another department c. hire another employee to assist the cook d. ask the employee to provide written recommendations from his/her physician

answer

d. ask the employee to provide written recommendations from his/her physician

question

an employee becomes loud and disruptive and refused to comply with the managers request concerning a tray with errors. what should the dietitian 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 employees behavior and concentrate on completing the tray line d. designate a replacement and remove the employee from the line for further discussion

answer

d. designate a replacement and remove the employee from the line for further discussion

question

a talented catering employee is always requested by customers but the employee is frequently absent. the manager should a. give the employee multiple verbal warnings b ignore the employees absences c. initiate progressive disciplinary procedures d. require a physicians statement after each absence

answer

c. initiate progressive disciplinary procedures

question

which of the following statements best defines a cash-flow budget a. it outlines the assets of the organization b. it outlines the expenditures and assets of the organization c. it represents an estimate of income and expenditures d. it compares the assets of an organization to its liability

answer

c. it represents an estimate of income and expenditures

question

the following information is obtained from a food service operation total food purchased $32123 total cafeteria sales $23231 total labor expenses $25790 meal equivalent factor $2.15 total patient meals served 1923 what is the labor cost per meal a. $1.85 b. $2.03 c. $3.98 d. $4.36

answer

b. $2.03 (cafeteria sales/meal equivalent factor + total patient meals served = total meals; labor expenses/total meals=labor cost per meal)

question

which of the following actions would reduce direct expenses in a foodservice facility a. increase selling prices b. reduce rent c. reduce food cost d. increase part-time labor

answer

c. reduce food cost

question

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. the additional labor cost is best described as which of the following types of costs a. direct b. semi-variable c. fixed d. variable

answer

b. semi-variable

question

a consulting dietitian hired by a local health club to develop a weight-control program knows of two similar programs in the community. the dietitian can best determine the potential success of the new program by first a. developing promotional materials b. conducting a market analysis c. analyzing the success of existing programs d. discussing the idea with other dietitians

answer

b. conducting a market analysis

question

a dietitian in private practice is developing a website to market the business. which of the following web site components is a form of promotion a. online order form b. price and availability of products c. email address of the business d. graphics and text of products

answer

d. graphics and text of products

question

which of the following lunch menus would be most appropriate for an 18 month old infant a. beef patty, whole wheat bread, cooked carrots, banana chunks and whole milk b. baked chicken leg, lettuce with low-fat dressing, broccoli, mashed potatoes and 2% milk c. sliced turkey, rice, sliced cucumbers, applesauce and whole milk d. cottage cheese, canned peaches, cooked carrots, white bread and 2% milk

answer

a. beef patty, whole wheat bread, cooked carrots, banana chunks and whole milk

question

a dietitian implementing a home delivered meal program for the elderly chooses a non-selective menu primarily to a. control food volume b. encourage client participation c. minimize food drop off time d. minimize labor cost

answer

d. minimize labor cost

question

a food cost percentage of 35% means 35% of the a. food cost was used on employee meals b. revenue was spent on food c. total costs was for food d. money spent on food was wasted

answer

b. revenue was spent on food

question

what is the primary advantage of microwave rethermalization a. it heats food evenly b. it retains nutrients c. it requires little space d. it expedites on demand preparation

answer

d. it expedites on demand preparation

question

which of the following market forms of pudding would be purchased in an assembly serve food service system a. frozen bulk b. instant c. canned d. individual portions

answer

d. individual portions

question

results of a patient food satisfaction survey indicate that patients think servings are too large. the dietitian should first a. conduct a plate waste survey b. reduce the serving size c. check the serving utensils on the line d. review regulations concerning nutrient requirements

answer

c. check the serving utensils on the line

question

a dietitian who is developing policies and procedures for nourishment distribution and service should first a. evaluate the nourishment schedule b. note how nourishments are being distributed and served c. assign the food service supervisor the task of gathering data d. review policies and procedure manuals from other institutions

answer

b. note how nourishments are being distributed and served

question

a dietitian conducting a nutrition analysis of a recipe that uses 10# of 80/20 raw ground beef can best ensure analysis accuracy by a. using data for the edible portion cooked beef b. using data for the edible portion weight of the raw beef c. using data for the edible portion weight of the cooked beef d. cooking and draining the ground beef, weighing the fat and then reducing the quantity of beef in the recipe by this amount

answer

c. using data for the edible portion weight of the cooked beef

question

the store room employee who receive orders from a purveyor should first check items received against the a. invoice b. perpetual inventory record c. purchase order d. purchase requisition

answer

c. purchase order

question

the food service director of a small hospital compares records of purchases and deliveries and discovers they do not match. the director should first a. review policies and procedures relevant to receiving function b. review the organizations code of ethics with all employees c. train store room employees in theft control d. install theft detection equipment

answer

a. review policies and procedures relevant to receiving function

question

a shipment of food is delivered early while all staff are working on the tray line. the driver unloads the shipment and requests a "quick signature" of acceptance on the invoice. the manager should a. insist that the driver wait until a staff member can inspect the shipment b. ask the driver to inspect and verify the shipment and leave the invoice c. sign the invoice, accept the delivery and inspect the shipment and verify the invoice later d. direct an available security guard to inspect the shipment and sign the invoice

answer

a. insist that the driver wait until a staff member can inspect the shipment

question

what should be the final consideration in the make or buy decision of a product a. cost analysis b. labor requirements c. storage space available d. personal relationship with the supplier

answer

a. cost analysis

question

the transfer of heat when cooking with an induction burner can best be described as a. use of electrical magnetic fields to excite the molecules of the metal cooking surface b. movement of heat through direct contact form one object or substance to another c. distribution of heat by the movement of liquid or vapor d. generation of heat energy by wave action within an object

answer

a. use of electrical magnetic fields to excite the molecules of the metal cooking surface

question

the dietitian who is notified that a patient has found curls of metal in an entrée would first a. apologize to the patient and personally deliver a similar entrée b. stop serving the entrée immediately and verify the accuracy of the report c. call the foods service director and verify the accuracy of the report d. call maintenance staff to check for malfunctioning of the equipment

answer

b. stop serving the entrée immediately and verify the accuracy of the report

question

a temperature check of the foodservice dish machine that uses heat as its sanitizing agent yields the following temperatures pre-rinse 121F wash 145F final rinse 205F the manager should a. increase the temperature of the pre-rinse cycle b. increase the temperature of the wash cycle c. decrease the temperature of the wash cycle d. decrease the temperature of the final rinse cycle

answer

d. decrease the temperature of the final rinse cycle

question

the most important critical control point to monitor in the preparation and service of canned cream soup is the temperature a. at delivery b. of storage c. during steam table holding d. during end point cooking

answer

c. during steam table holding

question

standards that specify the amount of pesticide residue allowed on raw and processed foods are established by the a. environmental protection agency b. food and drug administration c. US department of agriculture d. centers for disease control and prevention

answer

a. environmental protection agency

question

Which ingredient should be adjusted in a recipe if a cake has a crunchy crust and compact moist texture? a) milk b) flour c) sugar d) baking powder

answer

c) sugar

question

2. Which pigment does not change color in an acid or an alkaline solution? a) anthocyanin b) chlorophyll c) carotene d) flavone

answer

c) carotene

question

3. The principal end products of cellular oxidation are: a) water, carbon dioxide b) carbon, hydrogen, nitrogen c) monosaccharides, amino acids d) indigestible fiber, nitrogen

answer

a) water, carbon dioxide

question

4. Fat produces more calories than carbohydrate when oxidized because: a) fat has more carbon and hydrogen in relation to oxygen b) fat has less carbon and hydrogen in relation to oxygen c) fat is a lager molecule d) fat is a smaller molecule

answer

a) fat has more carbon and hydrogen in relation to oxygen

question

5. The best lab value to use when assessing iron status is: a) hemoglobin b) hematocrit c) ferritin d) serum iron

answer

c) ferritin

question

6. Where is lactose absorbed? a) small intestine b) stomach c) pancreas d) liver

answer

a) small intestine

question

7. Which minerals are involved in carbohydrate metabolism? a) cobalt, zinc b) chromium, zinc c) copper, chromium d) iron, zinc

answer

b) chromium, zinc

question

8. The colon functions in the absorption of: a) amino acids, fatty acids b) unsaturated fatty acids, electrolytes c) water, salts, vitamin K, thiamin, riboflavin d) glucose, fatty acids

answer

c) water, salts, vitamin K, thiamin, riboflavin

question

9. To prevent frozen gravy form separating when thawed: a) reheat it more slowly and stir constantly b) thaw it before heating and stir constantly c) make it with modified starch d) cook it longer before freezing to stabilize the gravy

answer

c) make it with modified starch

question

10. In period of starvation, the brain uses which nutrient as an energy source? a) fatty acids b) lactic acid c) fructose d) ketone bodies

answer

d) ketone bodies

question

11. Four hours after dining you develop nausea, vomiting, diarrhea, but no fever the cause may be: a) staphylococcus aureus b) clostridium butlinum c) clostridium perfringens d) streptococcus

answer

a) staphylococcus aureus

question

12. Which pasta contains egg? a) noodles b) spaghetti c) macaroni d) linguini

answer

a) noodles

question

13. The wholesome meat act requires: a) labeling of meat cut b) mandatory inspection of all meat c) examination of meat interstate d) examination of live animals

answer

b) mandatory inspection of all meat

question

14. During cereal production, which of the following would be added for enrichment? a) chromium b) vitamin A c) vitamin C d) iron

answer

d) iron

question

15. Which of these additives would reduce enzymatic browning? a) calcium b) BHT c) lecithin d) MSG

answer

b) BHT

question

16. A client trying to reduce her cholesterol level. Which of these foods may offer fiber benefits of lowering cholesterol? a) oats b) wheat bran c) nuts d) celery sticks

answer

a) oats

question

17. What is vitamin B6 needed for? a) synthesis of fatty acids b) mineralization of bone c) amino acid metabolism d) coagulation

answer

c) amino acid metabolism (B6 = pyroxidine, cofactor in enzymatic reactions in amino acids, glucose and lipid metabolism, involved in making serotonin and norepinephrine and formation of myelin (protective protein layer around nerve cells)

question

18. When compared to breast milk, infant formula is: a) higher in protein b) higher in fat c) lower in calcium d) higher in antibodies

answer

a) higher in protein

question

19. How many grams of protein would you receive on a 1500 calorie diet which has 20% protein? a) 20 b) 75 c) 64 d) 300

answer

b) 75

question

20. Which of the following may be included in the diet of patient with Celiac disease? I. decreased egg intake II. use of potato and rice four III. IM vitamin B12 and iron. a) I and II b) III and I c) I, II and III d) II and III

answer

d) II and III

question

21. A 75 years old female weighs 100#, Ht 5'2" , lives alone, reports poor appetite; albumin 1.8, BUN 35, has kwashiorkor and need a high calorie, high protein diet . Using ADIME format which information would fall under A? a) need high calorie, high protein diet b) monitor labs and weight c) poor appetite d) wt 100#, alb 1.8 e) c and d

answer

e) c and d

question

22. How many calories are in a 300ml of a 5% dextrose solution? a) 51 b) 60 c) 15 d) 200

answer

a) 51

question

23. A patient has a BMI of 35. Which category would that fall in? a) underweight b) normal weight c) overweight d) obese

answer

d) obese

question

24. Which of the following requires the most calories per kilogram body weight? a) a 150# adult male b) a 5 years old child c) an infant d) an weight lifter (athlete)

answer

c) an infant

question

25. According to the Diabetic Exchange Lists, when substituting 2% milk for skim milk, you must omit how many fat exchanges? a) ½ b) 1 c) 1&1/2 d) 2

answer

b) 1

question

26. For which of the following disease is diet therapy the main treatment? a) peptic ulcer disease b) hypertension c) Wilson's disease d) galactosemia

answer

d) galactosemia

question

27. Which of the following best reflects protein status of non-hospitalized patients? a) serum albumin b) c-reactive protein c) pre-albumin d) serum nitrogen

answer

c) pre-albumin

question

28. Dysguesia refers to a) a reduced sense of smell b) difficulty swallowing c) reduced sense of taste d) dry mouth

answer

c) reduced sense of taste

question

29. An 11 month old infant has been at the 95th percentile for weight and has been for the past nine months. What should you do? a) recommend decreasing food intake by 25% b) recommend decreasing food intake by 50% c) encourage weight loss d) review appropriate intake and portion sizes with parent

answer

d) review appropriate intake and portion sizes with parent

question

30. Which is a measure of somatic protein stores? a) serum albumin b) serum transferrin c) mid-arm muscle circumference d) triceps skinfold

answer

c) mid-arm muscle circumference

question

31. Esophageal varices may be caused by: a) portal hypotension b) portal hypertension c) a high fiber diet d) high ammonia levels

answer

b) portal hypertension

question

32. Which disease is associated with increase uric acid level? a) galactosemia b) glycogen storage disease c) gout d) PKU

answer

c) gout

question

33. The ketogenic diet is used to help treat: a) cystic fibrosis b) seizures c) chronic renal disease d) hypotension

answer

b) seizures

question

34. Fecal excretion of _____grams of fat in 24 hours is considered fat malabsorption. a) less than 1 b) more than 7 c) 3-5 d) 2-4

answer

b) more than 7

question

35. A 60 Kg female receives 2700 calories from 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

answer

c) 18

question

36. Which is a quick assessment tool for a large population? a) food frequency b) diet history forms c) weighing the food samples and recording the intake d) food records

answer

a) food frequency

question

37. Which one of these individuals is most likely to present with Wernicke-Korsakoff syndrome? [NTR:639] a) A premature infant b) An alcoholic man c) A postmenopausal woman d) A disabled child

answer

b) An alcoholic man

question

38. The BMI for a woman who is 5'7" and weighs 148# indicates she is: a) underweight b) of normal weight c) overweight d) obese

answer

b) of normal weight (BMI = weight/height (inches squared) x 703 or weight (kg)/height (m) squared

question

A female who eats a wide variety of foods and takes supplemental iron and birth control pills may be: a. low in calcium b. marginally deficient in folic acid c. low in vitamin A d. low in Mg

answer

b. marginally deficient in folic acid

question

39. What is an example of a program that provides actual food to the needy? a) the food bank program b) the food stamp program c) the child care program d) WIC

answer

a) the food bank program

question

40. An athlete weighs more than the average person of his height. What would you do? a) put him on a slow weight reduction diet b) examine other anthropometric measurements c) have him increase his exercise d) suggest he drinks more water

answer

b) examine other anthropometric measurements

question

41. Light mayonnaise would mean by definition: a) ¼ less calories than the standard b) 1/3rd less fat than the standard c) 1/3rd less calories than the standard d) ½ the calories than the standard

answer

c) 1/3rd less calories than the standard (light foods must contain 1/3 fewer calories or 50% less fat than the same serving size of the regular product version)

question

42. A patient is receiving 4 bolus feedings of 400 ml each daily. How many calories is this patient receiving if the formula provides 1.5 kcal/ml? a) 1600 b) 3200 c) 2100 d) 2400

answer

d) 2400

question

43. A postmenopausal woman is lactose intolerant and is looking for dairy choices she might be able to tolerate. You suggest: a) yogurt and parmesan cheese b) yogurt and goat milk c) cottage cheese and parmesan cheese d) yogurt and cottage cheese

answer

a) yogurt and parmesan cheese

question

44. DRI values are created by which of the following? a) national institute for health, nutrition division b) food and nutrition board of the institute of health c) American medical association d) national food and education board

answer

b) food and nutrition board of the institute of health

question

45. How many carbohydrate exchanges are in 2 cups of rice and 1 cup of teriyaki chicken? a) 6 b) 3 c) 4 d) 8

answer

a) 6 (1/3 cup of rice = 15g CHO)

question

46. A patient is diagnosed with chronic pancreatitis. Which of the following should be avoided? a) pasta and whole milk b) skim milk and eggs c) fruits and whole grains d) whole milk and alcohol

answer

d) whole milk and alcohol

question

47. Which of the following food label health claims is associated with soy protein? a) cancer b) heart disease c) osteoporosis d) hypertension

answer

b) heart disease

question

48. A patient with reflux should avoid all of the following except: a) coffee b) chocolate c) peppermint d) whole grain bread

answer

d) whole grain bread

question

49. A patient is placed on a weight loss diet. If the patient normally consumes 2900 kcal and is now consuming 1800 kcal per day, how many pounds would you expect this patient to lose each week? a) 1# b) 2# c) 3# d) 4#

answer

b) 2#

question

50. A glycoslated hemoglobin of 6% indicates: a) poorly controlled blood glucose levels b) adequate carbohydrate intake c) normal levels d) none of the above

answer

c) normal levels

question

51. A patient with ESRD and is on hemodialysis should receive this much protein daily: a) 0.5-0.8 gm /kg b) 0.8-1 gm/kg c) 1.1-1.2gm/kg d) 1.4-1.5gm/kg

answer

c) 1.1-1.2gm/kg

question

52. A 60 year old woman with CHF. You recommend: a) low fat diet b) 2gm Na diet c) low potassium diet d) full liquid diet

answer

b) 2gm Na diet

question

53. "Do you like vegetables?" is an example of which type of questioning? a) close ended b) leading c) attributing d) open-ended

answer

a) close ended

question

54. Focusing on eating a variety of foods for general health is an example of which level of Maslow's Hierarchy of Needs? a) basic physiologic b) social need c) safety and security d) self actualization

answer

d) self actualization (highest level, concerned with personal growth, self aware)

question

55. Which order is the best order to promote learning according to Hierarchy of Cognitive Needs? a) synthesis, knowledge, comprehension, application, analysis, evaluation b) knowledge, comprehension, analysis, application, evaluation, synthesis c) knowledge, application, comprehension, analysis, synthesis, evaluation d) knowledge, comprehension, application, analysis, synthesis, evaluation

answer

d) knowledge, comprehension, application, analysis, synthesis, evaluation

question

56. You are teaching a 7-part diabetes class. You evaluate the course as it is being designed. You also conduct an evaluation after each class in the form of a survey of participants. What type of evaluation is this? a) formative b) psychomortor c) cognative d) summative

answer

a) formative (used to determine worth of a program while program activities are forming (in progress)allow you to know how goals and objectives are being met; summative - judges worth of the program at the end of program activities, focus is on the outcomes)

question

57. All of the following are involved with behavior modification except: a) including rewards for desirable behavior b) keeping a food record including cues or reasons for eating c) eliminating of snacking d) all of the above

answer

c) eliminating of snacking

question

58. You are conducting a study to see if there is a relationship between body weight and dairy product consumption. What type of study design is best described? a) correlational b) longitudinal c) quantitative d) prospective

answer

a) correlational

question

59. You are conducting a study to evaluate the effects of calcium on blood pressure. What is the dependent variable? a) calcium b) both are dependent variables c) blood pressure d) none of these

answer

c) blood pressure (dependent - output or effect; independent - inputs or causes)

question

60. You are conducting a study to evaluate the effects of calcium on blood pressure. The null hypothesis would be: a) there is a significant relationship between calcium and blood pressure b) there is no significant relationship between calcium and blood pressure c) calcium is negatively correlated with blood pressure d) there is no null hypothesis for this study

answer

b) there is no significant relationship between calcium and blood pressure

question

61. When gathering a sample for your study you selected subjects in the general population and categorized them as active and sedentary. Which type of sample is this? a) random b) stratified random c) cluster d) none of the above

answer

b) stratified random (dividing members of group into homogenous subgroups)

question

62. A bell shaped curve describes: a) 0.05 significance level b) abnormal distribution of the Chi-test c) standard deviation of the T-test d) normal distribution of the standard deviation

answer

d) normal distribution of the of the standard deviation

question

63. If the subjects and the researchers are unaware of who is receiving calcium fortified orange juice, what type of study is being used? a) single blind b) basic blind c) double blind d) triple blind

answer

c) double blind

question

64. Which of the following menu is characterized as offering a complete meal including several courses at a fixed price? a) table d'hote b) nonselective c) preselect d) restaurant

answer

a) table d'hote

question

65. Which of the following type of menu may be recommended for long-term care facility? a) nonselective b) cyclic c) static d) restaurant

answer

b) cyclic

question

66. You need to prepare 275, 50z portions of pork tenderloin with a 77% yield. What is the AP quantity needed? a) 114# b) 117# c) 112# d) 109#

answer

c) 112# (275x5=1375/77%=1785.7/16=111.6#)

question

67. You have 48# of cauliflower with an 88% yield. How many 4oz portions will this produce? a) 152 b) 73 c) 168 d) 207

answer

c) 168

question

68. Your records indicate your food cost for November was $3754, while your food sales for November were $10,535. What was your food cost percentage for November? a) 46% b) 22% c) 281% d) 36%

answer

d) 36% (3754/10535 = 35.64)

question

69. Which of the following would be a good indicator of food acceptability? a) plate waste study b) food sales c) questionnaire d) all of the above

answer

d) all of the above

question

70. Which of the following is important to consider when planning a meal? a) clients age b) culture c) religion d) all of the above

answer

d) all of the above

question

71. When writing a menu, you consider whether other foods at the same meal require the same equipment. Which of the following operational influence are you considering? a) budget b) equipment c) cost d) labor

answer

b) equipment

question

72. Which of the following bids would include a price that remains unchanged during a time period? a) daily bid b) line-item bid c) bottom line bid d) fixed bid

answer

d) fixed bid

question

73. Specifications are written and sent to the vendor when using: a) open market buying b) formal competitive bid buying c) daily bid d) fixed bid

answer

b) formal competitive bid buying

question

74. When goods are received, items are checked in by comparing delivered items to the purchase order. This is known as: a) blind receiving b) invoice receiving c) value analysis d) cost analysis

answer

b) invoice receiving

question

75. Recommended humidity for canned goods is: a) 50-60% b) 40-65% c) 60-70% d) 40-45%

answer

a) 50-60%

question

76. A clerk categorizes goods according to cost. Which type of inventory is being used: a) perpetual inventory b) LIFO/FIFO system c) ABC method d) physical inventory

answer

c) ABC method

question

77. Which of the following involves a circular motion of current which aids in uniformity of heat: a) conduction b) infrared heat c) microwave d) convection

answer

d) convection

question

78. A food service worker is plating potato salad into 1/3 cup portions. Which size scoop should be used? a) #12 b) #6 c) #16 d) #8

answer

a) #12

question

79. How many cups are in 4 quarts? a) 12 b) 6 c) 16 d) 4

answer

c) 16

question

80. A food service utilizes a centralized production and food is then transported to satellite areas for service. Which type of production system is being used? a) commissary b) conventional c) ready prepared/(cook chill) d) assembly serve

answer

a) commissary

question

81. At what temperature should dishes be pre-rinsed? a) 110-130 F b) 150-165 F c) 90-110 F d) 165-180F

answer

a) 110-130 F

question

82.Your boss asks you for month's sales. Where do you find information? a)audit b)balance sheet c)income statement d)LIFO/FIFO

answer

c)income statement

question

83.A group of employees meet to discuss forming a foodservice union. Which act protects the employee's right to do this? a) Taft Act b) Civil Rights Act c) Fair Labor Standards Act d)Wagner Act

answer

d)Wagner Act

question

84. You receive complaints that the macaroni and cheese is frequently burnt. Which of the following pieces of equipment might you choose to reduce risk of burning this meal? a) tilting braising pan b) steam-jacketed kettle c) pressure fryer d) convection steamer

answer

b) steam-jacketed kettle

question

85. Once a year, you evaluate employees on their performance. This is known as: a) job specification b) performance appraisal c)compensation d)none of these

answer

b) performance appraisal

question

86. An employee is interested in looking at their personal records. What act allows them to do this at any time? a)Employee Freedom Act b)Taft Act c)Privacy Act d)Wagner Act

answer

c) privacy act

question

87. You are planning to change the procedures for the serving line. Prior to implementing any change, you meet with the serving line crew to get their feedback. Why? a)changes are best implemented when staff feel included in decision b)to ensure your new procedures meet their expectations c)good staff relations d)none of these

answer

a)changes are best implemented when staff feel included in decision

question

88.This position is 40 hours per week with a salary range of $2500-3000/month DOE. Where would this information be included? a)job description b)job analysis c)job specification d)staffing patterns

answer

c)job specification

question

89.Management and union representatives have met for negotiations. This is known as: a)mediation b)arbitration c)collective bargaining d)grievance meeting

answer

c)collective bargaining

question

90.Which of the following is acceptable to ask at an interview? a)"This job requires lifting up to 50 lbs. Do you have any limitations of lifting up to 50 lbs?" b)"How many children do you have?" c)"How old are you?" d)"Do you have any requirements of being off on Sunday due to religion?"

answer

a)"This job requires lifting up to 50 lbs. Do you have any limitations of lifting up to 50 lbs?"

question

91. Dietitians at a hospital choose to pay a fee to have a nurses union represent them without actually joining a union. This is an example of: a)closed shop b)union shop c)agency shop d)open shop

answer

c)agency shop

question

92.Which of the following is not protected by the Civil Rights Act? a)gender b)medical conditions c)ethnicity d)age

answer

d)age (protects based on race, color, religion, sex or national origin)

question

93.When should a policies and procedures manual be provided? a)training b)performance appraisal c)compensation d)orientation

answer

d)orientation

question

94.Which of these is not an example of a variable cost? a)consumables b)food supplies c)labor d)building rent

answer

d)building rent

question

95.Which of these is an example of a current asset? a)building b)food inventory available for sale c)convention oven d)walk in cooler

answer

b)food inventory available for sale

question

96.Which of the following items would fall under the fixed asset category on the balance sheet? a)stock b)inventory c)cash d)kitchen equipment

answer

d)kitchen equipment

question

97.You are at a break even point. What is your profit? a)10% b)5% c)Not enough information to answer d)0

answer

d)0

question

98.You employ an average of 30 people in the hospital foodservice you manage. In any given year, you replace 3 employees. What is your turnover rate? a)10% b)3% c)30% d)Not enough information to answer

answer

a)10%

question

99.You spend $1475.00 to prepare 800 sandwiches. Your sales of these sandwiches were $4.25/sandwich. What is your gross profit? a)$2005 b)$1475 c)$1925 d)$3400

answer

c)$1925

question

100. Cleaning supplies are found on which of the following: a)revenue budget b)capital budget c)none of these d)operational budget

answer

d)operational budget

question

1. Which of the following is not a risk determinant of metabolic syndrome? [NTR:400] a) Waist circumference b) Blood pressure c) Triglycerides d) Weight

answer

d) Weight

question

2. Athletes should receive _______ during a marathon event a) salt pills only during the summer months b) extra protein c) carbohydrate loading two weeks prior to an event d) water during an event to replace lost fluids

answer

d) water during an event to replace lost fluids

question

3. An insulin dependent diabetic calls you with symptoms of nausea, vomiting and anorexia. What would you recommend? a) continue with insulin and eat anything he can b) continue with insulin and drink anything he can c) discontinue the insulin until he feels better d) discontinue the insulin and eat what ever he can

answer

b) continue with insulin and drink anything he can

question

4. Which of the following growth charts is currently recommended by the Centers for Disease Control to assess weight in relation to stature in children ages 2 to 20 years? [NTR:406] a) BMI-for-age b) Length-for-age c) Weight-for-age d) Stature-for-age

answer

a) BMI-for-age

question

5. How many calories are in 300ml of 5% dextrose solution? a) 51 b) 60 c) 15 d) 200

answer

a) 51

question

6. The most appropriate nutrition prescription for your patient with cirrhosis includes: [NTR:401] a) 0.6 grams protein/kg body weight b) 40-45% fat c) 4-6 smaller meals per day d) 4-6 grams sodium

answer

c) 4-6 smaller meals per day

question

7. Which of the following diet is appropriate for reactive hypoglycemia? a) decrease fat, spread CHO through out the day, 5-6 small meals b) increased complex CHO, low fat, high protein c) decreased complex CHO, low fat d) high protein, high fat, high CHO

answer

a) decrease fat, spread CHO through out the day, 5-6 small meals

question

8. After completing this step in the Nutrition Care Process, the dietetics professional can decide whether or not a nutrition diagnosis/problem exists. [NTR:407] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

answer

a) Nutrition Assessment

question

9. Which of the following foods is least likely to pose a choking risk for toddlers? [NTR:415] a) Ground beef b) Nuts c) Popcorn d) Round candy

answer

a) Ground beef

question

10. Following a Billroth II, steatorrhea often results from? a) bacterial overgrowth in the remaining loop b) decreased pancreatic secretion c) a diet restricting simple CHO d) rapid absorption of simple CHO

answer

b) decreased pancreatic secretion

question

11. A PEG feeding should be useful in a patient with a) head and neck cancer who will not be able to eat by mouth b) short bowel syndrome c) duodenal ulcers d) pancreatitis

answer

a) head and neck cancer who will not be able to eat by mouth

question

12. Which foods are most likely to cause allergic reaction? a) shell fish, peanut and wheat b) wheat, chocolate, rice c) citrus fruits, milk, corn d) chocolate, milk, corn

answer

a) shell fish, peanut and wheat

question

13. Which set of conditions is most common in America children? a) obesity, dental caries , anemia b) hypertension, dental caries, rickets c) hyperkenesis, anemia, dental caries d) diabetes, obesity and anemia

answer

a) obesity, dental caries , anemia

question

14. Which of the following is a medium fat meat? a) peanut butter b) tuna fish c) pork chops d) chicken with skin

answer

d) chicken with skin

question

15. Which food agency would contact regarding food distribution a) USDA b) FDA c) HHS d) Food stamps

answer

a) USDA

question

16. Which is not a fiber in the diet? a) cellulose b) hemicellulose c) amylose d) pectin

answer

c) amylose

question

17. Which of the following religious groups generally do not consume pork? a) Buddhists, Jews, Mormons, Muslims b) Roman Catholics, Hindus, Muslims, Agnostics c) Hindus, Jews, Muslins, seventh Day Adventist d) Buddhist, Mormons, Seventh Day Adventist

answer

c) Hindus, Jews, Muslins, seventh Day Adventist

question

18. If a patient is about to be discharged when you receive the discharge diet order, you should a) give him something to take home b) there is not enough time so forget it c) enroll him in the outpatient clinic and schedule an appointment d) teach him what you can in the time you have

answer

c) enroll him in the outpatient clinic and schedule an appointment

question

19. Which of the following weight gain puts pregnant women at risk? a) less than 4# per month in the last half of the pregnancy b) less them 5 # per month in the last half of the pregnancy c) less than 6# per month in the last half of the pregnancy d) more than 2# per month in the last half of the pregnancy

answer

a) less than 4# per month in the last half of the pregnancy

question

20. Which is the measure of somatic protein stores? a) serum albumin b) serum transferrin c) mid-arm muscle circumference d) triceps skinfold

answer

c) mid-arm muscle circumference

question

21. Good advise for patient with hiatal hernia is a) increase intake of complex carbohydrate b) increase the fat content of the diet c) don't eat before bed d) decrease protein intake to increase lower esophageal sphincter pressure

answer

c) don't eat before bed

question

22. In Cystic fibrosis, the most impaired nutrient digestion and absorption is? a) protein b) disaccharides c) electrolytes d) fats

answer

d) fats

question

23. The diet used for galactosemia should exclude? a) high fat foods b) high cholesterol foods c) organ meats, MSG d) simple carbohydrates

answer

c) organ meats, MSG

question

24. A ketogenic diet is used to treat? a) cystic fibrosis b) seizures c) chronic renal failure d) diabetes

answer

b) seizures

question

25. A fecal fat test of ___ grams of fat in 24 hours is considered fat malabsorption a) less than 1 b) more than 7 c) 3-5 d) 2-4

answer

b) more than 7

question

26. Overweight is defined as a BMI of: [NTR:433] a) 19 to 24. b) 25 to 29. c) 27 to 32. d) 31 to 36.

answer

b) 25 to 29.

question

27. Osteoporosis is most likely to occur in a) the physically active b) non-smoker c) Black females d) White females

answer

d) White females

question

28. Compared to human milk, commercially prepared infant formula is a) the same in nutrient content b) higher in protein and iron but lacks antibodies c) lower in protein and iron and lacks antibodies d) double in calories

answer

b) higher in protein and iron but lacks antibodies

question

29. A man with a peptic ulcer should consume a) milk every two hours b) a bland diet c) a balanced diet as tolerated d) a low roughage diet

answer

c) a balanced diet as tolerated

question

30. Urea excretion is related to ___, while creatinine excretion is related to ___ a) muscle mass, protein intake b) protein intake, muscle mass c) protein intake, adipose tissue d) protein intake, calcium intake

answer

b) protein intake, muscle mass

question

31. A sandwich with two pieces of white bread and two ounces of turkey provides how many calories? a) 270 b) 245 c) 198 d) 290

answer

a) 270

question

32. When instructing patients on the appropriate diet while on a MAOI drug, which of the following would not be allowed a) milk, yogurt, cottage cheese b) yogurt, ricotta cheese c) fruit, yogurt d) smoked salmon, potato

answer

d) smoked salmon, potato

question

33. An appropriate client to recommend the use of meal replacements for weight loss to is one who: [NTR:436] a) has no more than 20 pounds to lose. b) has difficulty with portion control. c) habitually eats late at night. d) does not engage in physical activity.

answer

b) has difficulty with portion control.

question

34. When a starved patient begins to eat, they might expect a) constipation b) an increased workload on the heart c) lethargy d) diarrhea

answer

b) an increased workload on the heart

question

35. What is an example of a program that provides food for anyone in need? a) the Food Bank b) the Food Stamp Program c) the Child Care Program d) the WIC program

answer

a) the Food Bank

question

36. Relationship building skills include a task referred to as "legitimation". Which of the following phrases is the best example of a legitimation statement a) I'm looking forward to working together to resolve the concern b) your anger is understandable. Most people would feel angry if they experienced you did c) I really admire you for being able to lose weight while maintaining such a hectic schedule

answer

b) your anger is understandable. Most people would feel angry if they experienced you did

question

37. In metabolic acidosis, which of the following occurs? a) excretion of potassium b) excess calcium retention c) excretion of sodium bicarbonate d) excess calcium loss

answer

c) excretion of sodium bicarbonate

question

38. The most effective method of collecting dietary intake information for a large group a) food diary b) 24 hour food recall c) food frequency list d) 3 day calorie count

answer

c) food frequency list

question

39. What can be done to lower the respiratory quotient of a tube fed pulmonary patient? a) change the type of fat to improve oxygen exchange b) add carbohydrate to increase calories c) replace some of the carbohydrate with fat d) increase omega 3 fats to reduce inflammation

answer

c) replace some of the carbohydrate with fat

question

40. A mother with two daughters ages 8 and 11 does not earn enough money to feed her family, which program would you suggest a) WIC b) Food Stamps c) Child Care Food Program d) Medicaid

answer

b) Food Stamps

question

41. Why do egg whites beat easier at room temperature? a) the pH is increased b) the protein is denatured c) there is a lower surface tension d) the surface tension is higher

answer

c) there is a lower surface tension

question

42. The principal end product of cellular oxidation are a) water, carbon dioxide b) carbon, hydrogen, nitrogen c) short chain fatty acids and vitamin K d) acids amino and nitrogen

answer

a) water, carbon dioxide

question

43. A groups of rats being fed gelatin as the sole protein source were not growing well. Why? a) no tryptophan and low methionine and lysine b) no methionine and low tryptophan c) no lysine or methionine and low tryptophan d) no arginine

answer

a) no tryptophan and low methionine and lysine

question

44. If you replace half and half with whipping cream in ice cream, the effect on the ice crystals will be a) increase in size because here is less fat b) decrease in size because there is more fat c) no change because homogenization decreases the effect of fat d) increase in size because there is more fat

answer

b) decrease in size because there is more fat

question

45. Freezing is both a simple and successful method of food preservation. To ensure high quality results, it is recommended to keep salt content of prepared foods to a minimum. The reason for this is __________. [FS:68] a) freezing intensifies flavor and the food will taste saltier when reheated b) salt accelerates rancidity of fats within the food c) salt increase the risk for microbial growth when foods are thawed d) salt accelerates the freeing process and reduces the shelf life of the food

answer

b) salt accelerates rancidity of fats within the food

question

46. To prevent frozen gravy from separating when thawed a) reheat it more slowly and stir constantly b) thaw it before heating and stir constantly c) make it with modified starch d) cook it longer before freezing to stabilize the gravy

answer

c) make it with modified starch

question

47. Winterized oil is a) cloudy when refrigerated b) clear when refrigerated c) cloudy when stored at room temperature d) cloudy when heated

answer

b) clear when refrigerated

question

48. To prevent protein precipitation (curdling) when making cream of tomato soup [FS:144] a) add acid to milk rather than milk to the acid. b) add milk to acid rather than acid to the milk. c) use a cross-linked starch for thickening. d) use only skim milk.

answer

a) add acid to milk rather than milk to the acid.

question

49. Fats enter the blood as ___ and leave the liver as___ a) phospholipids, chylomicrons b) chylomicrons, phospholipids c) chylomicrons, lipoproteins d) lipoproteins, chylomicrons

answer

c) chylomicrons, lipoproteins

question

50. Evaporated milk has : a) a little more than half the water removed b) sugar added c) a fat content of 3-6% d) the lactose removed

answer

a) a little more than half the water removed

question

51. Which oil has the highest monounsaturated fatty acid content? a) olive b) canola c) peanut d) sunflower

answer

a) olive

question

52. Children's diet are found to be low in iron may be due to excessive _____ intake? a) vegetables b) fruits c) grains d) milk

answer

d) milk

question

53. What is the result of adding baking soda to green peas? [FS:147] a) Fading of green color b) Mushy texture c) Loss of starch d) Rancidity

answer

b) Mushy texture

question

54. Which of the following study designs can best determine the effect of promotional techniques of cafeteria sales? a) experimental b) observational c) survey d) segmentation

answer

a) experimental

question

55. The absence of reinforcement following an undesirable behavior is? a) positive reinforcement b) punishment c) extinction d) avoidance

answer

c) extinction

question

56. In a study on the effect of saccharine, who receives the placebo? a) the experimental group b) the group receiving saccharine c) the group receiving sugar d) the group which has never been tested before

answer

c) the group receiving sugar

question

57. Where would this be placed in a research article, "most of the changes were probably due to..." a) introduction b) discussion c) results d) summary

answer

b) discussion

question

58. When should performance objectives be given to workers? a) several weeks before their evaluation b) they should not be shown to the worker c) the day of the evaluation d) when they are hired

answer

d) when they are hired

question

59. The mean is a measure of what? a) a normal curve b) central tendency c) a frequency curve d) a straight line

answer

b) central tendency

question

60. When you measure functional and manipulative skills, which domain of learning are you analyzing? a) conceptual b) affective c) human d) psychomotor

answer

d) psychomotor

question

61. If patients in a counseling session become restless: a) shorten the sessions b) use a series of guest speakers c) realize that this is to be expected d) cancel the sessions

answer

a) shorten the sessions

question

62. The best indicator that children profited from a nutrition education program about iron is? a) their parents have increased knowledge about iron b) the children have increased knowledge about iron c) the children select more snacks with iron d) the parents have normal hemoglobin levels

answer

c) the children select more snacks with iron

question

63. Statistics that let you draw probable conclusions beyond your immediate universe of data is called? a) descriptive b) inferential statistics c) variable interest statistics d) continuous statistics

answer

b) inferential statistics

question

64. The statement "After class the patient will be able to write a days menu following the guidelines" is a) a goal b) an objective c) a plan d) a research hypothesis

answer

b) an objective

question

65. Which food is likely to be irradiated to inhibit deterioration due to mold formation? [FS:153] a) Soda pop b) Fresh strawberries c) Poultry d) Ground beef

answer

b) Fresh strawberries

question

66. If you worked overtime and did not get paid which labor law would help your claim? a) the equal opportunity act b) the fair labor standards act c) the equal pay act d) the fair wage act

answer

b) the fair labor standards act

question

67. What is the turnover rate if 6 employees in a department of 55 were terminated and replaced? a) 12% b) 10% c) 9% d) 11%

answer

d) 11%

question

68. If a union member repeatedly arrives late, you should? a) fire him b) report him to management c) say nothing to him d) forget it, unionized employees cannot be fired

answer

b) report him to management

question

69. What method of food service is used when one school delivers meals to another? a) ready-prepared b) commissary c) assembly serve d) cook chill

answer

b) commissary

question

70. How much ground meat will it take to make 300 three ounce hamburger patties with a 20% shrinkage? a) 52# b) 68# c) 90# d) 70#

answer

d) 70#

question

71. A food service operates with 35% food cost. If a menu item has a raw food cost of $1.25 and it takes an employee 45 minutes at $6.00 per hour to prepare, what is the traditional selling price? a) $2.75 b) $3.25 c) $2.50 d) $3.58

answer

d) $3.58 (key is "traditional" selling price so....100/35 = 2.857 markup x 1.25 raw food cost = 3.5713)

question

72. Which management function require the greatest allotment of time? a) production management b) planning and organizing c) directing and controlling d) organizing and controlling

answer

c) directing and controlling

question

73. Which is the best material, strong and light weight, for a piece of mobile equipment? a) chrome b) aluminum c) tin d) stainless steel

answer

b) aluminum

question

74. Which group is responsible for nutritional labeling? a) USDA b) US department of commerce c) FDA d) UPI

answer

c) FDA

question

75. Using the scientific approach to management, which of the following would result? a) decreased labor minutes per meal b) decreased labor hours per week c) increased labor minutes per meal d) increased labor hours per week

answer

a) decreased labor minutes per meal

question

76. Where should a hand washing sink be located? a) near the door entering the kitchen b) near the dish room c) near the cafeteria counter d) near the food preparation area

answer

d) near the food preparation area

question

77. Which food service system is least likely to have microbial contamination? a) conventional b) cook chill c) cook freeze d) assembly serve

answer

d) assembly serve

question

78. Which oven is the most energy efficient? a) convection b) rotary oven c) deck d) microwave

answer

a) convection

question

79. Which additive is useful as a bleaching agent? [FS:157] a) Benzoyl peroxide b) Citric acid c) Canthaxanthin d) Butylated hydroxyanisole

answer

a) Benzoyl peroxide

question

80. Which of the following is poor management? a) one supervisor for one employee b) one supervisor for every two employee c) one supervisor for the entire department d) two supervisors for one employee

answer

d) two supervisors for one employee

question

81. When can a citizen have impact on a bill? a) during debate in the senate b) when the bill goes to committee c) when the bill is in public hearings d) during debate in the house

answer

c) when the bill is in public hearings

question

82. Store frozen fruits and vegetables at? a) 0 - (-10)F b) (-10) - (-20)F c) < 32 F d) 0 - 10F

answer

a) 0 - (-10)F

question

83. In a hospital with 300 patients, it takes 14 minutes to prepare one meal. How many FTE's are needed per week? a) 12 b) 37 c) 46 d) 10

answer

b) 37 (300x3x7 = 6300 meals x 14 min = 88200 min/60min = 1470hrs/40 = 36.75 FTEs)

question

84. The organizational chart: a) is an organized lists of duties b) shows the employees how he fits in to the organization c) organize departmental activities d) is and evaluation tool for productivity

answer

b) shows the employees how he fits in to the organization

question

85. Which statement best describes the "P" component of the PDSA performance improvement model? [MGT:302] a) Determine how changes will be implemented b) Implement the intervention c) Determine the impact of the intervention d) Implement and monitor the plan

answer

a) Determine how changes will be implemented

question

86. In making decisions, take the following steps: a) gather data, choose solution, take action, follow-up b) determine workable solutions, choose one, take action c) choose solution , take action, follow up d) recognize and analyze the problem, gather data, choose solution, take action, follow up

answer

d) recognize and analyze the problem, gather data, choose solution, take action, follow up

question

87. Responsibility, recognition by management, and participation in decision making are all considered true motivators by? a) Hertzberg b) Taylor c) Maslow d) Likert

answer

a) Hertzberg

question

88. A scale drawing of an area showing the path of a worker during a process is? a) a flow diagram b) a process diagram c) an operation chart d) a cross chart

answer

a) a flow diagram (cross chart: efficiency of equipment placement, work motions, # of movements between pieces of equipment; flow diagram: representation of physical routes of people/materials/etc. associated with a process/plan; operation chart: graphic and symbolic representation of operations used to produce a product)

question

89. OSHA's responsibility do not include? a) establishing minimum safety standard b) inspecting facilities c) examining records of occupational injuries d) developing a better safety program for a facility

answer

d) developing a better safety program for a facility

question

90. What process is binding and cannot be changed? a) arbitration b) mediation c) an injunction d) collective bargaining

answer

a) arbitration

question

91. If you open sealed bids and place the order with the lowest bid, you are using which buying method? a) informal b) open market c) future contracts d) formal, competitive bid

answer

d) formal, competitive bid

question

92. When goods are received, the delivery slip included is called? a) an invoice b) a standing order c) requisition d) receiving records

answer

a) an invoice

question

93. Which food item/s require the highest humidity? a) meat b) dairy c) fruits and vegetables d) poultry

answer

c) fruits and vegetables

question

94. A blast freezer and rethermalization are part of the: a) commissary system b) ready prepared system c) assemble serve system d) conventional system

answer

b) ready prepared system

question

95. Gauge refer to: a) ply b) finish c) polish d) thickness

answer

d) thickness

question

96. Which of the following foods is safe? a) beef stew at 160F b) potato salad at 75F c) tune casserole at 100F d) egg salad at 80F

answer

a) beef stew at 160F

question

97. Why should a manager not allow employees to wear long jewelry in the kitchen? a) to prevent showing off to other workers b) sanitation consideration c) possible theft d) employee safety

answer

d) employee safety

question

98. When preparing a budget which management function is involved? a) controlling b) organizing c) evaluating d) projecting

answer

a) controlling

question

99. When cleaning _____ , use chlorine or quaternary ammonia a) laundry b) countertops c) oven d) floor

answer

b) countertops

question

100. Which of these work center designs discourages through traffic? a) U-shaped b) back to back parallel c) straight line d) square

answer

a) U-shaped

question

1. When preparing most vegetables for freezing, it is imperative that you blanch the vegetable first. The primary purpose of this process is to _______________, and improve product _________. [FS:67] a) kill harmful microorganisms, safety b) deactivate enzymes, safety c) deactivate enzymes, quality d) improve texture, palatability

answer

c) deactivate enzymes, quality

question

2. Freezing is both a simple and successful method of food preservation. To ensure high quality results, it is recommended to keep salt content of prepared foods to a minimum. The reason for this is __________. [FS:68] a) freezing intensifies flavor and the food will taste saltier when reheated b) salt accelerates rancidity of fats within the food c) salt increase the risk for microbial growth when foods are thawed d) salt accelerates the freeing process and reduces the shelf life of the food

answer

b) salt accelerates rancidity of fats within the food

question

3. Which of the following categories of food items must bear a Nutrition Facts label?[FS:73] a) A donut purchased directly from the bakery where it was prepared b) A sandwich purchased at a restaurant for take-out c) A burrito purchased from a small business d) A beverage purchased in a plastic container from a grocery store

answer

d) A beverage purchased in a plastic container from a grocery store

question

4. To maintain quality and freshness of refrigerated produce, upon receiving these items, they should be placed directly into cold storage and held at a temperature between [FS:76] a) 55 °F and 60 °F. b) 41 °F and 48 °F. c) 34 °F and 36 °F. d) 30 °F and 35 °F.

answer

c) 34 °F and 36 °F.

question

5. Which fatty acids are essential and must be obtained by eating foods containing these fatty acids? [NTR:571] a) Linoleic and α-linolenic fatty acids b) Cis monounsaturated fatty acids c) Trans fatty acids d) Saturated fatty acids

answer

a) Linoleic and α-linolenic fatty acids

question

6. Which micronutrient enhances the absorption of non-heme iron? [NTR:575] a) Calcium b) Copper c) Vitamin A d) Vitamin C

answer

d) Vitamin C

question

7. The breakdown of fatty acids to yield acetyl-CoA is called [NTR:597] a) Glycolysis b) lipolysis. c) ketogenesis. d) ß-oxidation.

answer

d) ß-oxidation. (catabolic process involving fatty acid chain and coenzyme A, occurs in mitochondria, acetyl CoA then enters the citric acid (TCA) cycle)

question

8. Which of the following does not provide a significant source of vitamin D? [NTR:620] a) Egg yolk b) Kale c) Sardines d) Fortified milk

answer

b) Kale

question

9. Excessive intake of phytates and oxalates can interfere with the absorption of [NTR:643] a) cholesterol. b) minerals. c) vitamins. d) fiber.

answer

b) minerals.

question

10. If the dietetic professional presents new information to an adult orally, about how much of what is heard will be remembered? a) 20% b) 30% c) 40% d) 50%

answer

a) 20%

question

11. The dietetic professional has developed a weight-loss program that includes encouraging participants to reward themselves with treats such as new clothe, going to a movie or spending more time in a favorite past-time after they have lost 5 pounds. The learning theory being applied is ________ a) behavioral b) social learning c) cognitive d) humanistic

answer

a) behavioral

question

12. Which of the following is an example of a positive correlation? [NTR:592] a) "The amount of weight gained by pregnant women during the first trimester has been found to decrease as the number of episodes of nausea and vomiting increase." b) "The incidence of type 2 diabetes mellitus increases as central adiposity increases." c) "Consuming calories in excess of those needed results in an increase in generalized adiposity." d) "Blood pressure in certain genetic groups appears to decrease as the consumption of dietary sodium is reduced."

answer

b) "The incidence of type 2 diabetes mellitus increases as central adiposity increases." (positive correlation - relationship between two variables where both variables move in tandem, occurs when one variable decreases while the other also decreases etc.)

question

13. Guidelines to treat disorders of lipid metabolism in patients with diabetes include: [NTR:396] a) 25-35% of total energy from fat; less than 7% of total energy from saturated and trans fat. b) less than 25% of total energy from fat; less than 10% of total energy from saturated and trans fat. c) less than 15% of total energy from all fat. d) less than 200 mg of cholesterol per day; greater than 10% of total energy from saturated and trans fat.

answer

a) 25-35% of total energy from fat; less than 7% of total energy from saturated and trans fat.

question

14. The DASH diet plan has been shown to be beneficial for which medical condition? [NTR:397] a) Diabetes b) Hypertension c) Heart failure d) Chronic Obstructive Pulmonary Disease (COPD)

answer

b) Hypertension

question

15. The following micronutrients should be supplemented in a patient with history of alcoholism: [NTR:398] a) thiamin and folic acid. b) folic acid and magnesium. c) calcium and thiamin. d) calcium and magnesium.

answer

a) thiamin and folic acid.

question

16. The most appropriate nutrition prescription for your patient with cirrhosis includes: [NTR:401] a) 0.6 grams protein/kg body weight b) 40-45% fat c) 4-6 smaller meals per day d) 4-6 grams sodium

answer

c) 4-6 smaller meals per day

question

17. After completing this step in the Nutrition Care Process, the dietetics professional can decide whether or not a nutrition diagnosis/problem exists. [NTR:407] a) Nutrition Assessment b) Nutrition Diagnosis c) Nutrition Intervention d) Nutrition Monitoring and Evaluation

answer

a) Nutrition Assessment

question

18. Which of the following foods is least likely to pose a choking risk for toddlers? [NTR:415] a) Ground beef b) Nuts c) Popcorn d) Round candy

answer

a) Ground beef

question

19. Which of the following breakfast meals contains approximately 60 grams of carbohydrate? [NTR:423] a) 2 slices of toast, 1 egg, 1 small orange, 1 cup milk b) 2 slices of toast, 1 cup apple juice, 1 large banana c) 1 -1/2 cups of oatmeal, 1/4 cup blueberries, 1 cup orange juice, 1/2 cup milk d) 2 eggs, 1 slice bacon, 2 slices of toast, 1/2 cup orange juice

answer

a) 2 slices of toast, 1 egg, 1 small orange, 1 cup milk

question

20. An appropriate client to recommend the use of meal replacements for weight loss to is one who: [NTR:436] a) has no more than 20 pounds to lose. b) has difficulty with portion control. c) habitually eats late at night. d) does not engage in physical activity.

answer

b) has difficulty with portion control.

question

21. Which of the following are appropriate for your patient with celiac disease to eat? [NTR:451] a) Quinoa and tapioca b) Couscous and corn c) Oatmeal and buckwheat d) None of the above

answer

a) Quinoa and tapioca

question

22. The loss of muscle mass that occurs with aging is termed: [NTR:454] a) cachexia. b) sarcopenia. c) dystrophy. d) myotonia.

answer

b) sarcopenia. (cachexia - wasting syndrome; sarcopenia - loss of skeletal muscle mass; dystrophy - degeneration of tissue due to malnutrition or disease; myotonia - disorder of tonic spasm of muscle)

question

23. Which would be an appropriate food or beverage item to serve to your patient on postoperative day #1 following gastric bypass surgery? [NTR:459] a) Ginger ale b) Sherbet c) Low-fat chicken broth d) Cranberry juice

answer

c) Low-fat chicken broth

question

24. Enteral feeding started within _____ hours of admission to the intensive care unit has been shown to improve length of stay and mortality. [NTR:460] a) 2 b) 12 c) 24 d) 48

answer

c) 24

question

25. Which of the following disease states may require a fluid restriction? [NTR:461] a) Liver disease with ascites b) Chronic renal failure c) Congestive heart failure d) All of the above

answer

d) All of the above

question

26. In the Nutrition Care Process, statements in the format of "Nutrition problem label related to ____ as evidenced by ____" are classified as: [NTR:464] a) intake critiques. b) NCP links. c) PES statements. c) nutrition concerns.

answer

c) PES statements.

question

27. Using the Hamwi formula, what is the ideal body weight for a female who is 70 inches tall and has a small body frame? [NTR:493] a) 120 pounds b) 135 pounds c) 150 pounds d) 165 pounds

answer

b) 135 pounds

question

which of the following foods must a child with phenylketonuria avoid? [NTR:519] a) egg b) banana c) Rice d) French fries

answer

a) Egg

question

29. A 72 year-old woman with chronic heart failure and symptomatic edema and poor po intake is treated with thiazide medication. What would you expect her labs to reveal as a result of this medication? [NTR:526] a) Hypokalemia b) Hypernatremia c) Hypocalcemia c) Hyperglycemia

answer

a) Hypokalemia

question

30. Calculating protein needs at 2.0 g/kg body weight in an elderly patient with Stage III pressure ulcer may cause [NTR:529] a) hyperglycemia. b) dyslipidemia. c) Dehydration d) delayed wound healing.

answer

c) Dehydration

question

31. When completing a physical assessment, inadequate hydration may present as [NTR:562] a) poor skin turgor b) scaly appearance of skin c) dull and thin hair d) angular stomatitis

answer

a) poor skin turgor

question

32. Refeeding syndrome is characterized by low serum concentrations of: [NTR:564] a) phosphorus, potassium, magnesium. b) sodium, phosphorus, magnesium. c) sodium, potassium, phosphorus. d) potassium, magnesium, sodium.

answer

a) phosphorus, potassium, magnesium.

question

33. A patient status post gastric bypass surgery has an increased risk for deficiency of which micronutrient? [NTR:565] a) Vitamin C b) Potassium c) vitamin B12. d) Omega 3 fatty acids

answer

c) vitamin B12.

question

34. Which of the following statements is true regarding the potential benefits of dietary fiber? [NTR:568] a) Lower LDL cholesterol levels b) Reduce postprandial blood glucose levels c) Increased gastric emptying d) Both A and B

answer

d) Both A and B

question

35. The oils that contain predominantly monounsaturated fatty acids include [NTR:570] a) sunflower oil and canola oil. b) safflower oil and corn oil. c) canola oil and olive oil. d) soybean and olive oil.

answer

c) canola oil and olive oil.

question

37. Infants of mothers who practiced a vegan diet while pregnant, and who are breastfed, would benefit from supplementation of what micronutrient? [NTR:574] a) Niacin b) Calcium c) Vitamin B12 d) Vitamin A

answer

c) Vitamin B12

question

38. Given identical amounts of cow's milk and human breast milk, which of the following is true? [NTR:585] a) Human milk contains less protein. b) Human milk provides more calcium. c) Cow's milk provides 50% of the calories. d) Cow's milk contains a lower proportion of casein compared to whey protein.

answer

a) Human milk contains less protein.

question

39. Which of the following foods would you recommend decreased intake of if your patient has a malodorous ileostomy? [NTR:590] a) Yogurt b) Garlic c) Banana d) Peanut butter

answer

b) Garlic

question

40. Patients with acute renal failure have higher needs of which nutrient compared to a similar patient with optimal renal function? [NTR:591] a) Protein b) Potassium c) Fluid d) Energy

answer

d) Energy (Acute renal failure is a hypercatabolic state)

question

41. Which of the components of total energy expenditure accounts for the largest percentage of total energy expenditure? [NTR:603] a) thermic effect of food b) physical activity c) non-exercise activity thermogenesis d) basal metabolism

answer

d) basal metabolism

question

42. Which of the following conditions would most likely result in a slightly elevated albumin? [NTR:609] a) Dehydration b) Cirrhosis c) Inadequate protein intake d) Stage IV pressure ulcer

answer

a) Dehydration

question

43. Which of the following foods is likely to be consumed by a lacto-vegetarian? [NTR:615] a) Scrambled eggs b) Tuna fish salad c) Hamburger d) Grilled cheese sandwich

answer

d) Grilled cheese sandwich

question

44. Which of the following symptom(s) often characterizes niacin deficiency? [NTR:617] a) Diarrhea b) Dermatitis c) Dementia d) All of the above

answer

d) All of the above

question

45. Which of the following statements best describes the similarities between the Special Supplemental Nutrition Program for Women, Infants, and Children and the Supplemental Nutrition Assistance Program? [NTR:630] a) Both programs are regulated by the USDA, provide referrals to health care and other social services providers, and are entitlement programs. b) Both programs are regulated by the USDA, contain income eligibility guidelines, and are entitlement programs. c) Both programs are regulated by the USDA, contain income eligibility guidelines, are entitlement programs, and recipients must have a documented medical or nutritional risk. d) Both programs are regulated by the USDA and contain income eligibility guidelines.

answer

d) Both programs are regulated by the USDA and contain income eligibility guidelines.

question

46. The 2010 Dietary Guidelines for Americans suggest what percentage of calories comes from saturated fat? [NTR:633] a) 1% b) 5% c) 10% d) 20%

answer

c) 10%

question

47. Which one of these individuals is most likely to present with Wernicke-Korsakoff syndrome? [NTR:639] a) A premature infant b) An alcoholic man c) A postmenopausal woman d) A disabled child

answer

b) An alcoholic man

question

48. If the carbohydrate content of the diet is insufficient to meet the body's needs for energy, which of the following can be converted to glucose? [NTR:651] a) Acetyl-CoA b) Fatty acids c) Carbon dioxide d) Amino acids

answer

d) Amino acids

question

49. A meal providing 1200 kcal contains 13 grams of saturated fats, 10 grams of monounsaturated fats, and 27 grams of polyunsaturated fats. What is the percentage of energy supplied by the lipid? [NTR:660] a) 37 b) 10 c) 17 d) 25

answer

a) 37

question

50. What government funding supports the school lunch program? [NTR:403] a) Medicaid b) Health and Human Services c) CACFP d) USDA

answer

d) USDA

question

51. Which of the following growth charts is currently recommended by the Centers for Disease Control to assess weight in relation to stature in children ages 2 to 20 years? [NTR:406] a) BMI-for-age b) Length-for-age c) Weight-for-age d) Stature-for-age

answer

a) BMI-for-age

question

52. Which of the following statements is accurate concerning fruit juice? [NTR:417] a) Intake of juice should be limited to 4-6 oz per day for children ages 1 to 6 years. b) Juice may be introduced at 4 months of age. c) Juice should be given in the bedtime bottle to help infants sleep all night. d) It is safe to give young children unpasteurized juice.

answer

a) Intake of juice should be limited to 4-6 oz per day for children ages 1 to 6 years.

question

53. Which of the following population groups of children does research show to be at the highest risk for iron deficiency? [NTR:431]) a) School-age children and children ages 3 to 5 years old b) Infants and school-age children c) Infants and adolescents d) Children ages 3 to 5 years old and adolescents

answer

c) Infants and adolescents

question

54. Which of the following conditions best describes when an elderly person does not have enough to eat? [NTR:432] a) Food insecurity b) Food insufficiency c) Food insecurity with hunger d) Food security with hunger

answer

b) Food insufficiency

question

55. . A 2-year old child who drinks large quantities of milk and very little solid food is at risk for [NTR:442] a) diabetes mellitus. b) food allergies. c) iron-deficiency anemia. d) short stature.

answer

c) iron-deficiency anemia.

question

56. A general rule for appropriate portion sizes for toddlers and preschool children is to offer [NTR:450] a) 1 Tbsp of each food per meal for each year of the child's age. b) ¼ to ½ cup of each of three foods per meal. c) to need only breast milk or iron-fortified formula for the first 6 months of age. d) the same portions as adults.

answer

a) 1 Tbsp of each food per meal for each year of the child's age.

question

57. The recommended weight gain during pregnancy for a woman with BMI between 19.8 and 26 is [NTR:455] a) 15-20 pounds b) 25-35 pounds c) 28-40 pounds d) 35-45 pounds

answer

b) 25-35 pounds

question

59. The local WIC nutritionist has collected considerable data about pregnant women and infants in her community. Which of the following would be correctly categorized as qualitative data? [NTR:509] a) The number of live births per 1000 deliveries b) The mean age of women with documented cases of gestational diabetes c) A graph of the gestational ages and birth weights of all infants born alive d) A tally that notes the reasons that pregnant women report for omitting dairy products from their diets

answer

d) A tally that notes the reasons that pregnant women report for omitting dairy products from their diets

question

60. A group of dietitians meet with a member of the legislature to encourage her support of an important nutrition issue. This activity is termed: [NTR:533] a) lobbying. b) advocacy. c) sponsorship. d) petitioning.

answer

a) lobbying.

question

61. One of the primary goals of WIC food supplements is [NTR:535] a) increasing income for participating grocery stores. b) reducing or preventing iron deficiency anemia in infants and children. c) providing low-cost lunches to school-age children. d) increasing the number of women who get prenatal care.

answer

b) reducing or preventing iron deficiency anemia in infants and children.

question

62. A community dietitian 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: [NTR:538] a) primary prevention. b) secondary prevention. c) tertiary prevention. d) workplace rehabilitation.

answer

a) primary prevention.

question

63. The first step in conducting a community needs assessment is to [NTR:544] a) describe the problem and state why a needs assessment is necessary. b) specify the data needed and design a plan for acquiring it. c) determine the purpose, goals, and objectives of the needs assessment. d) identify the target population and nutritional problem of concern.

answer

d) identify the target population and nutritional problem of concern.

question

64. What labor legislation guarantees an employee the right to join a union and prohibits discrimination against union members? a) Taft-Hartley Act b) Civil Rights Act c) National Labor Relations Act d) Labor-Management Reporting and Disclosure Act

answer

c) National Labor Relations Act

question

65. The average cafeteria check should be calculated by: a) dividing the raw food costs by number of customers b) dividing the total revenue from sales by the number of customers c) multiplying the raw food cost by the percent it is of food sales d) dividing the sum of food and labor costs by the number of sales.

answer

b) dividing the total revenue from sales by the number of customers

question

66. Based on an 8-hour day the number of hours worked on a hospital food service department was 55,267/yr and the total number of hours paid was 59,995/yr. The actual number of productive FTE's was: a) 2.27 b) 18.90 c) 26.60 d) 28.80

answer

c) 26.60

question

67. A food service employee reports seeing a rodent in the dry storage area. The dietitian should first: a) conduct a thorough inspection b) ask an employee to set out institutionally approved traps c) request services form the maintenance department d) contact a licensed pest control company

answer

d) contact a licensed pest control company

question

68. Standards of the American 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

answer

d) 36" wide aisles between tables and counters

question

69. The most important critical control point to monitor in the preparation and service of canned creamed soup is the temperature: a) at delivery b) of storage c) during steam table holding d) during end-point cooking

answer

c) during steam table holding

question

70. When should performance objectives be given to workers a) several weeks before their evaluation b) they should not be shown to the worker c) the day of the evaluation d) when they are hired

answer

d) when they are hired

question

71. When you measure functional and manipulative skills, which domain of learning are you analyzing a) conceptual b) affective c) human d) psychomotor

answer

d) psychomotor

question

72. If you worked overtime and did not get paid which labor law would help your claim a) the equal opportunity act b) the fair labor standards act c) the equal pay act d) the fair wage act

answer

b) the fair labor standards act

question

73. If a union member repeatedly arrives late, you should a) fire him b) report him to management c) say nothing to him d) forget it, unionized employees cannot be fired

answer

b) report him to management

question

74. Which management function require the greatest allotment of time a) production management b) planning and organizing c) directing and controlling d) organizing and controlling

answer

c) directing and controlling

question

75. The dietitian finds that the ice-cream freezer is not working and everything inside is melted. She decides to throw it all out and substitute another item for dessert. She is demonstrating what type of leadership a) autocratic b) bureaucratic c) democratic d) participatory

answer

a) autocratic

question

76. Which of the following is poor management a) one supervisor for one employee b) one supervisor for every two employee c) one supervisor for the entire department d) two supervisors for one employee

answer

d) two supervisors for one employee

question

77. In a hospital with 300 patients, it takes 14 minutes to prepare one meal. How many FTE's are needed per week a) 12 b) 37 c) 46 d) 10

answer

b) 37

question

78. The organizational chart a) is an organized lists of duties b) shows the employees how he fits in to the organization c) organize departmental activities d) is and evaluation tool for productivity

answer

b) shows the employees how he fits in to the organization

question

79. Responsibility, recognition by management, and participation in decision making are all considered true motivators by a) Hertzberg b) Taylor c) Maslow d) Likert

answer

a) Hertzberg

question

80. Which statement best describes the "P" component of the PDSA performance improvement model? [MGT:302] a) Determine how changes will be implemented b) Implement the intervention c) Determine the impact of the intervention d) Implement and monitor the plan

answer

a) Determine how changes will be implemented

question

81. Which set of directives best describes the management process? [MGT:321] a) Controlling, directing, transforming, planning, staffing b) Planning, staffing, establishing objectives, organizing, directing c) Planning, staffing, controlling, establishing objectives, transforming d) Directing, controlling, organizing, staffing, planning

answer

d) Directing, controlling, organizing, staffing, planning

question

82. What is the KEY element in disciplining employees? [MGT:338] a) Identifying solutions to correct undesirable behavior b) Providing feedback c) Providing consistency d) Identifying causes for unacceptable behavior

answer

c) Providing consistency

question

83. Full-time employees generally work 236 days per year due to vacation and benefit days. Approximately how many employees are necessary for everyday coverage of full-time positions? [MGT:339] a) 1.55 b) 1.75 c) 0.75 d) 0.55

answer

a) 1.55

question

84. Where should a hand washing sink be located? a) near the door entering the kitchen b) near the dish room c) near the cafeteria counter d) near the food preparation area

answer

d) near the food preparation area

question

85. Which oven is the most energy efficient a) convection b) rotary oven c) deck d) microwave

answer

a) convection

question

86. Which food item require the highest humidity a) meat b) dairy c) fruits and vegetables d) poultry

answer

c) fruits and vegetables

question

87. Which of the following foods is safe for consumption? a) beef stew at 160F b) potato salad at 75F c) tune casserole at 100F d) egg salad at 80F

answer

a) beef stew at 160F

question

88. When cleaning _____ , use chlorine or quaternary ammonia a) laundry b) countertops c) oven d) floor

answer

b) countertops

question

89. Which of these work center designs discourages through traffic? a) U-shaped b) back to back parallel c) straight line d) square

answer

a) U-shaped

question

90. Which of the following federal agencies has food safety responsibilities? [FSS:195] a) The Joint Commission b) Partnership for Food Safety Education c) Environmental Protection Agency d) American Dietetic Association

answer

c) Environmental Protection Agency

question

91. Of the following foodborne microorganisms, which of the following is considered a parasite? [FSS:196] a) Shigella b) Staphylococcus aureus c) Listeria monocytogenes d) Trichinella spiralis

answer

d) Trichinella spiralis

question

92. The implementation of more liberal food choices in the menu planning process for long-term care (LTC) settings has been associated with which of the following? [FSS:198] a) Increased risk for obesity among LTC residents b) Increased nutrient and fluid intake among LTC residents c) Reduced nutrient and fluid intake among LTC residents d) Reduced customer satisfaction

answer

b) Increased nutrient and fluid intake among LTC residents

question

93. Carbon footprint, as related to sustainability, is a measure of: [FSS:207] a) the impact on the environment based on the amount of greenhouse gases generated. b) the amount of organic foods receiving certification. c) the amount of disposable wares that are recycled. d) the size of a piece of equipment used in foodservice operations.

answer

a) the impact on the environment based on the amount of greenhouse gases generated.

question

94. What term is used to describe the methodical investigation of all components of an existing product or service with the goal of discovering and eliminating unnecessary costs without interfering with the effectiveness of the product or service? [FSS:209] a) Make-or-buy decision b) Can cutting c) Value analysis d) Value-added research

answer

c) Value analysis

question

95. Which of the following is a technical specification? [FSS:210] a) Outlets are to be 120 volt, 15 amperes b) Stainless steel, 18 gauge c) Maximum RMM = 1550 d) KitchenAid mixer, model #KUDP230BO

answer

b) Stainless steel, 18 gauge

question

96. In the purchasing process, which document is first? [FSS:213] a) Invoice b) Requisition c) Purchase Order d) Inquisition

answer

b) Requisition

question

97. Which inventory record is best suited to annual counting and recording of all products with random checks on a monthly basis? [FSS:217] a) Physical b) Perpetual c) Continual d) Periodic

answer

a) Physical

question

98. . The total value of food in inventory on March 1 is $8327. The facility purchased $3200 of food during the month of March. April 1 inventory is $6800. What is the cost of food available for the month of March? [FSS:218] a) $15,127 b) $6,800 c) $11,527 d) $4,727

answer

d) $4,727

question

99. What inventory control method classifies products according to their value? [FSS:219] a) ABC b) Minimax c) Economic order quantity d) Par rate

answer

a) ABC

question

100. During a review of customer feedback cards, Jill Simmons, RD, noted a pattern of dissatisfaction with the consistency of the quality of the beef stew. She also noted a correlation to production data that reported running short of the beef stew during service. The most likely cause for these two problems would be: [FSS:223] a) the servers are not using the appropriate size dishes when plating the stew. b) the cooks are not using the standardized recipe. c) the quality of the beef used in the stew is not consistent with the specifications. d) beef stew is a very popular item on the menu.

answer

b) the cooks are not using the standardized recipe.

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