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RD Exam D2 (newest) Questions With Complete Solutions A 140lb female on dialysis should have how many grams of protein? a) 38- b) 58- c) 70- d) 30-38 Correct Answers C A 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. One third of the carbohydrate grams is met with 1/2 cup orange juice, 1 cup milk and: a) 1 slice toast b) 2 slices toast c) 2 slices toast and 1/2 cup oatmeal d) 1/2 slice toast Correct Answers B A 2 year old child with iron-deficiency anemia has anorexia, vomiting, weight loss and restlessness. Look for: a) excessive milk and fruit juice intake b) excessive vitamin C and D intake c) asthma and respiratory distress d) pica and lead poisoning Correct Answers D A 6'2'' male, large frame, 230 lbs, with type II diabetes should: a) gain 5 lbs, to be at desirable body weight b) lose 20 lbs, slowly following balanced diet
c) lose 20 lbs, in 4 weeks on an 800 calorie diet d) lose 10 lbs, slowly by following a balanced diet Correct Answers B A 60 KG female receives 2700 calories on PN. The calorie to nitrogen ratio is 150:1. How many grams of nitrogen is she getting? a) 14 b) 16 c) 18 d) 20 Correct Answers C A 7 year old on a ketogenic diet requires 1500 calories. Which is the appropriate order? a) 145g fat, 25g protein, 25g CHO b) 95g fat, 40g protein, 25g CHO c) 102g fat, 56g protein, 12g CHO d) 75g fat, 32g protein, 43g CHO Correct Answers A A 75 year old female with adequate income would benefit from: a) SNAP b) congregate meals c) EFNEP d) WIC Correct Answers B A child has been measured several times before the age of two years. Results of the measurements were not accurate because the child was measured:
c) take an omega-3 fatty acid supplement d) avoid caffeinated and carbonated beverages Correct Answers B A common result of treating an AIDS patient with zidovudine is? a) diarrhea b) constipation c) macrocytic anemia d) hypokalemia Correct Answers C A concern with parenteral feeding is: a) hypokalemia b) hypercalcemia c) hyponatremia d) hypernatremia Correct Answers A A critically ill patient will likely need hospitalization for many days. When should the discharge plan begin? a) as soon as it is known when the patient will be discharged b) once the patient is stable c) on the first day of admission d) at least two days prior to discharge Correct Answers C A Crohn's patient who was previously well-nourished has a fever and ileus 7 days PO. Which feeding method should you recommend?
a) central venous hyperalimentation b) full liquids c) peripheral IV infusion d) half-stregnth TF Correct Answers C A diabetic needs 1800 calories, 50% from CHO. How many CHO choices can he have at each meal if he has 2 snacks with 2 CHO choices each? a) 2 b) 3 c) 4 d) 5 Correct Answers C A diabetic wants to exchange his bedtime snack of 8 ounces whole milk. What do you suggest? a) 1 oz cheese and 1/2 cup orange juice b) 2 graham crackers and 1/2 cup orange juice c) 1 ounce cheese d) 2 ounces cheese Correct Answers A A dialysis patient has the following lab values: 130 serum Na, BUN 100, creatinine 8.0, 4kg weight gain since last dialysis. What would these lab values likely reflect if the patient had been nauseated and had averaged only 400 calories from primarily starchy foods over the weekend? a) little or no rise in potassium, BUN/creatinine ratio < b) increased phosphorus, BUN/creatinine ratio > c) typical rise in potassium, BUN/creatinine ratio >
c) 3- d) 2-4 Correct Answers B A female has a 36'' wasit and a 40'' hip measurement. She is at risk for: a) nothing b) cancer c) heart disease d) malnutrition Correct Answers C A female who eats a wide variety of foods and takes supplemental iron and birth control pills may be: a) marginally deficient in folic acid b) low in calcium c) low in vitamin A d) low in zinc Correct Answers A A female, 5'7'' tall weighs 115lbs. Six months ago she weighed 130 lbs. What is her percent of ideal body weight? a) 85% b) 83% c) 81% d) 87% Correct Answers A A hispanic woman needs more calcium in her diet. What do you recommend? a) milk
b) plantains c) avocado d) pinto beans Correct Answers D A homeless patient who is deficient in all nutrients is to be discharged. What organization may help? a) WIC b) EFNEP c) a local social services organization d) a shelter for the homeless Correct Answers C A long term care patient has normal intestinal function but cannot eat. What tube feeding should you provide? a) high protein, high calorie formula b) isotonic, polymeric formula c) elemental formula d) low fiber, low fat formula Correct Answers B A male patient has hypertension, high cholesterol, diabetes, and is 55 pounds above his desirable body weight. What do you recommend? a) low sodium b) low carbohydrates c) low calories d) low fat Correct Answers C A man with a peptic ulcer should consume:
A nephrotic syndrome patient with edema has a declining serum albumin level. A contributing factor would be: a) diversion of protein to intracellular spaces b) decreased synthesis by the liver due to catabolic state c) a decreased appetite and less food consumption d) a loss of protein in the urine Correct Answers D A new patient with a BMI of 32 and hypertension comes to you for counseling. What is your first recommendation? a) achieve DBW b) maintain weight and exercise c) reduce sodium intake d) reduce sodium, reduce fluid, reduce caloric intake Correct Answers C A nutrition surveillance program is designed primarily to: a) confirm results of annual nutrition surveys b) identify the nutritional needs of the population c) indicate the number of people at increased risk for medical conditions d) indicate the causes underlying the nutrition problems identified Correct Answers B A parenteral solution includes 65g of protein, 200g dextrose and a 20% fat emulsion at 7ml per hour. How many total calories will this provide in a 24 hour period? a) 1155
b) 1276 c) 1307 d) 1385 Correct Answers B A patient comes to you with a diet that you know is not good to follow. What should you do? a) tell him it's not good b) explain why it is not good c) tell him only to follow what you have provided d) let him do as he wishes Correct Answers B A patient is diagnosed with iatrogenic malnutrition. Nutritional therapy should be: a) high calorie b) high protein c) high calorie, high protein d) low calorie, high protein Correct Answers C A patient is on a high protein, low carbohydrate diet. What advice should you offer? a) increase fluid intake b) decrease the intake of complex carbohydrates c) decrease fluid intake d) decrease intake of saturated fats Correct Answers A A patient is recovering from an ileocal resection, where 100cm was removed. What are your recommendations?
A patient on parenteral nutrition is to be transitioned to enteral feeding. He should receive: a) half strength enteral feeding initially b) half strength, then 3/4 strength enteral feeding c) half strength enteral feeding with a low osmolality d) full strength enteral feeding at a low rate Correct Answers D A patient on parenteral support develops sepsis. What is the likely cause? a) lack of immune-enhancing nutrients b) poor care of the entry site c) related to the condition that created the need for parenteral support d) bacterial translocation Correct Answers D A patient on warfarin should avoid: a) black cohosh, ginseng b) thiamin supplements c) simple carbohydrates d) B vitamin supplements Correct Answers A A patient presents with the following lab values: ALP 100, AST 30, ALT 35. This indicates: a) hepatic encephalopathy b) hepatitis c) cirrhosis d) normal liver function Correct Answers D
A patient receives 1800ml of a 1 cal/cc formula with 44 grams protein per liter. How much protein will he receive? a) 44 b) 79 c) 65 d) 88 Correct Answers B A patient receives 4 ounces whole milk and 6 graham crackers as a snack. Which of the following substitutes would lower the glycemic index? a) skim milk in place of whole milk b) fruit juice in place of whole milk c) 12 saltines in place of graham crackers d) 1 T peanut butter in place of 3 graham crackers Correct Answers D A patient receives an enteral feeding providing 1 calorie/ml from 8PM until 9AM. What rate is needed to provide 1200 calories in 24 hours? a) 75 ml/hr b) 79 ml/hr c) 87 ml/hr d) 92 ml/hr Correct Answers D A patient requires 1800 calories per day and is restricted to 1500ml fluid. The enteral formula selected has 1.5 cal/cc, 55g
d) lactose intolerance Correct Answers A A patient with a GFR of 20ml/min should receive how many grams of protein? a) 1. b) 0. c) 0. d) 0.2 Correct Answers C A patient with a redundant ileum may develop a deficiency of: a) fat soluble vitamins b) folic acid c) vitamin B d) vitamin k Correct Answers C A patient with chronic pancreatitis should consume oral pancreatic enzymes: a) with large meals and fatty foods b) only if streatorrhea increases c) with all meals and snacks d) online if consuming a high fat, low protein diet Correct Answers C A patient with Crohn's disease needs the following diet: I. high fat, high calorie, high protein II. low fat only with steatorrhea, vitamin C, b III. calories according to current BMI, high protein IV. high residue, low fat, fat soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B a) I b) II, III c) III, IV d) V Correct Answers B A patient with cystic fibrosis, who is non-compliant with their nutritional prescription may present with: a) hypernatremia b) hyponatremia c) hypokalemia d) hyperkalemia Correct Answers B A patient with dehydration exhibits the symptoms of: a) high blood pressure, dizziness b) sunken eyes, decreased renal function, increased tachycardia c) decreased BUN, decreased serum creatinine d) low blood pressure, low serum sodium Correct Answers B A patient with diabetes has not eaten for more than three days. You should: a) liberalize the diet b) provide multivitamin/liquid supplements c) provide increased fluids d) stay with her plan and encourage small frequent feedings Correct Answers A
A patient with hyperphosphatemia, hyperkalemia and hypermagnesemia may have: a) renal disease b) re-feeding syndrome c) pancreatic disease d) liver disease Correct Answers A A patient with inflammatory bowel disease has steatorrhea. In addition to limiting the fat intake, which minerals should be assessed? a) iron and phosphorus b) calcium and phosphorus c) iron and zinc d) calcium, magnesium and zinc Correct Answers D A patient with liver disease needs adjustments in the intake of: a) protein, fat and sodium b) protein, fluids and sodium c) protein, calories, sodium d) fluids, calories, dat Correct Answers B A patient with low hemoglobin and low MCV might have: a) microcytic anemia b) macrocytic anemia c) megaloblastic anemia d) normochromic anemia Correct Answers A
A patient with low hemoglobin, low hematocrit, high MCV has: a) microcytic anemia from lack of folate or b b) macrocytic anemia from lack of folate or b c) microcytic anemia from lack of iron d) macrocytic anemia from lack of iron Correct Answers B A patient with severe acute pancreatitis experiences nausea and vomiting and requires 2500 calories/day. Which of the following would you recommend?: a) 3000cc of a 1 cal/cc tube feeding through the jejunum b) 1500cc of a 2 cal/cc nasogastric tube feeding c) 1000cc of d50W, 1000cc of 7% amino acids, 650cc of 20% lipids d) 1000cc of d50w, 1000cc of 7% amino acids, 500cc of 10% lipids Correct Answers D A patient with the nephrotic syndrome will likely exhibit: a) hypercholesterolemia, hypoalbuminemia, edema b) hypertension, hypocholesterolemia c) hypotension, azotemia d) malnutrition, hyperalbuminemia Correct Answers A a PEG feeding would be useful in a patient with: a) head or neck cancer, who will not be able to eat normally for weeks b) short bowel syndrome c) duodenal ulcers
