Download RDN Exam Study Questions with Correct Answers Latest Updates 2024 and more Exams Nursing in PDF only on Docsity!
RDN Exam Study Questions with
Correct Answers Latest Updates 2024
Which of the following foods would be the best source of zinc for Jewish clients who observe dietary laws? A. Roast turkey B. Stuffed pork chops C. Whole wheat bread D. Frozen green beans - Answer- A A dietitian who is counseling the mother of a child with eating difficulties has evaluated needs and decided on the best alternatives for feeding. The dietitian should next: A. evaluate the mother's level of comprehension B. instruct the mother in various feeding approaches C. obtain a list of the child's food preferences and typical eating patterns D. review with the mother the ways to implement the recommended approaches - Answer- D During a counseling session about lowering sodium, the client states "I have begun reading labels to identify the sodium content of foods." The client is in which of the following stages of change? A. Precontemplation B. Contemplation C. Preparation D. Action - Answer- C A patient has a pre-surgery serum albumin level of 3.7 mg/dL and a post surgery level of 3.1 mg/dL. The dietitian should recognize that: A. a lab error has occured B. the patient experienced a protein-losing enteropathy C. a decrease serum albumin level is normal after surgery D. the patient is experiencing severe visceral protein storage depletion - Answer- C An adolescents BMI is plotted at the 90th percentile on the CDC growth chart. The adolescent is: A. Obese B. overweight C. normal weight D. at risk for overweight - Answer- B
A pt with CKD on HD has the following lab results: BUN 50 mg/dL, albumin 2.8 mg/dL, calcium 8 mg/dL. What recommendations should the RD make to improve the lab values? A. Decrease fluid intake B. Increase protein intake C. Use a calcium supplement D. Increase the amount of phosphate binders - Answer- B An infant with PKU requires which of the following alterations? A. Low isoleucine, high valine B. High isoleucine, low valine C. Low phenylalanine, high tyrosine D. High phenylalanine, low tyrosine - Answer- C How many FTE employees would be required to staff ten 8 - hour positions that require coverage 7 days a week? A. 10 B. 14 C. 14. D. 15.5 - Answer- B (10 positions)X(8 hours)(7 days) = 560 560 / 40 hours per week = 14 Transferring a staff member who is rumored to have COPD violates which of the following acts? A. Equal employment opportunity act B. Americans with disabilities act C. Fair labor standards act D. Civil rights act - Answer- B A clinical manager has created a marketing strategy for a new pediatric weight-loss program to be competitively priced and held at a local school. Another factor required for a successful marketing mix is: A. a logo and brand B. expert guest speakers C. advertising to parents D. additional convenient meeting locations - Answer- C Using the 5 week, simple moving average method of forecasting and the data below, the dietitian will need how many servings for October 7th?
A 75 year old man is to undergo a partial colectomy for the treatment of adenocarcinoma of the colon. He is 167.6 cm tall and has weighed 65 kg for several years. His diet consists primarily of convenience foods. Nutritional assessment reveals a serum albumin level of 3.5 and a total lymphocyte count of 2,000. The most likely assessment of the nutritional status of this patient is: A. Kwashiorkor, mild risk B. Marasmus, moderate risk C. Marasmus-kwashiorkor mix, mild risk D. adequate nutritional status, increased risk - Answer- D A nutrition assessment of a man who has HIV disease reveals the lab results below: Height = 5' 10" Weight = 115 lbs Hematocrit = 35% MCV = 102 BUN = 11 Serum albumin = 2. CD4 = 280 Total lymphocytes = 1200 The primary concern of the dietitian should be: A. weight B. anemia C. renal failure D. protein deficiency - Answer- A What is the correct diagnosis for a client who frequently eats in restaurants and has the following lab findings: BP 135/86, FBG 130, total cholesterol 256, LDL 192, HDL 34. A. limited access to food B. excessive oral food/beverage intake C. Impaired ability to prepare foods/meals D. altered nutrition-related lab values - Answer- D A female client with newly diagnosed diabetes is 5' 5" tall and weighs 212 lbs. Exam and lab values reveal the following: BP of 145/95, FBG 150, 2hr glucose < 200, cholesterol 250. What is the dietitians most appropriate first intervention? A. Counsel the client about the DASH diet B. advice the client to reduce kcal intake C. educate the client about carb counting D. calculate a meal plan with very low carbs - Answer- C
A dietitian should consider a client's absorption of which of the following nutrients during peritoneal dialysis before modifying his or her diet? A. protein B. carbs C. fat-soluble vitamins D. water-soluble vitamins - Answer- B fSenior management has determined a reduction of FTEs. As a manager, what would be the next step in reducing staff? A. revise a master employee schedule B. review production needs C. cross-train employees D. determine seniority - Answer- B 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 that 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. make a decision in consultation with Human Resources C. convince the foodservice manager to retain the employee D. discuss the circumstances of the arrest with the employee - Answer- B A dining facility uses loss-leader pricing to increase sales. Therefore, the manager will: A. Round prices fo $ 0. B. Set an end price of $0. C. Provide a free soda with purchase D. lower the price below purchase price - Answer- D The best choice of a food-production system in an area where labor costs for skilled employees are extremely high is: A. cook-chill B. commissar C. conventional D. assembly/serve - Answer- A Standards that specify the amount of pesticide residue allowed on raw and processed foods are established by the: A. USDA B. FDA
A. malnutrition B. dehydration C. oral fixation D. iron deficiency - Answer- D A dietitian suspects that a partially breastfed 1 - month-old infant has cow's milk allergy. The dietitian should recommend: A. exclusive feeding with a soy-based formula B. breastfeeding supplemented with a soy-based formula C. exclusive feeding with an extensively hydrolyzed casein-based formula D. breastfeeding supplemented with an extensive hydrolyzed casein-based formula - Answer- D Which of the following nonessential amino acids may be helpful in post burn therapy? A. proline B. leucine C. arginine D. asparagine - Answer- Arginine Which management function involves the development of polices and procedures? A. planning B. organizing C. controlling D. evaluating - Answer- A 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 ADA, the manager should: A. hire another employee to assist the cook B. transfer the employee to another department C. create a new position that the employee can perform D. obtain written recommendations from the employee's physician - Answer- D A healthcare foodservice department has developed several high - quality, sugar-free desserts that are identified as unique to the department. This product represents what type of branding? A. Manufacturer B. Restaurant C. retail item D. signature - Answer- D
Using a No. 8 dishes to serve 1/2 gallon of ice cream will yield how many portions? A. 4 B. 8 C. 16 D. 32 - Answer- C A customer who has eaten lunch in the cafeteria informs the dietitian that she became ill 1 hour after eating a chicken sandwich. Which of the following responses should be first? A. Accept responsibility and offer a coupon for a complimentary meal B. report the complaint immediately to the risk-management department C. ask where the person ate the night before and deny any responsibility D. listen carefully, take the complaint seriously, and conduct an investigation - Answer- D After iron-fortified rice cereal, which of the following foods would be the best to introduce to an infant next? A. yogurt B. farina C. pureed beef D. pureed carrots - Answer- D What is the best way to ensure compliance when a client is counseled about a meal plan for diabetes management? A. emphasize the benefits of portion control B. stress the importance of following the meal plan C. recommend healthy food choices consistent with food preferences D. review the health consequences associated with poor dietary control - Answer- C Individual training of a new employee is sometimes delegated to a more experienced employee. The primary disadvantage of this one-to-one teaching method is that it: A. causes dissension among other employees B. is costly and time consuming for the employer C. is difficult to evaluate the effectiveness of the training D. results in inconsistent training and may perpetuate poor work habits - Answer- D A client is 5' 5" tall and weighs 189 lbs. What is the client's BMI? A. 14 B. 32
B. stop the line, take the employee aside, and determine whether insubordination can be established C. ignore the employee's behavior and concentrate on completing the tray-line D. designate a replacement and remove the employee from the line for further discussion - Answer- D Which of the following statements is an example of an outcome indicator? A. temperatures of foods satisfied customers 95% of the time B. diet orders are verified within 24 hours of admission C. temperatures of dish machines are recorded prior to each use D. Cash recipe from the cafeteria are reported daily - Answer- A Which of the following actions most likely will reduce the average food cost percentage? A. replace a nonselective menu with a selective menu B. implement forecasting into the production process C. increase the frequency of food deliveries D. add ready-prepared foods to the menu - Answer- B Which action would be most effective in conserving utility resources? A. properly using and maintaining equipment B. sourcing all products from recycled materials C. disposing of unused food in trash compactors D. having a dedicated waste-management department - Answer- A Patients who have COPD may better tolerate diets in which fat, rather than carbs, is the primary energy source, because oxidation of fat: A. raises the respiratory quotient B. increases the respiratory rate C. consumes less oxygen D. spares protein - Answer- C The most accurate method of evaluating an in-service training session is to: A. determine the number of requests for additional training B. measure the performance of employees before and after training C. circulate an evaluation questionnaire to participants at the end of the program D. compare the performance of employees in the training group with those who were not in the group - Answer- B A dietitian performs and repeats bioelectrical impedance tests on 200 people over a 6 - month period of time. Consistent results are obtained, demonstrating the they are:
A. valid B. reliable C. precise D statistically significant - Answer- B During a nutrition assessment before elective surgery, a client reports regularly taking a multivitamin, mineral supplement, and several natural herbal supplements. The dietitian should: A. validate the client's interest in holistic health B. advise the client to talk with the physician about the supplements C. ask the client to discontinue taking app supplements until after the surgery D. investigate the supplements and discuss supplement use with a physician - Answer- D A gastrojejunostomy is most likely to affect a patient's absorption of: A. calcium and iron B. vitamins A and D C. potassium and sodium D. folic acid and vitamin B12 - Answer- A A dietitian is counseling parents of a child with ADHD and who is being treated with methylphenidate (Ritalin). The dietitian's intervention for this child should be based on an understanding that: A. type 2 diabetes can be a likely adverse effect B. involuntary weight gain can be a likely adverse effect C. anorexia can be an adverse effect that may affect growth D. folate supplements may be required due to urinary excretion - Answer- C Which of the following types of enteral nutrition is recommended for patients who will need enteral feeding for more than 4 weeks after undergoing an esophagectomy? A. nasogastric B. gastrostomy C. jejunostomy D. nasojejunal - Answer- C Which of the following is an example of a secondary prevention program? A. changing vending food options available in a workplace B. a billboard that encourages fruit and vegetable consumption m C. osteoporosis education classes for postmenopausal women D. nutrition and menu planning classes for post-bariatric surgery patients - Answer- C
D/ orange juice - Answer- A The best way to evaluate whether clients in a community nutrition education class view the class as informative and necessary would be to: A. ask participant representatives to read the lesson plans and provide feedback B. calculate the % of clients who return for another class C. have participants complete a course evaluation D. document participants' verbal comments - Answer- C A community dietitian wants to investigate how many residents in each of 2 counties had MI and determine which county has the highest incidence of MI. Which of the following studies would be best? A. cohort study B. correlational study C. case-control study D. cross-sectional study - Answer- B To assess the adequacy of a patient's tube feeding in meeting calorie needs, the dietitian should request a(n): A. albumin test B. transferrin test C. indirect calorimetry D. nitrogen balance study - Answer- C 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 An athlete has recently changed his diet to include a large amount of protein in order to increase muscle mass. Since this change, he reports decreased energy during the day and poor performance at practice. What is the most likely cause of these symptoms? A. inadequate energy intake B. excessive protein intake C. excessive fat intake D. inadequate carb intake - Answer- D What diet is typically recommended for a patient who has undergone a gastrectomy> A. low-fiber foods and adequate fluids with meals B. high fiber foods and restriction of fluids with meals C. carb, protein and fat at each meal, and no dairy products D. carbs, protein and fat at each meal and restriction of fluid with meals - Answer- D Which of the following advantages is the primary benefit of a closed system for tube feeding>
A. decreased risk of bacterial contamination B. decreased risk for formula separation C. decreased risk for dilution error D. decreased formula hang time - Answer- A A foodservice operation has 18 FTEs that provide 7,000 meals in a 40 hour work week. How many meals per labor hour are being produced? A. 22. B. 19. C. 10. D. 9.7 - Answer- D The process of comparing a program s advantages to net savings is called: A. cost-effective analysis B. cost-benefit analysis C. formative evaluation D. program evaluation - Answer- B A primary benefit t using physical inventory versus the perpetual inventory is: A. less time and supervision are needed B. increased speed and efficiency of process C. having a continual inventory of foods purchased D. real-time feedback on item demand or unpopularity - Answer- A Which of following lunch menus would be most appropriate for an 18 - month-old child> A. baked chicken leg, lettuce with low-fat dressing, broccoli, mashed potatoes and 2% milk B. beef patty, whole wheat bread, cooked carrots, banana chunks and whole milk C. cottage cheese, canned peaches, cooked apples, white bread and 2% milk D. Sliced turkey, rice, sliced cucumbers, applesauce, and whole milk - Answer- B Which of the following statements represents an outcome objective? A. the patient will understand the role of calcium in the diet B. the patient will know the symptoms of osteoporosis C. the patient will review an osteoporosis brochure D. the patient will list 3 foods high in calcium - Answer- D A dietitian in a small rural community is conducting research to explore barriers to healthy eating. The dietitian will use a focus group. An advantage of using this method instead of others for this study is that focus groups: A. are most cost effective B. require statistical analysis C. yield limited contextual data D. involve more interaction with informants - Answer- D
D. 1560 mL of 20% dextrose and 5% amino acids plus 500 mL of 20% lipid emulsion - Answer- B In an organization of 4000 employees, a foodservice department as 90 positions and 23 employee have been terminated and replaced within the last 12 months. What is the turnover rate for this period? A. 5% B. 13% C. 26% D. 52% - Answer- C 23/90 (90) = 256.% The following information is obtained from a foodservice operation Total food purchased = $32, Total cafeteria sales = $23, Total labor expenses = $25, Meal equivalent factor = $2. Total patient meals served = 1, What is the labor cost per meal? A. $1. B. $2. C. $3. D. $4.36 - Answer- B An interdisciplinary field that studies the influence of genetic factors on behavioral traits is A. documentation of blood glucose monitoring B. readmission rates for patients with diabetes C. the number of admissions of patients with diabetes D. initiation of patient education within the first 48 hours of admission - Answer- B A dietitian conducting a nutrition analysis of a recipe that uses 10 lbs of 80/20 raw ground beef can best ensure analysis accuracy by: A. using data for the "pre-portioned' cooked ground beef B. using data for the "edible portion" weight of the raw ground beef C. using data for the "edible portion" weight of the cooked ground beef D. using the data for the "as purchased' raw ground beef, multiplied by 80% - Answer- C An overweight adult client who has T2DM and hypercholesterolemia will most likely comply with dietary counseling if instructions are: A. detailed to avoid confusion B. provided to the spouse C. photocopied and sent to the physician D. presented as simple and clear as possible - Answer- D
After participating in a program to increase intake of low fat milk, study results sows participants were more likely to choose milk than soda. This is an example of which type of evaluation?> A. structure B. efficiency C. formative D. summative - Answer- D Which of the following is a descriptive statistic? A. confidence interval B. standard deviation C. two-tailed t-test D. odds ratio - Answer- B An adolescent diagnosed with anorexia nervosa, who is exhibiting growth retardation and skin lesions may also have a deficiency in: A. manganese B. selenium C. cobalt D. zinc - Answer- D To calculate the estimated calorie needs of a patient who is significantly underweight, the dietitian should use: A. the patient's actual body weight B. the patient's adjusted body weight C. the patient's desirable body weight D. the patient's usual body weight - Answer- A High doses of which supplement is contraindicated for a client who takes warfarin? A. kava kava B. echinacea C. black cohosh D. ginkgo biloba - Answer- D A primary use of the DRI is to: A. assess nutrient intakes of at-risk populations B. calculate nutrition requirements C. use for nutrition education D. plan menus for healthy people - Answer- D Which of the following nutrition outcomes indicators is most appropriate for a patient with the assessment parameters shown below? BMI = 28 Total cholesterol = 263
B. assessing the client's usual calorie intake C. identifying what the client wants to learn D. suggesting ways t improve the client's diet - Answer- C A group of individuals in a weight loss class appear to have a good understanding of what they need to do to lose weight. However, they have difficulty taking the necessary steps. The dietitian's next step should be to: A. review fast foo nutrient information with the participants B. teach the participants about the exchange system C. encourage the participants to share recipes D. help the participants to set realistic goals - Answer- D A study is being conducted to evaluate and compare the effectiveness of two different intervention for reducing serum cholesterol levels. Changes in serum cholesterol levels, nutrition knowledge, and attitudes and behaviors regarding the two interventions will be assessed at the beginning and end of the study. What is the independent variable of this study? A. serum cholesterol B. nutrition knowledge C. type of intervention D. nutrition attitudes and behaviors - Answer- C A client's lab tests indicate a GFR of 14, BUN of 70, serum K of 5.9, serum phos of 9.6. These values are associated with which of the following conditions? A. nephrolithiasis B. nephrotic syndrome C. end-stage renal disease D. stage 1 CKD - Answer- C Skinfold thickness measurement 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 49 - year old overweight woman smokes one pack of cigarettes daily, has a BP of 140/85, and medical history revealing HTN and HLD. What is the best nutrition intervention for the client? A. a complex CHO, low saturated fat diet B. a complex carb, high protein diet C. a simple carb, high protein diet D. a simple carb, low saturated fat diet - Answer- A A morbidly obese, ventilator-dependent ICU patient has ESRD, diabetes and sacral decubitus. The primary concern for recommending a tube feeding regimen would be:
A. increased protein B. adequate calories C. increased electrolytes D. decreased carbohydrates - Answer- B A 72 year old patient who experienced a CVA demonstrated normal labs when an enteral feeding was initiated 5 days ago. Current lab values are: Na = 146 K = 3. Creatinine = 1. Glucose = 132 BUN = 43 An appropriate intervention would be to: A. reduce carb intake B. decrease sodium intake C. reduce protein intake D. increase fluid intake - Answer- D A dietitian who wishes to delegate work to a subordinate should first: A. evaluate employee 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 employees the necessary materials and funds - Answer- A 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 resident hall. This additional labor cost is best described as which of the following types of costs? A. fixed B. direct C. variable D. semi-variable - Answer- D A patient needs a diet for dysphagia. Which of the following foods must be avoided to meet the nectar consistency requirement>? A. pudding B. plain yogurt C. flavored gelatin D. strained cream soup - Answer- D The temperature log for a commercial dish machine indicates the following information Pre-rinse = 121F Wash = 145F Final rinse = 205F
