Fall - Sample Rd Examination

50 Questions

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Fall - Sample  Rd Examination

The following exam is a sample examination with questions that are very similar to the actual RD exam. The focus of the exam is clinical questions-next semester we will practice again with food service, school nutrition and other topics!


Questions and Answers
  • 1. 
    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 feeding practices

  • 2. 
    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. 

      Pre-contemplation

    • B. 

      Contemplation

    • C. 

      Preparation

    • D. 

      Action

  • 3. 
    A patient had a pre-surgery serum albumin level of 3.7mg/dl and a post-surgery level of 3.1mg/dl. The dietitian should recognize that:
    • A. 

      Lab error occurred

    • B. 

      The patient has protein losing enteropathy

    • C. 

      A decrease albumin level is normal after surgery

    • D. 

      Patient has severe visceral protein storage depletion

  • 4. 
    A patient with chronic kidney disease on hemodialysis has the following laboratory test results: BUN =50 mg/dl albumin=2.8g/dl and calcium 8mg/dl. What recommendations should the dietitian make to improve these lab values
    • A. 

      Decrease fluid intake

    • B. 

      Increase protein intake

    • C. 

      Use a calcium supplement

    • D. 

      Increase the amount of phosphate binders

  • 5. 
    A patient who recently experienced a cerebral vascular accident has dysphagia.  The first recommendation by the RD should be:
    • A. 

      Initiate a tube feeding

    • B. 

      Initiate small frequent feedings

    • C. 

      Recommend a swallow study

    • D. 

      Provide nectar thick liquids

  • 6. 
    One month ago, a patient began receiving parenteral nutrition that delivers 2300 kcal per day.  Since then, the patient has experienced unintentional weight gain.  Which of the following formulas is the best choice?
    • A. 

      1800ml of 25% dextrose and 5% amino acids plus 250ml of 20% lipids

    • B. 

      1800ml of 20% dextrose and 5% amino acids plus 250ml of 20% lipids

    • C. 

      1680ml of 25% dextrose and 5% amino acids plus 500ml of 20% lipids

    • D. 

      1560ml of 20% dextrose and 5% amino acids plus 500ml of 20% lipids

  • 7. 
    A morbidly obese, ventilator dependent ICU patient has end stage renal disease, diabetes, and sacral decubiti.  The number one concern in the enteral feeding recommendations is:
    • A. 

      Increased Protein

    • B. 

      Adequate Calories

    • C. 

      Increased Electrolytes

    • D. 

      Lower carbohydrates

  • 8. 
    What is the highest acceptable range for the dextrose infusion rate in adults on PN
    • A. 

      4-6mg/kg/min

    • B. 

      10-12mg/kg/min

    • C. 

      2-3mg/kg/min

    • D. 

      8-10mg/kg/min

  • 9. 
    What electrolytes are monitored in refeeding syndrome
    • A. 

      Sodium, chloride and calcium

    • B. 

      Potassium, phosphorous and magnesium

    • C. 

      Bicarb, potassium and calcium

    • D. 

      Sodium, zinc and manganese

  • 10. 
    A female patient with newly diagnosed diabetes is 65 inches tall and weighs 212 pounds.  Exam and lab values reveal the following : BP level of 145/95 mmHg, fasting BG level of 150 mg/dl with a 2 hours post prandial glucose of < 200mg/dl and a cholesterol of 250 mg/dl.  What is the dietitian’s first most appropriate intervention?
    • A. 

      Counsel the client on the DASH diet

    • B. 

      Advise the client to reduce their caloric intake

    • C. 

      Educate the client on carb counting

    • D. 

      Calculate a meal plan with very low carbohydrates

  • 11. 
    What is the correct nutrition diagnosis for a client who frequently eats in restaurants and has the following laboratory findings: BP 135/86 mmHg, fasting glucose 130mg/dl, total cholesterol 256 mg/dl, LDL cholesterol 192 mg/dl and HDL cholesterol 34 mg/dl?
    • A. 

      Limited access to food

    • B. 

      Excessive oral food/beverage intake

    • C. 

      Impaired ability to prepare food/meals

    • D. 

      Altered nutrition-related laboratory values

  • 12. 
    To assess the adequacy of a patient’s tube feeding in meeting calorie needs, the dietitian should request
    • A. 

      Albumin test

    • B. 

      Transferrin test

    • C. 

      Indirect calorimetry

    • D. 

      Nitrogen balance study

  • 13. 
    A nurse reports that a tube feeding is causing a patient to have diarrhea.  The patient has been on the same tube feed for six months prior to admission to the hospital. The first step the dietitian should take is:
    • A. 

      Initiate PN

    • B. 

      Change the tube feeding formula

    • C. 

      Evaluate the medication list for new medications

    • D. 

      Check for c difficile contamination.

  • 14. 
    To calculate the estimated calorie needs of a patient who is significantly underweight, the dietitian should use:
    • A. 

      A. Actual body weight

    • B. 

      B. Adjusted body weight

    • C. 

      C. Desired body weight

    • D. 

      D. Usual body weight

  • 15. 
    A 53 year old obese male with a FBG=115 mg/dl has been diagnosed with pre-diabetes.  The dietitian should focus first on which of the following nutrition interventions?
    • A. 

      Increase protein intake

    • B. 

      Increase fiber intake.

    • C. 

      Weight loss.

    • D. 

      Decrease carbohydrate intake.

  • 16. 
    Which of the following does not occur in diabetic ketoacidosis
    • A. 

      Incomplete breakdown of fatty acids

    • B. 

      Dehydration.

    • C. 

      Decreased blood levels of counterregulatory hormones such as epinephrine.

    • D. 

      Loss of bicarbonate buffer in the blood.

  • 17. 
    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

  • 18. 
    Which of the following vitamins is responsible for capillary integrity and wound healing such that a deficiency may result in reddish-purple spots around hair follicles
    • A. 

      B12

    • B. 

      Niacin

    • C. 

      Riboflavin

    • D. 

      Vitamin C

  • 19. 
    Spoon shaped nails or Koilonychia is associated with a deficiency of which of the following nutrients
    • A. 

      Iron

    • B. 

      Copper

    • C. 

      Magnesium

    • D. 

      Phosphorous

  • 20. 
    Which B vitamin is likely deficient in a patient with known chronic alcoholism
    • A. 

      Calciferol

    • B. 

      Retinol

    • C. 

      Thiamin

    • D. 

      Pyridoxine

  • 21. 
    An individual status Roux- en-Y surgery weight loss, is craving ice and reports chewing larger quantities every day.  What condition is most likely responsible for this behavior?  What condition is likely responsible for this behavior?
    • A. 

      Malnutrition

    • B. 

      Iron deficiency

    • C. 

      Oral fixation

    • D. 

      Dehydration

  • 22. 
    A patient with diabetic gastroparesis diet should avoid foods that are
    • A. 

      High in simple sugars

    • B. 

      Low in protein

    • C. 

      Low in fiber

    • D. 

      High in fat

  • 23. 
    A patient with dry, scaly skin and Bitot’s spots has the classical signs of a deficiency in
    • A. 

      Vitamin D

    • B. 

      Vitamin A

    • C. 

      Vitamin K

    • D. 

      Vitamin C

  • 24. 
    Which of the following types of enteral nutrition is recommended for patients who will need enteral nutrition for more than 4 weeks after undergoing an esophagectomy?
    • A. 

      Nasogastric

    • B. 

      Gastrostomy

    • C. 

      Jejunostomy

    • D. 

      Nasojejunal

  • 25. 
    What diet is typically recommended for a patient who has undergone a gastrectomy
    • A. 

      Carbohydrate, protein and fat at each meal and no dairy products

    • B. 

      Low-fiber foods and adequate fluids with meals

    • C. 

      High-fiber food and restriction of fluids with meals

    • D. 

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

  • 26. 
    A patient who receives bolus tube feedings experience abdominal distention shortly after feeding, most likely related to>
    • A. 

      Feeding volume

    • B. 

      Formula osmolarity

    • C. 

      Formula osmolality

    • D. 

      High fat content in feeding product

  • 27. 
    A patient has dysphagia.  Which food meets the nectar consistency requirement in a diet
    • A. 

      Pudding

    • B. 

      Yogurt

    • C. 

      Strained cream soup

    • D. 

      Cherry jello

  • 28. 
    Skinfold thickness would be most appropriate for which of the following population groups?
    • A. 

      An 18 month old toddler with failure to thrive

    • B. 

      A 36 year old elite athlete

    • C. 

      A 54 year old male with significant weight loss

    • D. 

      An 82 year old female with type 1 diabetes

  • 29. 
    What key areas are assessed for fat loss during a nutrition focused physical examination?
    • A. 

      Feet, scalp and triceps

    • B. 

      Orbital area, triceps and ribs

    • C. 

      Deltoids, gastricnemius and trapezius

    • D. 

      Nail beds, eyes and lips

  • 30. 
    What is the formula for Respiratory Quotient?
    • A. 

      0.8/0.7

    • B. 

      PCO2/P02

    • C. 

      VCO2/V02

    • D. 

      HCO3/CO2

  • 31. 
    High doses of this herbal supplement will interfere with warfarin treatment
    • A. 

      Kava kava

    • B. 

      L-citrulline

    • C. 

      Ginkgo Biloba

    • D. 

      Beet juice

  • 32. 
    A food borne illness often associated with deli meats that has an onset time of 3 to 7 days, causing nausea, vomiting, headache, chills, backache and meningitis, with a high fatality in the immune compromised is: 
    • A. 

      Clostridium perfringens

    • B. 

      Shigella

    • C. 

      Staphlococcus aureous

    • D. 

      Listeria moncytogenes

  • 33. 
    What areas of the body are assessed for muscle mass wasting during the NFPE?
    • A. 

      Temporalis muscle, feet and mouth

    • B. 

      Temporalis muscle, quadriceps and interosseous muscles

    • C. 

      Scalp, mouth and gums

    • D. 

      Temporalis muscle, feet and gums

  • 34. 
    What is the RQ for a mixed fuel utilization?
    • A. 

      0.7

    • B. 

      0.83

    • C. 

      1.00

    • D. 

      1.04

  • 35. 
    A client is 65 inches and weighs 189 pounds, what is the BMI?
    • A. 

      14

    • B. 

      32

    • C. 

      44

    • D. 

      52

  • 36. 
    Which of the following amino acids may be beneficial post burn injury
    • A. 

      Leucine

    • B. 

      Maltose

    • C. 

      Arginine

    • D. 

      Taurine

  • 37. 
    What is an example of a soluble fiber?
    • A. 

      Resistant starch

    • B. 

      Inulin

    • C. 

      Lactose

    • D. 

      Palm kernel oil

  • 38. 
    Which enteral feeding product would you recommend for a patient who is sedated and ventilated due to complications of the flu and pneumonia
    • A. 

      Peptamen or elemental

    • B. 

      Jevity or fiber containing

    • C. 

      Impact- a specialty product

    • D. 

      Ensure-oral supplement

  • 39. 
    Which medication requires enteral nutrition to be held during its administration?
    • A. 

      Ibuprofen

    • B. 

      Dilantin

    • C. 

      Tylenol suspension

    • D. 

      Neutraphos

  • 40. 
    A dietitian can best evaluate a client's knowledge and ability to apply dietary modification by asking the client to:
    • A. 

      Name five foods to avoid

    • B. 

      Explain the new diet restrictions

    • C. 

      Select an appropriate meal from the hospital menu

    • D. 

      List all foods to avoid from memory

  • 41. 
    A client can not speak English.  The client's first language is Spanish. The dietitian needs to provide nutrition education on a low sodium diet.  What is the best choice to provide the needed education?
    • A. 

      Talk to a family member who knows the client and speaks both languages

    • B. 

      Use a hospital based interpreter

    • C. 

      Inform the physician that you are unable to speak the language and refer patient to a specialist

    • D. 

      Ask a colleague who speaks some Spanish to help with the education

  • 42. 
    The ASPEN/AND malnutrition criteria use handgrip strength calipers.  If the dietitian did not have the calipers,  what other information is available to you to help you assess functional status?
    • A. 

      Nothing you have to use the calipers

    • B. 

      Lange skinfold calipers

    • C. 

      A firm handshake or ability to feed themselves

    • D. 

      Skip that part of the assessment since it isn't useful

  • 43. 
    Which food is acceptable on a pureed nectar thick liquid diet?
    • A. 

      Vegetable soup

    • B. 

      Ice cream

    • C. 

      Compleat enteral product

    • D. 

      Canned peaches cut up into bite size pieces

  • 44. 
    Which enteral product is the best choice for a patient diagnosed with pancreatitis
    • A. 

      Jevity or a fiber containing formula

    • B. 

      Peptamen or an elemental formula

    • C. 

      NPO

    • D. 

      TPN

  • 45. 
    Which is the best advice for an individual with chronic lung disease like COPD or Cystic Fibrosis to increase intake
    • A. 

      Drink lots of liquids to thin the mucous production

    • B. 

      Consume six small meals that are energy and nutrient dense

    • C. 

      Use margarine instead of butter

    • D. 

      Nocturnal TPN

  • 46. 
    A dietitian should consider the absorption of which nutrient associated with peritoneal dialysis. 
    • A. 

      Potassium

    • B. 

      Carbohydrates

    • C. 

      Protein

    • D. 

      Fat soluble vitamins

  • 47. 
    Which of the following food choices is the most appropriate for a vegan
    • A. 

      Rice milk

    • B. 

      Almond milk

    • C. 

      Whole milk

    • D. 

      Fortified soy milk

  • 48. 
    What are contraindications with the soy oil based fat emulsions used in the US for TPN?
    • A. 

      Out of date compared with Europe's fat emulsions

    • B. 

      Always out of stock

    • C. 

      Increase triglyceride levels

    • D. 

      If the patient is allergic to eggs or soy then this type of fat can't be used in the TPN

  • 49. 
    An adult client has a BMI of 24.  According the CDC, this BMI is classified as:
    • A. 

      Obese

    • B. 

      Normal weight

    • C. 

      Obese Class III

    • D. 

      Overwieght

  • 50. 
    A 42 year old female who is 70 inches tall - needs how many grams of protein a day?
    • A. 

      70

    • B. 

      100

    • C. 

      50

    • D. 

      60