1.

After a pt received instruction about wt loss, the best way for the RD to follow-up on the pt's application of that knowledge is to? B. evaluating the pt's food diary for 1 week 2. In which of the following cooking methods will collagen convert to gelatin? B. Simmering with liquid 3. 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 w/ the diet, the client should be: C. informed about community resources for follow-up counseling 4. The first step in evaluating the effectiveness of a series of nutrition education programs would be to: A. ask all participants to complete 24-hr dietary recall records 5. What is the non-protein calorie-to-nitrogen ratio of a pt receiving TPN consisting of the following parenteral nutrition solution? 500mL 30% Dextrose 500mL 20% Lipids 6). A behavioral strategy for weight control intended to limit exposure to food would require an individual to? ----Portion the food before serving @ the table 7). An employee consistently telephones in sick the day before a scheduled weekend off. The supervising dietitian should? ----Schedule a counseling session with the employees 8). Which of the following statements describes an achievable outcome for a community weight control program? ----Reduce by 10% the # of obese adults ages 25-49 years within 2 years of initiation of program. 9). A client refuses to follow the diet after the dietitian has explained a specific food plan and its rational. The dietitian should? ----Ask what changes the client is willing to make 10).Which of the following statements about nutrition screening in a hospital setting is true?

----It provides directions for patient care. 11. An infant is most likely to develop baby bottle syndrome if the infant: a) Sleeps with a bottle 12) a low income family receiving food stamps frequently runs out of food by the third week of the month. The community RD should obtain a emergency food voucher and refer the family to the local food bank and ______________. D) the Expanded Food and Nutrition Education Program 13)After congress passes a law affecting dietetics practice, federal regulations to implement the law are prepared by: A).someone forgot to put the answer I guess? 14) the results of a nutrition education project designed to encourage women to increase their average daily intake of dietary iron during the third trimester of pregnancy are shown below: B) More effect for women of middle income. 15) which of the following questions best encourages a client to take responsibility for making appropriate dietary changes? "What changes do you think you'll be comfortable trying to achieve first? 16. Based on an 8-hour day, the number of hours worked in a hospital foodservice department was 55,267/yr, and the total number of hours paid was 59,995/yr. The actual number of FTEs was: c. 26.60 17. Iron would primarily be bioavailable in which of the following meals? c. Baked chicken, mashed potatoes, and sliced tomatoes 18. The statement patients will be screened within 48 hours of admission to the hospital is an example of a A. quality indicator

19. A client consumes a meal that contains 52g of CHO, 25g PRO, and 12g of fat. The exchange value of the meal is: b. 2 starches, 1 med fat meat, 2 vegetables, one 2% milk 20. Which of the following foods contain phytochemicals that could reduce the risk for disease? d. Cruciferous vegetables 21. The director of a comm. Health center who wants to hire a dietitian to provide nutrition services should first: Develop a job description and specifications for the position 22. Which of the following org. has been instrumental in establishing quality guidelines for most healthcare institutions? Joint commission on the accreditation of healthcare organizations now changed to maybe Joint Commission 23. Which of the following statements is an example of an outcome indicator Customers are satisfied with the quality of service 24. A 9-month old being fed iron-fortified, milk-based formula is obese. The dietitian should recommend Monitoring and weight and intake 25. Compared to a typical individual who is without food for 5 days the profile of a physiologically stressed patient who is w/out food for 5 days most likely would indicate: Higher blood glucose level, little or no ketosis, and elevated glucagon level. 26. The performance indicator is best defined as: a tool to measure functions, processes, and outcomes over time. 27. An adult client consumed 20g PRO and had a total nitrogen loss of 10 g. The clients nitrogen balance would most appropriately be described as: Negative 28. 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:

plan campaign strategies and goals 29. 40-year-old man with type 1 diabetes was counseled about an appropriate diet plan and began NPH insulin therapy 1 mo ago. On follow-up, his fasting blood glucose level was 280 mg/dl and cholesterol level was 180 mg/dl. A food record indicates he eats one meal daily. What is the most immediate nutrition therapy needed? Instruction about the relationship of diet to blood glucose level

30. Which of the following menus most likely would increase participation in a high school lunch program? 2 week cycle menu with four choices 31. Which of the following is appropriate for a strict muslim? Steak, baked potato, salad, angel food cake 32. When considering development of employee weight loss programs, the dietitian most likely would be successful in marketing products and services by first: Surveying employees about their motivation and interest in weight loss 33. A dietitian has designed a nutrition internet website for children ages 8 to 10 years. To determine the effectiveness of the site, the dietitian should first: Pilot test the site in elementary schools 34. According to the formula for recommending calorie allowance per unit of body weight, the total daily calorie needs for a full-term infant weighing 11 lbs at age 2 1/2 mos. would be how many kcal? 540 kcal 35. Absorbed and resynthesized exogenous triglycerides are transported into the lymphatic system by means of: Chylomicrons 36. When conducting a research study, the first step is to identify the problem. The next step is to: Develop a hypothesis

37. A foodservice employee reports seeing a rodent in the dry storage area. The dietitian should: Contact a licensed pest control company. 38. Kitchen illustrated below is characteristic of which of the following food service systems: Commissary 39. Which of the following types of costs should first be considered if a foodservice manager is asked to reduce expenses. Labor 40. A woman who is a lactoovovegetarian is concerned about Vitamin B12 intake. The RD should recommend: 3 cups of skim milk daily 41. Dietitian wants to develop a a nutrition screening program for preschool children as part of a health fair event. Which would provide the most meaningful data. C. weight for stature 42. dietitan is to determine the potential risk of pts at rehad. Assessment should include info about: -A. history of wt change 43.which is synthesized by bacteria in intestine D. biotin 44. best source for specifications applicable of fresh fruits and vegC. USDA 45.equipment would most likely be used in large facility to rethermalized meat loaf in a bulk cook chill systemA. Convection oven 46.which statement is an application of HACCP to spaghetti and sauceA. Divide prepared sauce among small containers before chilling.

47. Dishes are greasy when unloaded from the dish machine. The problem is most likely due to B. low wash temperature 48. The primary considerations in the purchase of food service equipment are its A. Cost and performance 49. The profitability of a departmental catering service may be determined by calculating the ratio of profit A. sales 50 Which of the following organisms produces the quickest onset of foodborne illness after contaminated food is consumed D. staphylococcus aureus 51. The first step in developing a nutrition-education program for pregnant women to decrease the incidence of neural tube defects is to B. consider the prevalence and severity of the disease

53. A registered dietitian wants to determine the consumption of a new vegetable dish among high school students. Which of the following evaluation tools would be best? B. Conduct plate-waste studies at school 54. A dietitian is counseling the parents of an obese prepubescent child. Which of the following outcomes would best indicate parental support of the childs weight-loss effort? D. Enrollment of the child in a physical activity program 55. Which of the following nutrition diagnoses is most likely to be associated with cyclosporine therapy? C. hypoglycemia 56. 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 floating stools daily. The best first step to evaluate the situation is to assess the childs: D. 24-hour fecal fat output

57. If a formula made from cows milk is eliminated from the diet of an infant with milk hypersensitivity, it could be safely replaced with: D. a formula made from casein-hydrolysate or amino acids 58. Cost-effectiveness analysis is used to: A. Compare two or more alternatives to achieve the same objective 59. Which of the following items on last weeks menu generated the most revenue? b. chicken parmesan 60. Which of the following pieces of info is LEAST valuable in a specification? b. quality tolerance limits 61. a client with diabetes uses an insulin pump and has a carbohydrate-to insulin ration of 16:1. The client plans to eat the following meal: 1 1/3 cups of spaghetti 1cup of marinara sauce 1 cup of cooked green beans 1 slice soft Italian bread 1 cup of garlic butter cup of ice cream what amount of insulin should the client take before the meal? b. 6 units 62. a dietitian is given a poor performance evaluation by the clinical nutrition manager. The dietitian is surprise and says previous managers never told her of those problems. What should the managers have done to avoid this conflict? a. schedule additional in-service training 63. a manager discuses a situation with selected employee 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. This strategy is an example or what type of managerial decision-making style? d. Consultative 64. The primary goal of outcomes research in a healthcare setting is to guide decisions to: c. improve facility a competitive advantage 65. The most effective way to increase the incidence and duration of breastfeeding among clients receiving prenatal care is to:

D. Implement a breastfeeding peer counselor program 66. Which of the following formulas is used to determine a meal equivalent in a commercial operation? D. Total revenue for a specific time period divided by cost of prototype meal 67. When s 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 68. Which of the following medications is for managing diabetes stimulates insulin secretion in the pancreas? A. Glipizide (Glucotrol) 69. Which of the following foods may include plant stanol esters? C. Margarine spread 70. A woman who is white, sedentary, postmenopausal, 5'4" tall, and weighs 110lbs is at great risk for: C. Osteoporosis 71. Which of the following supplements used by a client who has a history of liver disease should be discontinued B. Valerian Root 72. Which of the following parameters is included in a subjective global assessment of nutrition status D. dietary intake 73. which of the following physical activities should be recommended for a client to increase lead body mass D. strength training 74. Which of the following food items are typically included in the diets of South East Asian population groups A. large amounts of rice and vegetables and small amounts of meat

75. A client who has been maintained on central parenteral nutrition for short bowel syndrome is ready to being transitional feeding. The dietitian should recommend which of the following as the next step A. small, frequent oral feedings 76 The dietary intervention of choice for a client who is hypertensive and has a desirable body weight is a D. DASH diet 77) An elderly client who is obese has newly diagnosed type 2 diabetes. Which of the following nutrition diagnoses is most important? .there was no answer whoever did this one
Contribution margin low Grilled lemon chicken Glazed pork

Low high

high Beef burritos Posta primivera

78) Which of the following strategies is most likely to result in increased revenue? Replacing the grilled lemon chicken 79) An indication for the use of a protein hydrosylate infant formula is: Protein hypersensitivity 80) A client returns for a follow-up visit after diet instructions and states, I just havent lost any weight on this diet. Which of the following responses is best? What is your typical Day like? 81) Which of the following methods of buying is characterized by contacting various vendors to obtain price quotes and placing orders? Informal 82) 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 employees job be protected? Family medical leave act 83. 85 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 service is best from a business

perspective? Sell salads at BREAK EVEN PRICE 84. What is the most appropriate recommendation for protein intake for a patient who shows signs of hepatic encephalopathy? Eliminate ALL PROTIEN SOURCES 85. A culturally accepted way to help a pregnant, 20 year-old Central-American woman to get adequate folate would be to encourage her to eat more: BLACK BEANS 86. Omega-3 fatty acids are desirable in the diet because of their effects of the level of: Triglycerides 87. An older adult client has signs of xerophthalmia. The best food source for the RD to recommend is: LIVER 88. Iced tea, colas, and other beverages that contain caffeine are NOT desirable as fluid replacers for a person exercising in a hot environment because caffeine: Acts as a DIURETIC

89. A uniformed surgical nurse entering the kitchen to question the foodservice staff violates which of the following policies? *D. Only authorized personnel should be allowed in production areas. 90. Which of the following examples of accommodations meets criteria of the American with Disabilities Act? *C. Install flashing alarm lights

91. A cancer patient has made the following food requests. Which menu would be best when the patient is experiencing N/V? *C. Cottage cheese and fruit plate, crackers, and apple juice 92. A 10-month old infant experiences constipation. What is the most likely nutrition diagnosis? *A. Inadequate fluid intake

93. A dietitian decides to conduct systematic marketing research to improve low cafeteria sales. The next step is to: *D. Collect data 94. A cancer patient receiving radiation therapy in the head and neck presents with weight loss. The nutrition diagnosis most likely is: *A. Swallowing difficulty 95. A patient has repeated reflux as a consequence of bariatric surgery. During several consultations, the dietitian should: C: monitor weight loss according to surgery protocols 96. A client who primarily consumes frozen dinners and breakfast cereal b/c of limited access to transportation most likely would have a nutrition dx of: C: impaired ability to prepare meals 97. A pt. arrives at the GI clinic with abdominal distention and mouth lesions, and reports a 10% wt. loss over 6 months. The most appropriate nutrition dx is: A: impaired nutrient utilization 98. Risk factors that may contribute to a clients failure in a breastfeeding program include: C: lack of social support 99. When a dietitian works with patients who have food allergies in a pediatric GI clinic, which of the following outcomes is most appropriate to measure? B: reduction of food related rxns among patients 100. A pt. has participated in 4 counseling sessions regarding the diabetic diet. At the 3-mo follow up visit, which of the following glycosylated hg levels is normal and suggests good compliance with the dietitians recommendations? B: 6.5mg/dl