WorksheetsRD Exam Prep - Domain II Part B
Total questions: 35
Worksheet time: 35mins
What is not a risk factor for impaired wound healing?
Morbid obesity
Excessive exercise
Inadequate protein intake
Significant weight loss
John has end-stage liver disease. Which lab value would you least expect to be abnormal?
Bilirubin
Carbon dioxide
Sodium
Albumin
Metabolic syndrome is diagnosed when a patient has at least three of five conditions. Which of the following conditions is not included in the determination?
Hypertriglyceridemia
Hyperglycemia
Hyperinsulinemia
Hypertension
Liver enzymes are increased in all of the following diseases states except
Hepatitis
Uncontrolled diabetes
Fatty liver
Alcoholism
Which age group of athletes is most likely to be affected by dehydration?
30-40 years old
21-29 years old
15-20 years old
41-49 years old
Which nutrition prescription would be most appropriate for a stressed patient with cirrhosis and ascites?
25 kcals/kg, 0.8-1.0 g protein/kg
30-35 kcals/kg, 2.0 G protein/kg, 1.5 L fluid restriction
30-35 kcals/kg, 2.0 g fat/kg, 3.0 L fluid restriction
15-20 kcals/kg, 0.8 g protein/kg
Jason is a 33-year-old male with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following lab values would you expect to be decreased?
Sodium
Magnesium
Triglycerides
Carbon dioxide
What can be inferred about a patient with a HgbA1C of 5.7%?
GDM
Pre-diabetic
T1DM
T2DM
Which of the following is an indicator of nutritional risk and a poor-quality diet?
Increased consumption of fortified soy beverages
Consuming fast food more than three times per week
Consuming 1500mg of sodium per day among persons who are 51 and older
Consuming one alcoholic drink per day (women) and two drinks per day (men)
Which of the following is listed first in the PES statement?
Data related to the diagnosis
Medical diagnosis
Cause of the diagnosis
Nutrition diagnosis
Which type of food can cause an allergic reaction in latex-food syndrome?
Fruits
Starches
Vegetables
Gluten-containing foods
Which by-product of alcohol metabolism causes the mostsignificant damage to the liver?
Carbon dioxide
Excess water
Acetate
Acetaldehyde
What is a potential long-term consequence of chronic hyperphosphatemia?
Cardiac arrhythmia
Respiratory paralysis
Muscle weakness
Soft-tissue calcification
Which of the following can cause a reversible decrease in cognitive ability in an older adult?
Cardiovascular Disease (CVD)
Urinary tract infection
Renal failure
Dementia
Joyce is a 46-year-old female patient with cirrhosis. During a physical exam, the RD presses her thumb 4-5 mm into Joyce's right leg. In 10-15 seconds the depression disappears. What grade of edema does Joyce most likely have?
2+ moderate pitting edema
4+ severe pitting edema
1+ mild pitting edema
3+ moderately severe pitting edema
Which of the following reactions occurs during the "ebb" phase of injury response?
Fluid resuscitation
Oxygen return
Decreased metabolic rate
Hypervolemia
The normal limits for sodium are 135-145 mEq/dL. Your patient has a sodium level of 128 mEq/dL. What could this value indicate in your patient?
Ascites
Trauma
Refeeding syndrome
Dehydration
What is the ICD-10?
A prerequisite for obtaining the NPI
An identifier for providers
A system of medical diagnosing
An index of medical treatments
A tube-feeding patient is transitioning to an oral diet and has shown adequate oral intake on this diet. Which of the following PES statements is most appropriate?
Inadequate energy intake related to decreased ability to consume sufficient energy as evidenced by failure to maintain appropriate body weight.
Inadequate oral intake related to decreased ability to consume sufficient energy as evidenced by 40% oral intake over the past 4 days with supplemental enteral nutrition to meet estimated energy requirements.
Excessive energy intake related to overfeeding of enteral nutrition as evidenced by 70% oral intake over the past 5 days with supplemental enteral nutrition exceeding estimated energy requirements
Excessive energy intake related to decreased ability to consume sufficient energy as evidenced by swallowing difficulty requiring enteral nutrition for nutritional support.
Which of the following nutrient deficiencies is associated with delayed or poor wound healing?
Vitamin B12
Zinc
Iron
Folic acid
Mark is 19 years old and has a fasting serum glucose of 150 mg/dL, HgbA1C of 6.4, blood pressure of 140/90, LDL of 100 mg/dL, and HDL of 20 mg/dL. Based on the given information, what can be presumed about Mark's condition?
He has T1DM
He has metabolic syndrome
He has T2DM
He is healthy
A patient has a pale tongue and spoon-shaped nails. What deficiency would you suspect this patient has?
Iron
Protein
Vitamin C
Calcium
Which of the following medications is contraindicated for a T2DM patient with CHF?
Thiazolidinediones
Glucotrol
Insulin secretagogues
Glimepiride
Which of the following parameters should not be reviewed during the nutrition screening process?
Nutrition diagnosis
Weight
Labs
Past medical history
"Swallowing difficulty" is a nutritional diagnostic label under which of the following domains?
Behavioral-environmental
Clinical
Intake
Medical
Esophageal varices occur when:
Connective tissue overgrowth blocks blood flow into the vena cava
Blood cannot leave the liver
The liver expands and pressure causes fluid to enter the peritoneal cavity
Blood cannot enter the liver
What is a potential effect of thiazide diuretics?
Hypervolemia
Hypokalemia
Hypernatremia
Hypertension
During a physical exam in a male patient, you notice a visible clavicle bone and a slight depression in his temple region. How would you assess the patient based on this information?
Mild fat loss
Severe muscle loss
Mild muscle loss
Moderate fat loss
A child has a starved appearance and a distended belly. What type of malnutrition does the child most likely have?
Cachexia
Kwashiorkor
Marasmus
Iatrogenic
The reduced ability to taste food is referred to as:
Xerostomia
Cacogeusia
Hypogeusia
Stomatitis
Which of the following nutrients is a gastric bypass patient most likely to become deficient in, and why?
Zinc due to decreased intrinsic factor
Vitamin E due to decreased intake
Vitamin B12 due to decreased absorption
Vitamin C due to decreased gastric acid
How do nutrition needs change when a stage I pressure ulcer becomes a stage IV?
Decreased zinc
Increased fluid requirements
Increased calories and protein
Decreased calories and increased protein
Fluid restriction is indicated in all of the following disease states except:
Liver disease with ascites
Cholecystitis
Congestive heart failure
Chronic renal failure
Which of the following is not a symptom of overhydration?
Weight gain
Shortness of breath
Hyperalbuminemia
Hyponatremia
What type of milk should a 10-year-old with galactosemia drink?
Almond milk with whey protein powder
Reduced fat milk
Chocolate milk
Soy milk
