JEAN INMAN DOMAIN II STUDY GUIDE 2026 EXAM
QUESTIONS WITH DETAILED ANSWERS
In community surveys, a frequent symptom of malnutrition is:
a. scurvy
b. rickets
c. low serum albumin
d. low hemoglobin - ANSWER-d. low hemoglobin
Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoporosis
c. obesity
d. hypertension - ANSWER-not sure of answer (hole punch)
What is included in the study of demographics?
I. age of individuals
II. population statistics
III. sex of individuals
IV. socioeconomic factors
a. I only
b. all of the above
c. II, III
d. I, II, III - ANSWER-not sure of answer (hole punch)
Athletes should receive...
a. salt pills only during the summer months
b. extra protein
,c. carbohydrate loading two weeks prior to an event
d. water during an event to replace lost fluids - ANSWER-d. water during an event to replace lost
fluids
How many grams of protein would you receive on a 1500 calorie diet which is 20% protein?
a. 70
b. 75
c. 64
d. 300 - ANSWER-b. 75
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 the intake of saturated fats - ANSWER-a. increase fluid intake
Nutritional prescription for a patient with cardiac cachexia includes:
a. < 1 liter fluid, low sodium
b. low sodium, low saturated fat, low cholesterol, high calorie
c. restricted calorie, .8g protein/kg, fluid restriction
d. normal protein, follow DASH diet - ANSWER-b. low sodium, low saturated fat, low
cholesterol, high calorie
Which infant is at the greatest risk?
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9 - ANSWER-d. 30 lbs. hemoglobin 9
Which of the infants in the above question have a normal hemglobin level? (a: 10, b: 10.5, c: 11,
d: 9)
a. a, b, d
,b. b, d
c. c, d
d. a, b, c - ANSWER-d. a, b, c
An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver
function tests and ascites. Why is he on a 500 mg sodium diet?
a. secondary renal failure
b. hypoaldosteronism
c. hypoalbuminemia
d. hyperammonemia - ANSWER-c. hypoalbuminemia
Which of the following should the patient in the above question have for lunch? (An alcoholic
patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests
and ascites.)
a. 4 ounces cottage cheese
b. 1 ounce cheddar cheese
c. 1 ounce roast beef
d. 1 ounce cold cuts - ANSWER-c. 1 ounce roast beef
Which of the following should be included in the diet for celiac disease?
I. decrease intake of eggs
II. use potato and rice flour
III. IM vitamin B12 and iron
IV. low calorie, high fat, high protein
a. II, III
b. III, IV
c. I, II, IV
d. II, IV - ANSWER-a. II, III
Who is most at risk for gestational diabetes?
a. BMI <30
, b. age <25, overweight
c. BMI >30, history of GDM
d. conception within 10 months of last pregnancy - ANSWER-c. BMI >30, history of GDM
A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning
c. iron overload
d. vitamin A toxicity - ANSWER-b. lead poisoning
How many calories are in 300 ml of a 5% dextrose solution?
a. 51
b. 60
c. 15
d. 200 - ANSWER-a. 51
A single 19 year old female is 6 months pregnant. She has not gained any weight and has not
seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important
recommendation for her?
a. see a physician immediately
b. apply for WIC immediately
c. join a teenage pregnancy support group
d. begin taking iron supplements - ANSWER-a. see a physician immediately
A female, 5'7" tall, weighs 115 pounds. Six months ago she weighed 130 lbs. What is her
percent of ideal body weight?
a. 85%
b. 83%
c. 81%
d. 87% - ANSWER-a. 85%
A vegan is allergic to milk. Which nutrients would you expect might be deficient in her intake?
QUESTIONS WITH DETAILED ANSWERS
In community surveys, a frequent symptom of malnutrition is:
a. scurvy
b. rickets
c. low serum albumin
d. low hemoglobin - ANSWER-d. low hemoglobin
Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoporosis
c. obesity
d. hypertension - ANSWER-not sure of answer (hole punch)
What is included in the study of demographics?
I. age of individuals
II. population statistics
III. sex of individuals
IV. socioeconomic factors
a. I only
b. all of the above
c. II, III
d. I, II, III - ANSWER-not sure of answer (hole punch)
Athletes should receive...
a. salt pills only during the summer months
b. extra protein
,c. carbohydrate loading two weeks prior to an event
d. water during an event to replace lost fluids - ANSWER-d. water during an event to replace lost
fluids
How many grams of protein would you receive on a 1500 calorie diet which is 20% protein?
a. 70
b. 75
c. 64
d. 300 - ANSWER-b. 75
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 the intake of saturated fats - ANSWER-a. increase fluid intake
Nutritional prescription for a patient with cardiac cachexia includes:
a. < 1 liter fluid, low sodium
b. low sodium, low saturated fat, low cholesterol, high calorie
c. restricted calorie, .8g protein/kg, fluid restriction
d. normal protein, follow DASH diet - ANSWER-b. low sodium, low saturated fat, low
cholesterol, high calorie
Which infant is at the greatest risk?
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9 - ANSWER-d. 30 lbs. hemoglobin 9
Which of the infants in the above question have a normal hemglobin level? (a: 10, b: 10.5, c: 11,
d: 9)
a. a, b, d
,b. b, d
c. c, d
d. a, b, c - ANSWER-d. a, b, c
An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver
function tests and ascites. Why is he on a 500 mg sodium diet?
a. secondary renal failure
b. hypoaldosteronism
c. hypoalbuminemia
d. hyperammonemia - ANSWER-c. hypoalbuminemia
Which of the following should the patient in the above question have for lunch? (An alcoholic
patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests
and ascites.)
a. 4 ounces cottage cheese
b. 1 ounce cheddar cheese
c. 1 ounce roast beef
d. 1 ounce cold cuts - ANSWER-c. 1 ounce roast beef
Which of the following should be included in the diet for celiac disease?
I. decrease intake of eggs
II. use potato and rice flour
III. IM vitamin B12 and iron
IV. low calorie, high fat, high protein
a. II, III
b. III, IV
c. I, II, IV
d. II, IV - ANSWER-a. II, III
Who is most at risk for gestational diabetes?
a. BMI <30
, b. age <25, overweight
c. BMI >30, history of GDM
d. conception within 10 months of last pregnancy - ANSWER-c. BMI >30, history of GDM
A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning
c. iron overload
d. vitamin A toxicity - ANSWER-b. lead poisoning
How many calories are in 300 ml of a 5% dextrose solution?
a. 51
b. 60
c. 15
d. 200 - ANSWER-a. 51
A single 19 year old female is 6 months pregnant. She has not gained any weight and has not
seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important
recommendation for her?
a. see a physician immediately
b. apply for WIC immediately
c. join a teenage pregnancy support group
d. begin taking iron supplements - ANSWER-a. see a physician immediately
A female, 5'7" tall, weighs 115 pounds. Six months ago she weighed 130 lbs. What is her
percent of ideal body weight?
a. 85%
b. 83%
c. 81%
d. 87% - ANSWER-a. 85%
A vegan is allergic to milk. Which nutrients would you expect might be deficient in her intake?
