[HAADNutritionist] HAAD Nutritionist DOH
Licensureination for Nutritionist
Certification Exam Guide
**Question 1. Which anthropometric index is most appropriate for assessing obesity in
adults?**
A) Waist‑to‑hip ratio
B) Body mass index (BMI)
C) Skinfold thickness at triceps
D) Mid‑upper arm circumference
Answer: B
Explanation: BMI (weight kg/height m²) is the standard screening tool for adult obesity; it
correlates with body fat and health risk.
**Question 2. A 4‑year‑old child's weight‑for‑height percentile is below the 5th percentile.
Which screening tool is most suitable to evaluate his nutritional status?**
A) MUST
B) MNA
C) WHO Growth Standards
D) NRS‑2002
Answer: C
Explanation: WHO Growth Standards are designed for children up to 5 years and provide
age‑specific weight‑for‑height percentiles.
**Question 3. Which laboratory marker decreases earliest in protein‑energy malnutrition?**
A) Serum albumin
B. Prealbumin (transthyretin)
,[HAADNutritionist] HAAD Nutritionist DOH
Licensureination for Nutritionist
Certification Exam Guide
C) Hemoglobin
D) Total lymphocyte count
Answer: B
Explanation: Prealbumin has a short half‑life (~2 days) and declines before albumin, making it an
early indicator of malnutrition.
**Question 4. In a patient with chronic kidney disease (stage 4), which nutrient restriction is
most critical?**
A) Sodium < 2 g/day
B) Potassium < 2 mmol/L
C) Phosphorus < 800 mg/day
D) Protein ≈ 0.6 g/kg body weight
Answer: D
Explanation: Advanced CKD requires protein restriction to reduce nitrogenous waste; typical
recommendation is 0.6 g/kg ideal body weight/day.
**Question 5. Which dietary pattern is the cornerstone of the DASH diet?**
A) High saturated fat, low fiber
B) High fruit, vegetables, low sodium
C) Low carbohydrate, high protein
D) High dairy, low potassium
,[HAADNutritionist] HAAD Nutritionist DOH
Licensureination for Nutritionist
Certification Exam Guide
Answer: B
Explanation: The DASH diet emphasizes fruits, vegetables, whole grains, low‑fat dairy, and
reduced sodium to lower blood pressure.
**Question 6. A patient with type 1 diabetes is instructed to perform carbohydrate counting.
Which food provides approximately 15 g of carbohydrate?**
A) 1 slice of white bread (≈30 g)
B) ½ cup of cooked rice (≈22 g)
C) 1 medium apple (≈25 g)
D) 1 cup of skim milk (≈12 g)
Answer: D
Explanation: One cup (240 mL) of skim milk contains about 12 g carbohydrate, the closest to
15 g among the options.
**Question 7. Which glycemic index (GI) classification best describes lentils?**
A) High GI (>70)
B) Moderate GI (56‑69)
C) Low GI (<55)
D) Variable GI depending on cooking method
Answer: C
Explanation: Lentils have a low GI (≈30) due to high fiber and protein, leading to slower glucose
absorption.
, [HAADNutritionist] HAAD Nutritionist DOH
Licensureination for Nutritionist
Certification Exam Guide
**Question 8. A 65‑year‑old woman presents with sarcopenia. Which nutrient combination is
most effective to counteract muscle loss?**
A) High carbohydrate, low protein
B) 1.2‑1.5 g/kg protein + 400 IU vitamin D
C) 0.8 g/kg protein + 200 mg calcium
D) High fat, low protein
Answer: B
Explanation: Adequate high‑quality protein (1.2‑1.5 g/kg) plus vitamin D supports muscle
synthesis in older adults.
**Question 9. Which food‑borne pathogen is most commonly associated with improper cooling
of cooked rice?**
A) Salmonella spp.
B) Staphylococcus aureus
C) Bacillus cereus
D) Listeria monocytogenes
Answer: C
Explanation: Bacillus cereus spores survive cooking and germinate in improperly cooled rice,
producing toxins.
**Question 10. In a hospital HACCP plan, the critical control point (CCP) for preventing
Clostridium botulinum in canned foods is:**
A) Receiving raw materials
Licensureination for Nutritionist
Certification Exam Guide
**Question 1. Which anthropometric index is most appropriate for assessing obesity in
adults?**
A) Waist‑to‑hip ratio
B) Body mass index (BMI)
C) Skinfold thickness at triceps
D) Mid‑upper arm circumference
Answer: B
Explanation: BMI (weight kg/height m²) is the standard screening tool for adult obesity; it
correlates with body fat and health risk.
**Question 2. A 4‑year‑old child's weight‑for‑height percentile is below the 5th percentile.
Which screening tool is most suitable to evaluate his nutritional status?**
A) MUST
B) MNA
C) WHO Growth Standards
D) NRS‑2002
Answer: C
Explanation: WHO Growth Standards are designed for children up to 5 years and provide
age‑specific weight‑for‑height percentiles.
**Question 3. Which laboratory marker decreases earliest in protein‑energy malnutrition?**
A) Serum albumin
B. Prealbumin (transthyretin)
,[HAADNutritionist] HAAD Nutritionist DOH
Licensureination for Nutritionist
Certification Exam Guide
C) Hemoglobin
D) Total lymphocyte count
Answer: B
Explanation: Prealbumin has a short half‑life (~2 days) and declines before albumin, making it an
early indicator of malnutrition.
**Question 4. In a patient with chronic kidney disease (stage 4), which nutrient restriction is
most critical?**
A) Sodium < 2 g/day
B) Potassium < 2 mmol/L
C) Phosphorus < 800 mg/day
D) Protein ≈ 0.6 g/kg body weight
Answer: D
Explanation: Advanced CKD requires protein restriction to reduce nitrogenous waste; typical
recommendation is 0.6 g/kg ideal body weight/day.
**Question 5. Which dietary pattern is the cornerstone of the DASH diet?**
A) High saturated fat, low fiber
B) High fruit, vegetables, low sodium
C) Low carbohydrate, high protein
D) High dairy, low potassium
,[HAADNutritionist] HAAD Nutritionist DOH
Licensureination for Nutritionist
Certification Exam Guide
Answer: B
Explanation: The DASH diet emphasizes fruits, vegetables, whole grains, low‑fat dairy, and
reduced sodium to lower blood pressure.
**Question 6. A patient with type 1 diabetes is instructed to perform carbohydrate counting.
Which food provides approximately 15 g of carbohydrate?**
A) 1 slice of white bread (≈30 g)
B) ½ cup of cooked rice (≈22 g)
C) 1 medium apple (≈25 g)
D) 1 cup of skim milk (≈12 g)
Answer: D
Explanation: One cup (240 mL) of skim milk contains about 12 g carbohydrate, the closest to
15 g among the options.
**Question 7. Which glycemic index (GI) classification best describes lentils?**
A) High GI (>70)
B) Moderate GI (56‑69)
C) Low GI (<55)
D) Variable GI depending on cooking method
Answer: C
Explanation: Lentils have a low GI (≈30) due to high fiber and protein, leading to slower glucose
absorption.
, [HAADNutritionist] HAAD Nutritionist DOH
Licensureination for Nutritionist
Certification Exam Guide
**Question 8. A 65‑year‑old woman presents with sarcopenia. Which nutrient combination is
most effective to counteract muscle loss?**
A) High carbohydrate, low protein
B) 1.2‑1.5 g/kg protein + 400 IU vitamin D
C) 0.8 g/kg protein + 200 mg calcium
D) High fat, low protein
Answer: B
Explanation: Adequate high‑quality protein (1.2‑1.5 g/kg) plus vitamin D supports muscle
synthesis in older adults.
**Question 9. Which food‑borne pathogen is most commonly associated with improper cooling
of cooked rice?**
A) Salmonella spp.
B) Staphylococcus aureus
C) Bacillus cereus
D) Listeria monocytogenes
Answer: C
Explanation: Bacillus cereus spores survive cooking and germinate in improperly cooled rice,
producing toxins.
**Question 10. In a hospital HACCP plan, the critical control point (CCP) for preventing
Clostridium botulinum in canned foods is:**
A) Receiving raw materials
