CDR DTR Practice Exam
Which of the following indicators is the most practical parameter for screening nutrition
status in elderly clients?
a. Weight change
b. Serum albumin level
c. Triceps skinfold thickness
d. 24-hour dietary recall record - Answer - a. Weight change
Answer (a) is the correct answer because in older clients, unintentional weight loss is
associate with increased risk of depression, infection, overall poor nutrition status, and
mortality.
Answer (b) is not the correct answer because it is less practical as lab values are less
easy to obtain than weight.
Answer (c) is not the correct answer because it is less practical because accurate
values can be difficult to obtain if the dietetic technician is not trained appropriately, and
would need calipers.
Answer (d) is not the correct answer because it can be subjective and may not give the
"big picture" compared to weight change.
Which of the following oils contains the highest proportion of monounsaturated fatty
acids?
a. Safflower
b. Soybean
c. Canola
d. Corn - Answer - c. Canola
The most effective way to teach a group of children in day care facility about healthy
snack foods is to ask each child to:
a. name a favorite snack food.
b. taste a variety of snack foods.
c. draw a picture of a snack food.
d. write a story about snack foods. - Answer - b. taste a variety of snack foods.
What is the most appropriate biochemical test result for screening clients of a public
health clinic for anemia?
a. Transferrin
b. Hematocrit
,c. Serum iron
d. Total iron-binding capacity - Answer - b. Hematocrit
Which of the following statements demonstrates an understanding of drug and nutrient
interactions between warfarin and dietary intake?
a. "I should limit my intake."
b. "I should increase my intake."
c. "I should eliminate from my diet."
d. "I should maintain a consistent intake." - Answer - d. "I should maintain a consistent
intake."
A young woman is pregnant, has a 2-year-old child, and has a low income. Which of the
following nutrition programs should the dietetic technician suggest?
a. Home-Delivered Meals Program
b. Child and Adult Care Food Program
c. Expanded Food and Nutrition Education Program
d. Special Supplemental Nutrition Program for Women, Infants, and Children - Answer -
d. Special Supplemental Nutrition Program for Women, Infants, and Children
Answer (d) is the correct answer because The nutrition assistance safety net in the
United States includes many programs, some of which target specific nutritionally at-risk
groups. The Special Supplemental Nutrition Program for Women, Infants, and Children
(WIC) safeguards the health of low-income women, infants, and children up to age 5
who are at nutritional risk by providing nutritious foods to supplement diets, information
on healthy eating, and referrals to health care.
Answer (a) is not the correct answer because meals on Wheels is an organization
focused on ending hunger among seniors. Its members provide home-delivered meals
and meals at congregate meal sites.
Answer (b) is not the correct answer because the Child and Adult Care Food Program
(CACFP) improves the quality and affordability of day care for low-income families by
providing nutritious meals and snacks to children, meals and snacks to adults who
receive care in nonresidential adult day care centers, meals to children programs.
Answer (c) is not the correct answer because the Expanded Food and Nutrition
Education Program (EFNEP) assists adults and youth with limited resources in
acquiring the knowledge, skills, attitudes, and changed behavior necessary for
nutritionally-sound diets and contributes to their personal development and the
improvement of the total family diet and nutritional well-being.
The primary focus of nutrition care for a man with hypertension and a body mass index
of 32 should be to:
, a. increase potassium intake.
b. decrease sodium intake.
c. increase calcium intake.
d. decrease caloric intake. - Answer - d. decrease caloric intake.
According to the 2015 Hypertension Guidelines of the Evidence Analysis Library, the
DASH diet, plus weight reduction has the most significant impact on both systolic and
diastolic blood pressure measurements for adults with hypertension. Calorie restriction
would be an essential part of this weight management/weight reduction.
A person living with gastroesophageal reflux disease should stay away from him which
of the following items?
a. Spicy and caffeinated items
b. Bland and decaffeinated items
c. Spicy and decaffeinated items
d. Bland and caffeinated items - Answer - a. Spicy and caffeinated items
A client who requires 2500 kcal daily to maintain weight consumes 2300 kcals daily and
gains 2 lb in 2 days. This suggests that the client:
a. overconsumed sugared beverages.
b. did not meet exercise requirements.
c. ate foods with high fat content.
d. retained excessed fluids. - Answer - d. retained excessed fluids.
Which of the following patients is the highest priority for nutrition care?
a. A college football player who is dehydrated
b. A child who is small in stature and is anemic
c. A pregnant adolescent who has hyperemesis
d. An older adult who is scheduled for elective surgery - Answer - c. A pregnant
adolescent who has hyperemesis
Answer (c) is the correct answer because hyperemesis, or persistent vomiting, will put
the adolescent at risk for electrolyte imbalance and malnutrition, since she is not able to
keep food down. This includes serious risk to life of fetus and mother, thereby
necessitating immediate intervention that includes nutrition, as opposed to the hydration
protocol to be used for the college football player.
Answer (a) is not the correct answer because dehydration is clearly a medical
emergency but does not require nutrition. Counseling on hydration strategies would be
great after recovery.
Answer (b) is not the correct answer because anemia and small stature indicate long-
term malnutrition, which are therefore not emergency situations.
Which of the following indicators is the most practical parameter for screening nutrition
status in elderly clients?
a. Weight change
b. Serum albumin level
c. Triceps skinfold thickness
d. 24-hour dietary recall record - Answer - a. Weight change
Answer (a) is the correct answer because in older clients, unintentional weight loss is
associate with increased risk of depression, infection, overall poor nutrition status, and
mortality.
Answer (b) is not the correct answer because it is less practical as lab values are less
easy to obtain than weight.
Answer (c) is not the correct answer because it is less practical because accurate
values can be difficult to obtain if the dietetic technician is not trained appropriately, and
would need calipers.
Answer (d) is not the correct answer because it can be subjective and may not give the
"big picture" compared to weight change.
Which of the following oils contains the highest proportion of monounsaturated fatty
acids?
a. Safflower
b. Soybean
c. Canola
d. Corn - Answer - c. Canola
The most effective way to teach a group of children in day care facility about healthy
snack foods is to ask each child to:
a. name a favorite snack food.
b. taste a variety of snack foods.
c. draw a picture of a snack food.
d. write a story about snack foods. - Answer - b. taste a variety of snack foods.
What is the most appropriate biochemical test result for screening clients of a public
health clinic for anemia?
a. Transferrin
b. Hematocrit
,c. Serum iron
d. Total iron-binding capacity - Answer - b. Hematocrit
Which of the following statements demonstrates an understanding of drug and nutrient
interactions between warfarin and dietary intake?
a. "I should limit my intake."
b. "I should increase my intake."
c. "I should eliminate from my diet."
d. "I should maintain a consistent intake." - Answer - d. "I should maintain a consistent
intake."
A young woman is pregnant, has a 2-year-old child, and has a low income. Which of the
following nutrition programs should the dietetic technician suggest?
a. Home-Delivered Meals Program
b. Child and Adult Care Food Program
c. Expanded Food and Nutrition Education Program
d. Special Supplemental Nutrition Program for Women, Infants, and Children - Answer -
d. Special Supplemental Nutrition Program for Women, Infants, and Children
Answer (d) is the correct answer because The nutrition assistance safety net in the
United States includes many programs, some of which target specific nutritionally at-risk
groups. The Special Supplemental Nutrition Program for Women, Infants, and Children
(WIC) safeguards the health of low-income women, infants, and children up to age 5
who are at nutritional risk by providing nutritious foods to supplement diets, information
on healthy eating, and referrals to health care.
Answer (a) is not the correct answer because meals on Wheels is an organization
focused on ending hunger among seniors. Its members provide home-delivered meals
and meals at congregate meal sites.
Answer (b) is not the correct answer because the Child and Adult Care Food Program
(CACFP) improves the quality and affordability of day care for low-income families by
providing nutritious meals and snacks to children, meals and snacks to adults who
receive care in nonresidential adult day care centers, meals to children programs.
Answer (c) is not the correct answer because the Expanded Food and Nutrition
Education Program (EFNEP) assists adults and youth with limited resources in
acquiring the knowledge, skills, attitudes, and changed behavior necessary for
nutritionally-sound diets and contributes to their personal development and the
improvement of the total family diet and nutritional well-being.
The primary focus of nutrition care for a man with hypertension and a body mass index
of 32 should be to:
, a. increase potassium intake.
b. decrease sodium intake.
c. increase calcium intake.
d. decrease caloric intake. - Answer - d. decrease caloric intake.
According to the 2015 Hypertension Guidelines of the Evidence Analysis Library, the
DASH diet, plus weight reduction has the most significant impact on both systolic and
diastolic blood pressure measurements for adults with hypertension. Calorie restriction
would be an essential part of this weight management/weight reduction.
A person living with gastroesophageal reflux disease should stay away from him which
of the following items?
a. Spicy and caffeinated items
b. Bland and decaffeinated items
c. Spicy and decaffeinated items
d. Bland and caffeinated items - Answer - a. Spicy and caffeinated items
A client who requires 2500 kcal daily to maintain weight consumes 2300 kcals daily and
gains 2 lb in 2 days. This suggests that the client:
a. overconsumed sugared beverages.
b. did not meet exercise requirements.
c. ate foods with high fat content.
d. retained excessed fluids. - Answer - d. retained excessed fluids.
Which of the following patients is the highest priority for nutrition care?
a. A college football player who is dehydrated
b. A child who is small in stature and is anemic
c. A pregnant adolescent who has hyperemesis
d. An older adult who is scheduled for elective surgery - Answer - c. A pregnant
adolescent who has hyperemesis
Answer (c) is the correct answer because hyperemesis, or persistent vomiting, will put
the adolescent at risk for electrolyte imbalance and malnutrition, since she is not able to
keep food down. This includes serious risk to life of fetus and mother, thereby
necessitating immediate intervention that includes nutrition, as opposed to the hydration
protocol to be used for the college football player.
Answer (a) is not the correct answer because dehydration is clearly a medical
emergency but does not require nutrition. Counseling on hydration strategies would be
great after recovery.
Answer (b) is not the correct answer because anemia and small stature indicate long-
term malnutrition, which are therefore not emergency situations.
