RD MNT EXAM 2024 LATEST VERSION
ACTUAL EXAM AND STUDYGUIDE
QUESTIONS AND CORRECT ANSWERS |
A+ GRADE
an elderly male pt is 3 days p/o with a probable ileus.
nursing reports faint bowel sounds and no bowel
movement in 48 hours. the recommended route of nutr
support is...
a. enteral nutrition
b. PN
c. by mouth
d. provision of oral nutr supplements Correct Answer b
a critical care pt has a serum albumin of 2.0 mg/dl with
nursing reporting an increased abdominal girth and edema
of the extremities. this patient has...:
a. metabolic water
b. 3rd spacing of fluids
c. insensible water loss
d. dehydration Correct Answer 3rd spacing of fluids-THE
ACCUMULATION OF FLUIDS IN THE 3RD SPACE IS
WHAT CAUSES EDEMA
a pt was admitted following a CVA, and the dietitian is
informed that a swallowing eval indicates they have
dysphagia. the RDs first step would be to..
,a. interview the pt's family to find out if there were previous
swallowing difficulties/eating problems PTA
b. recommend a level 1 pureed dysphagia diet to be
advanced as tolerated
c. review the results and reccs of the swallowing eval to
determine the degree of dysphagia present
d. inform the food service staff that the pt will need
thickened liquids Correct Answer c. review the results and
reccs of the swallowing eval to determine the degree of
dysphagia present
a pt has a percutaneous endoscopic G tube placed and
will require a general purpose formula. which formula is
most appropriate? AND WHY
a. Jevity 1.2
b. Impact 1.5
c. Glucerna
d. peptamen Correct Answer Jevity 1.2- BC ITS THE
ONLY ONE LISTED THAT IS A GENERAL PURPOSE
FORMULA, THE OTHERS ARE SPECIALIZED
metabolic alterations of systemic inflammatory response
syndrome (SIRS) or sepsis include all the following
except:
a. hypermetabolism
b. hypoglycemia
c. accelerated lipolysis
,d. protein catabolism Correct Answer hypoglycemia-
USUALLY HYPERGLYCEMIC WITH INSULIN
RESISTANCE
"inflammaging" is a chronic inflammation that
accompanies frailty, illness and death. it may be seen in:
a. terminal cancer pt's
b. preemies
c. malnourished pts
d. elderly Correct Answer elderly
a solution or TF is considered isotonic when the osmolality
is the same as serum osmolality (300 mOsm/L). the
reason this is important is because...
a. helps maintain fluid balance in the body
b. helps extract sodium from the blood
c. causes edema and 3rd spacing
d. forces water through a semi permeable membrane
Correct Answer A-DOESNT CHANGE CONCENTRATION
BUT DOES ALLOW WATER TO MOVE FREELY
Diffusion refers to
a. its the same as dehydration
b. it provides 90% of the osmotic pressure in the ECF
c. where particles move from high to low concentrations
d. requires a semi permanent membrane Correct Answer
where particles move from high to low concentrations
, essential fatty acid deficiency can be prevented in patients
on TPN by...
a. adding walnut oil to TPN solution
b. adding 10% lipid emulsion
c. adding coconut oil to TPN solution
d. adding essential fatty acids to the lipid emulsion Correct
Answer adding 10% lipid emulsion-ALL LIPID
EMULSIONS IN THE US PROVIDE THE NECESSARY
EFA'S SO NO ADDITIONAL FATS NEED TO BE ADDED
which of the following describes an eating behavior found
commonly in individuals with anorexia nervosa?
a. cutting foods into very small pieces before eating
b. eating foods whole to eat more quickly
c. avoiding trigger foods
d. considering red meat a "safe food" Correct Answer
cutting foods into very small pieces before eating
A female pt has a 39 inch waist and a 42 inch hip
measurement. what conclusion can be drawn?
a. underweight
b. overweight
c. pt's fat distribution is indicative of an increased risk for
obesity related diseases
d. pt's fat distribution is indicative of an decreased risk for
obesity related diseases Correct Answer pt's fat
distribution is indicative of an increased risk for obesity
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