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A 9 month old infant whose weight for length is greater than the 95 th percentile is being fed iron fortified, milk based formula. What should the dietitian do first during consultation? - ✔✔assess daily intake and feeding behaviors A new resident enters the nursing home with a long list of nutrition related problems. As the dietitian, which problem should you address first? - ✔✔Involuntary weight loss of 5. 5 % in last 30 days Which of the following provides 60 g of CHO? a. 1 English muffin, 1 c. skim milk. 1 ⁄ 2 c. apple juice b. 1 fat-free granola bar, 1 ⁄ 2 c. raisins, 1 c. fruited yogurt with aspartame c. 2 small waffles with 2 T lite syrup and I T peanut butter d. 1 four oz. bagel with 2 T lite cream cheese and 1 T jelly - ✔✔ 1 English muffin, 1 c. skim milk. 1 ⁄ 2 c. apple juice What is a guide for calculating water needs with tube feedings? - ✔✔ 1 mL water / 1. 0 calories If a type 2 diabetic has been diagnosed with insulin resistance, which type of oral medication would be most appropriate? - ✔✔thiazolidinediones Prolonged bed rest can lead to all of the following except: a. exaggerated responses of heart rate and cardiac output b. negative sodium balance and reduction volume c. decrease in muscle mass with loss of nitrogen, sulfur, and potassium d. increased deposition of calcium and phosphorous in the bones e. venous stasis leading to thrombosis - ✔✔d. increased deposition of calcium and phosphorous in the bones
A dietitian is counseling the parents of an obese prepubescent child. Which of the following outcomes would best indicate parental support of the child's weightloss effort? - ✔✔Enrollment of the child in a physical activity program Which of the following statements is an example of an outcome indicator? - ✔✔Customers are satisfied with the quality of service Who is the most appropriate candidate for TPN? a. a 12 year old girl coming in for an appendectomy b. a middle aged woman who will begin chemotherapy c. an elderly lady with emphysema d. a young man going for gallbladder surgery - ✔✔a middle aged woman who will begin chemotherapy To prevent fatty acid deficiency, an adult male patient should receive what percent of total energy per day as essential fatty acids? - ✔✔4% What is the best therapy for weight loss? - ✔✔exercise, diet, behavior modification The NHANES study looks at which parameters? I. dietary II. clinical III. biochemical - ✔✔I, II, III Which of the following is a medium fat meat? - ✔✔pork chop he addition of complementary foods to breastfed infants is recommended at about: - ✔✔ 6 months An indication for the use of a protein hydrolysate infant formula is: - ✔✔protein hypersensitivity Which of the following would you suggest that a woman with inverted nipples do during the third trimester? - ✔✔do nothing because the natural changes in the breast during pregnancy and the infant's suckling postpartum may evert the nipples
How many non-protein calories are provided by. 2 liters of a 7 % Aminosyn solution and 1 liter of 10 % dextrose m water'? - ✔✔ 340 Which of the following nutrition diagnoses is most likely to be associated with cyclosporine therapy? - ✔✔Hyperlipidemia Which of the following foods may include plant stanol esters? - ✔✔Margarine spread Determine the calorie contribution of carbohydrate from the following parenternal formula. The amounts stated are given per liter. 300 ml 60 % dextrose; 500 ml 10 % amino acids; 200 ml 20 % lipid; total nutrient mixture administered at 65 ml/hour for 24 hours - ✔✔ 955 calories per day Malignant nephrosclerosis is a condition associated with severe high blood pressure. This is a serious disease of the: - ✔✔kidneys Which ingredients are found in the enriched, immune enhancing formula for nutrition support in surgery patients? - ✔✔Omega 3 , arginine, RNA Idenitfy the benefits related to exclusive breastfeeding for 6 months. - ✔✔fewer episodes of diarrhea and lower respiratory infections Offering a health fair where blood glucose and blood pressure screening is occurring is an example of which type of prevention strategy? - ✔✔Secondary Osteoporosis is most likely to occur in: - ✔✔a white female Open tube feedings should be disposed of after: - ✔✔ 24 hrs Individual nutrition education counseling for mother on WIC is an example of: - ✔✔primary prevention
A recent American study showed the amount of obesity in a group of children age three to four years old was 15 % at the time when the data was collected. Indetify the term that describes this finding. - ✔✔prevalence Which of the following food items are typically included in the diets of Southeast 1 out of 1 points Asian population groups? - ✔✔Large amounts of rice and vegetables and small amounts of meat A client consumed 20 grams of protein and had a total nitrogen loss of 10 g. The patient's nitrogen balance would most appropriately be described as: - ✔✔negative A 2 year old child with iron-deficiency anemia has anorexia, vomiting, weight loss and restlessness. Identify the conditions these are most likely related to: - ✔✔pica and lead poisoning Identify the component of human milk that provides specific immunity against many organisms: - ✔✔secretory IgA If a patient is about to be discharged when you receive the discharge diet order, you should: - ✔✔Enroll him in the Outpatient Clinic and schedule an appointment. All of the following need to be carefully monitored with the initiation of parenteral nutrition support, except: a. Essential fatty acid levels b.Basic metabolic panel daily; biweekly - weekly LFT's, Phosphorus and TG levels c. Adequacy of nutrition support d. Intakes, outputs, stools, and daily weight - ✔✔essentail fatty acid levels A foodservice employee reports seeing a rodent in the dry storage area. The dietitian should first: - ✔✔contact a licensed pest control company. Name the hormone that stimulates the production of breast milk: - ✔✔prolactin
The elderly need how many ml of water per KG? - ✔✔ 30 Identiy the patient most likely to develop protein calorie malnutrition from the following conditions. a. cancer with chemotherapy b. gastric ulcers c. Crohn's disease d. megaloblastic anemia - ✔✔a. cancer with chemotherapy Intravenously administered fat emulsions should not exceed what percent of energy per day for septic patients? - ✔✔ 30 % There are stages of kidney disease - ✔✔ 5 A Dietitian ordering canned goods can be assured of a reliable product if they. - ✔✔conduct a can cutting analysis The minimum recommended temperature for a chemical sanitizer is: - ✔✔ 75 'F The FDA: I. inspects meat, poultry, fish, eggs II. inspects factories III. enforces the Food, Drug and Cosmetic Act IV. monitors interstate shipping of shellfish - ✔✔II, III, IV A job breakdown: - ✔✔lists what steps to do and how to do them The # 12 scoop measures: - ✔✔ 1 / 3 cup
When training new employees, what should always be followed? - ✔✔a planned orientation and training program What is the lowest acceptable holding temperature while serving? - ✔✔ 140 'F Which statement is not an advantage of budgeting? a. Budgets provide a goal. b. Budgets help solve problems. c. Budgets provide a control device. d. Budgets require time to prepare and time costs money. - ✔✔d. Budgets require time to prepare and time costs money. How many meals were served per labor minute if 34 FTE produced 3800 meals in one 40 hour week? - ✔✔ 0. 05 Spaghetti sauce prepared on Monday is to be served on Wednesday. What should you recommend to the cook? - ✔✔store the sauce in shallow pans in the refrigerator Which is not a direct cost? a. Staples from storage b. Paper napkins and straws c. Frozen fruit and vegetables d. Water, electricity and utilities - ✔✔d. Water, electricity and utilities Which piece of food service equipment is the least energy efficient? a. convection oven b. deck oven c. steam-jacketed kettle d. rotary oven - ✔✔deck oven
If the productivity goal for a patient tray assembly unit is 4 trays per minute, the unit should be able to assemble approximately 350 trays in: - ✔✔ 1 hour 30 min What is the benefit:cost ratio of a program intervention that costs $ 1 , 890 , 000 if the savings as a result of the program are $ 5. 67 million? - ✔✔ 3 : 1 Budgeting is primarily an example of which management function? - ✔✔controlling Fish is inspected by the: - ✔✔FDA Which would be best when preparing staff for a new way to deliver trays? - ✔✔include them during discussions of proposed methods If implementing a program costs $ 3 for each patient and the return is $ 6 per patient, the cost/benefit ratio is: - ✔✔ 1 : 2 When developing educational plans, when do you plan the evaluation criteria? - ✔✔plan evaluation criteria at each step in the process A food service operates with a 35 % food cost. If a menu item has a raw food cost of $ 1. 25 , and it takes an employee 45 minutes at $6. 00 an hour to prepare, what is the traditional selling price - ✔✔$3. 58 What is the labor turnover rate if 6 employees in a department of 55 were terminated and replaced? - ✔✔ 11 % You are a supervising Dietitian and are very satisfied with one of your Diet Aides who works very hard. One year after hiring her, you realize the information on her application wasn't true. What should you do? - ✔✔discuss it with her one on one in your office An 8 lb. roast beef cost $ 2. 79 /lb. The edible portion is 65 %. What is the AP price of the roast? - ✔✔$ 22. 32
The raw food cost of an item is $1. 12 per serving. What is the hidden cost? - ✔✔$0. 11 You recently interviewed a top candidate for an administrative position and are about to offer him the job. You then learn that he is planning on adopting a child. What should you do? - ✔✔hire them The width of a main kitchen aisle should be: - ✔✔ 60 " Which of the followings is an example of a critical control point that an operation has established? - ✔✔A recipe reads, bake casserole in a 325 F oven until the center of the food reaches 165 F.
