ACBN Risk Assessment & Management 2

Question 1

Which biomarker is most useful for assessing long-term cardiovascular risk related to dietary fat intake?

Accepted Answer

LDL particle number (LDL-P)

Answer

LDL particle number (LDL-P) is a stronger predictor of cardiovascular events than LDL-C because small, dense LDL particles penetrate arterial walls more readily.

Question 2

A client with chronic kidney disease (CKD) stage 3 presents for nutrition counseling. Which nutrient requires the most careful risk assessment?

Accepted Answer

Phosphorus

Answer

Phosphorus accumulates in CKD due to reduced renal clearance, increasing risk of hyperphosphatemia and cardiovascular calcification.

Question 3

When assessing nutritional risk in a hospitalized patient, which screening tool is specifically validated for acute care settings?

Accepted Answer

NRS-2002 (Nutritional Risk Screening)

Answer

NRS-2002 is validated for hospital inpatients and accounts for both nutritional status and disease severity.

Question 4

A 65-year-old woman on warfarin asks about increasing her intake of leafy greens. What is the primary risk management concern?

Accepted Answer

Vitamin K antagonizing warfarin's anticoagulant effect

Answer

Vitamin K is a cofactor for clotting factor synthesis and directly opposes warfarin's mechanism of action, potentially reducing anticoagulation efficacy.

Question 5

Which dietary pattern is associated with the highest risk of incident type 2 diabetes according to large prospective studies?

Accepted Answer

Western diet high in processed meats and refined grains

Answer

The Western dietary pattern—characterized by processed meats, refined carbohydrates, and added sugars—consistently predicts higher T2DM incidence in prospective cohort studies.

ACBN - Nutritionist Exam Practice Test

ACBN - Nutritionist Exam Practice Test

ACBN Risk Assessment & Management 2