ACBN Risk Assessment & Management 4

Question 1

A client taking lithium for bipolar disorder asks about dietary changes. Which nutritional factor can precipitate lithium toxicity?

Accepted Answer

Low sodium diet

Answer

Sodium and lithium compete for renal reabsorption; a low-sodium diet causes the kidneys to retain lithium, dramatically increasing serum lithium levels and toxicity risk.

Question 2

Which screening tool is recommended by the Academy of Nutrition and Dietetics for identifying nutrition-related risk in community-dwelling older adults?

Accepted Answer

Determine/NSI Checklist

Answer

The Determine/Nutrition Screening Initiative (NSI) Checklist was developed specifically for community-dwelling older adults to identify nutrition-related warning signs.

Question 3

In nutrition-focused physical examination, which finding most specifically indicates zinc deficiency risk?

Accepted Answer

Delayed wound healing and dermatitis

Answer

Zinc plays a critical role in immune function and tissue repair; delayed wound healing and acrodermatitis enteropathica-type dermatitis are classic zinc deficiency signs.

Question 4

A bariatric surgery patient 12 months post-Roux-en-Y gastric bypass presents with peripheral neuropathy. Which deficiency is the most likely cause?

Accepted Answer

Thiamine (B1) or Vitamin B12

Answer

RYGB bypasses the stomach and proximal small intestine, severely impairing intrinsic factor production and B12 absorption, while thiamine deficiency can occur from reduced intake and absorption.

Question 5

Which risk factor combination most significantly increases a client's likelihood of developing osteoporosis?

Accepted Answer

Postmenopausal status, low calcium intake, and smoking

Answer

Estrogen loss at menopause accelerates bone resorption; combined with inadequate calcium and smoking (which impairs estrogen metabolism and calcium absorption), risk becomes cumulative.

ACBN - Nutritionist Exam Practice Test

ACBN - Nutritionist Exam Practice Test

ACBN Risk Assessment & Management 4