ACBN Risk Assessment & Management 5

Question 1

A client with celiac disease who has been 'gluten-free' for 2 years still has symptoms and low bone density. Which hidden gluten source is most commonly overlooked?

Accepted Answer

Medications, supplements, and communion wafers

Answer

Medications and supplements may use wheat starch as excipients, and communion wafers traditionally contain gluten—sources patients frequently fail to report.

Question 2

Which dietary assessment method is most appropriate for estimating population-level nutrient intake in epidemiological studies?

Accepted Answer

Food frequency questionnaire (FFQ)

Answer

FFQs capture habitual dietary patterns over months to years at low cost, making them ideal for large epidemiological studies despite lower precision than records.

Question 3

A client with non-alcoholic fatty liver disease (NAFLD) is at greatest risk for progression to cirrhosis if which condition is also present?

Accepted Answer

Type 2 diabetes and metabolic syndrome

Answer

Type 2 diabetes and metabolic syndrome amplify hepatic inflammation and fibrosis risk in NAFLD, and their coexistence is the strongest predictor of NASH progression to cirrhosis.

Question 4

Which approach is most effective for managing the nutritional risk of a food-insecure client with hypertension?

Accepted Answer

Connecting client to SNAP and food bank resources while adapting the DASH principles to available foods

Answer

Effective risk management integrates social determinants of health; connecting clients to food assistance programs and adapting evidence-based dietary guidance to realistic resources maximizes adherence and outcomes.

Question 5

During a nutrition assessment, a client reports consuming more than 3 alcoholic drinks per day. Which micronutrient deficiency is of highest priority concern?

Accepted Answer

Thiamine (B1)

Answer

Chronic alcohol use impairs thiamine absorption, increases thiamine excretion, and depletes hepatic stores, placing clients at high risk for Wernicke-Korsakoff syndrome.

ACBN - Nutritionist Exam Practice Test

ACBN - Nutritionist Exam Practice Test

ACBN Risk Assessment & Management 5