ISSA Risk Assessment & Mitigation 2

Question 1

A client with chronic kidney disease asks about high-protein diets for muscle gain. What is the PRIMARY risk mitigation step?

Accepted Answer

Consult with the client's nephrologist before any protein recommendation

Answer

Chronic kidney disease requires physician oversight before any protein manipulation, as excess protein accelerates glomerular filtration decline.

Question 2

Which of the following is the most reliable indicator that a nutritionist should refer a client to a licensed dietitian or physician?

Accepted Answer

Client presents with unexplained rapid weight loss and fatigue

Answer

Unexplained rapid weight loss combined with fatigue are red-flag symptoms that may indicate a serious underlying medical condition requiring clinical diagnosis.

Question 3

When conducting a dietary risk assessment, which tool best identifies potential nutrient deficiencies over time?

Accepted Answer

Food frequency questionnaire

Answer

A food frequency questionnaire captures habitual dietary patterns over weeks to months, making it the most effective tool for identifying chronic nutrient gaps.

Question 4

A client begins a very low-calorie diet (VLCD) of 500 kcal/day without medical supervision. What is the most critical acute risk?

Accepted Answer

Cardiac arrhythmia due to electrolyte imbalance

Answer

VLCDs can cause severe electrolyte imbalances, particularly hypokalemia, which can trigger life-threatening cardiac arrhythmias.

Question 5

What does the concept of 'scope of practice' primarily protect against in nutrition counseling?

Accepted Answer

Giving medical diagnoses or treating disease conditions

Answer

Scope of practice defines the boundaries of a practitioner's role, and providing medical diagnoses or disease treatment exceeds the ISSA nutritionist's legal and ethical boundaries.

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

ISSA Risk Assessment & Mitigation 2