ISSA Risk Assessment & Mitigation 3

Question 1

A client reports taking 10,000 IU of vitamin D daily without medical supervision. What is the primary risk the nutritionist should communicate?

Accepted Answer

Vitamin D toxicity leading to hypercalcemia

Answer

Chronic high-dose vitamin D supplementation can cause hypercalcemia, leading to nausea, kidney damage, and cardiovascular complications.

Question 2

Which scenario most clearly indicates a conflict of interest risk in a nutritionist-client relationship?

Accepted Answer

Recommending a specific brand of protein powder from which the nutritionist earns commissions without disclosing this

Answer

Recommending products for personal financial gain without disclosure constitutes an undisclosed conflict of interest and breaches ethical standards.

Question 3

What is the most appropriate action when a client's self-reported symptoms suggest orthorexia nervosa?

Accepted Answer

Refer the client to a mental health professional specializing in eating disorders

Answer

Orthorexia is an eating disorder requiring psychological intervention beyond the ISSA nutritionist's scope of practice.

Question 4

Which blood biomarker, if elevated, would indicate the highest risk concern when a client is following a high saturated fat ketogenic diet?

Accepted Answer

Elevated LDL cholesterol, particularly small dense LDL particles

Answer

Elevated small dense LDL particles are strongly associated with increased atherosclerotic cardiovascular disease risk, which must be monitored on high saturated fat diets.

Question 5

A pregnant client asks about mercury exposure from fish consumption. Which fish poses the HIGHEST risk and should be avoided?

Accepted Answer

Swordfish

Answer

Swordfish is a large predatory fish that bioaccumulates the highest levels of methylmercury, posing significant neurotoxicity risk to fetal development.

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

ISSA Risk Assessment & Mitigation 3