Registered Dietitian Nutritionist Registered Dietetic Technician 2 — Questions and Answers
Question 1: A DTR is screening patients using the Malnutrition Universal Screening Tool (MUST). Which component is NOT part of MUST?
- BMI score
- Unplanned weight loss score
- Acute disease effect score
- Serum albumin level (Correct answer)
Correct answer: Serum albumin level
MUST uses BMI, unplanned weight loss, and acute disease effect — serum albumin is not a component of this screening tool.
Question 2: When calculating a patient's percent ideal body weight (%IBW), a DTR finds the result is 78%. This indicates the patient is:
- Well-nourished
- Mildly malnourished
- Moderately malnourished (Correct answer)
- Severely malnourished
Correct answer: Moderately malnourished
%IBW of 70–79% indicates moderate malnutrition, while below 70% indicates severe malnutrition.
Question 3: A DTR working in a long-term care facility must complete MDS nutrition assessments. MDS stands for:
- Minimum Data Set (Correct answer)
- Medical Dietary Standards
- Malnutrition Detection Survey
- Managed Diet System
Correct answer: Minimum Data Set
The Minimum Data Set (MDS) is the federally mandated assessment tool used in long-term care facilities.
Question 4: Which vitamin deficiency is most commonly associated with neural tube defects during early pregnancy?
- Vitamin B12
- Vitamin D
- Folate (Correct answer)
- Vitamin C
Correct answer: Folate
Folate (folic acid) deficiency during early pregnancy is the primary dietary cause of neural tube defects such as spina bifida.
Question 5: A DTR monitors a patient on total parenteral nutrition (TPN). Which electrolyte abnormality is most commonly associated with refeeding syndrome?
- Hyperkalemia
- Hypophosphatemia (Correct answer)
- Hypernatremia
- Hypercalcemia
Correct answer: Hypophosphatemia
Refeeding syndrome is characterized by hypophosphatemia as phosphorus shifts intracellularly when carbohydrate metabolism resumes.
Question 6: When documenting in the ADIME format, what does the 'I' represent?
- Intake assessment
- Intervention (Correct answer)
- Identification of problems
- Index of nutrition risk
Correct answer: Intervention
ADIME stands for Assessment, Diagnosis, Intervention, Monitoring, and Evaluation — the 'I' is Intervention.
Question 7: A DTR calculates that a 70 kg patient with moderate stress needs approximately 25 kcal/kg/day. What is the estimated daily caloric requirement?
- 1,500 kcal
- 1,750 kcal (Correct answer)
- 1,950 kcal
- 2,100 kcal
Correct answer: 1,750 kcal
70 kg × 25 kcal/kg/day = 1,750 kcal/day.
Registered Dietitian Nutritionist Registered Dietetic Technician 2
A DTR is screening patients using the Malnutrition Universal Screening Tool (MUST).
Which component is NOT part of MUST?