Registered Dietitian Nutritionist Registered Dietetic Technician Practice 2 — Questions and Answers
Question 1: A DTR is screening a 78-year-old nursing home resident using the Mini Nutritional Assessment (MNA). Which score range indicates malnutrition?
- 17 or less (Correct answer)
- Between 18 and 23.5
- Between 24 and 28
- Above 28
Correct answer: 17 or less
An MNA score of 17 or less indicates established malnutrition in older adults.
Question 2: A DTR calculates that a client's diet provides 55 g of protein per day and 1,800 kcal. What is the protein percentage of total calories?
- 12.2% (Correct answer)
- 15.0%
- 22.2%
- 27.5%
Correct answer: 12.2%
55 g × 4 kcal/g = 220 kcal from protein; 220 ÷ 1800 = 12.2%.
Question 3: Which federal program do DTRs most commonly support when providing nutrition education to pregnant women and infants in low-income families?
- WIC (Correct answer)
- SNAP
- Head Start
- CHIP
Correct answer: WIC
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) targets this population.
Question 4: When using the DETERMINE checklist in a community screening, a score of 6 or more suggests:
- High nutritional risk requiring follow-up (Correct answer)
- Adequate nutritional status
- Moderate risk with self-care recommended
- Low risk with rechecking in one year
Correct answer: High nutritional risk requiring follow-up
A DETERMINE score of 6 or higher indicates high nutritional risk and warrants professional follow-up.
Question 5: A DTR documents a client's food intake using a 24-hour recall. Which limitation is most important to communicate to the supervising RD?
- It captures only one day and may not reflect usual intake (Correct answer)
- It cannot estimate portion sizes accurately
- It requires laboratory analysis to confirm
- It is not accepted by Medicare for reimbursement
Correct answer: It captures only one day and may not reflect usual intake
A single 24-hour recall may be atypical and does not represent habitual dietary patterns.
Question 6: In a long-term care facility, which weight change over 30 days would trigger a mandatory nutrition reassessment per CMS guidelines?
- 5% or more of body weight (Correct answer)
- 2% or more of body weight
- 10% or more of body weight
- 3% or more of body weight
Correct answer: 5% or more of body weight
CMS F-tag guidelines flag a 5% or greater unintentional weight loss within 30 days as a significant indicator.
Question 7: A DTR working in a school lunch program must ensure meals meet USDA standards. Which nutrient has a required minimum amount per meal for K-12 students?
- Protein (Correct answer)
- Vitamin C
- Calcium
- Omega-3 fatty acids
Correct answer: Protein
USDA National School Lunch Program meal patterns specify minimum protein (meat/meat alternate) amounts per age/grade group.
Registered Dietitian Nutritionist Registered Dietetic Technician Practice 2
A DTR is screening a 78-year-old nursing home resident using the Mini Nutritional Assessment (MNA).
Which score range indicates malnutrition?