Registered Dietitian Nutritionist Registered Dietetic Technician Practice 3 — Questions and Answers
Question 1: A DTR is assisting with enteral nutrition for a patient receiving a 1.5 kcal/mL formula at 60 mL/hr for 16 hours. How many total calories are delivered?
- 1,440 kcal (Correct answer)
- 1,200 kcal
- 900 kcal
- 1,600 kcal
Correct answer: 1,440 kcal
60 mL/hr × 16 hr = 960 mL; 960 × 1.5 kcal/mL = 1,440 kcal.
Question 2: A patient on a mechanically altered diet is at risk for aspiration. Which texture level on the IDDSI framework best describes minced and moist foods?
- Level 5 (Correct answer)
- Level 3
- Level 6
- Level 4
Correct answer: Level 5
IDDSI Level 5 is Minced & Moist, consisting of small soft lumps that require minimal chewing.
Question 3: When a DTR screens for food insecurity in an outpatient clinic, which validated two-question tool is most commonly used?
- Hunger Vital Sign (HVS) (Correct answer)
- DETERMINE Checklist
- NRS-2002
- MUST
Correct answer: Hunger Vital Sign (HVS)
The Hunger Vital Sign is a validated two-question screen for food insecurity in clinical settings.
Question 4: Which macronutrient provides the highest amount of energy per gram?
- Fat (Correct answer)
- Protein
- Carbohydrate
- Fiber
Correct answer: Fat
Fat provides 9 kcal/g, which is more than double the 4 kcal/g provided by protein or carbohydrate.
Question 5: A DTR is completing a menu for a renal patient with hyperkalemia. Which food should be avoided?
- Baked potato with skin (Correct answer)
- White rice
- Apple juice
- White bread
Correct answer: Baked potato with skin
Baked potato with skin is very high in potassium and must be avoided in patients with hyperkalemia.
Question 6: During a care conference, the DTR presents a patient's anthropometric data. Which measurement is MOST directly used to estimate body fat distribution and cardiometabolic risk?
- Waist circumference (Correct answer)
- BMI
- Triceps skinfold
- Mid-arm muscle circumference
Correct answer: Waist circumference
Waist circumference directly reflects abdominal adiposity, a key predictor of cardiometabolic risk.
Question 7: A DTR notices a discrepancy between a resident's intake record and the actual tray returned. What is the appropriate first action?
- Document the observed intake accurately and report to the RD (Correct answer)
- Correct the previous intake record to match the new observation
- Assume the original record was correct and make no changes
- Notify the family before informing the RD
Correct answer: Document the observed intake accurately and report to the RD
Accurate documentation of observed intake and prompt communication to the supervising RD are essential for patient safety.
Registered Dietitian Nutritionist Registered Dietetic Technician Practice 3
A DTR is assisting with enteral nutrition for a patient receiving a 1.5 kcal/mL formula at 60 mL/hr for 16 hours.
How many total calories are delivered?