Registered Dietitian Nutritionist Registered Dietitian Problem 2

Question 1

A client with chronic kidney disease (CKD) stage 4 asks about protein intake. Which recommendation is most appropriate?

Accepted Answer

0.6–0.8 g/kg/day to reduce uremic toxin load

Answer

In non-dialysis CKD stage 4, protein restriction to 0.6–0.8 g/kg/day helps slow progression and reduce uremic solute accumulation.

Question 2

When calculating energy needs using the Mifflin-St Jeor equation for a sedentary 45-year-old woman weighing 70 kg and 165 cm tall, which factor is multiplied by BMR?

Accepted Answer

1.200

Answer

A sedentary activity factor of 1.200 (little or no exercise) is multiplied by BMR in the Mifflin-St Jeor equation.

Question 3

A hospitalized patient has a serum albumin of 2.8 g/dL and prealbumin of 10 mg/dL. These values primarily indicate:

Accepted Answer

Acute inflammatory response affecting protein synthesis

Answer

Low albumin and prealbumin in hospitalized patients often reflect acute-phase response rather than solely malnutrition, as inflammation suppresses hepatic synthesis.

Question 4

A dietitian is conducting a nutrition-focused physical exam (NFPE). Which finding would suggest zinc deficiency?

Accepted Answer

Dermatitis around the mouth and acral areas

Answer

Perioral and acral dermatitis (acrodermatitis enteropathica pattern) is a hallmark physical sign of zinc deficiency.

Question 5

Using the ASPEN definition, which combination meets criteria for malnutrition in a non-critically ill patient?

Accepted Answer

Inadequate energy intake and confirmed weight loss

Answer

ASPEN/AND malnutrition consensus requires at least 2 of 6 criteria, with inadequate energy intake plus weight loss being a common qualifying combination.

Registered Dietitian Nutritionist Practice Test

Registered Dietitian Nutritionist Practice Test

Registered Dietitian Nutritionist Registered Dietitian Problem 2