Registered Dietitian Nutritionist Risk Assessment & Management 5

Question 1

A registered dietitian is screening a patient using the NRS-2002 tool. A score of 3 or more indicates what?

Accepted Answer

The patient is at nutritional risk and requires a full nutrition care plan

Answer

An NRS-2002 score ≥3 identifies patients at nutritional risk in hospital settings, triggering initiation of a comprehensive nutrition care plan per evidence-based guidelines.

Question 2

Which drug-nutrient interaction poses a life-threatening risk when tyramine-rich foods are consumed?

Accepted Answer

MAO inhibitors and aged cheese

Answer

MAO inhibitors block tyramine metabolism, causing dangerous accumulation when tyramine-rich foods like aged cheese are eaten, leading to hypertensive crisis.

Question 3

A patient with obesity and metabolic syndrome has a fasting triglyceride level of 580 mg/dL. Which dietary modification is most urgently needed to reduce pancreatitis risk?

Accepted Answer

Restrict carbohydrate and alcohol intake

Answer

Severely elevated triglycerides in metabolic syndrome are primarily driven by refined carbohydrate and alcohol intake, which stimulate hepatic VLDL production; restricting these substrates rapidly reduces triglyceride levels.

Question 4

A nursing home resident is assessed using the Braden Scale and scores a 14. What is the primary nutritional priority for pressure injury prevention?

Accepted Answer

Ensure adequate protein (1.2–1.5 g/kg/day) and hydration

Answer

Adequate protein (1.2–1.5 g/kg/day) is essential for tissue repair and maintenance, while hydration preserves skin turgor; both are critical for pressure injury prevention and healing.

Question 5

Which assessment finding most strongly indicates the need for a nutrition-focused physical exam (NFPE) to confirm sarcopenia?

Accepted Answer

Normal serum albumin with unintentional 10% weight loss over 6 months

Answer

Significant unintentional weight loss (≥5% in 6 months) with preserved or low albumin warrants NFPE to assess muscle wasting, which may be masked by normal or high BMI.

Registered Dietitian Nutritionist Practice Test

Registered Dietitian Nutritionist Practice Test

Registered Dietitian Nutritionist Risk Assessment & Management 5