SNLE Nutrition and Diet Therapy 3

Question 1

Which anthropometric measurement is used to estimate stature in elderly or bedridden patients when standing height cannot be obtained?

Accepted Answer

Knee height

Answer

Waist circumference

Answer

Mid-upper arm circumference

Answer

Head circumference

Question 2

The Malnutrition Universal Screening Tool (MUST) evaluates a patient based on which three components?

Accepted Answer

BMI, unintentional weight loss, and acute disease effect on intake

Answer

Serum albumin, dietary recall, and muscle strength

Answer

Hemoglobin, appetite score, and functional status

Answer

Dietary intake, hydration status, and wound healing

Question 3

A Saudi nurse counseling a mother with an exclusively breastfed newborn should recommend which supplement starting within the first few days of life?

Accepted Answer

Vitamin D drops starting within the first few days

Answer

Iron drops starting at birth

Answer

Calcium supplement

Answer

Vitamin C supplement

Question 4

Which serum protein is the best indicator of chronic, long-standing malnutrition due to its prolonged half-life?

Accepted Answer

Albumin (half-life 21 days)

Answer

Prealbumin (half-life 2–3 days)

Answer

Transferrin (half-life 8–10 days)

Answer

C-reactive protein (acute phase marker)

Question 5

A child with marasmus, a form of severe acute malnutrition, would present with which characteristic clinical finding?

Accepted Answer

Severe wasting of muscle and fat with relatively preserved serum proteins

Answer

Generalized pitting edema and distended abdomen

Answer

Skin dermatitis, hair depigmentation, and edema

Answer

Normal weight with isolated micronutrient deficiencies

Question 6

Adequate postoperative protein intake is most critical for which physiological purpose?

Accepted Answer

Supporting wound healing and maintaining immune function

Answer

Providing energy substrate for early ambulation

Answer

Preventing postoperative constipation

Answer

Stabilizing blood glucose levels

Question 7

A patient with chronic kidney disease (CKD) who is NOT yet on dialysis should generally follow which dietary protein guideline?

Accepted Answer

Protein restriction to approximately 0.6–0.8 g/kg/day

Answer

High protein intake (>1.5 g/kg/day) to compensate for urinary losses

Answer

High-potassium diet to support kidney perfusion

Answer

Unrestricted protein with increased phosphorus