Nutrition Modules 1 23 Laboratory 1
Nutrition Modules 1 23 Laboratory 1
1. The statement from the previous question "Inadequate energy intake related to
decreased dietary intake while receiving radiation to head and neck as evidenced
by 15# weight loss during last 2 months due to consumption of 1000 kcal/day less
than estimated needs" is known as
a. nutrition diagnosis statement
b. medical diagnosis statement
c. b and c
d. PES statement
e. a and d
ANSWER: E
RATIO: Option E is the correct answer because PES or also known as Nutrition
Diagnosis Statement is a structured sentence that describes the specific nutrition
problem that the dietitian is responsible for treating and working toward resolving, the
cause or causes of the problem and the evidence that this problem exists.
2. The nutrition care process begins
a. when patient/client/group has been identified at nutritional risk
b. when a patient/client/group needs further assistance to achieve or maintain
nutrition and health goals
c. when nutrition goals are met
d. A and B
e. A and C
ANSWER: D
RATIO: Option D is the correct answer because nutrition care process may begin a
Nutrition Intervention when a client reveals another piece of new assessment
data/information that will cause the RDN to re assess, and re-diagnose and perhaps
modify the plan that he/she had started discussing with the client.
3. The nutrition care process ends
a. when patient/client/group has been identified at nutritional risk
b. when a patient/client/group needs further assistance to achieve or maintain
nutrition and health goals
c. when nutrition goals are met
d. A and B
e. A and C
ANSWER: C
RATIO: Option C is the correct answer because nutrition care process ends when goals
are met or achieved.
4. What is the correct order of the steps in the Nutrition Care Process?
a. Assessment, Intervention, Monitoring and Outcomes Evaluation, Diagnosis
b. Diagnosis, Assessment, Intervention, Monitoring and Outcomes Evaluation
c. Intervention, Assessment, Diagnosis, Monitoring and Outcomes Evaluation
d. Assessment, Diagnosis, Intervention, Monitoring and Outcomes Evaluation
ANSWER: D
RATIO: Option D is the correct answer because nutrition care process starts with the
nutrition assessment phase, followed by the diagnosis, intervention, and lastly,
monitoring and outcomes evaluation.
5. You recommend to your client that he lower the amount of sodium in his diet
and discuss which foods are sources of sodium. You and the client then go
through his diet, identify the foods that he is consuming that are high in sodium
and generate a list of alternative foods that he is willing to substitute for the high-
sodium foods. Which step of the nutrition care process are you performing?
a. Assessment
b. Intervention
c. Diagnosis
d. Monitoring and Outcomes Assessment
ANSWER: B
RATIO: Option B is the correct answer because recommendation is already part of the
intervention phase where the RDN selects the nutrition intervention that will be directed
to the root cause (or etiology) of the nutrition problem and aimed at alleviating the signs
and symptoms of the diagnosis.
6. The NCP challenges the dietitian to:
a. learn more terminology
b. utilize critical thinking skills
c. provide standardized care
d. develop the PES statement
ANSWER: B
RATIO: Option B is the correct answer because the Nutrition Care process challenges
dietitian to utilize critical thinking skills especially during the diagnosis and intervention
phase.
7. is the examination of the body using the sense of touch.
a. Percussion
b. Auscultation
c. Palpation
d. Inspection
ANSWER: C
RATIO: Option C is the correct answer because palpation is the examination of the
body using the sense of touch. This is done during assessments.
8. A patient has developed a pressure wound from lying in bed. This information
should be documented in which part of ADIME charting?
a. Assessment
b. Intervention
c. Diagnosis
d. Monitoring
e. Evaluation
ANSWER: A
RATIO: Option A is the correct answer because the nutrition assessment phase covers
collecting data and documents information such as food or nutrition-related history;
biochemical data, medical tests and procedures; anthropometric measurements,
nutrition-focused physical findings and client history.
9. The "I" in ADIME charting stands for:
a. ideal.
b. identification.
c. impaired.
d. intervention
e. interaction
ANSWER: D
RATIO: Option D is the correct answer because the “I” in the ADIME charting stand for
Intervention, the second phase of the NCP.
10. Which describes a function of the patient's medical chart?
a. Communicating information between medical professionals and the public
b. Evaluating medical care for the client's family
c. Upholding the Joint Commission's standards
d. Keeping a record of what has been done for the patient
ANSWER: D
RATIO: Option D is the correct answer because the function of the patient’s medical
chart is to keep record of what has been done for the patient since this will be the bases
of the physician whenever he/she visits the patient or when there are sudden changes
in the patient’s condition.
MODULE 3
9. Eat a doughnut at breakfast and large fries at lunch and you've had:
a. The maximum daily recommended allowance of badfat
b. Five times the daily recommended allowance of bad fat
c. Three times the daily recommended allowance of bad fat
d. The target daily recommended allowance of
healthy fat
ANSWER: B
RATIO: Option B is the correct answer because one doughnut adds 3.2 grams of unhealthy trans-fatty
acids to your diet, and a large order of french fries adds 6.8 grams so it is equivalent to five times the
daily recommended allowance of bad fat which is unhealthy.
10. How much oil should you have in a day?
a. One to two teaspoons c. It depends
b. Less than one teaspoon d. Zero oil
ANSWER: C
RATIO: Option C is the correct answer because how much food we eat in a day depends on how active
we are in terms of our lifestyle, age, and gender.
QUISIDO, CAMILLE MARIE B. JULY 12, 2021
BSN2-A8
MODULE 8
1. Mr. Roque who is recovering from a surgery has been ordered a change
from a clear liquid diet to a full liquid diet. The nurse would offer which full
liquid item to the client?
a. Popsicle.
b. Gelatin.
c. Carbonated beverages.
d. Pudding.
ANSWER: D
RATIO: Option D is the correct answer because full liquid food items include
items such as plain ice cream, sherbet, breakfast drinks, milk, pudding, and
custard, soups that are strained, refined cooked cereals, and strained vegetable
juices. Options A, B, and C are incorrect because they are considered clear liquid
diet.
2. Ms. Uson, a postoperative client has been placed on a clear-liquid diet. The
nurse provides the client with which items that are allowed to be consumed
on this diet?
a. Vegetable juices.
b. Sherbet.
c. Custard.
d. Bouillon.
ANSWER: D
RATIO: Option D is the correct answer because clear liquid diets are consists of
foods that are relatively transparent to light and liquid at room and body
temperature. Foods allowed on the clear liquid diet includes bouillon, popsicles,
plain gelatin, ice chips, sweetened tea or coffee, carbonated beverages, and
water. Options A, B, and C are incorrect because they are considered as full
liquid diet.
3. A client with heart failure has been told to maintain a low sodium diet. A
nurse who is teaching this client about foods that are allowed includes
which food item in a list provided to the client?
a. a. Pretzels.
b. b. Tomato juice canned.
c. Whole wheat bread.
d. Dried apricot.
ANSWER: D
RATIO: Option D is the correct answer because the nurse should teach the
client the foods that are allowed to be consumed to maintain a low sodium diet,
this includes fruits and vegetables like dried apricot.
4. Which diet is commonly prescribed after intestinal surgery, during heart
burn, gastric ulcers?
a. Liquid diet.
b. Gluten free diet.
c. Bland diet.
d. Low fat diet.
ANSWER: C
RATIO: Option C is the correct answer because a bland diet is used to treat
ulcers, heart burn, nausea, vomiting, and gas. This diet is also recommended
after stomach or intestinal surgery.
5. Which of the following food item believed to be complete meal or balanced
diet?
a. Vegetables.
b. Milk.
c. Fruits.
d. Honey.
ANSWER: B
RATIO: Option B is the correct answer since milk is considered a complete food
due to its high concentration of protein, fat, carbs, all known vitamins, and
numerous minerals, all of which are necessary for life and good health.
6. A male client who was admitted with an acute myocardial infarction
receives a cardiac diet with sodium restriction and complains that his
hamburger is flavorless. Which condiment should the nurse offer?
a. Pickle relish.
b. Fresh horseradish.
c. Steak sauce.
d. Tomato ketchup.
ANSWER: B
RATIO: Option B is the correct answer because the nurse should be offering the
Fresh Horseradish since it is low in sodium. Options A, C, and D are incorrect
because these foods are known to contain high salt content and shouldn’t be
offered or recommended.
7. Mrs. Del Gado has progressed to a full liquid diet. Which items would the
nurse expect to see on the patient's meal tray?
a. apple juice and bouillon
b. pureed beef and cream of broccoli soup
c. water ice and ginger ale
d. custard and a glass of milk
ANSWER: D
RATIO: Option D is the correct answer because custard and mild are items
found in a full liquid diet. Options A, B, and C are incorrect because they are
items found in a soft diet.
8. Mrs. Del Monte is ordered a clear liquid diet for breakfast, to advance to a
house diet as tolerated. Which of the following assessments would indicate
her diet should not be advanced?
a. Mrs. Del Monte consumed 75% of the liquids on her breakfast.
b. Mrs. Del Monte tells you she is hungry
c. Mrs. Del Monte's abdomen is soft, non-distended, with bowel sounds
d. Mrs. Del Monte reports fullness and diarrhea after breakfast.
ANSWER: D
RATIO: Option D is the correct answer because Mrs. Del Monte’s diet should not
be advanced as tolerance of diet can be asses by absence of nausea, vomiting,
and diarrhea; absence of feelings of fullness; absence of abdominal pain and
distension.
9. A client with hypertension has been told to maintain a diet low in sodium. A
nurse who is teaching this client about foods that are allowed includes
which food item in a list provided to the client?
a. Tomato Soup
b. Instant Oatmeal
c. Boiled Shrimp
d. Summer Squash
ANSWER: D
RATIO: Option D is the correct answer because foods that are low in sodium
includes fruits and vegetables, summer squash is an example of this.
10. A client who is recovering from surgery has been advanced from a clear
liquid diet to a full liquid diet. The client is looking forward to the diet
change because he has been "bored" with the clear liquid diet. The nurse
would offer which full liquid item to the client?
a. Tea
b. Custard
c. Gelatin
d. Popsicle
ANSWER: B
RATIO: Option B is the correct answer because full liquid diet includes ice
cream, sherbet, breakfast drinks, milk, pudding and custard, soups, that are
strained, refined cooked cereals and strained vegetable juices. Clear liquid diet
on the other hand is consist of those foods that are transparent.
QUISIDO, CAMILLE MARIE B. JULY 19, 2021
BSN2-A8
MODULE 12
ANSWER: A
RATIO: Option A is the correct answer because alcohol should be consumed
with food to reduce the risk of hypoglycemia.
6. A postoperative client has been placed on a clear liquid diet. The nurse
provides the client with which items that are allowed to be consumed on
this diet? Select all that apply:
a. Broth
b. Pudding
c. Coffee
d. Vegetable juice
f. Pureed vegetables
e. Gelatin
ANSWER: A, B, C
RATIO: Options A, B, and C are the correct answers because a clear liquid diet
consists of foods that are clear and liquid at room and body temperature and are
reasonably transparent to light. Water, bouillon, clear broth, carbonated drinks,
gelatin, hard candies, lemonade, ice pops, and ordinary or decaffeinated coffee
or tea are examples of these foods.
7. The risk factors for type 2 diabetes mellitus include:
a. family history
b. high intake of dietary fat
c. being overweight
d. All of the options listed are correct
ANSWER: D
RATIO: Option D is the correct answer because the risk for type 2 diabetes
includes family history, high intake of dietary fat, and being overweight.
8. According to trials on diabetes prevention, high-risk individuals can
reduce their risk to develop diabetes by doing the following:
a. Eating a very low carbohydrate diet
b. Consuming a diet high in monounsaturated fats
c. Losing 5-7% of body weight through a hypocaloric low fat diet and 30
minutes of daily activity
d. Initiating metformin 850 mg BID and practicing daily vigorous exercise
ANSWER: D
RATIO: Option D is the correct answer because initiating Metformin 850 mg BID,
together with a lifestyle plan that includes modest weight loss along with
increased physical activity, reduced saturated fat intake, and increased dietary
fiber consumption can lower the chance of people developing diabetes.
9. A certain gland or organ doesn't work right in a person who has type 1
diabetes. Which gland or organ is it?
a. Pituitary gland
b. Adrenal glands
c. Pancreas
d. Kidneys
ANSWER: C
RATIO: Option C is the correct answer because the pancreas cannot produce
insulin in type 1 diabetes. The pancreas is targeted by the body's immune
system, which killed the insulin-producing cells.
10. Keeping your diabetes under control early on will help you prevent more
health problems later. People with diabetes are at higher risk for which of
these?
a. Heart disease
b. Nerve damage
c. Cancer
d. a and b
ANSWER: D
RATIO: Option D is the correct answer because diabetic patients are more prone
than non-diabetic patients to develop heart disease and nerve damage.
MODULE 13
1. Which of the following gives the correct progress of food along the
alimentary canal?
a. Mouth, Esophagus, Pharynx, Stomach, SI, LI, Rectum, Anal Canal and
Sphincter
b. Mouth, Pharynx, Esophagus, Stomach, LI, SI, Rectum, Anal Canal and
Sphincter
c. Mouth, Esophagus, Stomach, Pharynx, SI, LI, Anal Canal and Sphincter
d. Mouth, Pharynx, Esophagus, Stomach, SI, LI, Rectum, Anal Canal and
Sphincter
ANSWER: D
RATIO: Option D is the correct answer because the correct progress of food
along the alimentary canal starts from the mouth, then to the pharynx,
esophagus, stomach, SI, LI, rectum, anal canal, and lastly to the sphincter.
2. It is the main site of digestion and the principal site for nutrient absorption.
a. Large intestine
b. Small intestine
c. Stomach
d. Anus
ANSWER: B
RATIO: Option B is the correct answer because the small intestine is the section
of the gastrointestinal system that lies between the stomach and the large
intestine and is responsible for much of the food digestion. The absorption of
nutrients and minerals from food is the major function of the small intestine.
3. Another term for dumping syndrome is .
a. Rapid gastric emptying
b. Slow gastric emptying
c. Quick emptying
d. Slow intestinal filling
ANSWER: A
RATIO: Option A is the correct answer because dumping syndrome is also
known as rapid gastric emptying, this is a medical disorder in which the stomach
discharges its contents faster than normal into the first portion of the small
intestine.
4. What is best used for detecting small or healing ulcers?
a. Endoscopy
b. Urea Breath Test
c. Barium Radiography
d. Abdominal CT
ANSWER: A
RATIO: Option A is the correct answer because for the diagnosis of peptic
ulcers, endoscopy is the preferred method.
5. Your patient was admitted 3 days ago for treatment of severe
malnourishment secondary to Celiac Disease. The patient is doing well and
will be discharged tomorrow. When you arrive to the patient's room, the
patient's friends and family are visiting and have brought dinner for the
patient. Which food item below should the patient avoid consuming?
a. Pork barbeque sandwich
b. Braised chicken with carrots
c. Steak and steamed broccoli
d. Vegetables and rice
ANSWER: A
RATIO: Option A is the correct answer because although the pork is okay to be
eaten, the bread is still not allowed because sandwich bread (bun) typically is
made up of wheat which contains gluten.
MODULE 14
1. You're helping a mother, whose child was recently diagnosed with Celiac
Disease, read food labels. Which items below, if listed as the ingredients,
should the mother avoid feeding her child? Select all that apply.
a. Millet
b. Malt
c. Buckwheat
d. Wheat
e. Corn
f. Rye
ANSWER: B, D, and F
RATIO: Options B, D, and F are the correct answer because wheat is not
recommended to patients with celiac disease, therefore, malt, wheat, and rye
should be avoided.
2. A patient is suspected to be suffering from Celiac Disease. The physician
orders an endoscopy. If the patient has Celiac Disease, what finding will be
discovered with the endoscopy?
a. Over exaggerated intestinal villi
b. Ulcerations in the small intestine, specifically the Jejunum
c. Flat intestinal villi
d. Cobble-stone appearance throughout the small intestine
ANSWER: C
RATIO: Option C is the correct answer because the intestinal villi are normally
shaped like tiny finger-like extensions. The villi help in nutrient absorption by
increasing the surface area available for absorption. The villi, on the other hand,
are damaged and look flat when Celiac Disease strikes. This reduces the surface
area available for absorption, resulting in malnutrition in the patient.
3. Early dumping syndrome
a. symptoms begin 10 to 30 minutes after eating.
b. symptoms begin 2 to 3 hours after eating.
c. symptoms begin right after eating
d. symptoms begin 2 to 3 minutes after eating.
ANSWER: A
RATIO: Option A is the correct answer because symptoms of early dumping
syndrome being 10 to 30 minutes after eating.
4. Late dumping syndrome
a. symptoms begin 10 to 30 minutes after eating.
b. symptoms begin 2 to 3 hours after eating.
c. symptoms begin right after eating
d. symptoms begin 2 to 3 minutes after eating.
ANSWER: B
RATIO: Option B is the correct answer because symptoms of late dumping
syndrome begin 2 to 3 hours after eating.
5. A patient arrives to the clinic for evaluation of epigastric pain. The patient
describes the pain to be relieved by food intake. In addition, the patient
reports awaking in the middle of the night with a gnawing pain in the
stomach. Based on the patient's description this appears to be what type of
peptic ulcer?
a. Duodenal
b. Esophageal
c. Gastric
d. Refractory
ANSWER: A
RATIO: Option A is the correct answer because the indications and symptoms of
the patient point to a duodenal ulcer. Gastric ulcers seldom produce pain in the
middle of the night, and epigastric discomfort is more severe when food is
consumed.
MODULE 15
1. You have a patient who just had a stroke and has garbled speech. What
type of diet do you expect the patient to be prescribed after a speech
evaluation?
a. Soft diet
b. Mechanically altered diet with thin liquids
c. Full liquid diet
d. Mechanically altered diet with nectar thick liquids
ANSWER: D
RATIO: Option D is the correct answer because when a stroke victim's speech
becomes garbled, it indicates a difficulty with the patient's ability to use their
swallowing muscles. Typically, a nectar thick liquid diet with mechanical changes
will be prescribed.
2. Which is better for your heart health?
a. Avocado toast
b. Butter toast
c. Peanut butter toast
d. None of the above
ANSWER: A
RATIO: Option A is the correct answer because among all the choices, avocado
toast is the one that is better for our heart health since they contain lots of dietary
fiber, vitamins, minerals and antioxidants.
3. Which is better for your heart health?
a. Chicken
b. Pork
c. Fish
d. Beef
ANSWER: C
RATIO: Option C is the correct answer because among all the choices, fish is the
most recommended for heart health since fishes like salmon, mackerel, herring,
lake trout, sardines, and albacore tuna, can help beat heart disease and heart
attack.
4. Which is better for your heart health?
a. Coffee
b. Tea
c. Cola
d. All of the above
ANSWER: B
RATIO: Option B is the correct answer because tea is known to be full of heart-
healthy compounds that help fight inflammation and cell damage.
5. Which is better for your heart health?
a. Dark chocolate
b. Either
c. Milk chocolate
d. Neither
ANSWER: A
RATIO: Option A is the correct answer because most dark chocolates are high in
flavonoids, particularly a subtype called flavanols that is associated with a lower
risk of heart disease.
MODULE 19
1. A patient with stage 4 chronic kidney disease asks what type of diet they
should follow. You explain the patient should follow a:
a. Low protein, low sodium, low potassium, low phosphate diet
b. High protein, low sodium, low potassium, high phosphate diet
c. Low protein, high sodium, high potassium, high phosphate diet
d. Low protein, low sodium, low potassium, high phosphate diet
ANSWER: A
RATIO: Option A is the correct answer because kidney-friendly diet is important
for patients with stage 4 chronic disease, as they are low in protein, sodium,
potassium, and phosphate diet.
2. Your kidneys are what part of which system in your body?
a. Reproductive system
b. Gastrointestinal tract
c. Respiratory system
d. Urinary system
ANSWER: D
RATIO: Option D is the correct answer because the organs of the urinary system
include the kidneys, renal pelvis, ureters, bladder and urethra.
3. What is the most common cause of kidney disease?
a. Drug abuse and smoking
b. Uncontrolled diabetes
c. High blood pressure
d. B and C
ANSWER: D
RATIO: Option D is the correct answer because High blood pressure and
uncontrolled diabetes can damage the small blood capillaries of the kidneys,
causing them unable to filter blood. This can eventually cause kidney failure.
4. How do most kidney-damaging diseases affect the kidneys?
a. They damage nephrons, the kidney's filtering mechanisms
b. They damage urethras
c. They damage the bladder
d. They damage all tissue
ANSWER: A
RATIO: Option A is the correct answer because each kidney comprises around a
million microscopic filtering units known as nephrons. A nephron is made up of
small blood arteries and tubes. Nephrons can be damaged by diseases that
affect the kidneys. As a result, the kidneys have difficulty eliminating waste
materials.
5. If you have decreased kidney function, you should monitor which of these
in your diet?
a. Protein
b. Food dyes
c. Sodium
d. a and c
ANSWER: D
RATIO: Option D is the correct answer because people who have reduced
kidney function may need to manage the protein in their diet, according to the
National Institute of Diabetes and Digestive and Kidney Disease. Sodium, which
is contained in salt, has been linked to an increase in blood pressure. High blood
pressure can be harmful to the kidneys.
MODULE 21
1. The minimum time food workers should wash their hands is:
a. 5 seconds
b. 30 seconds
c. 20 seconds
d. 40 seconds
ANSWER: C
RATIO: Option C is the correct answer because in order to ensure a clean hands
and a proper hygiene, food workers should wash their hands for at least 20
seconds.
2. Workers should not handle food or eating and drinking utensils when they
have or recently had any of the following symptoms:
a. Vomiting, diarrhea, fever, sore throat with fever, jaundice, infected cuts
b. Runny nose, sneezing, cough, congestion, cold symptoms
c. A and B
d. None of the above
ANSWER: A
RATIO: Option A is the correct answer because food workers who have or have
recently had symptoms such as vomiting, diarrhea, fever, sore throat with fever,
jaundice, or infected wounds shall not handle food or eating or drinking utensils
supplied to the public. This limitation is in place because of the considerable
danger that such personnel face of spreading disease-causing germs and
viruses to others via food or utensils.
3. Examples of cross-contamination are:
a. Raw chicken is processed on cutting board then lettuce is sliced on
same surface
b. Food worker handles raw meat then assembles sandwich without
washing hands
c. Liquids from raw hamburger drip onto vegetables for salad
d. All of the above
ANSWER: D
RATIO: Option D is the correct answer because all of the choices are considered
examples of cross-contamination.
4. Examples of how to rapidly cool food include:
a. Portioning large quantities of foods into smaller units by slicing and
pouring
b. Using metal rather than plastic containers
c. Ensuring vigorous air circulation around food
d. All of the above
ANSWER: D
RATIO: Option D is the correct answer because all of the choices are considered
examples of how to rapidly cool food.
5. Food workers should wash their hands after which of the following:
a. Coughing, sneezing, scratching, wiping nose, cleaning
b. Touching exposed body parts, handling raw animal food, handling
money
c. Before putting on disposable gloves or after using the rest room
d. All of the above
ANSWER: D
RATIO: Option D is the correct answer because food workers must wash their
hands after any activity that contaminates their hands, all choices are example of
those activities.
6. If you are a food handler and you have been vomiting and/or had diarrhea
when should you return to work?
a. When you feel better
b. When your doctor advises you can
c. After 1 week
d. The next day
ANSWER: B
RATIO: Option B is the correct answer because as a handler, I should listen to
my doctor to be safe and to avoid complications to happen.
7. How does the marketplace affect food choice?
a. expense
b. types of food
c. convenience
d. a and c
ANSWER: D
RATIO: Option D is the correct answer because marketplace affect food choice
through the expenses and the convenience.
8. Who is responsible for safe food handling in the food premises?
a. Head Chef
b. Anyone handling food
c. Owner
d. All of the above
ANSWER: D
RATIO: Option D is the correct answer because all of the choices are
responsible for safe food handling in the food premises.
9. How can you tell if food has enough bacteria to cause food poisoning?
a. It smells bad
b. It smells, tastes and looks bad
c. It tastes bad
d. All of the above
e. None of the above
ANSWER: E
RATIO: Option E is the correct answer because we cannot really tell if a food
could cause poisoning. Food that contains poison smells, tastes, and looks
normal.
10. What are the basic steps of washing hands?
a. Wash thoroughly and dry well
b. Apply soap, wash well, rinse and dry with disposable paper towel
c. Apply soap, wash well, rinse and dry with tea towel
d. Rinse and dry with tea towel
ANSWER: B
RATIO: Option B is the correct answer because in washing our hands, we should
do it thoroughly, through applying soap, washing it well, rinsing and drying it with
disposable paper towel.