Question 1

Which laboratory value is normally included as part of a chem-7 panel?

Accepted Answer

Serum chloride is one of the seven components of a chem-7 panel, which also includes sodium, potassium, bicarbonate, blood urea nitrogen (BUN), creatinine, and glucose. The chem-7 panel is commonly ordered to assess electrolyte and renal function, and glucose levels. The other options listed are not part of the chem-7 panel.

Question 2

Which of the following options best indicates a normal level of retinol-binding protein in 100 mL of blood?

Accepted Answer

The normal level of retinol-binding protein in 100 mL of blood is approximately 3-6 mg/dL, making option B (3.4 mg/dL) the correct choice.

Question 3

In case of iron deficiency, which of the following elements is substituted for iron within hemoglobin?

Accepted Answer

The answer of In case of iron deficiency, which of...

Question 4

Which condition is an example of chronic disease-related malnutrition?

Accepted Answer

Sarcopenic obesity is a chronic condition characterized by the presence of both sarcopenia (loss of muscle mass) and obesity, leading to malnutrition over time.

Question 5

Ms. Smith, an 85-year-old female, is admitted to a hospital with a hip fracture and dehydration. She is awaiting surgery. Her family reports that she lives alone and has been showing signs of dementia since last month. The doctor suggests she consult a nutritionist because the nurse reports that she is not eating well.
Height: 5'5"Weight: 110 lbs Usual body weight: 125 lbs (6 months ago) Albumin: 2.8 g/dL Hemoglobin: 12 g/dL Prealbumin: 14 mg/dL
Total lymphocyte count: 2500
-Depending on Ms. Smith's physical limitations, the dietitian may need to measure and calculate her height using:

Accepted Answer

Given Ms. Smith's condition, including her hip fracture and potential difficulty standing, a knee-height caliper is the most appropriate tool for measuring her height. This method allows for accurate height measurement in patients who are unable to stand, which is likely the case for Ms. Smith due to her hip fracture.

Question 6

Ms. Smith, an 85-year-old female, is admitted to a hospital with a hip fracture and dehydration. She is awaiting surgery. Her family reports that she lives alone and has been showing signs of dementia since last month. The doctor suggests she consult a nutritionist because the nurse reports that she is not eating well.
Height: 5'5"Weight: 110 lbs Usual body weight: 125 lbs (6 months ago) Albumin: 2.8 g/dL Hemoglobin: 12 g/dL Prealbumin: 14 mg/dL
Total lymphocyte count: 2500
-The clinician calculates and interprets Ms. Smith's percent (%) unintentional weight change. The result is 13.6%. This is classified as:

Accepted Answer

The answer of Ms. Smith, an 85-year-old female, is admitted...

Question 7

What percentage of total carbohydrate kcal should be provided as a substrate for 100% RMR?

Accepted Answer

The answer of What percentage of total carbohydrate kcal should...

Question 8

What is the purpose of dynamometry?

Accepted Answer

Dynamometry is used to assess strength in relation to physical activity.

Question 9

Ms. Smith, an 85-year-old female, is admitted to a hospital with a hip fracture and dehydration. She is awaiting surgery. Her family reports that she lives alone and has been showing signs of dementia since last month. The doctor suggests she consult a nutritionist because the nurse reports that she is not eating well.
Height: 5'5"Weight: 110 lbs Usual body weight: 125 lbs (6 months ago) Albumin: 2.8 g/dL Hemoglobin: 12 g/dL Prealbumin: 14 mg/dL
Total lymphocyte count: 2500
-Which biochemical indicator would be used by the medical doctor to determine Ms. Smith's inflammatory status?

Accepted Answer

CRP (C-reactive protein) is a widely used biochemical marker for determining an individual's inflammatory status. Its level is elevated during systemic inflammation and is commonly used in clinical settings to monitor the progression of infections, inflammatory diseases, and after surgery. In this case, Ms. Smith's medical doctor may use CRP to assess her inflammation status due to her hip fracture, dehydration, and decreased nutrition intake.

Question 10

The percentage of blood that is composed of red blood cells is called:

Accepted Answer

The hematocrit is the percentage of blood that is composed of red blood cells. A is incorrect because it refers to the concentration of hemoglobin in each red blood cell. C is incorrect because it refers to the percentage of transferrin (a protein that binds to iron) that is saturated with iron. D is incorrect because it refers to the average size of red blood cells. E is incorrect because it refers to a component of hemoglobin.

Question 11

Which activity is an example of an instrumental activity of daily living?

Accepted Answer

Instrumental activities of daily living (IADLs) refer to activities that are necessary to live independently in society. Meal preparation is an example of an IADL because it requires skills and abilities to plan, prepare, and cook food. Personal hygiene and grooming, sexual activity, sleep, and personal mobility are all important aspects of daily life, but they are not considered IADLs.

Question 12

Ms. Smith, an 85-year-old female, is admitted to a hospital with a hip fracture and dehydration. She is awaiting surgery. Her family reports that she lives alone and has been showing signs of dementia since last month. The doctor suggests she consult a nutritionist because the nurse reports that she is not eating well.
Height: 5'5"Weight: 110 lbs Usual body weight: 125 lbs (6 months ago) Albumin: 2.8 g/dL Hemoglobin: 12 g/dL Prealbumin: 14 mg/dL
Total lymphocyte count: 2500
-The dietitian wants to determine Ms. Smith's protein status by checking her transferrin levels. What level of transferrin would be considered to be within a normal range?

Accepted Answer

The normal range for transferrin is typically between 200-360 mg/dL, so 265 mg/dL falls within this range.

Question 13

A client consumed approximately 40 g of protein in the past 24 hours. His 24-hour urine collection indicated a urine urea nitrogen of 12 g. His nitrogen balance would be:

Accepted Answer

The answer of A client consumed approximately 40 g of...

Question 14

Which of the following proteins serves as the transport molecule for vitamin A?

Accepted Answer

Retinol-binding protein serves as the transport molecule for vitamin A.

Question 15

Identify the components of the total energy required by an individual.

Accepted Answer

The total energy required by an individual includes the basal energy expenditure (energy used for basic functions like breathing and circulating blood), physical activity (energy used during exercise and daily movement), and the thermic effect of food (energy used to digest and absorb food). Percentile weight for height, adjusted body weight, and protein intake are factors that may affect the amount of energy required by an individual, but they are not components of the total energy requirement.

Question 16

A clinician is assessing the concentration of visceral proteins in a client's body; the client was recently diagnosed with Hodgkin's lymphoma. Which visceral protein would most likely be elevated in this condition?

Accepted Answer

Prealbumin (also known as transthyretin) is a visceral protein that is synthesized mainly in the liver and serves as a transporter of thyroxine and retinol. Its levels are known to decrease in inflammatory conditions, malnutrition, and chronic liver disease. However, in some cases of cancer (such as Hodgkin's lymphoma), prealbumin levels can actually increase as an acute phase reactant, possibly due to increased synthesis by cancer cells or liver. Therefore, prealbumin is the most likely visceral protein to be elevated in this condition.

Question 17

Ms. Smith, an 85-year-old female, is admitted to a hospital with a hip fracture and dehydration. She is awaiting surgery. Her family reports that she lives alone and has been showing signs of dementia since last month. The doctor suggests she consult a nutritionist because the nurse reports that she is not eating well.
Height: 5'5"Weight: 110 lbs Usual body weight: 125 lbs (6 months ago) Albumin: 2.8 g/dL Hemoglobin: 12 g/dL Prealbumin: 14 mg/dL
Total lymphocyte count: 2500
-Which type of food- and nutrition-data gathering method would be the most appropriate for Ms. Smith?

Accepted Answer

The answer of Ms. Smith, an 85-year-old female, is admitted...

Question 18

For a patient suffering from a disease, the adequate protein requirements will be met by providing ____ g protein/kg/day.

Accepted Answer

For patients suffering from a disease, especially those with increased metabolic demands or undergoing recovery, protein requirements are typically higher, around 1.8 g protein/kg/day, to support healing and maintain muscle mass.

Question 19

The guideline that provides criteria for diagnosing specific types of malnutrition, including kwashiorkor, marasmus, and other severe PEM (protein-energy malnutrition) is called the:

Accepted Answer

The International Statistical Classification of Diseases and Related Health Problems (ICD) provides criteria for diagnosing specific types of malnutrition, including kwashiorkor, marasmus, and other severe PEM. The other options mentioned do not specifically provide criteria for diagnosing malnutrition.

Question 20

What would be the appropriate amount of fibronectin in 100 mL of blood?

Accepted Answer

The normal range of fibronectin in blood is between 200-400 mg/dL. Therefore, the appropriate amount of fibronectin in 100 mL of blood would be around 300 mg/dL. Choice C is the closest option to this range.

Quiz 3: Nutrition Assessment Foundation of the Nutrition Care Process