Question 1

A client has a white blood cell count of 5,000 with 20% lymphocytes. His total lymphocyte count would be:

Accepted Answer

To find the total lymphocyte count, we multiply the white blood cell count by the percentage of lymphocytes. 
5,000 x 0.20 = 1,000 
Therefore, the total lymphocyte count is 1,000.

Question 2

The total amount of energy required by an individual is the sum of which three components?

Accepted Answer

The total amount of energy required by an individual is the sum of Basal energy expenditure (energy required for vital processes), physical activity (energy expenditure during movement) and thermic effect of food (energy needed to digest, absorb and process nutrients). Option A includes all three components. The other options have incorrect or incomplete components.

Question 3

For a patient suffering from a disease, but who is obtaining enough kcal each day, protein requirements should be met by providing ____ g/kg/day.

Accepted Answer

For patients suffering from a disease, protein requirements are typically higher than the standard 0.8 g/kg/day to support healing and recovery, often around 1.5 g/kg/day.

Question 4

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 calculated as:

Accepted Answer

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

Question 5

The dietitian wants to determine Ms. Smith's protein status by checking her transferrin levels. Which level of transferrin would be considered within a normal range?

Accepted Answer

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

Question 6

____ is the examination of the body using the sense of touch.

Accepted Answer

Palpation is the examination of the body using the sense of touch, where the examiner uses their hands to feel for abnormalities such as swelling, tenderness, or masses.

Question 7

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 well-established biochemical marker of inflammation and is commonly used by medical doctors to determine a patient's inflammatory status. High levels of CRP in the blood are indicative of inflammation in the body, which could be caused by a variety of factors including injury, infection, or chronic disease.

Question 8

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

Accepted Answer

Hematocrit is the percentage of blood that is made up of red blood cells.

Question 9

Which type of food- and nutrition-data gathering method would be the most appropriate for Ms. Smith?

Accepted Answer

The answer of Which type of food- and nutrition-data gathering...

Question 10

Which best indicates a normal level of retinol-binding protein within 100 mL of blood?

Accepted Answer

The normal range for retinol-binding protein in the blood is typically around 3-6 mg/dL, making 3.4 mg/dL a normal level.

Question 11

Which best describes the purpose of dynamometry?

Accepted Answer

D  Dynamometry is used to assess muscle strength, which can be related to nutrition and physical activity.

Question 12

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

Accepted Answer

The Chem-7 panel includes seven basic laboratory values, which are electrolytes such as sodium, potassium, and chloride, as well as basic metabolic panel values such as glucose, blood urea nitrogen (BUN), and creatinine. Serum chloride is one of the electrolytes that are included in the Chem-7 panel. The other options listed - albumin, AST, direct bilirubin, and total cholesterol - are not typically included in the Chem-7 panel.

Question 13

Depending on Ms. Smith's physical limitations, the dietitian may need to measure and calculate her height using:

Accepted Answer

A knee-height caliper is used to estimate height in individuals who cannot stand, such as those with physical limitations.

Question 14

Which result would be an appropriate amount of fibronectin found in 100 mL of blood?

Accepted Answer

The answer of Which result would be an appropriate amount...

Question 15

The clinician calculates and interprets Ms. Smith's percent (%) unintentional weight change. The results are 13.6%. This is classified as:

Accepted Answer

A 13.6% unintentional weight change is classified as severe, as it exceeds the threshold for severe weight loss, typically defined as more than 10% over six months.

Question 16

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

Accepted Answer

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

Question 17

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

Accepted Answer

The International Classification of Diseases (ICD) provides a standard diagnosis criteria for various diseases, including malnutrition. It includes codes for specific types of malnutrition, such as kwashiorkor and marasmus. The other options, such as Health and Wellness Nutrition Handbook or Harris-Benedict Manual, do not specifically address the diagnosis of malnutrition.

Question 18

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

Accepted Answer

Instrumental activities of daily living include activities necessary for independent living, such as preparing meals, managing finances, and cleaning house. Meal preparation is an example of an instrumental activity of daily living. Personal hygiene and grooming, sexual activity, sleep, and personal mobility are examples of basic activities of daily living.

Question 19

A clinician is caring for a client who was recently diagnosed with Hodgkin's lymphoma. Which type of visceral protein would most likely be elevated in this condition?

Accepted Answer

The answer of A clinician is caring for a client...

Question 20

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

Accepted Answer

The answer of Which condition is an example of chronic...

Quiz 3: Nutrition Assessment - Foundation of the Nutrition Care Process