CDR RD Exam Questions

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141.

Which of the following statements is false in regard to print literacy?

  • Materials should be written at the 8th or 9th grade level

  • Accurate food label reading does not predict correct interpretation of the information

  • Low literacy has been shown to negatively affect medication adherence

  • Numeracy is not a type of print literacy

Correct answer: Materials should be written at the 8th or 9th grade level

Printed materials should be written at the 5th or 6th grade level.

Studies have shown that reading a food label accurately does not necessarily mean that the reader will correctly identify what that food label means. Low literacy has been shown to decrease the likelihood of taking medication as prescribed. Numeracy is related to mathematical literacy, not print literacy.

142.

You purchase 20 pounds of bananas at $0.58/lb. After they are peeled, the weight is 208 ounces. What is the percent yield?

  • 65%

  • 35%

  • 54%

  • 7.54%

Correct answer: 65%

Percent yield determines the remaining (edible) amount of a product by the following equation: [edible portion (EP) / as purchased portion (AP)] x 100

To solve:

  1. Convert ounces to pounds: 208 oz / 16 = 13 lbs
  2. Determine percent yield: 13 lbs / 20 lbs = 0.65 x 100 = 65%

143.

Which cooking method is known for its energy efficiency, does not use a flame, and delivers fast and even heating?

  • Induction

  • Electric

  • Gas burner

  • Radiation

Correct answer: Induction

Induction cooking heats a cooking vessel through electric-magnetic vibrations (induction) instead of thermal conduction from a flame or an electrical heating element. This type of cooking is known for its energy efficiency (less heat waste), does not use a flame, and gives fast and even cooking.

Electric cooks unevenly with no flame. A gas burner cooks evenly and slowly with an open flame. Radiation cooks unevenly and fast, but it lacks the ability to brown food since heat is transferred indirectly to the food from infrared waves.

144.

Which of the following is incorrect regarding a disaster menu?

  • The disaster menu should be adapted to use fresh meats and cereal grains first.

  • Each health care facility is required to have a 7-day disaster menu with a nutrient analysis.

  • Develop a long-term contingency plan to use if the disaster continues for more than 72 hours.

  • A hospital should consider an inventory of food products for 96 hours.

Correct answer: The disaster menu should be adapted to use fresh meats and cereal grains first.

After 9/11, foodservice operations in the United States realized the importance of having a disaster plan, or menu to utilize in the event of an emergency. The following are true regarding planning disaster menus:

  • Determine a short-term plan to use for the first 72 hours of the disaster.
  • Develop a long-term contingency plan to use if the disaster continues for more than 72 hours.
  • Each healthcare facility is required to have a 7-day disaster menu with a nutrient analysis.
  • The disaster menu should be adapted to use fresh produce and dairy products first.
  • A hospital should consider an inventory of food products for 96 hours.

145.

Which of the following is a non-nutritive sweetener?

  • Frustooligosaccharides

  • Aspartame

  • Allulose

  • Sucrose

Correct answer: Fructooligosaccharides

Fructooligosaccharides (FOS) are non-nutritive sweeteners because they are not digested by the human body.

Aspartame and allulose are low-calorie sweeteners. Sucrose is another name for sugar, so it is not a non-nutritive sweetener.

146.

Which of the following is not a category of a standard of nutrition care as defined by The Joint Commission?

  • Attending patient care rounds

  • Screening for nutrition needs

  • Developing a nutrition care plan

  • Continually reassessing the nutrition care plan

Correct answer: Attending patient care rounds

The categories for standards of nutrition care are: 

  • Screening for nutrition needs
  • Assessing and reassessing client needs
  • Developing a nutrition care plan
  • Ordering and communicating the diet order
  • Preparing and distributing the diet order
  • Monitoring the process
  • Continually reassessing and improving the nutrition care plan

TJC (The Joint Commission) requires interdisciplinary team communication; however, this is not a category of a standard of nutrition care.

147.

Determine the food cost per meal using the information below:

  • March 1 inventory: $42,089
  • April 1 inventory: $40,980
  • Food purchased in March: $61,429
  • Meals served in March: 261,024
  • Income spent on food: 43.4%
  • March inventory turnover rate: 4.3

  • $0.23

  • $179.98

  • $1.57

  • $0.08

Correct answer: $0.23

To determine food cost per meal, the following variables are necessary: number of meals served, food purchased, and food removed from inventory.

To solve:

  1. [ (42,089 - 40,980) + 61,429 ] / 261,024
  2. (1,109 + 61,429) / 261,024
  3. 62,539 / 261,024
  4. $0.23 per meal

Income spent on food and March inventory turnover rate are not needed to solve for food cost per meal.

148.

What is the processing of managing assets to support an organization's strategic goals?

  • Resource allocation

  • Budgeting

  • Strategic management

  • Goal budgeting

Correct answer: Resource allocation

Resource allocation involves identifying assets and then deciding how to distribute them to best and most efficiently meet the organization's goals.

Budgeting is a financial plan that uses income and expenditures. Strategic management is the process of assessing, planning, monitoring, and analyzing parts of the organization to meet the organization's goals.

149.

Multiple glutamic acid molecules must be hydrolyzed off to absorb which nutrient?

  • Folate

  • Glutamine

  • Pantothenic acid

  • Copper

Correct answer: Folate

Food sources of folate contain multiple glutamic acid molecules, which must be hydrolyzed off or removed in order to be absorbed. Examples of folate food sources include green leafy vegetables, fortified cereals, liver, kidney, citrus fruits, lentils, and beans.

Glutamine is a nonessential amino acid used in the biosynthesis of proteins and conditionally essential during catabolic stress. Examples of glutamine food sources include protein-rich foods such as beef, chicken, fish, dairy products, and eggs.

Pantothenic acid, or vitamin B-5, is synthesized by intestinal bacteria to be absorbed and function in the synthesis of fatty acids. Examples of vitamin B-5 food sources include animal foods, grains, and legumes.

Copper is a trace mineral attached to a protein, ceruloplasmin, and absorbed in the duodenum. Copper functions in hemoglobin formation and aids in iron absorption. Examples of copper food sources include liver, kidney, and shellfish.

150.

Which of the following is the criterion that makes obesity treatment reimbursable by insurance companies?

  • Obesity is classified as a disease.

  • Obesity is related to chronic diseases.

  • Obesity increases mortality.

  • Obesity increases the risk for diabetes.

Correct answer: Obesity is classified as a disease.

Obesity treatment is reimbursable by insurance companies because it is classified as a disease.

While obesity is related to chronic diseases, such as increased mortality and diabetes, they do not qualify obesity for insurance reimbursement.

151.

Which of the following most closely matches the estimated calorie and protein needs of a 154 lb (dry wt) adult receiving peritoneal dialysis? 

  • 2300 kcal, 90 grams protein

  • 2000 kcal, 42 grams protein

  • 2800 kcal, 130 grams protein

  • 1750 kcal, 56 grams protein

Correct answer: 2300 kcal, 90 grams protein

Estimated needs for an adult on peritoneal dialysis:

1.2-1.5 g protein/kg; 30-35 kcal/kg

First, convert lbs to kg:

154 / 2.2 = 70 kg

Calculate estimated calorie needs:

30-35 kcal x 70 kg = 2100-2450 kcal

Calculate estimated protein needs:

1.2-1.5 g protein x 70 kg = 84-105 g protein

Therefore, 2300 kcal, 90 g protein falls within those ranges.

152.

What does "assets" refer to?

  • Accounts receivable

  • Accounts payable

  • Accrued expenses

  • Mortgage payables

Correct answers: Accounts receivable

A balance sheet lists assets and liabilities at a given time. Assets are goods and products owed to you, including accounts receivable, cash, and inventory. 

Liabilities are amounts owed to others, including accounts payable, accrued expenses, and mortgages payable. 

153.

Which of the following information is not known by the receiving clerk when using the blind method?

  • Item quantity

  • Item description

  • Item name

  • Item weight

Correct answer: Item quantity

The blind method of receiving uses an invoice or purchase order that gives all the information except the quantities ordered. 

All the other information, such as item name, weight and description, is still provided and the receiving clerk checks the order in, filling in the quantities, which are checked against the order. 

154.

A three-month weight-loss program provides 1:1 nutrition counseling, meal planning, and workout regimens for ten participants. After the three-month program, the participants weighed in; their weight loss during the program is shown below. Determine the mean and median, respectively.

Pounds of weight lost: 12, 7, 29, 9, 31, 5, 23, 22, 9, 9

  • 15.6; 10.5

  • 10.5; 15.6

  • 9; 31

  • 10.5; 9

Correct answer: 15.6; 10.5

The mean is the simple average of the total scores and is calculated by adding all of the values, then dividing by the number of values. For example, 5 + 7 + 9 + 9 + 9 + 12 + 22 + 23 + 29 + 31 = 156 / 10 = 15.6.

The median is the value at the midpoint and is found by arranging the values in numerical order, then finding the number at the exact center. However, if there is an even number of values, the median is the average of the two numbers closest to the center. For example, 5, 7, 9, 9, 9, 12, 22, 23, 29, 31 --> 9 + 12 / 2 = 10.5.

155.

A client with T1DM tells her Registered Dietician (RD) that she is sick with the flu. Which of the following sick day guidelines would not be appropriate?

  • Do not take insulin or other diabetes medications

  • Test blood glucose every four hours

  • Drink eight oz of fluid every hour

  • Check urine for ketones

Correct answer: Do not take insulin or other diabetes medications

The sick day guidelines for diabetes recommend taking usual doses of insulin and diabetes medications, testing urine for ketones every four hours, drinking eight oz of fluid per hour, testing blood glucose every four hours, and selecting liquid or soft carbohydrate foods.

For a person with TIDM (insulin-dependent), not taking insulin can lead to serious consequences, like diabetic ketoacidosis.

156.

What is the best way to provide nutrition education for a patient with a disability?

  • Teaching rather than testing

  • Testing periodically

  • Using an emergency food program

  • Visiting a food bank

Correct answer: Teaching rather than testing

When working with clients with disabilities, teaching rather than testing is the best way to educate about nutrition. Information should be kept simple. One in five clients may have a disability that requires special accommodations and half of clients may have a disability.

Testing periodically may be more effective with older adult populations with high motivation and education levels. Using an emergency food program and visiting a food bank may be more appropriate for nutrition intervention and education for homeless or low-income populations.

157.

What is the purpose of total quality management?

  • To encourage employees to identify problems and find solutions to improve the overall performance of the organization

  • To document appropriate care patterns and identify areas needing improvement

  • To plan what is to be done, do it, study the results, and act on the results

  • To encourage employees to ask how the company is doing and how they can do it better

Correct answer: To encourage employees to identify problems and find solutions to improve the overall performance of the organization

Total quality management (TQM) encourages employees to identify problems and find solutions to improve the overall performance of the organization. It is the philosophy of improving processes in response to customer needs and expectations.

An audit is a formal study to retrospectively monitor performance. Its purpose is to document appropriate care patterns and identify areas needing improvement.

PDSA/PDCA represents the PDCA cycle theory, which includes Plan-Do-Check/Study-Act.

Continuous Quality Improvement (CQI) encourages employees to ask how the company is doing and how they can do it better.

158.

Which of the following pathogens is the least significant contributor to foodborne illnesses and economic costs in the U.S.?

  • Bacillus cereus

  • E. coli

  • Salmonella

  • Campylobacter

Correct answer: Bacillus cereus

Every year, over 48 million Americans get sick, 128,000 are hospitalized, and 3,000 die from food-borne illnesses, according to the Centers for Disease Control. According to the Economic Research Service of the U.S. Department of Agriculture, five bacterial pathogens result in over $6.9 billion in annual costs: Campylobacter, Salmonella, Listeria monocytogenesE. coli O157:H7, and E. coli non-O157:H7 STEC (USDA).

Bacillus cereus is a food intoxication that forms spores and is found in soil and foods such as cereal, rice, and pasta. It is not as medically and economically significant as the five bacterial pathogens listed above. The CDC estimates that there are over 63,000 cases of Bacillus cereus each year in the U.S.

159.

A military base provides its service employees breakfast, lunch, and dinner at the base's cafeteria. The on-site food service is provided as a secondary activity and profit is not expected.

What type of operation is the military cafeteria?

  • Non-commercial

  • Commercial

  • Non-selective

  • Limited choice

Correct answer: Non-commercial

Non-commercial operations provide food service on-site as a secondary activity. Examples include the military, schools, and hospitals.

Commercial operations sell food as the primary activity, and profit is desired. Examples include restaurants and sporting event arenas. Non-selective, or no choice, is a type of single-choice or cycle menu that serves people who are unable to choose or do not have a desire to choose. Limited choice is a type of menu that provides choices for only some menu items.

160.

The USDA grades produce as Fancy, Extra #1, #1, Combination, and #2. These grades are based on all of the following characteristics except:

  • Taste

  • Firmness

  • Maturity

  • Color

Correct answer: Taste

The USDA grades are based on quality, firmness, color, maturity, freedom from defects, uniform size, and shape. Taste is not a characteristic that determines grade.