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Practice questions 
Topic 1: food and nutrition expertise

  • 1.01 Apply understanding of food composition and food science 
  • 1.02 Apply understanding of food environments  
  • 1.03 Apply understanding of human nutrition and metabolism  
  • 1.04 Apply understanding of dietary requirements and guidelines  
  • 1.05 Apply understanding of dietary practices  
  • 1.06 Integrate nutrition care principles and practices  
  • 1.07 Integrate population health promotion principles and practices  
  • 1.08 Integrate quantity food provision principles and practices  

1. Food and Nutrition Expertise (7% of exam - 13 questions)

Q1. Which of the following food components is primarily responsible for the Maillard browning reaction during baking?
 A. Cellulose
 B. Reducing sugars and amino acids
 C. Lecithin
 D. Soluble fiber

Answer

Q2. What is the main reason egg whites form a stable foam when beaten?
 A. High lipid content
 B. Emulsification of yolk proteins
 C. Denaturation and trapping of air by proteins
 D. Coagulation due to heat

Answer

Correct Answer: C
 Cognitive Level: Demonstrate Comprehension
 Competency: 1.01 – Apply understanding of food composition and food science

Rationale: Beating egg whites denatures the proteins, allowing them to trap air and form a stable foam.
 A is incorrect because lipids actually inhibit foam formation.
 B is incorrect because emulsification relates to yolks, not foaming of whites.
 D is incorrect because heat coagulates proteins after foam has formed, not during whipping.

Q3.  Which policy change would most likely improve access to nutritious foods in a low-income neighborhood?
 A. Increased advertising for healthy snack foods
 B. Removal of all processed foods from corner stores
 C. Introduction of a mobile fresh produce market
 D. Offering discounts on restaurant meals

Answer

Correct Answer: C
Cognitive Level: Analyze, Interpret, and Apply Knowledge
Competency: 1.02 – Apply understanding of food environments

Rationale: A mobile market directly increases access to fresh produce in underserved areas by improving physical availability.
A is incorrect because advertising does not improve access.
B is incorrect because removing processed foods may reduce options but doesn’t address access to nutritious foods.
D is incorrect because restaurant meals are not the primary source of daily nutrition.

Q4. A school district has added more plant-based meals to its cafeteria menu. Which of the following best describes this intervention?
 A. A change in food labeling practices
 B. A shift in the social food environment
 C. A change in personal health behavior
 D. A change in agricultural policy

Answer

Correct Answer: B
 Cognitive Level: Demonstrate Comprehension
 Competency: 1.02 – Apply understanding of food environments

Rationale: Changing what's offered in a cafeteria alters the food environment by shaping what choices are available to students.
 A is incorrect because this change is not about packaging or nutrition labels.
 C is incorrect because personal behavior refers to student choices, not institutional offerings.
 D is incorrect because agricultural policy refers to farming and production laws, not menu changes.

Q5. Which nutrient plays a direct role in the regulation of fluid balance within the extracellular space?
 A. Potassium
 B. Magnesium
 C. Sodium
 D. Phosphorus

Answer

Correct Answer: C
 Cognitive Level: Demonstrate Broad Knowledge
 Competency: 1.03 – Apply understanding of human nutrition and metabolism

Rationale: Sodium is the main extracellular electrolyte responsible for maintaining fluid balance and osmotic pressure.
 A is incorrect because potassium regulates intracellular fluid.
 B is incorrect because magnesium is involved in nerve and muscle function.
 D is incorrect because phosphorus primarily supports bone health and energy metabolism.

Q6. Which of the following individuals requires the highest daily iron intake?
 A. Male, age 50
 B. Female, age 30, pregnant
 C. Female, age 55
 D. Male, age 25, vegetarian

Answer

Correct Answer: B
 Cognitive Level: Demonstrate Comprehension
 Competency: 1.04 – Apply understanding of dietary requirements and guidelines

Rationale: Pregnant women have the highest iron requirements due to increased blood volume and fetal development needs.
 A is incorrect because adult males have relatively low iron needs.
 C is incorrect because postmenopausal women no longer experience menstruation, reducing iron requirements.
 D is incorrect because while vegetarians may absorb less iron, their needs are not higher than those of pregnant women.

Q7 (Case-Based). A 75-year-old woman with osteoporosis and low appetite is admitted to long-term care. Her intake is around 1,200 kcal/day.
 What is the most important first step for the dietitian?
 A. Recommend a protein supplement to increase intake
 B. Add a daily multivitamin
 C. Encourage 3 servings of dairy per day
 D. Assess vitamin D and calcium intake

Answer

Correct Answer: D
 Cognitive Level: Analyze, Interpret, and Apply Knowledge
 Competency: 1.04 – Apply understanding of dietary requirements and guidelines

Rationale: Assessment should come before intervention. Older adults are at high risk for vitamin D and calcium deficiencies, which are crucial for bone health.
 A is incorrect because supplements should only be recommended after assessing intake.
 B is incorrect because a multivitamin may not target specific deficiencies.
 C is incorrect because without an assessment, this recommendation may not be appropriate or feasible.

Q8. Which of the following best describes intuitive eating?
 A. Following structured meal plans daily
 B. Eating based only on hunger cues, without nutrition goals
 C. Rejecting diet mentality and learning to respond to internal hunger and satiety
 D. Avoiding all "processed" foods

Answer

Correct Answer: C
 Cognitive Level: Demonstrate Comprehension
 Competency: 1.05 – Apply understanding of dietary practices

Rationale: Intuitive eating emphasizes body awareness, hunger/fullness cues, and rejecting external food rules.
 A is incorrect because structured meal plans often reinforce diet mentality.
 B is incorrect because intuitive eating also involves nutrition and satisfaction, not just hunger.
 D is incorrect because intuitive eating avoids restrictive thinking like labeling foods as “bad.”

Q9. A client follows a religious vegetarian diet and avoids onions and garlic. What should the dietitian do first?
 A. Recommend a multivitamin
 B. Encourage the client to include eggs for protein
 C. Discuss protein alternatives that align with their beliefs
 D. Educate on the risks of restrictive diets

Answer

Correct Answer: C
 Cognitive Level: Analyze, Interpret, and Apply Knowledge
 Competency: 1.05 – Apply understanding of dietary practices

Rationale: Respecting cultural and religious dietary practices is central to client-centered care. Aligning nutrition advice with their beliefs promotes trust and compliance.
 A is incorrect because supplementation is premature.
 B is incorrect because eggs may not be appropriate or acceptable to the client.
 D is incorrect because it could come off as dismissive or judgmental.

Q10. A client with Crohn’s disease is in remission. What is the best dietary advice to maintain remission?
 A. Follow a strict low-fiber diet
 B. Avoid dairy completely
 C. Maintain a balanced diet including soluble fiber and adequate hydration
 D. Use exclusive enteral nutrition

Answer

Correct Answer: C
 Cognitive Level: Analyze, Interpret, and Apply Knowledge
 Competency: 1.06 – Integrate nutrition care principles and practices

Rationale: During remission, clients benefit from a varied, balanced diet that includes fiber and fluids unless specific intolerances are identified.
 A is incorrect because low-fiber diets are typically for flare-ups, not remission.
 B is incorrect unless dairy triggers symptoms.
 D is incorrect as exclusive enteral nutrition is a treatment for active disease, not remission.

Q11. Which of the following is a population-level intervention to reduce sodium intake?
 A. Counselling individual clients on label reading
 B. Public campaign promoting herbs and spices over salt
 C. Providing salt shakers in controlled portions
 D. Encouraging chefs to avoid processed foods

Answer

Correct Answer: B
 Cognitive Level: Demonstrate Comprehension
 Competency: 1.07 – Integrate population health promotion principles and practices

Rationale: A public campaign targets the population as a whole and can shift norms and behaviors at scale.
 A is incorrect because it’s an individual intervention.
 C is incorrect because it’s a facility-level strategy.
 D is incorrect because it addresses food service workers rather than the public.

Q12 (Case-Based). A rural community has high rates of type 2 diabetes and limited access to fresh foods. A local public health team is planning an intervention.
 Which of the following actions is the most appropriate first step?
 A. Launch a healthy eating campaign on social media
 B. Install a community garden at the health center
 C. Conduct a community needs assessment
 D. Partner with a local gym to offer free classes

Answer

Correct Answer: C
 Cognitive Level: Analyze, Interpret, and Apply Knowledge
 Competency: 1.07 – Integrate population health promotion principles and practices

Rationale: Public health planning begins with identifying community-specific barriers and assets through a needs assessment.
 A is incorrect because it assumes a solution without evidence.
 B is incorrect because its effectiveness depends on the community’s needs and priorities.
 D is incorrect because it may not address the root causes or be accessible to all.

Q13. A dietitian is reviewing standardized recipes at a long-term care facility. What is the main benefit of using standardized recipes in quantity food production?
 A. Reduces staff cooking time
 B. Ensures consistent nutrient content and portion size
 C. Allows flexible substitutions for ingredients
 D. Improves visual appeal of meals

Answer

Correct Answer: B
 Cognitive Level: Demonstrate Comprehension
 Competency: 1.08 – Integrate quantity food provision principles and practices

Rationale: Standardized recipes support consistent nutrient delivery, portion control, and food safety — all essential in institutional settings.
 A is incorrect because time savings are variable.
 C is incorrect because standardization actually limits substitutions.
 D is incorrect because visual appeal is influenced more by preparation and plating techniques.