Q1. A community has high rates of childhood obesity. What is the most appropriate first step in assessing the nutrition-related situation?
 A. Implement a school-based nutrition intervention
 B. Analyze current data on childhood health and nutrition status
 C. Develop a national food guide
 D. Promote a social media campaign

Q2. What type of data would best help identify a community's risk of food insecurity?
 A. Number of grocery stores per capita
 B. Median household income and food bank usage
 C. Birth rates in the region
 D. National dietary guidelines

Q3. A dietitian is tasked with identifying barriers to healthy eating in an Indigenous community. What is the best data collection method?
 A. Literature review of urban food access
 B. National food frequency data
 C. Key informant interviews and community consultation
 D. Review of Canadian Food Guide

Q4. What is the best source of data to assess national trends in vitamin D deficiency?
 A. A hospital discharge summary
 B. A single clinic’s patient records
 C. Canadian Community Health Survey (CCHS)
 D. One province’s annual report

Q5. Which of the following best defines a nutrition surveillance system?
 A. A short-term intervention
 B. A method to monitor foodborne illness
 C. A continuous process of collecting population-level nutrition data
 D. An electronic health record

Q6. Which indicator best reflects household food insecurity?
 A. Number of school lunch programs
 B. Frequency of takeout meals
 C. Income spent on food
 D. Household reports of skipping meals due to financial reasons

Q7. When assessing dietary intake patterns in a large population, which tool is most commonly used?
 A. Food frequency questionnaire
 B. Bloodwork
 C. Dietitian interviews
 D. Weighing meals

Q8. In assessing a remote northern community, what factor must be considered to ensure culturally safe practice?
 A. Access to fast food
 B. Belief in keto diets
 C. Traditional food access and harvesting rights
 D. Social media nutrition trends

Q9. A dietitian is assessing children’s nutrition in a multicultural city. What ensures the data collected is inclusive?
 A. Using one validated English-language survey
 B. Excluding non-Canadian residents
 C. Offering surveys in multiple languages with community input
 D. Sampling only private schools

Q10. What is the most appropriate first step when evaluating an existing community nutrition program?
 A. Interview funders
 B. Analyze program reach and participation rates
 C. Cancel the program if participation is low
 D. Recommend scaling the program

Q11. (Case-Based) Assessing Food Access in a Low-Income Urban Neighborhood
Scenario:
 A public health dietitian is tasked with assessing nutrition issues in a low-income urban neighborhood. Preliminary data suggest high rates of chronic disease, low fruit/vegetable intake, and limited access to grocery stores. The community has diverse cultural backgrounds and high levels of rental housing.

Q11.1. What would be the most appropriate additional data to collect?
 A. Number of gyms in the neighborhood
 B. Frequency of food bank visits and transportation availability
 C. Restaurant reviews
 D. Online grocery shopping preferences

Q11.2. How can the dietitian ensure the assessment reflects the community's cultural needs?
 A. Use a single dietary pattern template
 B. Ask healthcare providers to define cultural norms
 C. Consult with local community leaders and conduct focus groups
 D. Translate Canadian Food Guide

Q12. A community dietitian finds high rates of prediabetes and low access to fresh produce. What is the primary food and nutrition-related issue?
 A. Lack of community cooking skills
 B. Inadequate intake of vitamins and minerals
 C. Food environment limiting access to healthy options
 D. Overconsumption of caffeine

Q13. Which of the following would best help identify a priority nutrition issue in a refugee settlement community?
 A. Reviewing grocery sales data
 B. Observing lunchtime behaviors in local schools
 C. Conducting a needs assessment and nutrition screening
 D. Asking local politicians

Q14. A dietitian finds that a school has low milk consumption, high sugar-sweetened beverage intake, and rising dental issues. What is the most likely nutrition issue?
 A. Vitamin B12 deficiency
 B. Inadequate fluid intake
 C. Excessive carbohydrate loading
 D. Poor beverage choices displacing nutrient-dense options

Q15. In assessing a rural population, a dietitian notes higher rates of obesity and fewer local health services. What nutrition issue should be prioritized?
 A. Inconsistent dietary patterns
 B. Excess intake of saturated fat
 C. Limited access to preventive nutrition services
 D. Poor hydration practices

Q16. A community assessment identified high food insecurity and low vegetable intake among seniors. What should be the dietitian’s next step in developing a population health plan?
 A. Deliver weekly nutrition classes
 B. Create meal plans for caregivers
 C. Identify stakeholders and set objectives
 D. Write a grant for school nutrition programs

Q17. When developing a community nutrition program, which element ensures the program aligns with population needs?
 A. Using a standard national program template
 B. Basing the program solely on clinical guidelines
 C. Incorporating input from target population and community partners
 D. Outsourcing program development to external consultants

Q18. A public health team is writing goals for a nutrition education campaign. Which of the following is the best example of a SMART goal?
 A. Improve healthy eating
 B. Reduce sugar intake in children
 C. Increase fruit intake by 1 serving/day among children ages 6–12 in 3 schools by June
 D. Promote plant-based diets

Q19. A dietitian is developing a prenatal nutrition program for low-income parents. What is the most effective strategy to ensure cultural safety?
 A. Invite participants to attend a standardized workshop
 B. Incorporate recipes and traditions from the cultural backgrounds represented
 C. Focus on teaching Canada’s Food Guide
 D. Prioritize calorie tracking and macronutrient education

Q20. What is the role of logic models in developing a public health nutrition program?
 A. To evaluate individual dietary behaviors
 B. To visualize how program activities lead to outcomes
 C. To justify salary increases for team members
 D. To replace performance indicators

Q21. In developing a food literacy program for youth, which planning tool would best define specific activities and outcomes?
 A. Funding reports
 B. Evaluation logic model
 C. Food guide pyramid
 D. SWOT analysis

Q22. (Case-Based) Planning a Nutrition Program for Newcomer Families
Scenario:
 A community center plans to offer a nutrition program for newcomer families who face language barriers and unfamiliarity with Canadian foods. The goal is to improve nutrition knowledge and ease access to healthy, affordable options.

Q22.1. Which planning approach would best ensure the program is relevant and sustainable?
 A. Partnering with community leaders and adjusting based on feedback
 B. Translating the food guide and handing it out
 C. Modeling it after a seniors’ program
 D. Launching a one-time health fair

Q22.2. What is the most culturally safe strategy to introduce new foods to the group?
 A. Ban traditional ingredients
 B. Host collaborative cooking sessions featuring familiar and new foods
 C. Provide lectures on Canadian dietary patterns
 D. Ask participants to eliminate old habits

Q23. A dietitian is coordinating the launch of a community cooking series to promote food skills. What is the best way to support implementation?
 A. Start without input to ensure efficiency
 B. Schedule sessions during working hours to reduce attendance
 C. Collaborate with local organizations and align schedules with participant availability
 D. Focus on cost-cutting by using low-quality ingredients

Q24. When implementing a school-based nutrition program, what is the most effective way to engage students?
 A. Provide handouts for parents only
 B. Use interactive and hands-on activities tailored to age groups
 C. Use a lecture-based delivery method
 D. Eliminate all “unhealthy” foods from their diet

Q25. (Case-Based) Launching a Community Nutrition Fair
Scenario:
 A public health team is launching a one-day nutrition fair in collaboration with local health agencies. The event will offer cooking demos, free nutrition screenings, and culturally diverse recipe booklets.

Q25.1. What is a key implementation factor to consider for the success of this event?
 A. Planning only with internal staff
 B. Hiring a celebrity chef as the sole attraction
 C. Ensuring volunteers reflect the community's languages and cultures
 D. Relying only on online promotion

Q26. A dietitian wants to evaluate whether a school snack program increased fruit intake. What is the best outcome indicator to use?
 A. Student height-for-age ratio
 B. Number of students attending school
 C. Average daily fruit servings reported per student
 D. Program budget allocation

Q27. What is the primary reason to monitor a community nutrition program over time?
 A. To reduce staff workload
 B. To justify funding applications only
 C. To ensure goals are being met and adjust as needed
 D. To avoid working with stakeholders

Q28. Which of the following is an example of a process indicator for a community-based nutrition workshop?
 A. Number of participants who improved diet quality
 B. Average weight change 6 months later
 C. Participant satisfaction survey completion rate
 D. Number of sessions delivered as planned

Q29. A team wants to evaluate the cultural safety of their nutrition programming. What is the best approach?
 A. Count the number of translated handouts
 B. Conduct qualitative interviews and focus groups with participants
 C. Measure pre/post knowledge scores only
 D. Tally how many foods are “low fat”

Q30. (Case-Based) Evaluating a Cooking Skills Program
Scenario:
 A 6-week community-based cooking skills program aimed to improve food literacy and confidence among low-income parents. Activities included hands-on cooking, meal planning, and label reading.

Q30.1. Which indicator would best assess the short-term impact of this program?
 A. Local obesity rates
 B. Changes in grocery shopping habits self-reported by participants
 C. School meal participation rates
 D. Fruit and vegetable costs in the region

Q30.2. What strategy would strengthen the evaluation design of future programs?
 A. Eliminate the program and try something else
 B. Add a follow-up survey or interview at 3 months
 C. Focus only on program attendance
 D. Only include participants who completed every session