Certified Specialist in Geriatric Nutrition Practice Exam

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• How to care plan for older adults desiring weight loss?
• Which benefit is associated with the Patient Protection and Affordable Care Act of 2010 for older adults?
• How many days are allocated to complete the MDS?
• What does the Healthy Eating Index (HEI) measure?
• What components are included in the Resident Assessment Instrument (RAI) framework?
• Which condition is an indicator for tube feeding in older adults?
• What is the purpose of Home and Community-Based Waiver Programs?
• Categories of malnutrition include which of the following?
• Which involuntary weight loss percentage within 6 months is used in GLIM criteria for non-severe malnutrition?
• Which are signs of intolerance during enteral tube feeding?
• Which laboratory parameter is NOT listed as requiring monitoring during initiation or as needed for tube feeding, with checks every 6 months for stable, long-term feeds?
• Which of the following occurs during a Traditional survey's med-related component?
• What percentage of individuals newly admitted to nursing facilities are obese?
• Treatments for older adults with unintentional weight loss?
• Which statement best describes intermittent tube feeding administration?
• Which standard formula is indicated for digestive issues/immune support?
• Which is an etiologic criterion in GLIM malnutrition assessment?
• What is the vitamin C dosage specified for renal disease?
• If food tastes old, which simple flavoring can help?
• What is the effect of alcohol on hepatic glucose production and hypoglycemia risk?
• Which drug is an oral anticoagulant that requires keeping vitamin K intake consistent?
• What is the eligibility criteria for PACE programs?
• Which psychosocial factor is associated with poor nutrition in older adults?
• According to CMS SOM, who prescribes therapeutic diets? (Note: physicians may delegate to another professional in alignment with state law.)
• Which anticonvulsants require avoiding alcohol and excess vitamin C?
• What does the term "indicators of potential problems" imply in this context?
• What does LIFE stand for in the LIFE program?
• Which statement describes bolus tube feeding?
• Which report serves as the source for indicators used in Quality Measure Reports?
• In palliative GI obstruction, which intervention may be used to alleviate the need to vomit frequently?
• How much water per person per day is recommended for emergency planning in long-term care facilities?
• When coding 1 (physician weight loss plan) for MDS weight loss, what must be documented?
• Which behavior is recommended during meals in palliative care?
• Which age group is considered the 'oldest old'?
• Which dehydration management approach is commonly appropriate in end-of-life care?
• Casper reports contain which information?
• Which condition is explicitly listed as an indication for parenteral nutrition in the material?
• Which item is NOT listed as a rationale for weight gain assessment?
• Which item is included in the Nutrition Care Assessment (CAA)?
• Which service provides respite for caregivers, according to the material?
• Blood Pressure goals for people 60+?
• What do The Pioneer Network's New Dining Practice Standards encourage?
• What was the effect of the Affordable Care Act on readmission rates according to the source material?
• Which strategy helps with difficulty swallowing?
• Which foods are listed as sources of vitamin K?
• Gastric residual volume guidelines indicate feedings should not be stopped for volumes less than how many ml unless there are signs of intolerance?
• Which statement best summarizes the interaction between QIM reports and surveys?
• In GLIM criteria, what BMI threshold is considered low for adults aged 70 or older?
• In height assessment for MDS, what should you do if the last recorded height was more than one year ago?
• In addressing dehydration and electrolyte imbalances in enteral tube feeding, which action is advised?
• For bitter taste, what may help?
• Which substances may decrease warfarin effectiveness?
• Where are PACE services primarily delivered?
• What is the intended outcome of focusing on indicators flagged as above the threshold?
• Which standard formula is NOT lactose-free and is made from real foods?
• How long can foods last in the freezer after the electricity goes out?
• Which factors increase the risk of malnutrition in patients with CKD?
• Which of the following is NOT a role of the dietitian in skilled nursing facilities (SNF)?
• How often should the comprehensive care plan be updated after initial completion?
• Which condition must an indicator meet to be used in the Quality Measure Reports as described?
• Recommended sodium/fluid restrictions for older adults with heart failure exacerbation?
• Which dietary approaches are included as part of treatments for cardiovascular disease in older adults?
• The Malnutrition Screening Tool (MST) contains two questions concerning which domains?
• Which foods must be used within 1 year in emergency planning?
• Which factor increases risk of malnutrition during hospital stays?
• DST is a validated nutrition risk assessment organized into how many risk levels?
• Which facility-related factor can lead to poor intake among residents?
• Which equation is used to estimate calorie needs in older adults, and what adjustment is added for physical activity?
• What is the maximum daily zinc dosage stated, noting to stop when deficiency is resolved to prevent copper deficiency?
• Which best describes what Quality Measure Reports identify?
• What is recommended when administering medications through an enteral tube feeding?
• What does OAA stand for?
• What is the primary purpose of the DETERMINE checklist?
• Which of the following is a common place for pressure ulcers?
• Indications for volume-restricted tube feeding formulas include COPD, CHF, hepatic disease, and renal disease with volume overload. Which option correctly lists these indications?
• Which action is recommended to reduce belching while chewing?
• Which setting had the second-highest number of post-acute care patients by the figures provided?
• An older adult is defined as which of the following?
• Continuous tube feeding is required under which circumstances?
• How is PACE or LIFE best described?
• In subsequent MDS weight assessments, what should you compare to assess weight loss?
• In older adults with CKD, when should more modest protein restriction be assessed?
• Stage 3 pressure ulcer is characterized by which description?
• Food insecurity is associated with which factors in the community?
• Which delivery mechanism is characteristic of bolus feeding?
• Which of the following is an adverse outcome associated with sarcopenia?
• In parenteral nutrition, what is the recommended fat contribution and the minimum percentage of calories from fat for essential fatty acids?
• Which parameter should be monitored in tube feeding patients, especially diabetics?
• In pressure ulcer management, what is the recommended daily vitamin C dosage for stage 1/2 ulcers?
• Frailty is defined as a medical syndrome with multiple causes that is characterized by what?
• Which mineral interaction involves laxatives and the seizure medication phenytoin (dilantin)?
• Which factor contributes to limited food access in the community?
• Under the ACA, what outcome is observed for older adults in terms hospital readmissions?
• What is the recommended vitamin C dosage for pressure ulcers at stage 3/4?
• Which of the following is an example of a post-acute care setting?
• Which standard formula is indicated for higher protein needs?
• In older adults with CKD, which restrictions are individualized based on patient goals?
• For weight loss in older adults, what is a key nutrition strategy?
• What is the recommended maximum daily zinc supplementation to avoid copper deficiency when treating pressure ulcers?
• Nasogastric tube feeding indications include which criterion?
• In weight assessment for MDS, when should the resident be weighed again?
• Stage 1 pressure ulcer is described as what?
• What is a recommended approach to managing nausea, vomiting, or abdominal distention in enterally fed patients?
• What is the primary purpose of the State Operations Manual in long-term care?
• During hypertonic feedings, if intolerance develops, what should be done?
• For antihyperlipidemia therapy, which class should be taken with food to increase absorption?
• In the citation system for skilled nursing facilities, which level represents 'Actual harm that is not immediate jeopardy'?
• Which group of foods must be used within 6 months in emergency planning?
• Which of the following is listed as a possible contraindication to enteral nutrition support?
• The Hospital Readmission Reduction Program under the Affordable Care Act targets readmissions for which conditions?
• The standard facility survey assesses which areas?
• In nutrition assessment, what does the acronym MNT stand for?
• What does PACE stand for?
• Which item is recommended as part of a disaster kit?
• What are the leading causes of chronic kidney disease?
• What is the primary focus of FEMA?
• Semi-elemental/elemental enteral formulas are particularly indicated for which conditions?
• Which preventive measure is recommended to reduce mechanical complications of nasogastric tube feeding?
• Caffeine should be avoided when taking which kinds of medications?
• Which malnutrition screening tools are appropriate for older adults living in the community?
• Which standard formula is indicated for digestive issues?
• What is the reported prevalence range of sarcopenia in community-dwelling older adults?
• The Quality Measure Reports rely on indicators flagged as greater than what threshold of the national average?
• Nasojejunal feeding is preferred over nasogastric feeding in which condition?
• Which statement best defines Hospice care?
• Which medications may contain caffeine?
• Which statement correctly describes the Commodity Supplemental Food Program (CSFP)?
• Which factor contributes to reduced appetite during the dying process?
• What is the primary role of a skilled nursing facility in patient care?
• Which description best defines Adult Day Care?
• Which of the following is NOT listed as a BRAT food in the diarrhea management plan?
• What is the first step in completing section K of MDS for swallowing disorders?
• Which mineral is associated with Lasix (furosemide), HCTZ (hydrochlorothiazide), and spironolactone?
• Which of the following foods can be stored indefinitely in disaster emergency menu planning?
• According to GLIM criteria for malnutrition, what combination is required to diagnose malnutrition?
• Which of the following is a phenotypic criterion for GLIM malnutrition?
• What practice helps minimize aspiration risk during tube feeding?
• Which standard formula is specifically designed for diabetes management and glucose control?
• In hypercalcemia, which dietary guidance is recommended?
• In managing cardiovascular disease in older adults, clinicians should assess for which nutrition-related condition?
• What does SOM stand for in the context of CMS guidance for facilities?
• What does the IMPACT Act stand for?
• Which of the following is a hydrolyzed/elemental enteral formula?
• Which factors should be assessed as potential rationale for weight gain in older adults?
• Fiber-supplemented enteral formulas are used to normalize bowel movements. What precaution helps minimize GI side effects?
• What is recommended when food is too sweet?
• Which of the following is a goal of community food and nutrition programs?
• In the DETERMINE checklist, which item directly addresses oral health?
• Which foods are considered high-risk for listeria and should be avoided or properly handled by older adults?
• According to HEI-15 guidelines, which dietary change would best improve the diet quality of older adults?
• What threshold is used to flag indicators for inclusion in the survey selection process?
• Which is a risk of diet restrictions in older adults?
• What factor may cause aversions to protein-rich foods in terminal illness?
• Which conditions are exacerbated by obesity in older adults?
• In AIDS, EN support may be appropriate—what type of formula?
• Which of the following are risk factors for malnutrition in long-term care facilities?
• What is gastric residual volume and when should it be checked?
• Stage 2 pressure ulcer involves which of the following?
• Isosource HN and Fibersource HN are examples of which type of tube-feeding formulas?
• Hang time for tube feeding in open versus closed systems is limited to how long?
• Impact formula is indicated for which purpose?
• For stage 3 or 4 pressure ulcers, which supplementation is recommended?
• Which condition is listed as an indication for parenteral nutrition?
• For mouth sores, which dietary approach is recommended?
• Which feature distinguishes intermittent feeding from continuous feeding?
• Fibersource HN is indicated for which condition?
• Which approach is proposed to reduce barriers to SNAP participation for older adults?
• Which antibiotic depletes B vitamins, vitamin K, and vitamin C and is generally taken with food?
• What is the maximum fat dose per kilogram of body weight in parenteral nutrition?
• Disability is defined as what?
• INTERACT programs aim to achieve which outcome?
• The primary audience for Quality Measure Reports is most likely to be which group?
• What percentage of patients are rehospitalized within 30 days after discharge from a skilled nursing facility?
• In end-of-life bowel obstruction, parenteral nutrition (PN) is described as:
• Food insecurity is defined as which of the following?
• Which antihistamine is listed for allergies and should avoid alcohol?
• What characterizes a Long Term Acute Care Hospital?
• Which of the following is a consequence of malnutrition related to infection risk?
• Goals of nutrition care for older adults with Alzheimer's/dementia?
• Which of the following is a consequence of malnutrition?
• Which statement best describes the elements required in the comprehensive care plan for the RD according to OBRA CFR?
• Anorexia of aging is characterized by which of the following?
• If an indicator is below the threshold, how is it treated in the selection process?
• What is the primary use of Quality Measure Reports?
• Which activity is explicitly listed as a role of the registered dietitian in SNF?
• Which option is NOT a goal of community food and nutrition programs?
• Which description characterizes a continuing care retirement community?
• Which item is part of the Traditional survey process?
• What nutrient thresholds are noted to potentially affect warfarin effectiveness?
• How often should labs be checked for stable, long-term tube feeding?
• In diarrhea management for palliative care, which category of foods should be omitted?
• When recording height and weight in MDS, how should measurements be rounded?
• Which cancer therapy drug can decrease B12 and folic acid?
• Which scenario supports using a gastrostomy or jejunostomy tube?
• In GI obstruction pall care, which is recommended to limit during meals?
• Which statement best describes an assisted living facility?
• For unclogging an enteral feeding tube, which method is recommended?
• In older adults with CKD who are on dialysis, protein needs are:
• For new admits, what is the initial step regarding weight loss in MDS?
• Which standard formula is indicated for general use and for those who benefit from fiber-containing formula?
• Which is the final step in the RAI utilization process?
• When treating diarrhea in enterally fed patients, which change is recommended after ruling out infectious causes?
• What is the evidence regarding dietary changes for lipid control in older adults with cardiovascular disease?
• In end-of-life care, polypharmacy can contribute to nausea and vomiting. Which statement best describes its impact on appetite?
• What is the purpose of Life Safety Code Surveys?
• Which statement reflects a goal of PACE?
• What are the two types of federal monitoring surveys?
• Which guidance accompanies increasing dietary fiber to manage constipation?
• What does the SCREEN II tool assess?
• Which nutrients and substances may affect warfarin effectiveness at certain doses?
• MDS scheduled assessments occur on which days?
• The Emergency Food Assistance Program (TEFAP) distributes commodities at what frequency?
• What services do Home Health Agencies provide?
• Which of the following is a risk factor for pressure ulcers related to level of consciousness?
• High-nitrogen formulas such as Isosource HN and Fibersource HN have what characteristic or effect?
• Around what BMI did older adult patients have the lowest risk of mortality?
• Which standard enteral formula is indicated for individuals with fluid restrictions and volume intolerance?
• What is a recommended initial dietary change for constipation in palliative care if dehydration is not present?
• Blenderized Tube Feeding is described as which of the following statements?
• Which description best defines continuous tube-feeding administration?
• What is the protein intake recommendation for critically ill older adults?
• For mental health disorders, which guidance is advised?
• What are some concerns about intentional weight loss in obese older adults?
• Which fiber sources can be used to manage diarrhea by adding to enteral formula?
• If signs of intolerance occur during tube feeding, what should you do?
• Which condition may increase protein needs in older adults?
• What is the recommended daily fluid intake for tube feeding?
• Which statement best distinguishes disability from frailty?
• What best describes the relationship between Quality Measure Reports and the QIM report?
• In older adults with diabetes, what is recommended for glycemic management?
• What is the initiation plan for intermittent tube feeding?
• MST stands for what?
• Vitamin C contributes to wound healing by increasing which immune cells?
• Which act revised Medicare and Medicaid conditions of participation for long-term care facilities and pharmacies and established the MDS to identify resident care problem areas?
• Which statement best describes a person-directed approach to dining in elder care?
• Copper's role in pressure ulcer management is primarily to
• When adjusting a continuous tube feed, by how much and how often is the rate advanced?
• According to MDS guidelines, a clinically significant weight gain is defined as which threshold?
• Screening for pressure ulcers should occur
• Concentrated tube feeding formulas have which of the following characteristics?
• Gastric or jejunal tube indications include which criterion?
• Which setting receives the largest number of post-acute care patients?
• What is a recommended food safety measure for older adults?
• Which of the following is a criterion used to identify malnutrition?
• Which of the following are factors contributing to inadequate nutritional intake in the community?
• The CACFP is a federal nutrition program intended to improve diet quality for which groups?
• If dehydrated, which foods are encouraged?
• Which approach is recommended for nausea and vomiting management?
• In weight assessment, what is the basis for the current weight used in MDS?
• In GLIM criteria, what BMI threshold is considered low for adults younger than 70 years?
• What is the initial rate for continuous tube feeds, and how is it advanced?
• The IMPACT Act uses standardized measure domains to assess which areas? (True/False)
• Which of the following statements best summarizes the cons of enteral feeding in older adults with dementia?
• Which strategy helps with dry mouth?
• Which scenario indicates total parenteral nutrition (TPN) is appropriate?
• In GI pall care, which foods should be avoided?
• What is the recommended daily protein intake per kilogram of body weight for healthy older adults?
• Stage 4 pressure ulcer is defined as?
• Which of the following is a risk factor for developing pressure ulcers?
• Which issue is associated with slowed gastric emptying in end-of-life care?
• Which measurement is used to assess diminished functional status in malnutrition?
• Which condition is an indication for parenteral nutrition support?
• What action does the survey take with the indicators according to the description?
• Which condition warrants nasojejunal feeding rather than nasogastric feeding?
• For malnutrition dx, what is the nonsevere PO intake criterion?
• Documentation of weight and nutrition status on admission should occur within how many days?
• Which of the following is listed as a sign of swallowing disorder in section K?
• How is an Inpatient Rehabilitation Facility best described?
• The phrase "from the QIM report" indicates that QIM reports serve as which of the following in relation to Quality Measure Reports?
• Which of the following are considered nutritional approaches in MDS?
• Which are examples of person-directed values in elder care?
• What is the minimum percentage of energy that should come from IV fat emulsion in PN?
• Which beverage increases the effect of certain antihypertensives such as beta-blockers, clonidine, and hydralazine?
• Which drug is a potassium-sparing diuretic?
• Which nutrition-related factor can contribute to pressure ulcers?
• Which factor is NOT listed as a facility-associated factor leading to poor intake?
• To manage bitter taste, which of the following should be avoided?
• How might oral nutrition supplements be documented in MDS?
• Which statement best describes the typical energy density and insurance coverage for standard polymeric formulas?
• Which scenario best indicates use of peripheral parenteral nutrition (PPN)?
• Rates of malnutrition in long-term care according to MNA are approximately which range?
• Which outcome is a goal of community nutrition programs related to healthcare utilization?
• Which mineral interacts with aspirin and calcium carbonate?
• Which of the following should be avoided in combination with ACE inhibitors or ARBs due to risk of hyperkalemia?
• What percentage weight loss in the last month triggers documentation in MDS weight loss reporting?
• Nutrient needs for pressure ulcers include approximately
• Which combination may reduce vitamin B12 absorption?
• Which of the following is NOT one of the six characteristics used to identify malnutrition?
• How does Medicare use HRRP to influence hospital payments?
• In discharge planning, how might the RD be involved?
• Which item is NOT part of the DETERMINE malnutrition screening checklist?
• Leading cause of hospitalization in older adults in the US?
• Grapefruit juice consumption interacts with which classes of medications?
• Which dietary change is recommended to help manage belching according to palliative care guidance?
• To improve dietary alignment with the Dietary Guidelines for Americans in older adults, which dietary change is recommended?
• Which statement best defines sarcopenia?
• Which method is appropriate for cooking when power is out?
• Which statement accurately describes the selection of indicators for the Quality Measure Reports?
• Which of the following is NOT a risk factor for malnutrition in long-term care?
• PACE stands for Program of All-Inclusive Care for the Elderly. What is its purpose?
• What is the daily fluid requirement in parenteral or enteral nutrition?
• Fluids for pressure ulcer management are recommended at
• In the RAI utilization steps, which step involves determining resident-specific goals and needed interventions?
• INTERACT stands for which phrase?
• The Care Assessment Schedule (CAA) includes which items?
• What is the weight loss criterion for nonsevere malnutrition dx?
• Which characteristic describes standard polymeric formulas?
• Which DETERMINE item represents an age criterion?
• How many days are allocated to complete the care plan since admission?
• What is the maximum zinc dosage per day stated in the material?
• Which of the following is NOT listed as a symptom of excess caffeine intake?