ACBN Nutritionist Exam Prep - Question List

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6. A 16-year old teenage girl with Type I diabetes seeks counseling for erratic blood glucose levels. She is on the school track team and works out in the afternoons for 1 ½ hours. Her meal plan consists of 3 meals, a pre-exercise snack of one fruit, and a bedtime snack of ½ cup cereal and 1 cup of milk. Her insulin regimen is 3 units of regular insulin before breakfast and 2 units of regular insulin before dinner, and equal amounts of NPH mid-morning and at bedtime. Lately her pre-dinner blood glucose levels have been low. What would be the most effective nutrition intervention for her?
  1. Reduce the mid-morning NPH insulin by one unit and add a protein exchange to the afternoon snack.
  2. Increase the bedtime insulin and add another bread exchange to the bedtime snack.
  3. Reduce the afternoon exercise to 45 minutes and have her carry fruit juice with her in case she feels dizzy or weak.
  4. A & B
7. Clinical signs of cirrhosis of the liver are:
  1. Ascites and hypoalbuminemia
  2. Portal hypotension and constriction of esophageal veins
  3. Fat malabsorption and hyponatremia
  4. Decreased hepatic plasma volume and high osmolality
8. Which of the following is true for athletic amenorrhea, the loss of menstrual periods caused by excessive exercise?
  1. It results in irreversible bone loss
  2. It may be successfully treated by increasing carbohydrate intake
  3. It is treated by decreasing the intensity and amount of exercise
  4. A & C
9. Which of the following vitamins functions as a hormone?
  1. Folic acid
  2. Vitamin C
  3. Vitamin E
  4. Vitamin D
10. An effective nutrition screening program:
  1. Involves all members of the health care team who want to participate
  2. Is based on the principles of sensitivity and specificity
  3. Always uses food frequency questionnaires
  4. Is used only to screen for childhood diseases

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