Free CSG Practice Questions

Question 1

A 76-year-old woman with chronic obstructive pulmonary disease has a BMI of 31 kg/m² and has unintentionally lost 12% of her weight over four months. Her intake has averaged 40% of estimated requirements for three weeks. She has no edema. A comprehensive nutrition assessment has been completed. Which conclusion is supported by the Global Leadership Initiative on Malnutrition (GLIM) criteria?

Accepted Answer

Severe malnutrition, supported by the weight-loss and reduced-intake findings.

Answer

Nutrition risk only; her BMI is too high for a GLIM malnutrition diagnosis.

Answer

Moderate malnutrition; the weight loss does not exceed 20% of her usual weight.

Answer

Indeterminate status; a qualifying muscle-mass deficit is also required to establish malnutrition.

Question 2

An older rehabilitation patient is prescribed IDDSI Level 2 (Mildly Thick) drinks. Her swallowing status has not changed. Using the specified IDDSI 10-mL syringe at serving temperature, two correctly performed flow tests each leave 6 mL after 10 seconds. What should happen to the prepared drink?

Accepted Answer

Serve it at the tested consistency.

Answer

Add thickener until approximately 9 mL remains on repeat testing.

Answer

Dilute it until approximately 2 mL remains on repeat testing.

Answer

Withhold oral drinks until a repeat instrumental swallowing assessment is completed.

Question 3

New tingling in both feet prompts a nutrition review for a 73-year-old taking long-term metformin. Vitamin B12 is 228 pg/mL (laboratory reference 200-900), hemoglobin is 13.2 g/dL, and mean corpuscular volume is 92 fL; the latter two results are within the laboratory's reference ranges. Renal function is stable, with an eGFR of 84 mL/min/1.73 m². Which additional test would most specifically clarify whether a functional vitamin B12 deficiency is contributing to her symptoms?

Accepted Answer

Serum methylmalonic acid concentration.

Answer

Red blood cell folate concentration.

Answer

A repeat serum vitamin B12 concentration alone.

Answer

Fasting plasma total homocysteine concentration.

Question 4

A long-term care kitchen follows the standard cooling requirements of the 2022 FDA Food Code. Its soup-cooling log records 135°F at 10:00 a.m., 68°F at 11:30 a.m., and 38°F at 3:30 p.m. The readings were obtained with a calibrated food thermometer. How should the dietitian evaluate this cooling record?

Accepted Answer

The cooling is acceptable; both required time-temperature stages were completed within their limits.

Answer

The soup requires reheating to 165°F before it can be placed in refrigerated storage.

Answer

The soup must be discarded because the complete cooling process exceeded four hours.

Answer

The soup must be discarded because its temperature remained above 41°F for over two hours.

Question 5

An 82-year-old's admission referral reads, 'MNA-SF 9/14; malnutrition diagnosed from screening.' All six Mini Nutritional Assessment-Short Form components were completed, but a diagnostic nutrition assessment has not yet been performed. Which replacement entry accurately communicates the screening result?

Accepted Answer

At risk of malnutrition; complete a comprehensive nutrition assessment.

Answer

Normal nutritional status; no additional assessment is currently indicated by this result.

Answer

Malnutrition established; use the screening score to assign the diagnostic severity grade.

Answer

Uncertain risk; complete the full MNA before interpreting the short-form result.

Question 6

A severely undernourished 79-year-old begins enteral nutrition after 12 days of negligible intake. Baseline phosphorus, potassium, and magnesium were within their reference ranges. Thirty-six hours later, he develops marked weakness, dyspnea, and new ventricular ectopy. Phosphorus is 0.6 mg/dL (reference 2.5-4.5), potassium 2.7 mmol/L (3.5-5.0), and magnesium 1.1 mg/dL (1.7-2.4). While urgent medical evaluation is initiated, which nutrition recommendation takes priority?

Accepted Answer

Temporarily withhold feeding during urgent stabilization and electrolyte replacement.

Answer

Continue feeding while replacing the depleted electrolytes through the tube.

Answer

Switch to a lower-carbohydrate formula at the same daily energy intake.

Answer

Reduce feeding by 25%; resume advancement after the next electrolyte measurement.

Question 7

The weight record for a 78-year-old treated for heart failure shows 80 kg on admission with marked edema and 72 kg after diuresis, when the medical team documents euvolemia. Four weeks after that euvolemic measurement, he weighs 66 kg. Edema has not returned, diuretic dosing is stable, and intake has been poor. Which weight-loss interpretation belongs in the nutrition assessment?

Accepted Answer

8.3%; the comparable euvolemic weights show clinically important loss over four weeks.

Answer

17.5%; use the edematous admission weight as the comparison.

Answer

9.1%; calculate the loss as a percentage of the current weight.

Answer

10.0%; the initial diuresis-related decrease is the appropriate measure of recent nutritional loss.

Question 8

At a care conference, the daughter of a woman with advanced Alzheimer disease requests a feeding tube to prevent another aspiration pneumonia. Feeding dependence has progressed with the dementia, and no reversible acute cause has been identified. The woman's previously expressed preference was for comfort-focused care. Which response best supports an evidence-informed decision?

Accepted Answer

Recommend careful hand feeding; tube feeding does not reliably prevent aspiration pneumonia.

Answer

Recommend a temporary nasogastric tube until independent eating returns, then reassess the need for artificial nutrition.

Answer

Recommend jejunal feeding as the preferred means of preventing aspiration while maintaining full nutritional delivery.

Answer

Recommend gastrostomy as the preferred way to maintain comfort and reduce complications from progressive feeding dependence.

Question 9

Sarcopenia testing in a 77-year-old man shows a best handgrip strength of 24 kg, a DXA appendicular skeletal muscle mass index of 7.6 kg/m², and usual gait speed of 0.7 m/s. Testing is technically valid; hand pain and focal neurologic weakness are absent. Muscle quality has not been measured. Under the revised European consensus (EWGSOP2), how should these findings be classified?

Accepted Answer

Probable sarcopenia; low muscle quantity or quality has not been demonstrated.

Answer

No sarcopenia, because the muscle-mass index is above the diagnostic cutoff.

Answer

Confirmed sarcopenia, because both muscle strength and usual walking speed are low.

Answer

Severe sarcopenia, because two separate measurements of physical function are abnormal.

Question 10

Several nursing-home residents and dietary employees develop abrupt vomiting and watery diarrhea 24-36 hours after a catered lunch. Over the following two days, similar illness appears in residents who did not attend the lunch but received care from symptomatic staff. Which pathogen best fits both the initial timing and the subsequent spread?

Accepted Answer

Norovirus.

Answer

Staphylococcus aureus.

Answer

Clostridium perfringens.

Answer

Bacillus cereus, emetic type.

Free CSG Practice Questions

Domain 1: Nutrition Assessment

Question 1

Question 2

Question 3

Question 4

Question 5

Domain 2: Nutrition Interventions

Question 6

Question 7

Question 8

Domain 3: Foodservice and Food Safety

Question 9

Question 10

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