CERTIFIED SPECIALIST IN
GERONTOLOGICAL
NUTRITION PRACTICE
EXAM Question 1: An 82-year-old resident has unintentionally lost 6% of body weight in 1 month and reports eating less than half of meals. Which �nding most strongly indicates nutrition risk requiring prompt assessment?
Choices:
1) Stable serum sodium 2) The recent unintentional weight loss 3) Use of reading glasses 4) Age older than 80 years
Correct Answer: The recent unintentional weight loss
Explanation: Unintentional weight loss of more than 5% in 1 month is clinically signi�cant and, combined with poor intake, warrants prompt nutrition assessment.Page 1
Question 2: Which screening instrument was speci�cally developed to identify malnutrition risk in older adults and includes dietary, anthropometric, global, and subjective components?
Choices:
1) Mini Nutritional Assessment 2) Morse Fall Scale 3) Braden Scale 4) Glasgow Coma Scale
Correct Answer: Mini Nutritional Assessment
Explanation: The Mini Nutritional Assessment was designed for older adults and evaluates food intake, weight change, mobility, neuropsychological issues, BMI or calf circumference, and related factors.Question 3: A long-term care resident cannot stand safely for height measurement.Which alternative is most appropriate for estimating stature?
Choices:
1) Mid-upper arm circumference 2) Knee height 3) Waist circumference 4) Triceps skinfold
Correct Answer: Knee height
Explanation: Knee height can be used with validated equations to estimate stature when standing height cannot be measured reliably.Page 2
Question 4: A resident weighs 60 kg and is 1.60 m tall. What is the BMI?
Choices:
1) 18.8 kg/m2 2) 21.4 kg/m2 3) 23.4 kg/m2 4) 26.7 kg/m2
Correct Answer: 23.4 kg/m2
Explanation: BMI = 60 ÷ (1.60 × 1.60) = 23.4 kg/m2.
Question 5: Which situation makes body weight least reliable as an indicator of
change in body tissue stores?
Choices:
1) Stable osteoarthritis 2) Peripheral edema from heart failure 3) Corrected presbyopia 4) Use of dentures
Correct Answer: Peripheral edema from heart failure
Explanation: Fluid accumulation can increase scale weight and mask loss of fat or lean tissue, so edema reduces the reliability of weight trends.Page 3