Certified Dietary Manager Practice Test

CDM exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

Sections Covered in this exam Q&As

Domain 1. NUTRITION - 20%
A. Gather Nutrition Data
1. Document nutrition information in medical records

a. chart in medical records
b. enter data using a computer (e.g. Electronic Medical Record)
c. use nutrition information

2. Interview for nutrition related information

a. ask appropriate nutrition questions of clients (e.g., allergies, preferences)
b. gather client information from relevant sources (e.g., caregivers, interdisciplinary teams)
c. recognize nonverbal responses and communication cues
d. record information gathered
e. use ethical and confidentiality principles and practices
f. identify food customs and preferences (e.g., race, culture, religion, age)

3. Obtain routine nutrition screening data

a. use established guidelines to distinguish between routine and at risk clients
b. gather client data from relevant sources (e.g. medical record, referrals, interviews)
c. complete client forms (e.g., MDS)
d. comply with federal regulations related to evaluating client status and care
e. calculate nutrient intake
f. document relevant nutrition related information (e.g., laboratory values, BMI)

4. Identify nutrition problems and client rights

a. verify information to ensure accuracy
b. review documentation for nutrition care follow up
c. honor client rights (e.g., HIPAA)

B. Apply Nutrition Data
1. Modify diet plans

a. develop menus
b. implement nutrition plan into meals/foods to be served
c. respect client needs and food habits
d. use nutrition analysis data to modify menus for:

(1) calories, carbohydrates, proteins, fats, and minerals
(2) fiber content, texture, or feeding needs
(3) medical or other personal condition (including allergies)
(4) racial, cultural, age, and religious differences

2. Implement the written diet orders

a. recognize medical and nutrition terminology
b. provide nutrition that reflects the written diet order
c. include client input on diet prescribed by the provider
d. recognize appropriateness of diet order for diagnosis
e. explain importance of adhering to written diet orders

3. Apply standard nutrition care

a. review client’s nutritional needs using evidence based guidelines
b. assess nutrition content of foods
c. identify sources to consult to assist in implementing nutrition care plans (e.g., IDT)

4. Review effectiveness of the nutrition care plan

5. Manage special nourishments and supplemental feedings according to the written diet order

a. identify clients who need nourishments or supplemental feeding
b. identify appropriate supplemental products
c. monitor the delivery of nourishments and supplements
d. audit the acceptance of nourishments or supplements

C. Provide Nutrition Education
1. Assist clients with food selection based on written diet order

a. review dietary requirements of client
b. determine client’s knowledge and needs
c. suggest acceptable food substitutes based on client preferences
d. verify substitutes in terms of availability and facility practices

2. Use nutrition education materials

a. develop a plan for nutrition education
b. select educational materials and resources
c. use resource materials and equipment in teaching

Domain 2. FOODSERVICE - 21%
A. Ensure Effectiveness of Standardized Recipes
1. Identify elements of a standardized recipe (e.g., yield, ingredients)
2. Compute portions using food charts/references
3. Develop cooking procedures, including HACCP guidelines
4. Calculate cost and nutrition content of standardized recipes
5. Evaluate client acceptance of new recipes

B. Specify Standards and Procedures for Preparing Food
1. Develop food quality control standards, (e.g., appearance, temperature, acceptance)
2. Implement procedures to monitor food production
3. Develop procedures for monitoring food waste

C. Supervise the Production and Distribution of Food
1. Define procedures for type of food service
2. Monitor adherence to delivery schedules and procedures
3. Keep records for monitoring and accountability
4. Calculate efficiency (time, cost) of foodservice system
5. Define schedules for foodservice production
6. Define production needs for special event food preparation
7. Forecast menus, recipes, diet census, preparation/production sheets, tally sheets, and retail needs

D. Monitor Meal Service
1. Verify

a. diet accuracy
b. portion size (quantity)
c. temperature
d. texture
e. presentation (color, shape)
f. quality

2. Assure compliance of meals served as posted

E. Implement Continuous Quality Improvement Procedures for Foodservice Department (e.g., QAPI)
1. Define objectives and standards for foodservice
2. Monitor quality indicators
3. Implement necessary procedural changes
4. Interpret data for reports
5. Implement auditing tool to determine the effectiveness of quality indicators (e.g., food acceptance survey, plate waste study)
6. Analyze data to make recommendations

F. Modify Standardized Menus
1. Use nutritional resources (e.g., tables, charts, diet manuals)
2. Use standard servings and recipes
3. Adhere to regulatory requirements regarding diet needs
4. Develop menu to consider cultural preferences

Domain 3. Personnel and Communications - 19%
A. Define Personnel Needs and Job Functions
1. Conduct personnel needs analysis
2. Conduct task analysis
3. Write job descriptions
4. Write job specifications
5. Assist with development of advertising for positions
6. Update departmental organizational chart

B. Interview, Select, and Orient Employees
1. Comply with fair employment laws and practices
2. Develop interview procedures for department
3. Describe department procedures and policies to applicants
4. Decide on applicants and record data in file
5. Document selection procedures and policies
6. Orient new employees to facility procedures
7. Provide initial job specific training for new employees
8. Verify completion of training and orientation

C. Provide Ongoing Education
1. Provide follow up after orientation
2. Provide in-service training

a. privacy guidelines (e.g., HIPAA, FERPA)
b. personal hygiene
c. infection control
d. hospitality and customer service
e. physical and occupational safety
f. professional and ethical expectations
g. nutrition issues
h. crisis management
i. other contemporary issues
j. safety and sanitation (e.g., allergy)

3. Verify completion of training

D. Develop and Maintain Employee Time Schedules and Assignments
1. Identify overall staffing needs (e.g., calculate full time equivalents)
2. Identify daily tasks
3. Determine capabilities and preferences of employees available
4. Prepare a time schedule
5. Maintain time schedule chart/records
6. Track absence/tardy records in personnel files
7. Develop a work assignment chart
8. Coordinate work assignments

E. Manage Goals and Priorities for Department
1. Develop short term and long term goals for the department
2. Participate in developing policies and procedures (e.g., hygiene standards for personnel according to the FDA Food Code)
3. Identify expectations to establish priorities
4. Compare department goals against resources available (e.g., contingency planning)

F. Manage Department Personnel
1. Maintain personnel records
2. Identify personnel management laws and practices (e.g., union contracts, FMLA, USERRA)
3. Identify promotion and termination criteria
4. Compile documentation for promotion and termination
5. Conduct performance evaluations
6. Recommend salary and wage adjustments
7. Follow disciplinary procedures to correct a problem (e.g., coaching, performance improvement plan)
8. Ensure employees’ compliance with procedures (e.g., safe food preparation practices)

G. Manage Professional Interactions
1. Participate in regulatory agency surveys

a. identify regulatory standards
b. develop an appropriate plan of correction
c. demonstrate professional interaction with surveyors
d. use regulatory agencies as professional resources

2. Participate in meetings outside the department

a. communicate department goals and policies
b. identify methods of communicating with other departments
c. suggest cooperative ways to solve problems
d. participate in state/national professional meetings

3. Communicate client information to other health professionals

a. identify what client information needs to be communicated
b. identify the need for client referrals
c. implement consultant recommendations as appropriate
d. honor client rights and confidentiality

4. Participate in client care conferences

a. prepare for a client care conference
b. participate in a conference to identify client care concerns
c. work with the interdisciplinary team to develop solutions
d. implement goals and approaches with appropriate follow up

5. Manage department meetings

a. post meeting notices and agendas
b. plan meeting facilities
c. meet with key personnel to develop meeting plans
d. conduct meetings (e.g., resolving conflicts, keeping time)
e. plan follow up actions resulting from meeting (e.g., minutes)
f. conduct a staff complaint/grievance session

6. Adhere to professional code of conduct/ethics

H. Implement Departmental Changes
1. Identify existing problems and needs
2. Prepare justification for changes
3. Implement the plan of action
4. Evaluate the effectiveness of the changes

Domain 4. Sanitation and Safety - 24%
A. Manage Personnel to Ensure Compliance with Safety and Sanitation Regulations
1. Identify federal safety laws/regulations/guidelines
2. Write cleaning procedures for utensils, equipment, and work areas
3. Evaluate equipment in terms of maintenance needs and costs
4. Inspect all areas of department for sanitary conditions
5. Educate employees in safety and sanitation (e.g., master cleaning schedule)
6. Interpret OSHA regulations/guidelines (e.g., SDS, HAZCOM)
7. Enforce employees’ compliance with safety and sanitation regulations

B. Manage Purchasing, Receiving, Storage, and Distribution of Food and Supplies Following Established Sanitation and Quality Standard
1. Identify appropriate grades and inspections for food
2. Procure food and water from approved sources
3. Verify the quality and quantity of food supplies and equipment received
4. Check provider invoices against facility purchase order
5. Recognize the hazards associated with types of food packaging
6. Recognize the signs of contamination upon receipt and in storage
7. Process rejections for unacceptable products
8. Label, date, and monitor food to ensure rotation (FIFO)
9. Prevent environmental contamination of food
10. Maintain security procedures

C. Protect Food in all Phases of Preparation Using HACCP Guidelines
1. Identify potentially hazardous foods and foodborne pathogens and their control
2. Recognize the causes, symptoms, and types of foodborne illnesses including biological, chemical, and physical types
3. Monitor time and temperature to limit growth of or destroy microorganisms
4. Prevent cross contamination of food
5. Identify appropriate techniques for temperature retention
6. Ensure the safe cooling of food
7. Establish critical limits
8. Establish the corrective action to be taken when critical limits are exceeded
9. Establish procedures to identify and monitor critical control points (CCP)
10. Establish effective recordkeeping systems that document HACCP
11. Prepare emergency/disaster procedures necessary to assure a safe food supply
12. Develop a crisis management plan to address an outbreak of foodborne illness

D. Manage Physical Facilities to Ensure Compliance with Safety and Sanitation Guidelines
1. Identify federal safety laws/regulations
2. Conduct routine maintenance inspection of equipment:

a. Identify equipment maintenance requirements from manufacturer’s manuals
b. Correct equipment malfunctions and potential problems
c. Monitor preventive maintenance schedule and contracts

3. Organize work flow and use of equipment

a. analyze tasks to determine overlapping effort or equipment use
b. plan proper placement and use of equipment
c. simplify work procedures and steps
d. monitor work flow; identify and correct problems
e. assure adequate hand washing sinks, lavatory facilities, and supplies

4. identify appropriate environmental controls for water supply, waste disposal, and ventilation
5. follow an integrated pest management (IPM) system
6. prepare a safety inspection checklist
7. write an inspection report on hazards
8. assure cleaning and sanitation of equipment, utensils, chemicals, and space

Domain 5. Business Operations - 16%
A. Manage a Budget
1. Determine facility needs
2. Compute cost of menus (e.g., supplements)
3. Conduct a product price comparison study
4. Calculate daily cost PPD (e.g., food, labor, supplies)
5. Calculate minutes per meal
6. Calculate meals per labor hour
7. Compare real costs to budget costs
8. Monitor expenses
9. Prepare an estimate of personnel costs for a foodservice department (e.g., salary scales and merit raises, benchmarking)

B. Prepare Specifications for Capital Purchases
1. Review capital equipment needs and requirements
2. Evaluate existing capital equipment condition and life expectancy
3. Evaluate options for replacement of capital equipment
4. Write budget justification for new capital equipment
5. Recommend specifications for new capital equipment

C. Plan and Budget for Improvements in the Department Design and Layout
1. Maintain records of suggestions and complaints received
2. Conduct department improvement discussion session with staff
3. Communicate improvement recommendations
4. Evaluate work flow, essential equipment relative to new department designs or construction
5. Research concepts/products related to department facility design
6. Prepare proposals, specifications for new construction or renovation in layout/design changes

D. Assist in the Purchasing Process
1. Identify purchasing policies and procedures of department (e.g., returns, recalls)
2. Review vendor product/selection (e.g., group purchasing organizations)
3. Establish purchasing specifications
4. Use the ordering and bidding process
5. Evaluate facility needs, budget restrictions, and products available
6. Evaluate product information
7. Be familiar with computer applications
8. Check inventory to identify purchase needs
9. Complete purchase order requisition forms
10. Maintain inventory records
11. Recognize inventory management practices (e.g., FIFO, par stock, physical, perpetual)

E. Manage Revenue Generating Services
1. Supervise cash activities and reports
2. Calculate cost to set prices for retail/catering
3. Plan foodservice and menus for retail/catering
4. Estimate price per unit serving for retail/catering
5. Use cost control techniques to balance revenue budget
6. Research, analyze, and/or promote revenue generating opportunities

F. Implement Cost Effective Procedures
1. Recommend cost saving purchasing practices
2. Recommend cost saving department practices
3. Implement cost effective inventory control practices
4. Report variance of real costs vs. budget

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HERE ARE SOME demo QUESTIONS OF CDM EXAM. FULL VERSION CONTAINS COMPLETE SET OF QUESTIONS
Question: 1239
ented to demonstrate compliance with the Americans with Disabilities Act (ADA) in a dieta m?
ient satisfaction surveys
ffing levels in the dietary department ividualized nutrition assessments entory of food supplies
er: C
nation: Individualized nutrition assessments are necessary to ensure that dietary needs are me ance with the ADA, thus documenting compliance with regulatory requirements.
ion: 1240
eviewing capital equipment needs and requirements, which of the following should be prior ance operational effectiveness?
uipment that is most popular in the industry
uipment that meets the specific needs of the staff and operations uipment that has the latest technological features
uipment that is available at the lowest cost er: B
In adherence to regulatory requirements regarding diet needs, which of the following must be
docum ry
progra
1. Pat
2. Sta
3. Ind
4. Inv Answ
Expla t in
accord
Quest
When r itized
to enh
1. Eq
2. Eq
3. Eq
4. Eq
Answ
Explanation: Prioritizing equipment that meets specific operational needs ensures that it will effectively support the workflow, improving overall operational effectiveness.
Question: 1241
A patient with heart failure is placed on a sodium-restricted diet. Which of the following statements best explains the importance of adhering to this diet order?
1. It helps increase blood volume and heart rate.
2. It encourages high protein intake to build muscle mass.
3. It allows for more carbohydrate-rich foods.
4. It reduces fluid retention and lowers blood pressure. Answer: D
Explanation: Adhering to a sodium-restricted diet is crucial for patients with heart failure, as it helps reduce fluid retention, lower blood pressure, and alleviate the workload on the heart.
Question: 1242
er's communication approach?
are as much information as possible to be thorough
mit information to what is relevant and necessary for care us on the client�s social life
lude personal opinions about the client er: B
nation: Limiting information to what is relevant and necessary for care ensures that client entiality is respected and that all communication is purposeful.
ion: 1243
the most effective strategy for a dietary manager to ensure that food supplies are rotated p imize spoilage and waste?
nducting weekly inventory checks plementing a strict labeling system with dates
ring all new supplies at the front of the storage area ying on staff memory for rotation practices
er: B
When sharing client information with other health professionals, which principle should guide the dietary manag
1. Sh
2. Li
3. Foc
4. Inc Answ
Expla confid
Quest
What is roperly
to min
1. Co
2. Im
3. Sto
4. Rel Answ
Explanation: Implementing a strict labeling system with dates is the most effective strategy because it provides clear visibility on expiration and usage timelines, ensuring proper rotation and minimizing spoilage.
Question: 1244
What is a key element of documenting selection procedures that can help an organization demonstrate fair hiring practices?
1. Keeping records only of selected candidates
2. Focusing solely on the final hiring decision without context
3. Recording only positive feedback about candidates
4. Maintaining comprehensive records of all applicants and their evaluation results Answer: D
Explanation: Maintaining comprehensive records of all applicants and their evaluation results helps demonstrate fair hiring practices and provides a clear audit trail.
Question: 1245
a budget review, you find that real food costs exceeded the budgeted amount by 10%. If ed food cost was $50,000, what is the real food cost?
0,000
,000
,000
0,500
er: B
nation: An excess of 10% on a budgeted food cost of $50,000 means the real cost is $50,0 00 * 0.10) = $55,000.
ion: 1246
ontext of assessing the nutritional content of a meal served in a long-term care facility, whi lowing factors should be considered to ensure that it meets the clients� needs?
total calorie count only visual appeal of the dish
cost of ingredients versus nutritional value meal's palatability and variety
er: D
During the
budget
A. $6 B. $55 C. $52
D. $5
Answ
Expla 00 +
($50,0
Quest
In the c ch of
the fol
1. The
2. The
3. The
4. The Answ
Explanation: While calorie count is important, the meal�s palatability and variety are crucial for ensuring that clients in long-term care facilities enjoy their meals and receive adequate nutrition.
Question: 1247
What should be the primary focus of a dietary manager when developing policies for food handling during an emergency situation?
1. Minimizing costs associated with food service
2. Reducing the number of procedures to simplify operations
3. Allowing staff to improvise based on their judgment
4. Ensuring rapid response and adherence to safety protocols Answer: D
Explanation: Ensuring rapid response and adherence to safety protocols is critical in emergency situations to protect health and safety effectively.
Question: 1248
es within a dietary program?
onitor staff compliance with new policies onduct performance reviews of staff repare financial reports
ssess patient outcomes and satisfaction er: D
nation: Assessing patient outcomes and satisfaction directly reflects the impact of changes on making it a critical evaluation metric.
ion: 1249
nning a diet for a child with phenylketonuria (PKU), which of the following food items must avoided to comply with the written diet order?
ples
ry products ole grains cken
er: B
nation: Dairy products contain high levels of phenylalanine, which must be avoided in childr
What is the primary role of a Certified Dietary Manager in evaluating the effectiveness of implemented chang
1. To m
2. To c
3. To p
4. To a Answ
Expla those
served,
Quest
In pla be
strictly
1. Ap
2. Dai
3. Wh
4. Chi Answ
Expla en
with PKU to prevent neurological damage, making it critical to adhere to the dietary restrictions.
Question: 1250
For your facility's menu planning, you need to compute the costs of supplements. If the base menu cost is
$30,000 and the cost of supplements is projected to be an additional 15%, what will be the total projected menu cost?
A. $31,500 B. $34,500
C. $33,000 D. $36,000
Answer: B
Explanation: The total cost is calculated as $30,000 + ($30,000 * 0.15) = $30,000 + $4,500 = $34,500.
Question: 1251
talling surveillance cameras but not monitoring them ng locks on doors and access control systems
ying solely on staff vigilance
eping doors unlocked during working hours for convenience er: B
nation: Locks and access control systems provide a physical barrier against unauthorized acc cantly enhancing the security of food storage areas.
ion: 1252
ontext of hygiene standards, which practice should be included in policies to ensure staff ntability?
owing staff to define their own hygiene practices using solely on training without follow-up
gular performance evaluations that include hygiene compliance oring non-compliance unless it is reported
er: C
nation: Regular performance evaluations that include hygiene compliance create accountabilit ce the importance of adhering to established standards.
In order to maintain the security of food storage areas, which of the following procedures is most effective in deterring unauthorized access?
1. Ins
2. Usi
3. Rel
4. Ke
Answ
Expla ess,
signifi
Quest
In the c accou
1. All
2. Foc
3. Re
4. Ign Answ
Expla y and
reinfor
Question: 1253
To ensure a comprehensive orientation for new employees, which element should be included that directly relates to compliance with health and safety regulations in a dietary setting?
1. General information about the history of the dietary department
2. A review of the company�s mission and vision statements
3. Specific training on safety protocols and procedures relevant to food handling
4. An overview of employee benefits and compensation
Answer: C
Explanation: Specific training on safety protocols and procedures relevant to food handling is crucial for compliance with health and safety regulations, ensuring that employees are aware of their responsibilities.
Question: 1254
Which of the following statements best describes the role of the Interdisciplinary Team (IDT) in developing and implementing nutrition care plans for clients with complex medical histories?
IDT solely focuses on dietary restrictions without considering medical conditions. IDT primarily functions to enforce compliance with governmental dietary regulations.
IDT collaborates to create a holistic care plan that addresses all aspects of the client's healt IDT is responsible for conducting all nutritional assessments independently of other health
sionals. er: C
nation: The Interdisciplinary Team (IDT) is essential in creating a holistic care plan that inte aspects of a client�s health, recognizing that nutrition cannot be isolated from other medical
erations.
ion: 1255
the key indicator to evaluate the acceptance of food by residents in a long-term care facilit mplementing a food quality control program?
number of complaints received frequency of menu changes
Staff observations of residents' satisfaction percentage of food returned uneaten
er: D
nation: The percentage of food returned uneaten is a direct indicator of residents' acceptance
The
The
The h.
The profes
Answ
Expla grates
various consid
Quest
What is y
when i
1. The
2. The C.
D. The Answ
Expla and
satisfaction, allowing for adjustments in menu planning and food preparation to better meet their preferences.
Question: 1256
At a national dietary management conference, you encounter a new trend in food service technology. What is the most appropriate way to evaluate its relevance for your department?
1. Compare its benefits with your current systems
2. Dismiss it as a fad without further investigation
3. Immediately implement it without assessment
4. Wait for others to evaluate before considering it Answer: A
Explanation: Comparing the benefits of new technology with current systems allows for an informed decision on whether to adopt or adapt the innovation for your department�s needs.
Question: 1257
o influence your final pricing decision?
cost of ingredients used in the menu items historical sales data from previous events
market price of similar catering services in the area personal preferences of the catering staff
er: D
nation: While personal preferences of the catering staff may affect menu choices, they are not actor in determining pricing, which should be based on cost, market conditions, and historic
ion: 1258
ntaining records for monitoring and accountability within a food service department, which of ing documentation types is most critical for ensuring compliance with health regulations?
mperature logs for food storage entory logs
ployee schedules
stomer satisfaction surveys er: A
nation: Temperature logs for food storage are vital for compliance with health regulations, as
When calculating the price per unit serving for a catering event, which of the following factors is least likely t
1. The
2. The
3. The
4. The Answ
Expla a
valid f al data.
Quest
In mai the
follow
1. Te
2. Inv
3. Em
4. Cu
Answ
Expla they
ensure that food is stored at safe temperatures to prevent foodborne illnesses.
Question: 1259
What is the most significant benefit of including detailed dietary interventions in a patient's medical record following a nutritional assessment?
1. It is primarily for administrative purposes
2. It serves only as a historical reference without practical application
3. It complicates the record-keeping process unnecessarily
4. It allows for personalized meal planning and monitoring of patient progress Answer: D
Explanation: Detailed dietary interventions allow for personalized meal planning and effective monitoring of patient progress, which is essential for achieving optimal health outcomes.

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