Dietetic Technician Registered Certification

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Dietetic Technician, Registered (DTR)

History

The Commission on Dietetic Registration (CDR) is a nutrition and dietetics credentialing body responsible for setting credentialing standards and administration of certification exams for in seven different specialty areas.[1] The CDR was established in 1969, when it began registering dieticians and offering registration exams. In 1982, CDR recognized the need for separate technical-level dietetics certification and in 1986 began certifying dietetic technician by examination. A decade later, over 4,600 candidates took and passed the exam to become DTRs. Over the years, the exam is periodically updated to reflect current practice by incorporating findings from job task analyses called “role delineation studies.”[2] In January, 2014, CDR began using Pearson VUE as its test administration vendor. [3]

Function of the Test

DTR Study Guide

The DTR certification is required in some states in order to secure employment as a dietetic technician in hospitals, continuing care facilities, schools and other institutions. It is also used by dietetics internship programs to verify that candidates have mastered the basic skills and knowledge needed to perform successfully in a clinical learning environment.[4] DTRs work in a variety of settings to provide technical nutrition and food services, and may also play a role in client education. To be eligible for the credentialing exam, candidates must either have completed an appropriately accredited dietetic technician training program including at least 450 hours of supervised practice, or hold a bachelor’s degree with additional classwork in dietetics.[5] The employment outlook for registered dietetic technicians continues to be positive as the public becomes more aware of the benefits of proper nutrition and the health care industry begins to place more emphasis on preventive care. In 2011, the median income of DTRs at the beginning of their careers (with no more than 4 years in the field) was $36,400.[6]

Test Administration

DTR Flashcards

The DTR examination is given throughout the year, Monday-Friday, at Pearson VUE testing centers located across the United States. Saturday testing is also available in some locations.[7] The cost to take the exam is $120. Tests can be rescheduled with no less than 48 hours’ notice without incurring additional fees, as long as the candidate still meets eligibility criteria. Candidates who do not pass the exam may obtain authorization to retest after a 45-day waiting period.[8] Candidates with documented disabilities covered under the Americans with Disabilities Act (ADA) may make use of special accommodations if they submit a request at the time of registration along with the appropriate documentation. Candidates who wish to retest using special accommodations must fill out a separate request for each test date on which they will need special accommodations.[9]

Test Format

Sections of the CDR Test
CDR Test Subject Areas Percent
Food and Nutrition Sciences 10%
Nutrition Care for Individuals and Groups 34%
Principles of Education and Training 7%
Foodservice Systems 22%
Management of Food and Nutrition Services 27%
Total 100%

Test Structure

The DTR Exam is made up of five major topics: Food and Nutrition Sciences; Nutrition Care for Individuals and Groups; Principles of Education and Training; Foodservice Systems; Management of Food and Nutrition Services. The test length varies from 110 questions to 130 questions. There will at least be 80 scored questions and 30 pretest questions. At most, there will be 100 scored questions and 30 pretest questions.[10]

Test Environment

The DTR Exam takes place at Pearson VUE testing centers. There, candidates are expected to arrive at least 15 minutes early to the exam site to allow time to check in. For admission, test-takers need to bring two forms of identification, one of which must be a government-issued, photo identification containing a signature. Personal items, such as electronics, bags, wallets, and coats are not allowed in the testing center. An on-screen calculator will be provided, and approved, handheld calculators are allowed as well.[11]

Test Content

  • Sample DTR Questions
  1. Which of the following laboratory data would best indicate nutritional risk?
    A. Fasting blood glucose level of 130 mg/dL
    B. Fasting cholesterol level of 199 mg/dL
    C. Serum albumin level of 3.5 g/dL
    D. Hematocrit level of 42%
  2. What type of diet is used to treat celiac disease?
    A. Gluten free
    B. Low fiber
    C. Lactose free
    D. High fiber
  3. What lifestyle change is most beneficial to a person with hypertension?
    A. Limiting alcohol to 1 oz/day for men or 1/2 oz/day for women
    B. Lose weight if overweight
    C. Lower sodium intake to less than 2400 mg/day
    D. Increase intake of calcium, magnesium, and potassium
  4. Which of the following physical conditions would not be considered a nutritional risk factor?
    A. Obesity
    B. Stage IV decubitus ulcer
    C. Cancer
    D. Fractured femur
  5. Which of the following is not an advantage of a cycle menu?
    A. A cycle menu increases variety.
    B. Cycle menus facilitate staff vacation and leave scheduling
    C. Cycle menus allow greater ease when forecasting and purchasing food.
    D. Equipment use can be maximized if the cycle menu is planned appropriately.
  6. Which of the following terms means predicting the amount of food needed for a specific event?
    A. Production
    B. Forecasting
    C. Purchasing
    D. Food scheduling
  7. A new dish machine is needed for the retirement home kitchen. The money to purchase this piece of equipment will come from which aprt of the budge?
    A. Master
    B. Operating
    C. Capital
    D. Cash
  8. Which of the following is the term that means comparing one's performance with the performance of another?
    A. Outcomes management
    B. Benchmarking
    C. performance outcome
    D. Resource measurement
  9. A famous television star is admitted to a hospital due to an injury that occured during filming. Many employees have legitimate access to his computerized medical record, but some who do not, access his records anyways. Later, information is leaked to tabloids. A review of who has authorized access occurs, and many employees are terminated. What is a possible reason for termination?
    A. Violation of doctor-patient confidentiality
    B. Violation of freedom of speech
    C. Violation of HIPAA
    D. Violation of FERPA

More free DTR practice test questions.

Scoring

The DTR exam uses a computerized, adaptive format in which the relative difficulty of each question is based on the response to the previous question. Candidates may be required to answer between 125 and 145 questions, 25 of which are pretest items that are used for evaluation only and are not scored. .[12] Since candidates are not allowed to skip over questions or return to previously answered questions to change their selection, they are encouraged to continue to answer as many questions as possible while taking the exam. Only those exams meeting the minimum number of answered questions will be scored. Raw scores (number of correct answers) are converted to scaled scores automatically, and the scaled scores for each domain and for the entire exam are provided on a “Score Report” to candidates once they have completed their exams. Scaled scores can range from 1-50; a scaled score of 25 or more is required to pass the exam.[13] -How test is scored (guessing penalty?)

Recent/Future Developments

A new job task analysis “Practice Audit” conducted during 2015 will be used to review and update the DTR exam framework to reflect current practice. Updates to the exam domains and content outline will take effect in 2017.[14]

Answers to Sample Questions

1;A 2;A 3;B 4;D 5;A 6;B 7;C 8;B 9;C

References

  1. ^ About CDR May 22, 2015
  2. ^ Setting the Standard Since 1969 May 22, 2015
  3. ^ Commission on Dietetic Registration Entry-Level Registration Examinations for Dieticians and Dietetic Technicians Q&A Fact Sheet May 11, 2015
  4. ^ Examination for Registered Dieticians (RD) and Dietetic Technicians, Registered (DTR) May 11, 2015
  5. ^ What is a Dietetic Technician, Registered? May 22, 2015
  6. ^ Careers in Dietetics May 11, 2015
  7. ^ Commission on Dietetic Registration Entry-Level Registration Examinations for Dieticians and Dietetic Technicians Q&A Fact Sheet May 11, 2015
  8. ^ Registration Examination for Dietetic Technicians Handbook for Candidates May 22, 2015
  9. ^ Registration Examination for Dietetic Technicians Handbook for Candidates May 22, 2015
  10. ^ Registration for DTR 05 May 2015
  11. ^ FAQ 05 May 2015
  12. ^ Commission on Dietetic Registration Entry-Level Registration Examinations for Dieticians and Dietetic Technicians Q&A Fact Sheet May 11, 2015
  13. ^ Commission on Dietetic Registration Entry-Level Registration Examinations for Dieticians and Dietetic Technicians Q&A Fact Sheet May 11, 2015
  14. ^ Commission on Dietetic Registration Entry-Level Registration Examinations for Dieticians and Dietetic Technicians Q&A Fact Sheet May 11, 2015