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100+ Free Registered Dietitian (China) Practice Questions

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2026 Statistics

Key Facts: Registered Dietitian (China) Exam

200 MCQs

Total Single-Choice Objective Questions on Official Exam (0.5 pts each)

Chinese Nutrition Society Registered Dietitian Working Committee

3.0 Hours

Examination Duration (180 Minutes Computer-Based Testing)

CNS Registered Dietitian Level Evaluation Examination Guide

60 / 100

Official National Passing Standard Score (60% Cutoff)

Chinese Nutrition Society Examination Evaluation Standard

5 Years

Registration Credential Renewal Cycle via Continuing Education (CPE)

Provisions on Chinese Registered Dietitian Professional Management

¥380 RMB

Official Examination Registration Fee Per Candidate

Chinese Nutrition Society RD Official Registration Portal

RD (注册营养师)

Official Professional Qualification Credential Conferred

Chinese Nutrition Society Registered Dietitian Working Committee

The Registered Dietitian (RD / 中国注册营养师) examination is China's foremost professional credential for clinical and public nutrition specialists, administered nationwide by the Chinese Nutrition Society. Testing 200 computer-based MCQs across five comprehensive domains (Basic Nutrition & Food Science, Clinical Dietetics & MNT, Public & Community Nutrition, Food Service Safety & Management, and Professional Ethics & Regulations), it establishes the national gold standard for clinical dietetic practice, hospital medical nutrition therapy, and evidence-based community health management.

Sample Registered Dietitian (China) Practice Questions

Try these sample questions to test your Registered Dietitian (China) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which of the following amino acids is classified as a nutritionally essential amino acid (必需氨基酸, EAA) for adult humans?
A.Glutamic acid (谷氨酸).
B.Lysine (赖氨酸).
C.Alanine (丙氨酸).
D.Aspartic acid (天冬氨酸).
Explanation: Lysine (赖氨酸) is one of the 9 essential amino acids (EAA) that cannot be synthesized by the human body in sufficient quantities and must be supplied via dietary intake (along with leucine, isoleucine, valine, threonine, methionine, phenylalanine, tryptophan, and histidine).
2In cereal grains such as wheat and rice, which amino acid is typically the first limiting amino acid (第一限制氨基酸) that restricts the overall protein utilization efficiency?
A.Methionine (甲硫氨酸/蛋氨酸).
B.Leucine (亮氨酸).
C.Lysine (赖氨酸).
D.Tryptophan (色氨酸).
Explanation: In cereal proteins (谷类蛋白质), lysine (赖氨酸) is the first limiting amino acid because its proportion relative to human amino acid scoring patterns is the lowest. Combining cereals with legumes (大豆/豆类, rich in lysine but limited in methionine) achieves amino acid complementary effects (蛋白质互补作用).
3What is the physiological energy coefficient (Atwater energy factor / 能量系数) for dietary carbohydrates, proteins, and fats respectively under standard nutritional calculations?
A.4 kcal/g (16.7 kJ/g) for carbohydrates, 4 kcal/g (16.7 kJ/g) for proteins, and 9 kcal/g (37.6 kJ/g) for fats.
B.4 kcal/g for carbohydrates, 9 kcal/g for proteins, and 4 kcal/g for fats.
C.7 kcal/g for carbohydrates, 4 kcal/g for proteins, and 9 kcal/g for fats.
D.9 kcal/g for carbohydrates, 4 kcal/g for proteins, and 4 kcal/g for fats.
Explanation: Standard physiological energy conversion factors (Atwater factors) used in human nutrition and Chinese food composition tables are: Carbohydrates = 4 kcal/g (16.7 kJ/g or 17 kJ/g), Protein = 4 kcal/g (16.7 kJ/g), and Fat = 9 kcal/g (37.6 kJ/g or 37 kJ/g). (Alcohol provides 7 kcal/g).
4Which of the following fatty acids is an essential fatty acid (必需脂肪酸) belonging to the n-3 (omega-3) series that cannot be synthesized de novo by the human body?
A.Oleic acid (油酸, C18:1).
B.Alpha-linolenic acid (α-亚麻酸, ALA, C18:3 n-3).
C.Linoleic acid (亚油酸, LA, C18:2 n-6).
D.Palmitic acid (棕榈酸, C16:0).
Explanation: Alpha-linolenic acid (α-亚麻酸, ALA) is an essential n-3 polyunsaturated fatty acid (PUFA) required in human diets. It serves as the metabolic precursor for longer-chain n-3 fatty acids including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).
5A clinical patient on long-term total parenteral nutrition (TPN) without trace element supplementation develops impaired glucose tolerance (糖耐量受损) and insulin resistance. Deficiency of which trace element is most likely responsible?
A.Chromium (铬, Cr).
B.Copper (铜, Cu).
C.Molybdenum (钼, Mo).
D.Selenium (硒, Se).
Explanation: Trivalent chromium (Cr3+) is a key component of Glucose Tolerance Factor (GTF / 葡萄糖耐量因子), which potentiates insulin action on cell surface receptors. Chromium deficiency in unsupplemented long-term TPN patients manifests as refractory hyperglycemia, impaired glucose tolerance, and peripheral neuropathy.
6Which of the following vitamins acts as the prosthetic group/coenzyme for pyruvate dehydrogenase (PDH) and transketolase (转酮醇酶), whose clinical deficiency leads to beriberi (脚气病) and Wernicke-Korsakoff syndrome?
A.Vitamin B1 (Thiamine / 硫胺素 / TPP).
B.Vitamin B2 (Riboflavin / 核黄素 / FMN & FAD).
C.Vitamin B3 (Niacin / 烟酸 / NAD & NADP).
D.Vitamin B6 (Pyridoxine / 吡哆醇 / PLP).
Explanation: Thiamine pyrophosphate (TPP), the active coenzyme form of Vitamin B1 (硫胺素), is essential for oxidative decarboxylation of alpha-keto acids (pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase) and transketolase in the pentose phosphate pathway. Severe deficiency results in dry/wet beriberi and Wernicke-Korsakoff encephalopathy.
7What is the biological conversion ratio between beta-carotene (β-胡萝卜素) and retinol activity equivalents (RAE / 视黄醇活性当量) adopted in the Chinese Dietary Reference Intakes (DRIs)?
A.1 μg RAE = 12 μg dietary β-carotene (1:12).
B.1 μg RAE = 2 μg dietary β-carotene (1:2).
C.1 μg RAE = 6 μg dietary β-carotene (1:6).
D.1 μg RAE = 24 μg dietary β-carotene (1:24).
Explanation: Under the Chinese DRIs and international consensus, the bioefficacy conversion factor for dietary provitamin A carotenoids from mixed food matrices is 1 μg RAE = 1 μg retinol = 12 μg dietary β-carotene = 24 μg other provitamin A carotenoids (such as α-carotene or β-cryptoxanthin). (Note: in oily supplements, 1 μg RAE = 2 μg supplemental β-carotene).
8Which of the following dietary factors significantly promotes non-heme iron (非血红素铁) absorption in the human proximal small intestine?
A.Ascorbic acid (Vitamin C / 维生素C).
B.Phytic acid (植酸) in raw bran.
C.Tannins and polyphenols (鞣酸/多酚) in black tea.
D.Oxalic acid (草酸) in spinach.
Explanation: Ascorbic acid (Vitamin C) strongly enhances non-heme iron absorption by reducing ferric iron (Fe3+) to the more soluble ferrous state (Fe2+) and forming stable chelate complexes that prevent precipitation in the alkaline duodenal environment. The 'meat factor' (肉类因子) also promotes non-heme iron absorption.
9A research subject in a respiratory chamber produces 15.0 L of carbon dioxide (VCO2) while consuming 20.0 L of oxygen (VO2) during indirect calorimetry testing. What is the calculated Respiratory Quotient (呼吸商, RQ), and which substrate is predominantly being oxidized?
A.RQ = 0.75; predominantly fatty acid oxidation (脂肪氧化为主).
B.RQ = 1.00; pure carbohydrate oxidation (纯碳水化合物氧化).
C.RQ = 0.85; mixed carbohydrate and lipid oxidation.
D.RQ = 0.65; severe metabolic ketosis.
Explanation: Respiratory Quotient is calculated as RQ = VCO2 / VO2. Here, RQ = 15.0 / 20.0 = 0.75. Pure carbohydrate oxidation yields an RQ of 1.00; pure fat oxidation yields approximately 0.70; and protein yields ~0.80–0.82. An RQ of 0.75 indicates that lipid oxidation is the predominant source of cellular energy generation.
10Which analytical metric evaluates dietary protein quality by measuring the percentage of absorbed nitrogen that is retained in the body for maintenance and tissue growth?
A.Biological Value (蛋白质生物价, BV).
B.Protein Digestibility (蛋白质真消化率).
C.Protein Efficiency Ratio (蛋白质功效比值, PER).
D.Net Protein Utilization (净蛋白质利用率, NPU).
Explanation: Biological Value (BV / 生物价) is defined as the percentage of absorbed nitrogen that is retained in the body: BV = (Retained Nitrogen / Absorbed Nitrogen) x 100%. In contrast, Net Protein Utilization (NPU) = (Retained Nitrogen / Ingested Nitrogen) x 100% = BV x True Digestibility.

About the Registered Dietitian (China) Exam

The Chinese Registered Dietitian Level Evaluation Examination (中国注册营养师水平评价考试) is the premier national professional credentialing and competency evaluation examination established and administered by the Chinese Nutrition Society (CNS / 中国营养学会). Aligned with international standards of the International Confederation of Dietetic Associations (ICDA), this credential validates advanced expertise across basic nutrition, clinical dietetics, medical nutrition therapy (MNT), enteral and parenteral nutrition, community public nutrition, food service systems, food safety, and professional ethics. Holding the Registered Dietitian (RD / 注册营养师) credential certifies the practitioner to deliver specialized medical nutrition care, design therapeutic hospital diets, conduct clinical nutrition research, manage public health initiatives, and ensure institutional food quality across China's healthcare systems, public institutions, and health enterprises.

Assessment

Single Unified Computer-Based Session: 200 Single-Choice Objective Questions (0.5 points each, 100 points total, 180 minutes / 3.0 hours)

Time Limit

Not published in the reviewed 2025 official outline; consult the current sitting notice

Passing Score

Not published in the reviewed 2025 official outline; consult the current sitting notice

Exam Fee

Not published in the reviewed 2025 official outline; consult the current sitting notice (Chinese Nutrition Society (中国营养学会 / Registered Dietitian Working Committee 注册营养师工作委员会))

Registered Dietitian (China) Exam Content Outline

25%

Basic Nutrition & Food Science (基础营养学与食物科学)

Evaluates biochemistry and physiology of human nutrition: carbohydrate metabolism (glycolysis, gluconeogenesis, glycogen synthesis/breakdown, dietary fiber and short-chain fatty acids), lipid metabolism (fatty acid beta-oxidation, essential fatty acids omega-3 and omega-6 pathways, cholesterol synthesis, lipoprotein transport), protein metabolism (nitrogen balance, amino acid pool, transamination/deamination, essential amino acids, limiting amino acids, protein quality indices PDCAAS and biological value BV), fat-soluble vitamins (A, D, E, K) and water-soluble vitamins (B-complex, C, folate, B12) coenzyme functions and deficiency signs, macro-minerals (calcium, phosphorus, potassium, sodium, magnesium) and trace elements (iron, zinc, selenium, iodine, copper, chromium), human energy metabolism (Basal Metabolic Rate BMR, Total Daily Energy Expenditure TDEE, thermic effect of food TEF, physical activity levels, respiratory quotient RQ), and food science composition.

30%

Clinical Dietetics & Medical Nutrition Therapy MNT (临床营养学与医学营养治疗)

Comprehensive assessment of the Nutrition Care Process (NCP: Nutrition Assessment, Nutrition Diagnosis with PES statements, Nutrition Intervention, Nutrition Monitoring and Evaluation), validated nutritional risk screening tools (NRS-2002, MUST, SGA, PG-SGA, MNA), indications and access selection for Enteral Nutrition (nasogastric, nasoduodenal, nasojejunal, PEG, PEJ), EN formulas (intact protein polymeric, peptide/free amino acid elemental, disease-tailored), EN administration protocols and complications management (diarrhea, aspiration pneumonia, tube occlusion), Parenteral Nutrition (central vs peripheral line access, 3-in-1 Total Nutrient Admixture TNA preparation, glucose/lipid infusion rates), PN complications (Refeeding Syndrome pathophysiology and electrolyte monitoring, catheter-related bloodstream infections, PN-associated liver disease PNALD), and disease-specific Medical Nutrition Therapy (MNT) for type 1 and type 2 diabetes mellitus (glycemic index, carbohydrate counting), chronic kidney disease (CKD stage-dependent protein targets, phosphate binders, potassium control), hypertension (sodium restrictions, DASH diet), heart failure, dyslipidemia (atherosclerosis prevention), non-alcoholic fatty liver disease, acute/chronic pancreatitis (enzyme replacement, fat tolerance), inflammatory bowel disease (Crohn's, ulcerative colitis), liver cirrhosis with hepatic encephalopathy (BCAA supplementation), cancer-associated cachexia, burns and trauma hypermetabolism, inborn errors of metabolism (PKU), and gout (hyperuricemia purine management).

20%

Public & Community Nutrition (公共营养学与人群营养)

Assesses knowledge of Chinese Dietary Reference Intakes (DRIs: Estimated Average Requirement EAR, Recommended Nutrient Intake RNI, Adequate Intake AI, Tolerable Upper Intake Level UL, Acceptable Macronutrient Distribution Range AMDR, Suggested PRU Intake for Non-Communicable Diseases PI-NCD, Specific Proposed Level SPL), Chinese Dietary Guidelines and Balanced Diet Pagoda (中国居民平衡膳食宝塔), community dietary intake assessment methods (24-hour dietary recall, weighing method 称重记账法, food frequency questionnaire FFQ, duplicate portion method), anthropometric assessment (Chinese adult BMI standards: <18.5 underweight, 18.5–23.9 normal, 24.0–27.9 overweight, ≥28.0 obese; waist circumference cutoffs: men ≥90 cm, women ≥85 cm), laboratory biomarker evaluation, and life-cycle nutrition requirements across vulnerable physiological groups (pregnancy trimester-specific energy and folic acid/iron needs, lactation macronutrient and fluid demands, infant breastmilk vs formula composition, timely complementary feeding introduction, childhood growth and micronutrient adequacy, adolescent peak bone mass accumulation, elderly sarcopenia prevention and protein requirements, and sports nutrition hydration protocols).

15%

Food Service Management & Food Safety (餐饮管理与食品安全卫生)

Covers institutional hospital food services, clinical therapeutic diet modifications (clear liquid, full liquid, soft diet, low-residue, low-salt/low-sodium, low-purine, protein-restricted diets), menu planning using the Food Exchange List System (食物交换份法 / 90 kcal standard exchange unit), food preservation principles and shelf-life extension, foodborne pathogens and microbial toxins (Salmonella enterica, Staphylococcus aureus heat-stable enterotoxin, Clostridium botulinum neurotoxin, Vibrio parahaemolyticus in seafood, Listeria monocytogenes in refrigerated ready-to-eat foods, Bacillus cereus in fried rice), mycotoxins (aflatoxin B1 in peanuts/corn, ochratoxin, patulin in fruits), toxic chemical contaminants (nitrosamines, polycyclic aromatic hydrocarbons PAH from charcoal grilling, heterocyclic amines HCA from high-heat meat cooking, acrylamide from starchy food frying, heavy metals Pb/Cd/Hg/As), and Hazard Analysis Critical Control Point (HACCP) principles, critical limit verification, and corrective actions in hospital kitchen workflows.

10%

Professional Ethics, Laws & Standards (职业道德、法律法规与标准)

Examines compliance with the Chinese Nutrition Society Code of Professional Conduct for Registered Dietitians (中国注册营养师职业道德规范), professional scope of practice, informed consent, medical record documentation, patient confidentiality and personal data protection, statutory mandates under the Food Safety Law of the People's Republic of China (中华人民共和国食品安全法), National Food Safety Standard for Nutrition Labeling of Prepackaged Foods (GB 28050 / mandatory '4+1' core nutrients: Energy, Protein, Fat, Carbohydrate, Sodium, and calculation of Nutrient Reference Values %NRV), General Standard for the Labeling of Prepackaged Foods (GB 7718), and regulatory frameworks for Foods for Special Medical Purpose (FSMP / 特殊医学用途配方食品 GB 29922 and GB 25596).

How to Pass the Registered Dietitian (China) Exam

What You Need to Know

  • Passing score: Not published in the reviewed 2025 official outline; consult the current sitting notice
  • Assessment: Single Unified Computer-Based Session: 200 Single-Choice Objective Questions (0.5 points each, 100 points total, 180 minutes / 3.0 hours)
  • Time limit: Not published in the reviewed 2025 official outline; consult the current sitting notice
  • Exam fee: Not published in the reviewed 2025 official outline; consult the current sitting notice

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Registered Dietitian (China) Study Tips from Top Performers

1Master Chinese DRIs Metrics & Quantitative Thresholds: Thoroughly memorize the definitions and distinctions between EAR (50% population requirement), RNI (EAR + 2 SD, covering 97–98%), AI (used when EAR cannot be set), UL (tolerable upper intake limit without adverse risk), AMDR (macro percentages: Carb 50–65%, Fat 20–30%, Protein 10–15%), PI-NCD (e.g., sodium <2000 mg/d, potassium ≥3600 mg/d), and Chinese adult BMI cutoffs (<18.5, 18.5–23.9, 24.0–27.9, ≥28.0).
2Calculate Energy Expenditure & Macronutrient Distribution: Practice clinical formulas including the Mifflin-St Jeor equation, Harris-Benedict equation, Rule of Thumb (25–30 kcal/kg/d for standard adults, 20–25 kcal/kg/d for weight loss/critical illness acute phase), Nitrogen balance ($N_{\text{balance}} = \text{Nitrogen Intake} - (\text{UUN} + 4\text{ g})$), and the Food Exchange List System (食物交换份法 / 1 exchange = 90 kcal).
3Internalize Clinical MNT Protocols & Nutritional Screening: Master the NRS-2002 screening criteria (score ≥3 indicates nutritional risk requiring MNT), indications for Enteral Nutrition ('If the gut works, use it!'), EN tube selection (NG vs NJ for high aspiration risk; PEG/PEJ for >4 weeks), and PN Total Nutrient Admixture (TNA) compounding rules (amino acid:dextrose ratios, lipid emulsion safety, calcium-phosphate precipitation prevention, and avoiding Refeeding Syndrome by slowly introducing calories while monitoring phosphate, potassium, and magnesium).
4Learn Disease-Specific Dietetics Rules: Remember CKD non-dialysis protein restrictions (0.6–0.8 g/kg/d) vs hemodialysis requirements (1.0–1.2 g/kg/d); Diabetes MNT carbohydrate counting and low-GI foods; Acute pancreatitis early jejunal EN vs acute phase bowel rest; Hepatic encephalopathy vegetable/dairy protein and BCAA preference; and Gout strict avoidance of organ meats, shellfish, and high-fructose corn syrup.
5Review Food Microbiology, Toxins & Food Safety Standards: Memorize the pathogen characteristics (Staphylococcus aureus heat-stable enterotoxin causing rapid 1–6 hr vomiting, Clostridium botulinum neurotoxin in canned/fermented beans causing flaccid paralysis, Vibrio parahaemolyticus in raw seafood), chemical toxins (Aflatoxin B1 hepatocarcinogenicity, Acrylamide in fried potatoes at >120°C), and GB 28050 '%NRV' calculation formula ($(\%NRV = \text{Nutrient amount per 100g} / \text{NRV reference value}) \times 100\%$).

Frequently Asked Questions

What is the Chinese Registered Dietitian (RD / 中国注册营养师) credential and who administers it?

The Chinese Registered Dietitian (中国注册营养师 / Registered Dietitian, RD) is the official professional qualification established by the Chinese Nutrition Society (CNS / 中国营养学会) to evaluate and certify professional competence in clinical dietetics, medical nutrition therapy, public nutrition, and food safety. The examination and credentialing are administered by the Registered Dietitian Working Committee under the Chinese Nutrition Society.

What is the examination structure, question format, and passing score for the Chinese RD exam?

The examination is conducted as a single unified 3.0-hour (180 minutes) computer-based test (机考) consisting of 200 objective single-choice multiple choice questions (单项选择题). Each question is worth 0.5 points, for a total examination score of 100 points. The national standard passing benchmark is 60 points (60%).

What are the educational and experiential eligibility prerequisites for the Chinese RD exam?

Candidates must hold a Bachelor's degree or higher in Nutrition, Food Hygiene & Nutrition, Preventive Medicine, Clinical Medicine, or a related biomedical discipline from an accredited university. In addition, candidates must have completed required foundational coursework credits in nutrition and medical sciences, completed certified practical internship hours at an accredited dietitian training base (实践教学基地), and be registered members of the Chinese Nutrition Society.

How does the Registered Dietitian (RD) differ from the Registered Dietetic Technician (DTR) and Public Nutritionist?

The Registered Dietitian (RD / 注册营养师) requires a relevant bachelor's degree or higher, advanced clinical training, and evaluates autonomous clinical decision-making and Medical Nutrition Therapy (MNT) in complex disease states. The Registered Dietetic Technician (DTR / 注册营养技师) requires an associate or bachelor's degree and focuses on practical dietary implementation and food service assistance. Public Nutritionist (公共营养师) is a broader vocational occupational skill title, whereas RD is the specialized clinical and academic gold standard recognized by healthcare institutions.

What are the core national standards and clinical guidelines tested on the Chinese RD examination?

Key standards include the Chinese Dietary Reference Intakes (DRIs / 中国居民膳食营养素参考摄入量), Chinese Dietary Guidelines (中国居民膳食指南), Food Safety Law of the PRC (中华人民共和国食品安全法), National Food Safety Standard for Nutrition Labeling of Prepackaged Foods (GB 28050), General Standard for Prepackaged Food Labeling (GB 7718), Standards for Foods for Special Medical Purpose (FSMP / GB 29922, GB 25596), and CSPEN/ESPEN clinical nutrition guidelines for enteral and parenteral nutrition.

Why is this OpenExamPrep practice question bank provided in English?

While the official examination in China is administered in Simplified Chinese, this OpenExamPrep practice module presents 100 high-yield multiple-choice questions in English designed to build bilingual conceptual mastery for international practitioners, bilingual clinical nutritionists, cross-border dietitians, and researchers working within Chinese tertiary healthcare systems or multinational pharmaceutical/nutrition enterprises. Every question seamlessly incorporates authentic Chinese clinical terminology, national standard numbers, and diagnostic abbreviations in parentheses for precise cross-referencing.