The 2027 RD Exam Outline: What Changes
CDR’s 2027-2031 test specifications take effect January 1, 2027: same exam format, new domains and weights
145 questions in 3 hours in the 2027 outline’s domain weights, with a score for every new domain.
Free mixed drillA dietitian licensed in Ohio wants to counsel by video a patient who lives in Indiana. What must she check first?
The 2027-2031 RD exam outline
CDR updates the RD exam outline every five years after a practice analysis. The 2022-2026 outline applies to exams through December 31, 2026, and the 2027-2031 outline, approved on June 25, 2025, applies from January 1, 2027. The format does not change: 125 to 145 four-option questions in 3 hours, computer adaptive, scaled 1 to 50 with a passing score of 25.
- In force
- For exams from January 1, 2027 to December 31, 2031; the 2022-2026 outline applies through December 31, 2026
- Our practice exam
- 145 questions (120 scored, 25 unscored pretest) in 3 hours, one way, in the 2027 domain weights; included with a practice pass

The domains, old and new
- 2022-2026: I Principles of Dietetics 21%; II Nutrition Care for Individuals and Groups 45%; III Management of Food and Nutrition Programs and Services 21%; IV Foodservice Systems 13%.
- 2027-2031: I Fundamentals of Dietetics Practice 23%; II Community and Public Health Nutrition 22%; III Human Nutrition and Medical Nutrition Therapy 40%; IV Food Science and Food Systems 15%.
Sit the full exam under the real clock
145 questions in 3 hours in the 2027 outline’s domain weights, with a score for every new domain.
Free mixed drillWhere the topics move
- Food science moves from Principles of Dietetics into the new Food Science and Food Systems domain, together with menus and the flow of food from procurement to service.
- Nutrition science, physiology and life-cycle needs join screening, assessment, diagnosis and MNT in Human Nutrition and Medical Nutrition Therapy.
- Community and public health nutrition gets its own domain: food assistance programs, national dietary guidance, community needs assessment, and planning, teaching and evaluating community programs, including counseling and education methods.
- Management, leadership, marketing, research and professional practice (Code of Ethics, scope, HIPAA, informatics) form Fundamentals of Dietetics Practice.
- The 2027 outline names health equity, cultural humility, emotional intelligence, the GLIM malnutrition criteria and the Social-Ecological Model among its topics.
Other changes from CDR
- A lifetime limit of eight attempts for candidates who establish exam eligibility on or after January 1, 2027 (CDR board decision, May 2026).
- The fee ($250), the 46-day retest wait and the test bundle ($350) are unchanged in the 2026 handbook.
How our practice exams handle the change
- Every question in our bank is tagged to a domain on both outlines. The 2022-2026 practice exam draws its 120 scored questions in that outline’s weights (25, 54, 25 and 16) and the 2027 practice exam in the new weights (28, 26, 48 and 18). The counts are ours: CDR publishes percentages, not counts.
- Both are 145 questions in 3 hours, one way, like the longest real exam, and score you by the domains of the outline you chose.
Common questions
Which outline will my RD exam use?
The date of your exam decides: through December 31, 2026, the 2022-2026 outline; from January 1, 2027, the 2027-2031 outline.
Is the 2027 RD exam harder?
CDR has not said so, and the format and passing score of 25 are unchanged. The content is largely the same knowledge grouped into new domains, with Human Nutrition and Medical Nutrition Therapy now 40% of the exam and foodservice topics a smaller share.
Do I need new study materials for 2027?
The knowledge base is largely the same, but practice by the new domains so your weak-area scores match the 2027 score report. Our 2027 practice exam scores you by the four new domains.
145 questions in 3 hours in the 2027 outline’s domain weights, with a score for every new domain.
Free mixed drillMore RD exam practice
- Food Science and Food Composition
- Human Nutrition and Life-Cycle Needs
- Nutrition Education and Counseling
- Research and Evidence-Based Practice
- Screening, Assessment and Nutrition Diagnosis
- Medical Nutrition Therapy and Nutrition Support
- Community and Public Health Nutrition
- Management, Ethics and Professional Practice
- Foodservice Systems and Food Safety
- Practice exam, 2022-2026 outline (145 questions, 3 hours)
- Practice exam, 2027 outline (145 questions, 3 hours)
- RD exam calculations drill
Sources
- CDR: RD Exam Candidate Handbook 2026 (format, timing, scoring, fee, retest wait)
- CDR: RD Exam Overview (lifetime attempt limit from 2027, test bundle)
- CDR: Study resources, both test specifications, the 2022 vs 2027 comparison and CDR practice questions
- CDR: 2027-2031 RD Test Specifications and Expanded Study Outline (PDF)
- CDR: RD Examination Eligibility Requirements
- CDR: RD Exam Pass/Fail Statistics
- CDR: Exam FAQ (four options, no review, calculator)
- CDR: Professional Development Portfolio (75 CPEUs every 5 years)
Original practice questions for exam preparation, written to CDR’s 2022-2026 and 2027-2031 RD test specifications, not CDR exam questions. Independent practice, not affiliated with or endorsed by the Commission on Dietetic Registration (CDR), the Academy of Nutrition and Dietetics or Pearson VUE. RD and RDN are credentials of CDR and marks of the Academy of Nutrition and Dietetics.