Nursing Elites

1. A food choice equivalent to one serving from the Grains group of MyPlate is:

• A. one slice of bread
• B. 2 cups of rice
• C. 3 cups of spaghetti
• D. 4 oz of ready-to-eat cereal

Correct answer: A

Rationale: One slice of bread is a standard serving from the Grains group in MyPlate. This choice aligns with the recommended portion size for grains. Choices B, C, and D are excessive portions that do not represent a single serving according to MyPlate guidelines. 2 cups of rice, 3 cups of spaghetti, and 4 oz of ready-to-eat cereal exceed the standard serving size for grains and would provide more than one serving from this food group.

2. What substance acts as an emulsifier and helps absorb digested fat?

• A. bile
• B. trypsin
• C. lipase
• D. cholecystokinin (CCK)

Correct answer: A

Rationale: The correct answer is A: bile. Bile acts as an emulsifier, breaking down fats into smaller droplets to aid in digestion and absorption. Trypsin is a digestive enzyme that acts on proteins, not fats. Lipase is an enzyme that breaks down fats, but it doesn't act as an emulsifier. Cholecystokinin (CCK) is a hormone that stimulates the release of digestive enzymes, including lipase, but it is not directly involved in emulsification.

3. Which of the following types of fiber is not a carbohydrate?

• A. gums
• B. lignin
• C. pectin
• D. cellulose

Correct answer: B

Rationale: Lignin is the correct answer because it is a type of fiber that is not a carbohydrate and provides structure to plant cell walls. Gums (choice A), pectin (choice C), and cellulose (choice D) are all types of dietary fiber that are carbohydrates. Gums are a type of soluble fiber, pectin is found in fruits and is a soluble fiber, and cellulose is a type of insoluble fiber found in plant cell walls.

4. Signs of malnutrition can appear when:

• A. nutrient reserves are depleted.
• B. nutrient intake exceeds daily needs.
• C. energy intake is restricted.
• D. caloric expenditure increases.

Correct answer: A

Rationale: The correct answer is A: 'nutrient reserves are depleted.' Signs of malnutrition manifest when the body's reserves of essential nutrients are exhausted and can no longer sustain health. Choice B is incorrect because excessive nutrient intake exceeding daily needs does not lead to malnutrition but may cause other health issues. Choice C is incorrect as restricting energy intake may lead to weight loss but not necessarily malnutrition. Choice D is also incorrect as increasing caloric expenditure does not directly cause malnutrition.

5. The percentage of the total daily caloric intake for healthy persons that should be supplied by carbohydrate is:

• A. 10% to 35%.
• B. 20% to 35%.
• C. 40% to 55%.
• D. 45% to 65%.

Correct answer: D

Rationale: The correct answer is D: 45% to 65%. Carbohydrates should contribute between 45% to 65% of the total daily caloric intake for healthy individuals to maintain a balanced diet. Choices A, B, and C are incorrect because they suggest lower ranges, which may not provide sufficient energy from carbohydrates for overall health and well-being.

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