Nursing Elites

1. A client with diabetes is being taught by a nurse about the dietary source that should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?

• A. "Most of my calories each day should be from fats."?
• B. "I should eat more calories from complex carbohydrates than anything else."?
• C. "Simple sugars are needed more than other calorie sources."?
• D. "Protein should be my main source of calories."?

Correct answer: B

Rationale: The correct answer is '"I should eat more calories from complex carbohydrates than anything else."?' Clients with diabetes should focus on complex carbohydrates as their primary calorie source because they have a lower impact on blood sugar levels compared to simple sugars or fats. Choice A is incorrect because a high intake of fats can lead to various health issues. Choice C is incorrect because simple sugars can cause rapid spikes in blood sugar levels. Choice D is incorrect as while protein is important, it should not be the main source of calories for someone with diabetes.

2. Which is most likely to initiate periodontal disease?

• A. Nutrient deficiencies
• B. Nutrient excesses
• C. Nutrient imbalances
• D. Plaque biofilm

Correct answer: D

Rationale: Plaque biofilm is the primary initiator of periodontal disease, as it harbors bacteria that can lead to inflammation and destruction of the periodontal tissues.

3. Generally, lifestyle-related diseases share common risk factors. Which of the following is NOT one of them?

• A. Physical activity
• B. Smoking
• C. Genetics
• D. Nutrition

Correct answer: C

Rationale: Common risk factors for lifestyle-related diseases typically include aspects of one's lifestyle that can be modified or controlled, such as physical activity, smoking habits, and nutrition. These factors can be changed to prevent or manage lifestyle-related diseases. Genetics, on the other hand, is not a modifiable risk factor, meaning it cannot be changed or controlled. Therefore, it is not considered a common risk factor for lifestyle-related diseases. Understanding the modifiable risk factors for these diseases allows for better prevention and management strategies, and helps reduce the risk of complications.

4. Loss of smell results in a condition that limits capacity to detect the flavor of food and beverages called:

• A. Hypergeusia
• B. Dysgeusia
• C. Anosmia
• D. Phantom taste

Correct answer: C

Rationale: Anosmia is the loss of the sense of smell, which significantly impacts the ability to detect flavors in food and beverages.

5. Each of the following nutrients provides energy except one. Which one is the exception?

• A. Proteins
• B. Carbohydrates
• C. Fats
• D. Vitamins

Correct answer: D

Rationale: The correct answer is D, Vitamins. While proteins, carbohydrates, and fats provide energy, vitamins do not. Vitamins are essential micronutrients that help regulate various biochemical processes in the body, such as metabolism and immunity. Choice A, B, and C are incorrect because proteins, carbohydrates, and fats are macronutrients that the body uses as a source of energy.

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