Nursing Elites

1. A person with lactose intolerance should be most careful to limit their intake of:

• A. milk
• B. yogurt
• C. cheese
• D. corn syrup

Correct answer: A

Rationale: Individuals with lactose intolerance lack the enzyme lactase needed to break down lactose, the sugar in dairy products. Milk contains a high amount of lactose, making it crucial for those with lactose intolerance to limit their intake. Yogurt and cheese, on the other hand, have lower lactose content due to the fermentation process which reduces lactose levels, making them better tolerated by many with lactose intolerance. Corn syrup, although high in sugar, does not contain lactose and is unrelated to lactose intolerance. Therefore, the correct answer is 'milk' as it is a significant source of lactose, which can trigger symptoms in individuals with lactose intolerance.

2. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

3. 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.

4. Carbohydrates are composed of a combination of carbon, hydrogen, and which other element?

• A. oxygen.
• B. nitrogen.
• C. water.
• D. glucose.

Correct answer: A

Rationale: Carbohydrates are composed of carbon, hydrogen, and oxygen. These three elements combine to form the basic structure of carbohydrates. Oxygen is an essential element in carbohydrates, contributing to their chemical composition. Choice B (nitrogen) is incorrect as nitrogen is not a typical component of carbohydrates. Choice C (water) is incorrect as water is not an element but a compound composed of hydrogen and oxygen. Choice D (glucose) is incorrect as glucose is a specific type of sugar, not an element found in the composition of carbohydrates.

5. 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.

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