Nursing Elites

1. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

2. The lining of the stomach and intestine is protected from self-digestion by:

• A. pepsinogen.
• B. bile.
• C. mucus.
• D. fat.

Correct answer: C

Rationale: The correct answer is C: mucus. Mucus forms a protective barrier that prevents the stomach and intestine from digesting themselves. Pepsinogen (choice A) is an inactive form of pepsin, a digestive enzyme, and does not protect the stomach lining. Bile (choice B) aids in the digestion and absorption of fats but does not protect the stomach lining. Fat (choice D) is a nutrient and energy source; it does not play a role in protecting the stomach and intestine from self-digestion.

3. With respect to its effect on colon microflora, fiber is considered a:

• A. prebiotic.
• B. probiotic.
• C. functional food.
• D. protective agent.

Correct answer: A

Rationale: The correct answer is A: prebiotic. Fiber acts as a prebiotic by providing a food source for beneficial bacteria in the colon, promoting their growth and activity. This helps maintain a healthy balance of microflora in the gut. Choice B, probiotic, is incorrect as fiber itself does not contain live beneficial bacteria but rather supports their growth. Choice C, functional food, is too broad and doesn't specifically address fiber's role in promoting beneficial bacteria. Choice D, protective agent, is vague and does not directly relate to fiber's specific function in colon microflora.

4. Which of the following is a source of complete protein?

• A. Cereal grains.
• B. Beans.
• C. Nuts.
• D. Eggs.

Correct answer: D

Rationale: Eggs are considered a source of complete protein because they contain all the essential amino acids required by the body. The other options, cereal grains, beans, and nuts, do not provide all the essential amino acids in the necessary proportions to be classified as complete proteins.

5. The sugar to which all other sugars are converted during human metabolism is:

• A. sucrose
• B. fructose
• C. glucose
• D. maltose

Correct answer: C

Rationale: Glucose is the primary sugar used by the body for energy and is converted from other sugars during metabolism. Sucrose is a disaccharide composed of glucose and fructose, not the end product of sugar metabolism. Fructose is a simple sugar found in fruits but needs to be converted to glucose for cellular energy. Maltose is a disaccharide composed of two glucose units and is not the final product of sugar metabolism in humans.

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