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. 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.

3. The hormone secretin stimulates production of a buffering solution for the duodenum by the:

• A. stomach.
• B. liver.
• C. pancreas.
• D. oxyntic cells.

Correct answer: C

Rationale: The correct answer is C: pancreas. Secretin stimulates the pancreas to release bicarbonate, which acts as a buffering solution to neutralize the acid entering the duodenum from the stomach. This process helps in maintaining the pH balance in the small intestine. Choice A, stomach, is incorrect as the stomach does not produce the buffering solution needed for the duodenum. Choice B, liver, is incorrect because secretin does not directly stimulate the liver to produce a buffering solution. Choice D, oxyntic cells, is also incorrect as these cells in the stomach are responsible for producing gastric acid, not the buffering solution needed in the duodenum.

4. A major focus of the 2010 Dietary Guidelines is:

• A. generally healthy segments of the population
• B. the unhealthy American public
• C. vulnerable population segments
• D. ethnically diverse eating styles

Correct answer: B

Rationale: The correct answer is B: the unhealthy American public. The 2010 Dietary Guidelines primarily aimed to address the unhealthy eating habits prevalent in the American population. Choice A is incorrect as the focus was not solely on generally healthy segments of the population. Choice C is incorrect as the guidelines were not specifically tailored only for vulnerable population segments. Choice D is incorrect as the guidelines were more concerned with promoting healthy eating habits rather than ethnically diverse eating styles.

5. Which of the following foods are major sources of starch?

• A. Fruits
• B. Meats
• C. Legumes
• D. Milk

Correct answer: C

Rationale: The correct answer is C: Legumes. Legumes, such as beans and lentils, are major sources of starch, providing complex carbohydrates. Fruits (choice A) mainly provide sugars rather than starch. Meats (choice B) and milk (choice D) are not significant sources of starch as they mainly provide protein and fats, respectively. Therefore, choices A, B, and D are incorrect.

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