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. What is the process of converting glycogen to glucose called?

• A. Glucogenesis.
• B. Glycogenolysis.
• C. Glyconeogenesis.
• D. Gluconeogenesis.

Correct answer: B

Rationale: The correct answer is B: Glycogenolysis. Glycogenolysis is the process of breaking down glycogen into glucose. Choices A, C, and D are incorrect. Glucogenesis (choice A) is not a term used in biochemistry. Glyconeogenesis (choice C) refers to the synthesis of new glucose molecules from non-carbohydrate sources, not the breakdown of glycogen. Gluconeogenesis (choice D) is the process of producing glucose from non-carbohydrate sources, not the breakdown of glycogen.

3. What is one useful outcome of keeping a record of everything you eat and drink for a day?

• A. Precise estimates of portion sizes.
• B. Determination of appropriate energy intake.
• C. Estimation of supplement needs.
• D. Increased awareness of personal food patterns.

Correct answer: D

Rationale: The correct answer is D: Increased awareness of personal food patterns. Keeping a food record is beneficial as it helps individuals become more mindful of their eating habits and food choices. This awareness can lead to identifying patterns, triggers, and areas for improvement in one's diet. Choices A, B, and C are incorrect because the primary benefit of keeping a food record is not about precise estimates of portion sizes, determining energy intake, or estimating supplement needs, but rather about developing a deeper understanding of personal food patterns.

4. What is the interrelated network of nerves within the gastrointestinal wall that regulates its muscular action known as?

• A. gastric nerve plexus
• B. biliary nerve plexus
• C. intramural nerve plexus
• D. intestinal nerve plexus

Correct answer: C

Rationale: The correct answer is C, intramural nerve plexus. The intramural nerve plexus is the interrelated network of nerves within the gastrointestinal wall that regulates its muscular action. The gastric nerve plexus (choice A) specifically pertains to the network of nerves in the stomach, not the entire gastrointestinal wall. The biliary nerve plexus (choice B) is associated with nerve supply in the liver, gallbladder, and bile ducts, not the gastrointestinal wall. The intestinal nerve plexus (choice D) is a general term that may refer to various nerve networks within the intestines but does not specifically address the entire gastrointestinal wall.

5. What is the basis of MyPlate food guidance?

• A. Percentage of calories from each macronutrient.
• B. Exchange Lists for Meal Planning.
• C. Appropriate amounts of food from each food group.
• D. Amounts of macronutrients and micronutrients.

Correct answer: C

Rationale: The correct answer is C: 'Appropriate amounts of food from each food group.' MyPlate food guidance focuses on portion sizes from different food groups to promote a balanced diet. Choices A, B, and D are incorrect because MyPlate emphasizes the consumption of a variety of foods from different food groups rather than focusing solely on macronutrient percentages, exchange lists, or specific nutrient amounts.

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