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. Major nutrients supplied by foods in the Vegetables group of MyPlate include:

• A. potassium and vitamin A.
• B. iron and vitamin C.
• C. calcium and vitamin B12.
• D. sodium and vitamin E.

Correct answer: A

Rationale: The correct answer is A: potassium and vitamin A. Vegetables are an excellent source of potassium and vitamin A, both essential for maintaining overall health. Iron and vitamin C (choice B) are commonly found in foods from the Protein and Fruits groups, respectively. Calcium and vitamin B12 (choice C) are more abundant in dairy products and animal-based foods. Sodium and vitamin E (choice D) are not the major nutrients typically supplied by vegetables.

3. What is the chemical structure that forms the base component of an amino acid?

• A. carboxyl group
• B. carbon chain
• C. radicals
• D. amino group

Correct answer: D

Rationale: The correct answer is the amino group. Amino acids consist of an amino group (NH2), a carboxyl group (COOH), a hydrogen atom, and a variable side chain attached to a central carbon atom. The amino group is essential for the formation of proteins. The carboxyl group is not the base component but another important functional group in amino acids. Carbon chain and radicals are not specific chemical structures that form the base component of an amino acid.

4. After ingested food is mixed and churned with gastric secretions, the resulting semifluid mass is called:

• A. a bolus.
• B. chyme.
• C. rennin.
• D. glycogen.

Correct answer: B

Rationale: The correct answer is B: chyme. Chyme is the partially digested food that forms a semifluid mass after mixing with gastric juices. A is incorrect because a bolus refers to a rounded mass of food ready to be swallowed. C, rennin, is an enzyme involved in the digestion of milk proteins and not the term for the semifluid mass after food mixing with gastric secretions. D, glycogen, is a form of stored glucose in the body and is not the term used to describe the partially digested food mass in the stomach.

5. The interrelated network of nerves within the gastrointestinal wall that regulates its muscular action is known as the:

• 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. This network of nerves regulates the muscular movements within the gastrointestinal wall. The gastric nerve plexus (choice A) specifically relates to the stomach, not the entire gastrointestinal tract. The biliary nerve plexus (choice B) is associated with the bile ducts and gallbladder, not the regulation of muscular action. The intestinal nerve plexus (choice D) is a general term that doesn't specifically refer to the network of nerves within the gastrointestinal wall.

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