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. One characteristic of an essential fatty acid is that it:

• A. comes from a plant source.
• B. comes from an animal source.
• C. is not manufactured by the body.
• D. is manufactured by the body.

Correct answer: C

Rationale: The correct answer is C because essential fatty acids are not manufactured by the body and must be obtained through the diet. Choice A is incorrect because essential fatty acids can come from plant sources as well. Choice B is incorrect as essential fatty acids are primarily derived from plant sources. Choice D is incorrect because essential fatty acids cannot be produced by the body. Therefore, the only accurate statement is that essential fatty acids are not manufactured by the body.

3. Which of the following is an example of a plasma protein?

• A. Collagen.
• B. Myosin.
• C. Albumin.
• D. Phospholipid.

Correct answer: C

Rationale: The correct answer is C, albumin. Albumin is a plasma protein that plays a crucial role in maintaining fluid balance in the blood. Collagen (choice A) is a structural protein found in connective tissues, not a plasma protein. Myosin (choice B) is a protein involved in muscle contraction, not found in the blood plasma. Phospholipid (choice D) is a type of lipid molecule, not a protein present in plasma.

4. Which monosaccharide only occurs naturally in foods in combination with another sugar as a disaccharide?

• A. Fructose.
• B. Galactose.
• C. Sucrose.
• D. Maltose.

Correct answer: B

Rationale: The correct answer is B, galactose. Galactose naturally occurs in foods only when it is combined with glucose to form lactose, a disaccharide found in milk. Fructose is a monosaccharide found in fruits and honey. Sucrose is a disaccharide composed of glucose and fructose, commonly known as table sugar. Maltose is a disaccharide formed by the combination of two glucose molecules.

5. The number of kilocalories provided by a food that contains 22g of fat is:

• A. 88
• B. 132
• C. 154
• D. 198

Correct answer: D

Rationale: The correct answer is D. Fat provides 9 kcal per gram, so 22 grams of fat will provide 198 kcal (22g * 9 kcal/g = 198 kcal). Choice A (88) is incorrect because it miscalculates the kcalories. Choice B (132) is incorrect as it does not consider the correct kcaloric value of fat. Choice C (154) is incorrect as it also does not calculate the kcalories accurately based on the fat content.

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