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. In which individual does negative nitrogen balance occur?

• A. Adult who engages in a weight-training program.
• B. Woman who is pregnant or lactating.
• C. Child who is growing.
• D. Older adult with anorexia.

Correct answer: D

Rationale: Negative nitrogen balance occurs when the body loses more nitrogen than it gains. This imbalance is often seen in conditions like anorexia in older adults, where insufficient protein intake leads to muscle breakdown and negative nitrogen balance. Choices A, B, and C do not typically lead to negative nitrogen balance as seen in anorexia in older adults.

3. What is the most prevalent dietary disaccharide?

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

Correct answer: C

Rationale: Sucrose is the correct answer as it is the most common disaccharide found in the diet, commonly known as table sugar. Lactose is a disaccharide found in dairy products, not as prevalent in the overall diet as sucrose. Fructose is a monosaccharide commonly found in fruits and honey, not a disaccharide. Galactose is a monosaccharide commonly found in dairy products and is not the most prevalent dietary disaccharide.

4. What is the main body storage form of carbohydrates?

• A. Glycogen.
• B. Starch.
• C. Fat.
• D. Glucose.

Correct answer: A

Rationale: The correct answer is A: Glycogen. Glycogen is the stored form of carbohydrates in the body, primarily found in the liver and muscles. Starch (choice B) is a carbohydrate storage molecule in plants, not in the human body. Fat (choice C) is a different macronutrient and not the main storage form of carbohydrates. Glucose (choice D) is a simple sugar that serves as an energy source, not the main storage form of carbohydrates.

5. Sucrose consists of a combination of glucose and:

• A. maltose.
• B. fructose.
• C. galactose.
• D. lactose.

Correct answer: B

Rationale: The correct answer is B, fructose. Sucrose is a disaccharide composed of one molecule of glucose and one molecule of fructose. Maltose (choice A) is composed of two glucose molecules, galactose (choice C) is a monosaccharide, and lactose (choice D) is composed of one molecule of glucose and one molecule of galactose. Therefore, fructose is the correct choice for the second component of sucrose.

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