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 lipoprotein increases the risk of cardiovascular disease?

• A. Low-density lipoprotein (LDL)
• B. High-density lipoprotein (HDL)
• C. Very low-density lipoprotein (VLDL)
• D. Chylomicrons

Correct answer: A

Rationale: The correct answer is A: Low-density lipoprotein (LDL). LDL is often referred to as 'bad cholesterol' because it can lead to plaque buildup in arteries, increasing the risk of cardiovascular disease. High-density lipoprotein (HDL) is considered 'good cholesterol' as it helps remove LDL from the arteries, reducing the risk of cardiovascular issues. Very low-density lipoprotein (VLDL) and chylomicrons are also lipoproteins that transport fats in the bloodstream, but they are not as strongly associated with an increased risk of cardiovascular disease as LDL.

3. Nutrients interact in the body to regulate metabolic processes, build and repair tissue, and to:

• A. provide energy.
• B. control cellular wastes.
• C. control hormone levels.
• D. regulate absorption.

Correct answer: A

Rationale: The correct answer is A: provide energy. Nutrients play a crucial role in providing energy for the body's various functions. While they do help in regulating metabolic processes and in building and repairing tissue, the primary function related to energy production. Choices B, C, and D are incorrect as nutrients are not primarily responsible for controlling cellular wastes, hormone levels, or absorption.

4. Which component of fat can be used to make glucose through gluconeogenesis?

• A. Glycogen
• B. Fatty acids
• C. Glycerol
• D. Monoglyceride

Correct answer: C

Rationale: The correct answer is 'Glycerol.' Glycerol, a component of fat, can be converted into glucose through gluconeogenesis. Glycogen (Choice A) is a polysaccharide stored in animals, not a component of fat. Fatty acids (Choice B) are used primarily for energy production through beta-oxidation, not for gluconeogenesis. Monoglyceride (Choice D) is a molecule formed during fat digestion, but it is not the component of fat that can be used to make glucose.

5. Which type of carbohydrate helps maintain normal blood glucose levels during fasting periods?

• A. Glucose
• B. Galactose
• C. Dextrins
• D. Glycogen

Correct answer: D

Rationale: The correct answer is glycogen. Glycogen is a type of carbohydrate stored in the body that is broken down into glucose to help maintain blood glucose levels during fasting periods. Glucose (choice A) is the simplest form of sugar and is a product of carbohydrate digestion, not the stored form like glycogen. Galactose (choice B) is a monosaccharide found in dairy products. Dextrins (choice C) are intermediate products of starch digestion and not directly involved in maintaining blood glucose levels during fasting.

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