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. During lactation, where is lactose synthesized in the body?

• A. Liver
• B. Breast
• C. Kidney
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Breast. Lactose is synthesized in the breast during lactation to produce breastmilk. The liver is responsible for various metabolic functions but does not synthesize lactose. The kidney's primary role is in filtering blood and regulating electrolytes, not lactose synthesis. The pancreas is involved in producing digestive enzymes and insulin, not lactose synthesis.

3. To prevent symptoms of fatigue, dehydration, and energy loss, what is the daily recommended minimum intake of carbohydrates?

• A. 130 g.
• B. 230 g.
• C. 330 g.
• D. 430 g.

Correct answer: A

Rationale: The correct answer is A: 130 g. The recommended minimum intake of carbohydrates to prevent fatigue, dehydration, and energy loss is 130 grams per day. Consuming an adequate amount of carbohydrates provides the body with energy and helps prevent symptoms associated with insufficient carbohydrate intake. Choices B, C, and D are incorrect as they suggest higher amounts of carbohydrate intake, which may not necessarily align with the recommended daily minimum intake for preventing symptoms of fatigue, dehydration, and energy loss.

4. Pepsinogen secreted by the gastric cells is converted into pepsin by:

• A. enterokinase
• B. hydrochloric acid
• C. gastric lipase
• D. pancreatic lipase

Correct answer: B

Rationale: Pepsinogen is converted into its active form, pepsin, by hydrochloric acid in the stomach. Hydrochloric acid helps in unfolding the pepsinogen molecule to transform it into pepsin, which is crucial for protein digestion. Therefore, the correct answer is hydrochloric acid (choice B). Enterokinase (choice A) is an enzyme produced in the small intestine that activates trypsinogen into trypsin, not pepsinogen. Gastric lipase (choice C) is an enzyme that digests fats, not involved in converting pepsinogen to pepsin. Pancreatic lipase (choice D) is an enzyme produced by the pancreas that aids in breaking down fats in the small intestine, not part of the process of pepsin activation.

5. Which of the following is an example of a disaccharide?

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

Correct answer: D

Rationale: The correct answer is D, Maltose. A disaccharide is formed when two monosaccharides are joined together. Glucose, fructose, and galactose are all monosaccharides, not disaccharides. Therefore, they are not examples of disaccharides.

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