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. What is the primary function of carbohydrates as a food source?

• A. Regulate metabolic processes.
• B. Build body tissue.
• C. Supply energy.
• D. Provide bulk.

Correct answer: C

Rationale: The primary function of carbohydrates as a food source is to supply energy. Carbohydrates are the body's main source of energy, providing fuel for various physiological functions. Choice A is incorrect because carbohydrates do not primarily regulate metabolic processes; that role is mainly attributed to enzymes and hormones. Choice B is incorrect because proteins are primarily responsible for building body tissue. Choice D is incorrect because fiber, not all carbohydrates, provides bulk in the diet.

3. What is one function of essential fatty acids?

• A. improve skin integrity.
• B. control lipid digestion.
• C. reduce blood clotting time.
• D. form chylomicrons.

Correct answer: A

Rationale: Essential fatty acids play a crucial role in improving skin integrity by supporting the structure and function of cell membranes. This helps in maintaining healthy skin and promoting overall well-being. The other choices are incorrect because essential fatty acids do not directly control lipid digestion, reduce blood clotting time, or form chylomicrons.

4. The primary responsibility for nutrition care of people in the community belongs to the:

• A. community physician.
• B. public health nurse.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: C

Rationale: Public health nutritionists work within communities to ensure that populations have access to nutritional resources. They focus on promoting good nutrition, developing programs, and educating the public about healthy eating habits. While community physicians, public health nurses, and registered dietitians may also play roles in promoting nutrition in the community, the primary responsibility for nutrition care typically falls under the purview of public health nutritionists.

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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