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. 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.

3. Regurgitation or reflux of acidic stomach contents back into the esophagus is known as:

• A. hiatal hernia.
• B. diverticulitis.
• C. gastroenteritis.
• D. gastroesophageal reflux disease.

Correct answer: D

Rationale: The correct answer is D: gastroesophageal reflux disease (GERD). GERD occurs when stomach acid flows back into the esophagus, causing symptoms like heartburn and regurgitation. Choice A, hiatal hernia, is a condition where part of the stomach pushes up into the chest through an opening in the diaphragm. Choice B, diverticulitis, is inflammation or infection of small pouches that can form in the lining of the digestive system. Choice C, gastroenteritis, is inflammation of the stomach and intestines typically caused by a viral or bacterial infection. Therefore, only choice D accurately describes the regurgitation or reflux of acidic stomach contents back into the esophagus.

4. What is the process by which proteins are synthesized from the available amino acids?

• A. Gluconeogenesis.
• B. Deamination.
• C. Protein synthesis.
• D. Transamination.

Correct answer: C

Rationale: The correct answer is C: Protein synthesis. This process involves the formation of proteins from amino acids to support various body functions. Gluconeogenesis (choice A) is the synthesis of glucose from non-carbohydrate sources, not protein synthesis. Deamination (choice B) is the removal of an amino group from an amino acid, not the synthesis of proteins. Transamination (choice D) is the transfer of an amino group from one molecule to another, not the direct synthesis of proteins.

5. Exchange Lists for Meal Planning group foods that are equivalent in their:

• A. weight.
• B. serving size.
• C. micronutrient content.
• D. macronutrient content.

Correct answer: D

Rationale: The Exchange Lists for Meal Planning categorize foods based on their macronutrient content, such as carbohydrate, protein, and fat. These lists help individuals make food choices while ensuring similar amounts of macronutrients are consumed. Therefore, the correct answer is D. Choices A, B, and C are incorrect because Exchange Lists focus on macronutrient content, not weight, serving size, or micronutrient content.

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