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. The percentage of the total daily caloric intake for healthy persons that should be supplied by carbohydrate is:

• A. 10% to 35%.
• B. 20% to 35%.
• C. 40% to 55%.
• D. 45% to 65%.

Correct answer: D

Rationale: The correct answer is D: 45% to 65%. Carbohydrates should contribute between 45% to 65% of the total daily caloric intake for healthy individuals to maintain a balanced diet. Choices A, B, and C are incorrect because they suggest lower ranges, which may not provide sufficient energy from carbohydrates for overall health and well-being.

3. Which of the following foods is high in indispensable amino acids?

• A. Lentils
• B. Tofu
• C. Peanuts
• D. Eggs

Correct answer: D

Rationale: The correct answer is D, eggs. Eggs are considered a high-quality protein source as they are rich in indispensable amino acids. Lentils, tofu, and peanuts also contain protein but are not as high in indispensable amino acids as eggs, making them less complete protein sources.

4. Which lipoprotein carries fat from a meal just consumed to the liver?

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

Correct answer: C

Rationale: Chylomicrons are the lipoproteins responsible for transporting dietary fat from the intestines to various tissues, including the liver. VLDL carries lipids synthesized in the liver, LDL transports cholesterol to tissues, and HDL helps transport cholesterol away from tissues to the liver for excretion. Therefore, in the context of carrying fat from a meal just consumed to the liver, chylomicrons are the correct choice.

5. 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.

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