Nursing Elites

1. Dietary guidelines are most useful for:

• A. limiting portion sizes.
• B. designing a personal food plan.
• C. making smart food choices.
• D. avoiding excessive nutrient intakes.

Correct answer: C

Rationale: Dietary guidelines are designed to assist individuals in making smart food choices by providing recommendations on what to eat to maintain good health. While portion sizes may be a part of these guidelines, they are not the primary focus. Designing a personal food plan involves individual preferences and needs, which may go beyond general guidelines. Avoiding excessive nutrient intakes is important, but dietary guidelines aim to provide balanced recommendations rather than just focusing on avoiding excess.

2. What is the maximum recommended daily intake of cholesterol?

• A. 100 mg.
• B. 200 mg.
• C. 300 mg.
• D. 400 mg.

Correct answer: C

Rationale: The correct answer is C: 300 mg. The recommended maximum daily intake of cholesterol is 300 mg to reduce the risk of heart disease. Option A (100 mg) is too low, which may not provide enough cholesterol for normal bodily functions. Option B (200 mg) is also below the recommended limit. Option D (400 mg) exceeds the recommended daily intake, increasing the risk of heart disease.

3. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

4. The type of protein-energy malnutrition (PEM) that develops when the diet lacks protein is called:

• A. kwashiorkor.
• B. marasmus.
• C. anemia.
• D. beriberi.

Correct answer: A

Rationale: The correct answer is A: kwashiorkor. Kwashiorkor is a form of protein-energy malnutrition that arises due to a protein-deficient diet. This condition leads to symptoms such as edema, skin lesions, and fatty liver. Choice B, marasmus, is a form of PEM caused by overall malnutrition (protein and calorie deficiency), resulting in severe wasting and muscle loss. Choice C, anemia, is a condition characterized by a deficiency of red blood cells or hemoglobin, not specifically related to protein deficiency. Choice D, beriberi, is a disease caused by thiamine (Vitamin B1) deficiency, not a form of PEM related to protein deficiency.

5. A physical science that contributes to understanding how nutrition relates to health and well-being is:

• A. anatomy
• B. biochemistry
• C. physics
• D. pharmacology

Correct answer: B

Rationale: Biochemistry is the correct answer because it focuses on understanding the chemical processes related to nutrition and how nutrients affect the body. Anatomy (choice A) primarily deals with the structure of organisms, not the chemical processes of nutrition. Physics (choice C) deals with energy and matter, not specifically related to nutrition. Pharmacology (choice D) focuses on drugs and their interactions with the body, not directly related to nutrition and its effects on health.

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