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. How can cholesterol absorption be decreased?

• A. Vitamin K.
• B. Plant sterols.
• C. Trans fats.
• D. Phospholipids.

Correct answer: B

Rationale: The correct answer is B: Plant sterols. Plant sterols can reduce cholesterol absorption by competing with cholesterol for absorption sites. Vitamin K, choice A, does not have a significant impact on cholesterol absorption. Trans fats, choice C, are known to increase cholesterol levels rather than decrease absorption. Phospholipids, choice D, play a role in cell structure and are not directly involved in reducing cholesterol absorption.

3. What are the major sources of energy for the body?

• A. Proteins and fats.
• B. Carbohydrates and fats.
• C. Proteins and carbohydrates.
• D. Vitamins and minerals.

Correct answer: B

Rationale: The correct answer is B: Carbohydrates and fats. Carbohydrates are the body's primary and most efficient source of energy, providing fuel for daily activities. Fats are also a significant energy source, especially during times of prolonged or intense exercise. Proteins are primarily used for building and repairing tissues, not as a major energy source. Vitamins and minerals are essential for various bodily functions but do not serve as direct sources of energy.

4. With respect to its effect on colon microflora, fiber is considered a:

• A. prebiotic.
• B. probiotic.
• C. functional food.
• D. protective agent.

Correct answer: A

Rationale: The correct answer is A: prebiotic. Fiber acts as a prebiotic by providing a food source for beneficial bacteria in the colon, promoting their growth and activity. This helps maintain a healthy balance of microflora in the gut. Choice B, probiotic, is incorrect as fiber itself does not contain live beneficial bacteria but rather supports their growth. Choice C, functional food, is too broad and doesn't specifically address fiber's role in promoting beneficial bacteria. Choice D, protective agent, is vague and does not directly relate to fiber's specific function in colon microflora.

5. People with phenylketonuria should avoid foods made with which nonnutritive sweetener?

• A. acesulfame-K
• B. aspartame
• C. saccharin
• D. sucralose

Correct answer: B

Rationale: People with phenylketonuria should avoid aspartame because it contains phenylalanine, which they cannot metabolize. Acesulfame-K, saccharin, and sucralose do not contain phenylalanine and are safe for individuals with phenylketonuria. Therefore, the correct answer is B. Acesulfame-K, saccharin, and sucralose are incorrect choices because they do not pose a risk for individuals with phenylketonuria due to the absence of phenylalanine in their composition.

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