Nursing Elites

1. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

2. 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.

3. What are oligosaccharides composed of?

• A. 3 to 10 monosaccharide units.
• B. large portions of partially digested starch.
• C. nonnutritive sweeteners.
• D. used for weight management.

Correct answer: A

Rationale: Oligosaccharides are carbohydrates composed of 3 to 10 monosaccharide units, making choice A the correct answer. Choice B is incorrect as oligosaccharides do not contain partially digested starch. Choice C is incorrect as nonnutritive sweeteners are a different category of compounds. Choice D is incorrect as oligosaccharides are not primarily used for weight management.

4. Infections are common in people who have inadequate protein intake because of an insufficient quantity of:

• A. insulin.
• B. lipoprotein.
• C. antibodies.
• D. albumin.

Correct answer: C

Rationale: Inadequate protein intake can lead to a decrease in antibody production, making individuals more susceptible to infections. Insulin (Choice A) is a hormone involved in regulating blood sugar levels, not related to protein intake. Lipoprotein (Choice B) is a type of lipid-protein complex involved in lipid transport, not directly related to antibody production. Albumin (Choice D) is a protein that helps maintain oncotic pressure and carries various substances in the blood, but it is not primarily responsible for fighting infections like antibodies.

5. How many kilocalories (kcal) are provided by a food containing 30 grams of carbohydrate?

• A. 90
• B. 120
• C. 180
• D. 270

Correct answer: B

Rationale: The correct answer is B: 120. Carbohydrates provide 4 kcal per gram, so 30 grams of carbohydrates will provide 120 kcal. This is calculated by multiplying the grams of carbohydrate (30) by the kcal per gram (4). Choices A, C, and D are incorrect because they do not reflect the correct calculation based on the energy content of carbohydrates.

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