Nursing Elites

1. In an analysis of the amino acid composition of foods, the amino acid occurring in the smallest amount is called:

• A. indispensable.
• B. dispensable.
• C. complementary.
• D. limiting.

Correct answer: D

Rationale: The correct answer is D, 'limiting.' In the analysis of the amino acid composition of foods, the amino acid that occurs in the smallest amount is referred to as the limiting amino acid. This term is used because when one essential amino acid is deficient, it limits the synthesis of proteins, making it crucial in determining protein quality. Choices A, B, and C are incorrect. 'Indispensable' and 'dispensable' refer to the essentiality of amino acids, and 'complementary' does not describe the concept of the amino acid occurring in the smallest amount.

2. In which individual does negative nitrogen balance occur?

• A. Adult who engages in a weight-training program.
• B. Woman who is pregnant or lactating.
• C. Child who is growing.
• D. Older adult with anorexia.

Correct answer: D

Rationale: Negative nitrogen balance occurs when the body loses more nitrogen than it gains. This imbalance is often seen in conditions like anorexia in older adults, where insufficient protein intake leads to muscle breakdown and negative nitrogen balance. Choices A, B, and C do not typically lead to negative nitrogen balance as seen in anorexia in older adults.

3. It has been generally accepted that the percentage of total daily calories supplied by fats should be no more than:

• A. 10% to 15%.
• B. 10% to 35%.
• C. 20% to 35%.
• D. 40% to 55%.

Correct answer: C

Rationale: The recommended fat intake is between 20% to 35% of total daily calories. This range is considered optimal for maintaining a healthy diet. Choice A (10% to 15%) is too low and might not provide enough essential fats for the body. Choice B (10% to 35%) includes an upper limit that exceeds the generally accepted range. Choice D (40% to 55%) suggests a fat intake that is higher than what is recommended, which could lead to health issues if consumed regularly.

4. Individual nutrients are characterized by their ability to:

• A. work independently.
• B. fulfill specific metabolic roles.
• C. influence weight loss.
• D. improve mental status.

Correct answer: B

Rationale: The correct answer is B: 'fulfill specific metabolic roles.' Nutrients play essential roles in specific metabolic processes in the body such as energy production, tissue repair, and growth. Choice A, 'work independently,' is incorrect as nutrients often work synergistically rather than alone. Choice C, 'influence weight loss,' is incorrect as while some nutrients may support weight loss indirectly through metabolic processes, it is not their primary characteristic. Choice D, 'improve mental status,' is also incorrect as while some nutrients are important for brain health, their primary role is not specifically to improve mental status.

5. How is the enzyme trypsin activated?

• A. By zymogen.
• B. By bile.
• C. By gastrin.
• D. By enterokinase.

Correct answer: D

Rationale: The correct answer is D: By enterokinase. Trypsin is activated by enterokinase, an enzyme secreted by the small intestine. Enterokinase plays a crucial role in converting trypsinogen into its active form, trypsin. Choices A, B, and C are incorrect because trypsin is specifically activated by enterokinase, not by zymogen, bile, or gastrin.

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