Nursing Elites

1. In the most recent edition of Choose Your Foods: Exchange List for Diabetes, the three groups into which foods are arranged are:

• A. fruits and vegetables, breads, and meats.
• B. fats, starches and sugars, and meat and milk.
• C. fruits and vegetables, meat and milk, and starches.
• D. carbohydrates, meat and meat substitutes, and fats.

Correct answer: D

Rationale: The correct answer is D: carbohydrates, meat and meat substitutes, and fats. The most recent edition of Choose Your Foods: Exchange List for Diabetes categorizes foods into these three groups for easier meal planning. Choice A is incorrect because it does not include carbohydrates and groups bread with fruits and vegetables. Choice B is incorrect because it separates carbohydrates into starches and sugars, which are usually counted together in diabetes meal planning. Choice C is incorrect as it does not specifically categorize foods into carbohydrates, meat, and fats as per the latest edition.

2. 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.

3. For a healthy person, what percentage of daily calories should be supplied by protein?

• A. 5% to 10%.
• B. 10% to 35%.
• C. more than 25%.
• D. more than 35%.

Correct answer: B

Rationale: The correct answer is B: 10% to 35%. For a healthy person, it is recommended that 10% to 35% of their daily caloric intake should come from protein. This range ensures an adequate intake of protein for various bodily functions without overdoing it. Choices A, C, and D are incorrect because they suggest percentages either below the recommended range (A, C) or exceeding it (D), which could lead to nutritional imbalances or health issues.

4. At what pH does the digestion of protein by pepsin in the stomach require?

• A. 1.8 and 3.5.
• B. 4.8 and 7.0.
• C. 6.8 and 8.5.
• D. 7.8 and 10.0.

Correct answer: A

Rationale: The correct answer is A: 1.8 and 3.5. Pepsin, an enzyme involved in protein digestion, functions optimally in an acidic environment, specifically between pH 1.8 and 3.5. This low pH is necessary for pepsin to break down proteins effectively. Choices B, C, and D are incorrect because pepsin requires a highly acidic environment, ruling out the pH ranges listed in those options.

5. In addition to protein, which nutrients contribute to the building and repair of tissue?

• A. Vitamins
• B. Carbohydrates
• C. Fats
• D. Enzymes

Correct answer: A

Rationale: The correct answer is A: Vitamins. Vitamins play a crucial role in tissue building and repair along with protein. Carbohydrates (choice B) are primarily a source of energy and not directly involved in tissue building. Fats (choice C) are important for energy storage and insulation but are not the main contributors to tissue building. Enzymes (choice D) are biological catalysts and do not directly contribute to tissue building and repair.

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