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. Where does the major portion of the chemical digestion of lipids occur?

• A. Mouth.
• B. Stomach.
• C. Small intestine.
• D. Large intestine.

Correct answer: C

Rationale: The correct answer is C: Small intestine. The majority of lipid digestion occurs in the small intestine, where bile and pancreatic lipase are active. Lipids are broken down into fatty acids and glycerol in the small intestine. Choices A, B, and D are incorrect because the mouth and stomach play minor roles in lipid digestion, and the large intestine is mainly responsible for absorbing water and electrolytes from the indigestible food residues.

3. Which of the following are macronutrients?

• A. Minerals.
• B. Proteins.
• C. Vitamins.
• D. Enzymes.

Correct answer: B

Rationale: Proteins are indeed macronutrients, along with carbohydrates and fats. Macronutrients are nutrients that provide energy and are required in large amounts by the body. Minerals and vitamins are considered micronutrients, as they are needed in smaller quantities. Enzymes, on the other hand, are not nutrients but rather biological molecules that act as catalysts in biochemical reactions.

4. Ketones are produced when:

• A. carbohydrate stores are depleted.
• B. excess protein is consumed.
• C. protein stores are depleted.
• D. fat stores are depleted.

Correct answer: A

Rationale: Ketones are produced when the body uses fat for energy due to the depletion of carbohydrate stores. When carbohydrate stores are depleted, the body turns to fat as its primary source of energy, leading to the production of ketones. Excess protein consumption does not directly lead to ketone production. Similarly, the depletion of protein stores or fat stores is not directly related to the production of ketones.

5. An important characteristic of amino acids is that they can:

• A. act as buffers.
• B. facilitate glucose storage.
• C. regulate heartbeat.
• D. control the level of blood cholesterol.

Correct answer: A

Rationale: The correct answer is A: act as buffers. Amino acids can act as buffers by helping to maintain the pH balance in the body. Choice B is incorrect because amino acids do not primarily facilitate glucose storage. Choice C is incorrect as amino acids do not regulate the heartbeat. Choice D is also incorrect because amino acids do not control the level of blood cholesterol.

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