Nursing Elites

1. Individuals with optimal nutritional status differ from those with marginal nutritional status in their:

• A. nutrient reserves.
• B. clinical signs.
• C. body weight.
• D. risk of mental illness.

Correct answer: A

Rationale: Individuals with optimal nutritional status differ from those with marginal nutritional status in their nutrient reserves. Optimal nutritional status implies having adequate nutrient reserves, which is lacking in marginal status. Clinical signs (choice B) may or may not be present in both groups and are not the differentiating factor between optimal and marginal statuses. Body weight (choice C) can vary for reasons other than nutritional status. The risk of mental illness (choice D) is not directly related to the comparison between optimal and marginal nutritional status.

2. 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.

3. How many amino acids are considered indispensable or essential?

• A. 9
• B. 10
• C. 12
• D. 14

Correct answer: A

Rationale: The correct answer is A: 9. Nine amino acids are considered essential or indispensable because they cannot be synthesized by the body and must be obtained through the diet. These amino acids include histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine. Choices B, C, and D are incorrect as the number of essential amino acids is specifically 9, as they are crucial for various bodily functions.

4. Which hormone is responsible for stimulating the gallbladder to contract and release bile?

• A. gastric lipase
• B. cholecystokinin
• C. vitamin D
• D. enterokinin

Correct answer: B

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone responsible for stimulating the gallbladder to contract and release bile to aid in fat digestion. Gastric lipase (Choice A) is an enzyme that breaks down fats in the stomach, not a hormone involved in gallbladder function. Vitamin D (Choice C) is important for calcium absorption and bone health, but it is not directly related to gallbladder function. Enterokinin (Choice D) is a peptide hormone that affects smooth muscle contractions in the gastrointestinal tract, but it is not specifically responsible for stimulating the gallbladder to release bile.

5. 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.

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