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Nutrition For PN Nursing ATI
1. 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.
2. How many kilocalories (kcal) are provided by 35 g of fat?
- A. 140
- B. 245
- C. 315
- D. 360
Correct answer: C
Rationale: Fat provides 9 kcal per gram, so 35 grams of fat provides 315 kcal. Therefore, the correct answer is C. Choice A (140) is incorrect because it doesn't consider the energy content of fat. Choice B (245) is incorrect as it miscalculates the kilocalories provided by 35g of fat. Choice D (360) is incorrect because it overestimates the kilocalories provided by 35g of fat.
3. Signs of malnutrition can appear when:
- A. nutrient reserves are depleted.
- B. nutrient intake exceeds daily needs.
- C. energy intake is restricted.
- D. caloric expenditure increases.
Correct answer: A
Rationale: The correct answer is A: 'nutrient reserves are depleted.' Signs of malnutrition manifest when the body's reserves of essential nutrients are exhausted and can no longer sustain health. Choice B is incorrect because excessive nutrient intake exceeding daily needs does not lead to malnutrition but may cause other health issues. Choice C is incorrect as restricting energy intake may lead to weight loss but not necessarily malnutrition. Choice D is also incorrect as increasing caloric expenditure does not directly cause malnutrition.
4. 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.
5. 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.
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