Nursing Elites

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. Which of the following plasma proteins helps maintain fluid balance?

• A. Albumin
• B. Fibrinogen
• C. Hemoglobin
• D. Collagen

Correct answer: A

Rationale: Albumin is the correct answer. It is a plasma protein that helps maintain osmotic pressure, thereby playing a vital role in regulating fluid balance in the body. Fibrinogen is involved in blood clotting, not fluid balance. Hemoglobin is responsible for oxygen transport in red blood cells, not fluid balance. Collagen is a structural protein found in connective tissues, not directly involved in fluid balance.

3. In a low-carbohydrate diet, most of the calories are supplied by:

• A. proteins.
• B. fats.
• C. carbohydrates.
• D. vitamins.

Correct answer: B

Rationale: In a low-carbohydrate diet, fats become the primary source of calories as carbohydrate intake is restricted. Proteins can contribute to caloric intake but are not the primary source in a low-carbohydrate diet. Carbohydrates are intentionally limited in this diet, so they do not supply most of the calories. Vitamins are essential nutrients but do not provide calories.

4. 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.

5. Consuming 30 g of which nutrient would provide the highest number of kcalories?

• A. Carbohydrates
• B. Fat
• C. Protein
• D. Micronutrients

Correct answer: B

Rationale: The correct answer is B, 'Fat.' Fat provides 9 kcalories per gram, which is more than carbohydrates and proteins that provide 4 kcalories per gram each. Therefore, consuming 30 g of fat would yield a higher number of kcalories compared to the same amount of carbohydrates or proteins. Micronutrients do not significantly contribute to kcalories, making them an incorrect choice in this scenario.

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