Nursing Elites

1. How are lipids carried in the bloodstream?

• A. Micelles.
• B. Glycolipids.
• C. Lecithin.
• D. Lipoproteins.

Correct answer: D

Rationale: Lipids are carried in the bloodstream in the form of lipoproteins. Lipoproteins are complexes of proteins and lipids that transport fats to various parts of the body. While micelles, glycolipids, and lecithin are all related to lipid metabolism, they are not the primary carriers of lipids in the bloodstream. Micelles are small lipid clusters in the intestines, glycolipids are lipids with a carbohydrate attached, and lecithin is a type of phospholipid. Therefore, lipoproteins are the correct answer as they are specifically designed for transporting lipids through the bloodstream.

2. During lactation, where is lactose synthesized in the body?

• A. Liver
• B. Breast
• C. Kidney
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Breast. Lactose is synthesized in the breast during lactation to produce breastmilk. The liver is responsible for various metabolic functions but does not synthesize lactose. The kidney's primary role is in filtering blood and regulating electrolytes, not lactose synthesis. The pancreas is involved in producing digestive enzymes and insulin, not lactose synthesis.

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. The percentage of the total daily caloric intake for healthy persons that should be supplied by carbohydrate is:

• A. 10% to 35%.
• B. 20% to 35%.
• C. 40% to 55%.
• D. 45% to 65%.

Correct answer: D

Rationale: The correct answer is D: 45% to 65%. Carbohydrates should contribute between 45% to 65% of the total daily caloric intake for healthy individuals to maintain a balanced diet. Choices A, B, and C are incorrect because they suggest lower ranges, which may not provide sufficient energy from carbohydrates for overall health and well-being.

5. What is the term for the action of biting, chewing, and breaking up ingested food into smaller particles?

• A. Peristalsis.
• B. Segmentation.
• C. Metabolism.
• D. Mastication.

Correct answer: D

Rationale: The correct answer is D, 'Mastication.' Mastication is the mechanical process of chewing that breaks down food into smaller particles. Peristalsis (choice A) is the involuntary constriction and relaxation of muscles in the gastrointestinal tract that moves food along. Segmentation (choice B) is the mixing movement of the digestive system that helps to break down food and mix it with digestive juices. Metabolism (choice C) refers to the chemical processes that occur within a living organism to maintain life.

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