Nursing Elites

1. In which individual does negative nitrogen balance occur?

• A. Adult who engages in a weight-training program.
• B. Woman who is pregnant or lactating.
• C. Child who is growing.
• D. Older adult with anorexia.

Correct answer: D

Rationale: Negative nitrogen balance occurs when the body loses more nitrogen than it gains. This imbalance is often seen in conditions like anorexia in older adults, where insufficient protein intake leads to muscle breakdown and negative nitrogen balance. Choices A, B, and C do not typically lead to negative nitrogen balance as seen in anorexia in older adults.

2. Which hormone stimulates the gallbladder to contract?

• A. Secretin.
• B. Cholecystokinin (CCK).
• C. Gastrin.
• D. Gastric inhibitory polypeptide (GIP).

Correct answer: B

Rationale: Cholecystokinin (CCK) is the hormone responsible for stimulating the gallbladder to contract and release bile into the small intestine. Secretin primarily acts on the pancreas to stimulate the secretion of bicarbonate-rich fluid. Gastrin functions in the stimulation of gastric acid secretion, while Gastric inhibitory polypeptide (GIP) plays a role in inhibiting gastric acid secretion and stimulating insulin release.

3. What is the recommended dietary intake of protein for adults?

• A. 0.5 g/kg.
• B. 0.8 g/kg.
• C. 1.0 g/kg.
• D. 1.5 g/kg.

Correct answer: B

Rationale: The recommended dietary intake of protein for adults is 0.8 grams per kilogram of body weight. This amount is considered adequate for most healthy adults. Choices A, C, and D are incorrect as they do not align with the generally recommended protein intake for adults.

4. Which of the following provides the best source of nutrients?

• A. specific food combinations.
• B. a variety of foods.
• C. individual foods.
• D. a variety of food supplements.

Correct answer: B

Rationale: A variety of foods is the best source of nutrients because it ensures a balanced intake of all essential nutrients required by the body. Option A, specific food combinations, may not provide all necessary nutrients as relying on only a few types of food may lead to deficiencies. Option C, individual foods, also may not provide a complete range of nutrients necessary for overall health. Option D, a variety of food supplements, is not the best source of nutrients as whole foods are generally more beneficial due to their natural nutrient composition and bioavailability.

5. The process of photosynthesis is responsible for the synthesis of:

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

Correct answer: A

Rationale: The correct answer is A: carbohydrates. Photosynthesis is the process by which plants, algae, and some bacteria convert light energy, usually from the sun, into chemical energy stored in glucose (a type of carbohydrate). This glucose is used by the organisms for energy production and as a building block for other organic compounds. Choice B, proteins, is incorrect because proteins are synthesized through a different process involving amino acids. Choice C, fats, are not directly synthesized through photosynthesis; they are typically formed from excess carbohydrates. Choice D, vitamins, are organic compounds that are required in small amounts for various physiological functions but are not directly synthesized through photosynthesis.

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