Nursing Elites

1. 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.

2. What is the interrelated network of nerves within the gastrointestinal wall that regulates its muscular action known as?

• A. gastric nerve plexus
• B. biliary nerve plexus
• C. intramural nerve plexus
• D. intestinal nerve plexus

Correct answer: C

Rationale: The correct answer is C, intramural nerve plexus. The intramural nerve plexus is the interrelated network of nerves within the gastrointestinal wall that regulates its muscular action. The gastric nerve plexus (choice A) specifically pertains to the network of nerves in the stomach, not the entire gastrointestinal wall. The biliary nerve plexus (choice B) is associated with nerve supply in the liver, gallbladder, and bile ducts, not the gastrointestinal wall. The intestinal nerve plexus (choice D) is a general term that may refer to various nerve networks within the intestines but does not specifically address the entire gastrointestinal wall.

3. It has been generally accepted that the percentage of total daily calories supplied by fats should be no more than:

• A. 10% to 15%.
• B. 10% to 35%.
• C. 20% to 35%.
• D. 40% to 55%.

Correct answer: C

Rationale: The recommended fat intake is between 20% to 35% of total daily calories. This range is considered optimal for maintaining a healthy diet. Choice A (10% to 15%) is too low and might not provide enough essential fats for the body. Choice B (10% to 35%) includes an upper limit that exceeds the generally accepted range. Choice D (40% to 55%) suggests a fat intake that is higher than what is recommended, which could lead to health issues if consumed regularly.

4. In addition to poor eating habits, a factor that often contributes to marginal nutritional status is:

• A. dependence on caffeine.
• B. acute illness.
• C. low income.
• D. size of the family unit.

Correct answer: C

Rationale: Low income is a significant factor contributing to marginal nutritional status due to limited access to nutritious food. While dependence on caffeine or acute illness can impact health, they are not as directly linked to marginal nutrition as low income. The size of the family unit may affect food distribution within the household but is not as directly related to marginal nutritional status as low income.

5. Why are bacteria found in the colon important?

• A. synthesize important vitamins.
• B. complete the process of absorption.
• C. synthesize some minerals.
• D. finish the process of digestion.

Correct answer: A

Rationale: Bacteria found in the colon are important because they synthesize important vitamins, such as vitamin K. This aids in the body's overall health and functioning. Choice B is incorrect because absorption primarily occurs in the small intestine, not the colon. Choice C is incorrect as the synthesis of minerals is not a primary function of colon bacteria. Choice D is incorrect as the digestion process mainly occurs in the stomach and small intestine.

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