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. Amino acids that can be synthesized by the body in sufficient amounts are known as:

• A. indispensable.
• B. dispensable.
• C. simple.
• D. complex.

Correct answer: B

Rationale: The correct answer is B, 'dispensable.' Dispensable amino acids are those that the body can synthesize in sufficient amounts, so they are not required to be obtained from the diet. Indispensable amino acids, on the other hand, are essential and must be obtained from the diet because the body cannot produce them in sufficient quantities. Choices C and D, 'simple' and 'complex,' are incorrect as they do not accurately describe amino acids in terms of synthesis by the body.

3. 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.

4. 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.

5. 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.

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