Nursing Elites

1. The Dietary Guidelines are published and revised by the U.S. Department of Agriculture in association with the:

• A. Department of Health and Human Services.
• B. National Institutes of Health.
• C. National Academy of Sciences.
• D. Food and Nutrition Board.

Correct answer: A

Rationale: The correct answer is A. The U.S. Department of Agriculture collaborates with the Department of Health and Human Services to publish and revise the Dietary Guidelines for Americans. This collaboration ensures that the guidelines encompass both agricultural and health aspects. Choices B, C, and D are incorrect as they are not directly involved in the publication and revision of the Dietary Guidelines. The National Institutes of Health focuses on medical research, the National Academy of Sciences provides independent scientific advice, and the Food and Nutrition Board is a part of the National Academies of Sciences, Engineering, and Medicine.

2. Sucrose consists of a combination of glucose and:

• A. maltose.
• B. fructose.
• C. galactose.
• D. lactose.

Correct answer: B

Rationale: The correct answer is B, fructose. Sucrose is a disaccharide composed of one molecule of glucose and one molecule of fructose. Maltose (choice A) is composed of two glucose molecules, galactose (choice C) is a monosaccharide, and lactose (choice D) is composed of one molecule of glucose and one molecule of galactose. Therefore, fructose is the correct choice for the second component of sucrose.

3. Which of the following is an example of a plasma protein?

• A. Collagen.
• B. Myosin.
• C. Albumin.
• D. Phospholipid.

Correct answer: C

Rationale: The correct answer is C, albumin. Albumin is a plasma protein that plays a crucial role in maintaining fluid balance in the blood. Collagen (choice A) is a structural protein found in connective tissues, not a plasma protein. Myosin (choice B) is a protein involved in muscle contraction, not found in the blood plasma. Phospholipid (choice D) is a type of lipid molecule, not a protein present in plasma.

4. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

5. What does the Tolerable Upper Intake Level (UL) represent?

• A. a replacement for Recommended Dietary Allowances (RDAs).
• B. a safe level of intake for people of all ages.
• C. a potentially toxic level of intake of a nutrient.
• D. the highest amount of a nutrient that can be safely consumed.

Correct answer: D

Rationale: The Tolerable Upper Intake Level (UL) represents the highest amount of a nutrient that can be safely consumed without causing adverse health effects. It is not a replacement for Recommended Dietary Allowances (RDAs) (choice A) which are nutrient intake recommendations. While the UL is established to prevent toxicity, it is not a completely safe level for people of all ages (choice B). It is also not a potentially toxic level of intake of a nutrient (choice C), but rather the level that is unlikely to cause adverse health effects.

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