Nursing Elites

1. The end products of digestion of macronutrients include fatty acids, amino acids, and:

• A. monosaccharides.
• B. polysaccharides.
• C. enzymes.
• D. cholesterol.

Correct answer: A

Rationale: The correct answer is A: monosaccharides. When macronutrients like carbohydrates are digested, they are broken down into simpler forms. Carbohydrates are broken down into monosaccharides, proteins into amino acids, and fats into fatty acids. Therefore, the end products of carbohydrate digestion are monosaccharides. Choices B, C, and D are incorrect because polysaccharides are larger carbohydrate molecules, enzymes are not the end products of digestion but rather aid in the process, and cholesterol is not a direct end product of macronutrient digestion.

2. What is the function of chylomicrons?

• A. Produced in the hepatic system.
• B. Composed of triglycerides and cholesterol only.
• C. Absorbed in the large intestine.
• D. Cleared from the blood by lipoprotein lipase.

Correct answer: D

Rationale: Chylomicrons are particles that transport dietary fats from the small intestine to cells in the body. They are cleared from the bloodstream by lipoprotein lipase, an enzyme that breaks down triglycerides in chylomicrons into fatty acids and glycerol. This process allows fats to be absorbed by the body. Choices A, B, and C are incorrect because chylomicrons are not formed in the hepatic system, they are composed of various lipids including triglycerides and cholesterol, and they are absorbed in the small intestine, not the large intestine.

3. The sum of all chemical processes inside living cells of the body that sustain life and health is known as:

• A. physiology
• B. digestion
• C. metabolism
• D. nutrition

Correct answer: C

Rationale: Metabolism is the correct answer as it refers to the sum of all chemical processes that occur within living cells to maintain life and health. Physiology (Choice A) is the study of how living organisms function but does not specifically refer to cellular chemical processes. Digestion (Choice B) is the process of breaking down food in the body, not the overall cellular processes. Nutrition (Choice D) is the process of obtaining and consuming food necessary for health and growth, but it does not encompass all cellular processes related to sustaining life and health.

4. The type of protein-energy malnutrition (PEM) that develops when the diet lacks protein is called:

• A. kwashiorkor.
• B. marasmus.
• C. anemia.
• D. beriberi.

Correct answer: A

Rationale: The correct answer is A: kwashiorkor. Kwashiorkor is a form of protein-energy malnutrition that arises due to a protein-deficient diet. This condition leads to symptoms such as edema, skin lesions, and fatty liver. Choice B, marasmus, is a form of PEM caused by overall malnutrition (protein and calorie deficiency), resulting in severe wasting and muscle loss. Choice C, anemia, is a condition characterized by a deficiency of red blood cells or hemoglobin, not specifically related to protein deficiency. Choice D, beriberi, is a disease caused by thiamine (Vitamin B1) deficiency, not a form of PEM related to protein deficiency.

5. Which observation provides evidence that a person has good nutritional status?

• A. Small muscle mass.
• B. Normal weight-to-height ratio.
• C. Smooth tongue.
• D. Fragile skin.

Correct answer: B

Rationale: A normal weight-to-height ratio is a reliable indicator of good nutritional status as it suggests that the person is well-nourished and not underweight or overweight. Small muscle mass (choice A) can indicate malnutrition, a smooth tongue (choice C) can be a sign of vitamin deficiencies, and fragile skin (choice D) can be a sign of poor nutrition or other health issues, but they are not as direct indicators of good nutritional status as a normal weight-to-height ratio.

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