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 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. Infections are common in people who have inadequate protein intake because of an insufficient quantity of:

• A. insulin.
• B. lipoprotein.
• C. antibodies.
• D. albumin.

Correct answer: C

Rationale: Inadequate protein intake can lead to a decrease in antibody production, making individuals more susceptible to infections. Insulin (Choice A) is a hormone involved in regulating blood sugar levels, not related to protein intake. Lipoprotein (Choice B) is a type of lipid-protein complex involved in lipid transport, not directly related to antibody production. Albumin (Choice D) is a protein that helps maintain oncotic pressure and carries various substances in the blood, but it is not primarily responsible for fighting infections like antibodies.

4. Individual nutrients are characterized by their ability to:

• A. work independently.
• B. fulfill specific metabolic roles.
• C. influence weight loss.
• D. improve mental status.

Correct answer: B

Rationale: The correct answer is B: 'fulfill specific metabolic roles.' Nutrients play essential roles in specific metabolic processes in the body such as energy production, tissue repair, and growth. Choice A, 'work independently,' is incorrect as nutrients often work synergistically rather than alone. Choice C, 'influence weight loss,' is incorrect as while some nutrients may support weight loss indirectly through metabolic processes, it is not their primary characteristic. Choice D, 'improve mental status,' is also incorrect as while some nutrients are important for brain health, their primary role is not specifically to improve mental status.

5. 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.

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