Nursing Elites

1. The number of kilocalories provided by a food that contains 22g of fat is:

• A. 88
• B. 132
• C. 154
• D. 198

Correct answer: D

Rationale: The correct answer is D. Fat provides 9 kcal per gram, so 22 grams of fat will provide 198 kcal (22g * 9 kcal/g = 198 kcal). Choice A (88) is incorrect because it miscalculates the kcalories. Choice B (132) is incorrect as it does not consider the correct kcaloric value of fat. Choice C (154) is incorrect as it also does not calculate the kcalories accurately based on the fat content.

2. Exchange Lists for Meal Planning group foods that are equivalent in their:

• A. weight.
• B. serving size.
• C. micronutrient content.
• D. macronutrient content.

Correct answer: D

Rationale: The Exchange Lists for Meal Planning categorize foods based on their macronutrient content, such as carbohydrate, protein, and fat. These lists help individuals make food choices while ensuring similar amounts of macronutrients are consumed. Therefore, the correct answer is D. Choices A, B, and C are incorrect because Exchange Lists focus on macronutrient content, not weight, serving size, or micronutrient content.

3. The major focus of nutritional recommendations in this century has shifted to:

• A. prevention and control of chronic diseases.
• B. improved sanitation and public health.
• C. prevention and control of infectious diseases.
• D. development of healthful foods using food technology.

Correct answer: A

Rationale: The correct answer is A: prevention and control of chronic diseases. In this century, nutritional recommendations have increasingly emphasized the importance of preventing and managing chronic diseases like obesity, diabetes, cardiovascular diseases, and cancer. Lifestyle factors such as diet play a significant role in the development of these conditions. Option B, improved sanitation and public health, although important for overall health, is not the primary focus of nutritional recommendations. Option C, prevention and control of infectious diseases, is also crucial but does not reflect the current major focus of nutritional recommendations. Option D, development of healthful foods using food technology, is a valid area of interest but is not the primary shift in focus observed in nutritional recommendations.

4. 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.

5. Protein is constantly being exchanged between which two components?

• A. tissue and plasma.
• B. the liver and the small intestine.
• C. blood and lymph.
• D. the heart and lungs.

Correct answer: A

Rationale: The correct answer is 'tissue and plasma.' Protein turnover involves the continuous exchange of proteins between body tissues and the bloodstream (plasma) as part of normal metabolic processes. This process ensures a balance in protein levels throughout the body. Choices B, C, and D are incorrect as they do not represent the primary sites for protein turnover in the body.

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