Nursing Elites

1. How many kilocalories (kcal) are provided by a food containing 30 grams of carbohydrate?

• A. 90
• B. 120
• C. 180
• D. 270

Correct answer: B

Rationale: The correct answer is B: 120. Carbohydrates provide 4 kcal per gram, so 30 grams of carbohydrates will provide 120 kcal. This is calculated by multiplying the grams of carbohydrate (30) by the kcal per gram (4). Choices A, C, and D are incorrect because they do not reflect the correct calculation based on the energy content of carbohydrates.

2. What role do the amino acids methionine, tyrosine, and tryptophan play?

• A. Forming neurotransmitters.
• B. Blocking excess protein breakdown.
• C. Increasing production of insulin and thyroxine.
• D. Decreasing energy expenditure.

Correct answer: A

Rationale: The correct answer is A: Forming neurotransmitters. Methionine, tyrosine, and tryptophan are important amino acids involved in the production of neurotransmitters in the body. Neurotransmitters are chemical messengers that transmit signals across nerve cells, influencing various functions such as mood, memory, and muscle control. Choices B, C, and D are incorrect because these amino acids do not primarily play a role in blocking protein breakdown, increasing insulin and thyroxine production, or decreasing energy expenditure.

3. The hormone secretin stimulates production of a buffering solution for the duodenum by the:

• A. stomach.
• B. liver.
• C. pancreas.
• D. oxyntic cells.

Correct answer: C

Rationale: The correct answer is C: pancreas. Secretin stimulates the pancreas to release bicarbonate, which acts as a buffering solution to neutralize the acid entering the duodenum from the stomach. This process helps in maintaining the pH balance in the small intestine. Choice A, stomach, is incorrect as the stomach does not produce the buffering solution needed for the duodenum. Choice B, liver, is incorrect because secretin does not directly stimulate the liver to produce a buffering solution. Choice D, oxyntic cells, is also incorrect as these cells in the stomach are responsible for producing gastric acid, not the buffering solution needed in the duodenum.

4. 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.

5. Which monosaccharide only occurs naturally in foods in combination with another sugar as a disaccharide?

• A. Fructose.
• B. Galactose.
• C. Sucrose.
• D. Maltose.

Correct answer: B

Rationale: The correct answer is B, galactose. Galactose naturally occurs in foods only when it is combined with glucose to form lactose, a disaccharide found in milk. Fructose is a monosaccharide found in fruits and honey. Sucrose is a disaccharide composed of glucose and fructose, commonly known as table sugar. Maltose is a disaccharide formed by the combination of two glucose molecules.

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