Nursing Elites

1. Which nutrient has a protein-sparing effect?

• A. Glycerol
• B. Carbohydrate
• C. Nitrogen
• D. Fatty acids

Correct answer: B

Rationale: Carbohydrates have a protein-sparing effect, meaning that adequate carbohydrate intake can prevent the use of protein for energy. Glycerol, nitrogen, and fatty acids do not have a protein-sparing effect. Glycerol is a component of fats and oils, nitrogen is a component of proteins, and fatty acids are used primarily as an energy source.

2. 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.

3. What is the preferred fuel for the cells lining the colon?

• A. Short-chain fatty acids.
• B. Long-chain fatty acids.
• C. Amino acids.
• D. Glucose.

Correct answer: A

Rationale: Short-chain fatty acids are the preferred fuel for the cells lining the colon. They provide energy and support gut health by serving as a fuel source for these cells. Long-chain fatty acids are not the preferred fuel for colon cells as they are harder to digest and absorb in this part of the digestive system. Amino acids are the building blocks of proteins and not the primary energy source for colon cells. Glucose is the main energy source for most cells in the body, but colon cells prefer short-chain fatty acids.

4. After ingested food is mixed and churned with gastric secretions, the resulting semifluid mass is called:

• A. a bolus.
• B. chyme.
• C. rennin.
• D. glycogen.

Correct answer: B

Rationale: The correct answer is B: chyme. Chyme is the partially digested food that forms a semifluid mass after mixing with gastric juices. A is incorrect because a bolus refers to a rounded mass of food ready to be swallowed. C, rennin, is an enzyme involved in the digestion of milk proteins and not the term for the semifluid mass after food mixing with gastric secretions. D, glycogen, is a form of stored glucose in the body and is not the term used to describe the partially digested food mass in the stomach.

5. What is the process by which proteins are synthesized from the available amino acids?

• A. Gluconeogenesis.
• B. Deamination.
• C. Protein synthesis.
• D. Transamination.

Correct answer: C

Rationale: The correct answer is C: Protein synthesis. This process involves the formation of proteins from amino acids to support various body functions. Gluconeogenesis (choice A) is the synthesis of glucose from non-carbohydrate sources, not protein synthesis. Deamination (choice B) is the removal of an amino group from an amino acid, not the synthesis of proteins. Transamination (choice D) is the transfer of an amino group from one molecule to another, not the direct synthesis of proteins.

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