Nursing Elites

1. Which pathogenic bacterium is associated with peptic ulcer disease and gastric cancer?

• A. Lactobacillus.
• B. Bifidobacterium.
• C. H. pylori.
• D. E. coli.

Correct answer: C

Rationale: The correct answer is H. pylori. This bacterium is known to be associated with the development of peptic ulcers and an increased risk of gastric cancer. Lactobacillus (Choice A) and Bifidobacterium (Choice B) are probiotic bacteria that are beneficial to human health and not associated with causing these conditions. E. coli (Choice D) is a diverse group of bacteria, some of which can be pathogenic, but they are not primarily linked to peptic ulcers and gastric cancer like H. pylori.

2. In the most recent edition of Choose Your Foods: Exchange List for Diabetes, the three groups into which foods are arranged are:

• A. fruits and vegetables, breads, and meats.
• B. fats, starches and sugars, and meat and milk.
• C. fruits and vegetables, meat and milk, and starches.
• D. carbohydrates, meat and meat substitutes, and fats.

Correct answer: D

Rationale: The correct answer is D: carbohydrates, meat and meat substitutes, and fats. The most recent edition of Choose Your Foods: Exchange List for Diabetes categorizes foods into these three groups for easier meal planning. Choice A is incorrect because it does not include carbohydrates and groups bread with fruits and vegetables. Choice B is incorrect because it separates carbohydrates into starches and sugars, which are usually counted together in diabetes meal planning. Choice C is incorrect as it does not specifically categorize foods into carbohydrates, meat, and fats as per the latest edition.

3. A physical science that contributes to understanding how nutrition relates to health and well-being is:

• A. anatomy
• B. biochemistry
• C. physics
• D. pharmacology

Correct answer: B

Rationale: Biochemistry is the correct answer because it focuses on understanding the chemical processes related to nutrition and how nutrients affect the body. Anatomy (choice A) primarily deals with the structure of organisms, not the chemical processes of nutrition. Physics (choice C) deals with energy and matter, not specifically related to nutrition. Pharmacology (choice D) focuses on drugs and their interactions with the body, not directly related to nutrition and its effects on health.

4. Consuming 30 g of which nutrient would provide the highest number of kcalories?

• A. Carbohydrates
• B. Fat
• C. Protein
• D. Micronutrients

Correct answer: B

Rationale: The correct answer is B, 'Fat.' Fat provides 9 kcalories per gram, which is more than carbohydrates and proteins that provide 4 kcalories per gram each. Therefore, consuming 30 g of fat would yield a higher number of kcalories compared to the same amount of carbohydrates or proteins. Micronutrients do not significantly contribute to kcalories, making them an incorrect choice in this scenario.

5. In which individual does negative nitrogen balance occur?

• A. Adult who engages in a weight-training program.
• B. Woman who is pregnant or lactating.
• C. Child who is growing.
• D. Older adult with anorexia.

Correct answer: D

Rationale: Negative nitrogen balance occurs when the body loses more nitrogen than it gains. This imbalance is often seen in conditions like anorexia in older adults, where insufficient protein intake leads to muscle breakdown and negative nitrogen balance. Choices A, B, and C do not typically lead to negative nitrogen balance as seen in anorexia in older adults.

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