Nursing Elites

1. The percentage of the total daily caloric intake for healthy persons that should be supplied by carbohydrate is:

• A. 10% to 35%.
• B. 20% to 35%.
• C. 40% to 55%.
• D. 45% to 65%.

Correct answer: D

Rationale: The correct answer is D: 45% to 65%. Carbohydrates should contribute between 45% to 65% of the total daily caloric intake for healthy individuals to maintain a balanced diet. Choices A, B, and C are incorrect because they suggest lower ranges, which may not provide sufficient energy from carbohydrates for overall health and well-being.

2. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

3. Which component of protein contains nitrogen?

• A. Amino group
• B. Carboxyl group
• C. Peptide bond
• D. Side chain

Correct answer: A

Rationale: The correct answer is the amino group. Amino groups are functional groups found in amino acids, which are the building blocks of proteins. These groups contain nitrogen and are essential for the structure and function of proteins. The carboxyl group (choice B) contains carbon, oxygen, and hydrogen, while the peptide bond (choice C) is a covalent bond formed between amino acids in a protein chain. The side chain (choice D) refers to the unique chemical structure attached to the central carbon of an amino acid and varies among different amino acids, but it does not specifically contain nitrogen.

4. What is the term for the production of glucose from protein, lactate, or glycerol?

• A. glycolysis
• B. gluconeogenesis
• C. glycogenolysis
• D. glucogenesis

Correct answer: B

Rationale: Gluconeogenesis is the correct term for the production of glucose from non-carbohydrate sources such as protein, lactate, or glycerol. Choice A, glycolysis, is the process of breaking down glucose into pyruvate. Choice C, glycogenolysis, is the breakdown of glycogen into glucose. Choice D, glucogenesis, is not a recognized term in biochemistry.

5. What substance acts as an emulsifier and helps absorb digested fat?

• A. bile
• B. trypsin
• C. lipase
• D. cholecystokinin (CCK)

Correct answer: A

Rationale: The correct answer is A: bile. Bile acts as an emulsifier, breaking down fats into smaller droplets to aid in digestion and absorption. Trypsin is a digestive enzyme that acts on proteins, not fats. Lipase is an enzyme that breaks down fats, but it doesn't act as an emulsifier. Cholecystokinin (CCK) is a hormone that stimulates the release of digestive enzymes, including lipase, but it is not directly involved in emulsification.

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