Nursing Elites

1. A chemical feature that distinguishes a saturated fatty acid from an unsaturated fatty acid is the:

• A. arrangement of carbon atoms.
• B. number of oxygen molecules.
• C. number of double bonds.
• D. food source.

Correct answer: C

Rationale: The correct answer is C. Saturated fatty acids have no double bonds between carbon atoms, while unsaturated fatty acids have one or more double bonds. Therefore, the number of double bonds is the chemical feature that distinguishes a saturated fatty acid from an unsaturated fatty acid. Choices A, B, and D are incorrect because the distinguishing factor between saturated and unsaturated fatty acids lies in the presence or absence of double bonds, not in the arrangement of carbon atoms, number of oxygen molecules, or food source.

2. 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.

3. Which of the following plasma proteins helps maintain fluid balance?

• A. Albumin
• B. Fibrinogen
• C. Hemoglobin
• D. Collagen

Correct answer: A

Rationale: Albumin is the correct answer. It is a plasma protein that helps maintain osmotic pressure, thereby playing a vital role in regulating fluid balance in the body. Fibrinogen is involved in blood clotting, not fluid balance. Hemoglobin is responsible for oxygen transport in red blood cells, not fluid balance. Collagen is a structural protein found in connective tissues, not directly involved in fluid balance.

4. Which chain length of fatty acids is most water-soluble and easily absorbed into the bloodstream?

• A. Very long.
• B. Long.
• C. Medium.
• D. Short.

Correct answer: D

Rationale: Short-chain fatty acids are the most water-soluble and are more easily absorbed into the bloodstream. Very long, long, and medium-chain fatty acids are less water-soluble and are absorbed at a slower rate compared to short-chain fatty acids. Therefore, the correct answer is D.

5. Dietary guidelines are most useful for:

• A. limiting portion sizes.
• B. designing a personal food plan.
• C. making smart food choices.
• D. avoiding excessive nutrient intakes.

Correct answer: C

Rationale: Dietary guidelines are designed to assist individuals in making smart food choices by providing recommendations on what to eat to maintain good health. While portion sizes may be a part of these guidelines, they are not the primary focus. Designing a personal food plan involves individual preferences and needs, which may go beyond general guidelines. Avoiding excessive nutrient intakes is important, but dietary guidelines aim to provide balanced recommendations rather than just focusing on avoiding excess.

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