Nursing Elites

1. A client is being educated by a nurse on snacks suitable for a low-fat, low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the need for further teaching?

• A. A slice of cheese
• B. A jam sandwich
• C. A cup of plain popcorn
• D. A small container of applesauce

Correct answer: A

Rationale: The correct answer is A: A slice of cheese. Cheese is high in fat, sodium, and cholesterol, making it unsuitable for a low-fat, low-sodium, and low-cholesterol diet. Choices B, C, and D are more appropriate for such a diet. B: A jam sandwich can be low in fat, sodium, and cholesterol if made with whole grain bread and a low-sugar jam. C: A cup of plain popcorn is a good choice as it is low in fat and can be made without added salt. D: A small container of applesauce is also a suitable option for a low-fat, low-sodium, and low-cholesterol diet.

2. Which type of fatty acid has carbon atoms connected by two or more double bonds?

• A. Saturated fatty acids
• B. Monounsaturated fatty acids
• C. Trans fatty acids
• D. Polyunsaturated fatty acids

Correct answer: D

Rationale: The correct answer is D. Polyunsaturated fatty acids. Polyunsaturated fatty acids have two or more double bonds in their carbon chains, making them less stable and more prone to oxidation. This characteristic distinguishes them from saturated fatty acids (Choice A), which have single bonds between carbon atoms providing stability. Monounsaturated fatty acids (Choice B) contain only one double bond, and trans fatty acids (Choice C) can have varying numbers of double bonds but are not specifically defined by having two or more double bonds.

3. How many words does a typical 12-month-old infant use?

• A. About 12 words
• B. Twenty or more words
• C. About 50 words
• D. Two, plus 'mama' and 'papa'

Correct answer: D

Rationale: A typical 12-month-old infant typically uses very few words, with 'mama' and 'papa' being common early words. At this age, most infants are still in the early stages of language development, and their vocabulary is limited. Choices A, B, and C suggest higher word counts which are not typical for infants at this age.

4. Which type of diabetes is often associated with a BMI greater than 25 and an increased percentage of body fat, particularly in the abdominal region, contributing to insulin resistance?

• A. Type 1 Diabetes
• B. Type 2 Diabetes
• C. Gestational Diabetes
• D. Prediabetes

Correct answer: B

Rationale: The correct answer is B. Type 2 Diabetes is often associated with a BMI greater than 25 and an increased percentage of body fat, particularly in the abdominal region, contributing to insulin resistance. Type 1 Diabetes is an autoimmune condition not primarily linked to BMI or body fat percentage. Gestational Diabetes occurs during pregnancy and is not directly related to BMI. Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be diagnosed as Type 2 Diabetes; although it can be associated with higher BMI, it is not as definitive as in Type 2 Diabetes.

5. The dietary guidelines for Americans recommend consuming:

• A. nutrient dense foods
• B. non-essential amino acids
• C. energy dense foods
• D. organically grown foods

Correct answer: A

Rationale: The guidelines emphasize nutrient-dense foods that provide essential vitamins, minerals, and other nutrients without excessive calories, sugars, or unhealthy fats.

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