Nursing Elites

1. 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.

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. During lactation, where is lactose synthesized in the body?

• A. Liver
• B. Breast
• C. Kidney
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Breast. Lactose is synthesized in the breast during lactation to produce breastmilk. The liver is responsible for various metabolic functions but does not synthesize lactose. The kidney's primary role is in filtering blood and regulating electrolytes, not lactose synthesis. The pancreas is involved in producing digestive enzymes and insulin, not lactose synthesis.

4. A food choice equivalent to one serving from the Protein group of MyPlate is:

• A. 1 tbsp peanut butter.
• B. 3 oz fish.
• C. 2 oz cheese.
• D. 1/2 cup cooked dry beans or peas.

Correct answer: A

Rationale: One tablespoon of peanut butter is equivalent to one serving from the Protein group in MyPlate. It provides a good amount of protein and healthy fats. Choices B, C, and D are incorrect as they represent larger serving sizes than a single serving from the Protein group in MyPlate. 3 oz of fish, 2 oz of cheese, and 1/2 cup of cooked dry beans or peas would exceed the recommended serving size for the Protein group.

5. 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.

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