Nursing Elites

1. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

2. Which of the following enzymes is found in pancreatic secretions?

• A. Rennin
• B. Pepsin
• C. Chymotrypsin
• D. Casein

Correct answer: C

Rationale: Chymotrypsin is an enzyme found in pancreatic secretions that plays a role in protein digestion. Rennin is primarily found in the stomach and is involved in milk digestion. Pepsin is also a stomach enzyme that aids in protein breakdown. Casein is a protein found in milk, not an enzyme involved in pancreatic secretions. Therefore, the correct answer is Chymotrypsin.

3. Which compound is necessary for emulsification of fat in the body?

• A. Bile salts
• B. Cholecystokinin
• C. Chyme
• D. Trypsin

Correct answer: A

Rationale: Bile salts are essential for emulsifying fats in the body. They break down fats into smaller droplets, increasing the surface area for enzymes to work on during digestion. Cholecystokinin is a hormone that stimulates the release of bile and pancreatic enzymes, but it is not directly involved in emulsification. Chyme is the semi-fluid mass of partly digested food that moves from the stomach to the small intestine and does not play a role in emulsifying fats. Trypsin is an enzyme produced by the pancreas that acts on proteins, not fats.

4. Which of the following are macronutrients?

• A. Minerals.
• B. Proteins.
• C. Vitamins.
• D. Enzymes.

Correct answer: B

Rationale: Proteins are indeed macronutrients, along with carbohydrates and fats. Macronutrients are nutrients that provide energy and are required in large amounts by the body. Minerals and vitamins are considered micronutrients, as they are needed in smaller quantities. Enzymes, on the other hand, are not nutrients but rather biological molecules that act as catalysts in biochemical reactions.

5. What is the recommended dietary intake of protein for adults?

• A. 0.5 g/kg.
• B. 0.8 g/kg.
• C. 1.0 g/kg.
• D. 1.5 g/kg.

Correct answer: B

Rationale: The recommended dietary intake of protein for adults is 0.8 grams per kilogram of body weight. This amount is considered adequate for most healthy adults. Choices A, C, and D are incorrect as they do not align with the generally recommended protein intake for adults.

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