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 is a source of complete protein?

• A. Cereal grains.
• B. Beans.
• C. Nuts.
• D. Eggs.

Correct answer: D

Rationale: Eggs are considered a source of complete protein because they contain all the essential amino acids required by the body. The other options, cereal grains, beans, and nuts, do not provide all the essential amino acids in the necessary proportions to be classified as complete proteins.

3. In addition to poor eating habits, a factor that often contributes to marginal nutritional status is:

• A. dependence on caffeine.
• B. acute illness.
• C. low income.
• D. size of the family unit.

Correct answer: C

Rationale: Low income is a significant factor contributing to marginal nutritional status due to limited access to nutritious food. While dependence on caffeine or acute illness can impact health, they are not as directly linked to marginal nutrition as low income. The size of the family unit may affect food distribution within the household but is not as directly related to marginal nutritional status as low income.

4. 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.

5. The sum of all chemical processes inside living cells of the body that sustain life and health is known as:

• A. physiology
• B. digestion
• C. metabolism
• D. nutrition

Correct answer: C

Rationale: Metabolism is the correct answer as it refers to the sum of all chemical processes that occur within living cells to maintain life and health. Physiology (Choice A) is the study of how living organisms function but does not specifically refer to cellular chemical processes. Digestion (Choice B) is the process of breaking down food in the body, not the overall cellular processes. Nutrition (Choice D) is the process of obtaining and consuming food necessary for health and growth, but it does not encompass all cellular processes related to sustaining life and health.

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