Nursing Elites

1. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

2. Which enzyme is secreted by the salivary glands?

• A. Pepsin.
• B. Trypsin.
• C. Sucrase.
• D. Amylase.

Correct answer: D

Rationale: The correct answer is D, amylase. Amylase is an enzyme produced by the salivary glands that initiates the digestion of carbohydrates in the mouth. Pepsin (choice A) is produced in the stomach to digest proteins, trypsin (choice B) is produced in the pancreas to digest proteins, and sucrase (choice C) is produced in the small intestine to break down sucrose. Therefore, choices A, B, and C are incorrect in the context of an enzyme secreted by the salivary glands.

3. The process of photosynthesis is responsible for the synthesis of:

• A. carbohydrates.
• B. proteins.
• C. fats.
• D. vitamins.

Correct answer: A

Rationale: The correct answer is A: carbohydrates. Photosynthesis is the process by which plants, algae, and some bacteria convert light energy, usually from the sun, into chemical energy stored in glucose (a type of carbohydrate). This glucose is used by the organisms for energy production and as a building block for other organic compounds. Choice B, proteins, is incorrect because proteins are synthesized through a different process involving amino acids. Choice C, fats, are not directly synthesized through photosynthesis; they are typically formed from excess carbohydrates. Choice D, vitamins, are organic compounds that are required in small amounts for various physiological functions but are not directly synthesized through photosynthesis.

4. With respect to its effect on colon microflora, fiber is considered a:

• A. prebiotic.
• B. probiotic.
• C. functional food.
• D. protective agent.

Correct answer: A

Rationale: The correct answer is A: prebiotic. Fiber acts as a prebiotic by providing a food source for beneficial bacteria in the colon, promoting their growth and activity. This helps maintain a healthy balance of microflora in the gut. Choice B, probiotic, is incorrect as fiber itself does not contain live beneficial bacteria but rather supports their growth. Choice C, functional food, is too broad and doesn't specifically address fiber's role in promoting beneficial bacteria. Choice D, protective agent, is vague and does not directly relate to fiber's specific function in colon microflora.

5. In addition to calcium, the major minerals needed to build and maintain bone tissue include:

• A. potassium
• B. iron
• C. phosphorus
• D. fluoride

Correct answer: C

Rationale: The correct answer is C: phosphorus. Phosphorus, along with calcium, is essential for bone health and maintenance. Potassium (choice A) is important for muscle function, iron (choice B) is crucial for red blood cell production, and fluoride (choice D) helps prevent tooth decay but is not a major mineral needed for bone tissue.

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