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. Where does gluconeogenesis occur?

• A. Muscles.
• B. Pancreas.
• C. Liver.
• D. Spleen.

Correct answer: C

Rationale: Gluconeogenesis mainly occurs in the liver. It is a process where glucose is synthesized from non-carbohydrate sources such as amino acids and glycerol. The liver is the primary site for gluconeogenesis due to the presence of key enzymes and substrates required for this process. Muscles do not play a significant role in gluconeogenesis, making choice A incorrect. The pancreas is involved in the regulation of blood sugar levels through insulin and glucagon but is not the primary site for gluconeogenesis, so choice B is incorrect. The spleen is not a major organ involved in glucose metabolism, making choice D incorrect.

3. 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.

4. In addition to active transport, which process is involved in absorbing food in the small intestine?

• A. pinocytosis
• B. excretion
• C. phagocytosis
• D. electrochemical diffusion

Correct answer: A

Rationale: The correct answer is pinocytosis. Pinocytosis is a process where cells in the small intestine absorb nutrients by engulfing them. This process is different from phagocytosis, which involves engulfing large particles, and excretion, which is the removal of waste products. Electrochemical diffusion is not directly involved in the absorption of food in the small intestine.

5. What does the Tolerable Upper Intake Level (UL) represent?

• A. a replacement for Recommended Dietary Allowances (RDAs).
• B. a safe level of intake for people of all ages.
• C. a potentially toxic level of intake of a nutrient.
• D. the highest amount of a nutrient that can be safely consumed.

Correct answer: D

Rationale: The Tolerable Upper Intake Level (UL) represents the highest amount of a nutrient that can be safely consumed without causing adverse health effects. It is not a replacement for Recommended Dietary Allowances (RDAs) (choice A) which are nutrient intake recommendations. While the UL is established to prevent toxicity, it is not a completely safe level for people of all ages (choice B). It is also not a potentially toxic level of intake of a nutrient (choice C), but rather the level that is unlikely to cause adverse health effects.

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