Nursing Elites

1. For a patient on a ketogenic diet, which macronutrient is primarily increased?

• A. Carbohydrates
• B. Protein
• C. Fats
• D. Fiber

Correct answer: C

Rationale: The correct answer is C: Fats. A ketogenic diet is characterized by high fat intake, moderate protein intake, and very low carbohydrate intake. This diet aims to shift the body's metabolism to use fat as the primary source of energy instead of carbohydrates. Increasing fat intake while reducing carbohydrates is essential for achieving and maintaining a state of ketosis. Therefore, choices A, B, and D are incorrect as they do not align with the macronutrient adjustments required for a ketogenic diet.

2. Which physiologic role does vitamin C play in the body?

• A. Transcribing DNA to RNA
• B. Absorption and regulation of calcium
• C. Protects integrity of cellular membranes
• D. Catalyst for synthesis of blood-clotting factors

Correct answer: C

Rationale: Vitamin C plays a crucial role in protecting the integrity of cellular membranes. It is essential for collagen synthesis, which is important for wound healing and maintaining skin, blood vessels, and other tissues. Choice A is incorrect as the transcription of DNA to RNA is facilitated by vitamin A. Choice B is incorrect as calcium absorption and regulation are functions of vitamin D. Choice D is incorrect as vitamin K serves as a catalyst for the synthesis of blood-clotting factors, not vitamin C.

3. Substance abuse is different from substance dependence in that, substance dependence:

• A. includes characteristics of adverse consequences and repeated use
• B. requires long term treatment in a hospital based program
• C. produces less severe symptoms than that of abuse
• D. includes characteristics of tolerance and withdrawal

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

4. What is the term for a barrier that prevents the normal emptying of stomach contents into the duodenum?

• A. Dumping syndrome
• B. Gastritis
• C. Gastric outlet obstruction
• D. Hypochlorhydria

Correct answer: C

Rationale: Gastric outlet obstruction refers to a condition where the opening between the stomach and the duodenum is blocked, preventing the normal passage of food. This is why choice 'C' is correct. 'A: Dumping syndrome' is incorrect because it is a condition where stomach contents move too quickly through the small intestine, not a barrier preventing emptying. 'B: Gastritis' is inflammation of the stomach lining, not a blockage of the outlet. 'D: Hypochlorhydria' refers to low stomach acid, which may affect digestion but does not create a physical barrier blocking the outlet of the stomach.

5. Which of the following conditions is not caused by energy drinks?

• A. Nervousness
• B. Bradycardia
• C. Seizures
• D. Dental caries

Correct answer: B

Rationale: Energy drinks are known for causing a variety of health issues, including nervousness, seizures, and an increased risk of dental caries due to their high sugar content. However, they do not cause bradycardia, which is a slow heart rate. Instead, energy drinks are associated with causing an increased or rapid heart rate, known as tachycardia. Therefore, out of the listed options, bradycardia is the condition not caused by energy drinks.

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