Nursing Elites

1. Infections are common in people who have inadequate protein intake because of an insufficient quantity of:

• A. insulin.
• B. lipoprotein.
• C. antibodies.
• D. albumin.

Correct answer: C

Rationale: Inadequate protein intake can lead to a decrease in antibody production, making individuals more susceptible to infections. Insulin (Choice A) is a hormone involved in regulating blood sugar levels, not related to protein intake. Lipoprotein (Choice B) is a type of lipid-protein complex involved in lipid transport, not directly related to antibody production. Albumin (Choice D) is a protein that helps maintain oncotic pressure and carries various substances in the blood, but it is not primarily responsible for fighting infections like antibodies.

2. How does a nursing infant receive antibodies from its mother?

• A. Through anabolism and catabolism.
• B. Through the absorption of antibodies.
• C. Through the absorption of amino acids and synthesis of antibodies.
• D. Through genetic inheritance.

Correct answer: B

Rationale: A nursing infant receives antibodies from its mother through the absorption of antibodies present in breast milk. Choice A is incorrect as anabolism and catabolism refer to metabolic processes, not the transfer of antibodies. Choice C is incorrect as the infant does not need to synthesize antibodies but directly receives them. Choice D is incorrect because while genetic inheritance plays a role in the immune system, in this case, the direct transfer of antibodies occurs through breast milk.

3. The number of kilocalories provided by a food that contains 22g of fat is:

• A. 88
• B. 132
• C. 154
• D. 198

Correct answer: D

Rationale: The correct answer is D. Fat provides 9 kcal per gram, so 22 grams of fat will provide 198 kcal (22g * 9 kcal/g = 198 kcal). Choice A (88) is incorrect because it miscalculates the kcalories. Choice B (132) is incorrect as it does not consider the correct kcaloric value of fat. Choice C (154) is incorrect as it also does not calculate the kcalories accurately based on the fat content.

4. 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.

5. What is the maximum recommended daily intake of cholesterol?

• A. 100 mg.
• B. 200 mg.
• C. 300 mg.
• D. 400 mg.

Correct answer: C

Rationale: The correct answer is C: 300 mg. The recommended maximum daily intake of cholesterol is 300 mg to reduce the risk of heart disease. Option A (100 mg) is too low, which may not provide enough cholesterol for normal bodily functions. Option B (200 mg) is also below the recommended limit. Option D (400 mg) exceeds the recommended daily intake, increasing the risk of heart disease.

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