Nursing Elites

1. 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.

2. Regurgitation or reflux of acidic stomach contents back into the esophagus is known as:

• A. hiatal hernia.
• B. diverticulitis.
• C. gastroenteritis.
• D. gastroesophageal reflux disease.

Correct answer: D

Rationale: The correct answer is D: gastroesophageal reflux disease (GERD). GERD occurs when stomach acid flows back into the esophagus, causing symptoms like heartburn and regurgitation. Choice A, hiatal hernia, is a condition where part of the stomach pushes up into the chest through an opening in the diaphragm. Choice B, diverticulitis, is inflammation or infection of small pouches that can form in the lining of the digestive system. Choice C, gastroenteritis, is inflammation of the stomach and intestines typically caused by a viral or bacterial infection. Therefore, only choice D accurately describes the regurgitation or reflux of acidic stomach contents back into the esophagus.

3. Which of the following is an example of a disaccharide?

• A. Glucose.
• B. Fructose.
• C. Galactose.
• D. Maltose.

Correct answer: D

Rationale: The correct answer is D, Maltose. A disaccharide is formed when two monosaccharides are joined together. Glucose, fructose, and galactose are all monosaccharides, not disaccharides. Therefore, they are not examples of disaccharides.

4. What are dextrins?

• A. Polysaccharides.
• B. End products of starch digestion.
• C. Formed in the liver.
• D. Rapidly excreted.

Correct answer: A

Rationale: Dextrins are a type of polysaccharides formed during the breakdown of starch. Choice A is correct because dextrins are indeed polysaccharides, not the end products of starch digestion (Choice B). They are not formed in the liver (Choice C) nor rapidly excreted (Choice D).

5. Which nutrient has a protein-sparing effect?

• A. Glycerol
• B. Carbohydrate
• C. Nitrogen
• D. Fatty acids

Correct answer: B

Rationale: Carbohydrates have a protein-sparing effect, meaning that adequate carbohydrate intake can prevent the use of protein for energy. Glycerol, nitrogen, and fatty acids do not have a protein-sparing effect. Glycerol is a component of fats and oils, nitrogen is a component of proteins, and fatty acids are used primarily as an energy source.

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