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. Exchange Lists for Meal Planning was originally intended as a meal-planning tool for people who have:

• A. cancer.
• B. diabetes.
• C. hypertension.
• D. heart disease.

Correct answer: B

Rationale: The correct answer is B: diabetes. Exchange Lists for Meal Planning were originally created to assist individuals with diabetes in managing their diet by providing a structured approach to balanced food exchanges. This system helps individuals regulate their blood sugar levels and maintain overall health. Choices A, C, and D are incorrect because Exchange Lists for Meal Planning were not primarily developed for individuals with cancer, hypertension, or heart disease.

3. Foodborne illness may be caused by contamination of food with:

• A. pesticides.
• B. genetically modified ingredients.
• C. microorganisms.
• D. food additives.

Correct answer: C

Rationale: The correct answer is C: microorganisms. Microorganisms, such as bacteria and viruses, are common causes of foodborne illnesses. These pathogens can contaminate food during various stages of production, processing, or preparation. Choice A, pesticides, are chemicals used to control pests and are not a common cause of foodborne illnesses. Genetically modified ingredients, choice B, refer to foods derived from genetically modified organisms (GMOs) and are not inherently linked to foodborne illnesses. Food additives, choice D, are substances added to food to preserve flavor or enhance taste and are not typically the primary cause of foodborne illnesses.

4. Which gastric enzyme present in infants coagulates milk?

• A. Casein.
• B. Pepsinogen.
• C. Trypsin.
• D. Rennin.

Correct answer: D

Rationale: The correct answer is D, rennin. Rennin is the enzyme in infants responsible for coagulating milk, which aids in the digestion process. Choice A, casein, is a milk protein and not an enzyme. Choices B and C, pepsinogen and trypsin, are digestive enzymes but are not specifically involved in coagulating milk in infants.

5. Two amino acids are chemically joined by a:

• A. double bond.
• B. hydrogen bond.
• C. carboxyl bond.
• D. peptide bond.

Correct answer: D

Rationale: The correct answer is D, peptide bond. A peptide bond is formed through a dehydration synthesis reaction between the amine group of one amino acid and the carboxyl group of another amino acid. This bond is crucial in protein synthesis. Choices A, B, and C are incorrect. A double bond involves sharing two pairs of electrons, a hydrogen bond is a weak attraction between a hydrogen atom and an electronegative atom, and a carboxyl bond is not a common term in biochemistry.

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