Nursing Elites

1. Signs of malnutrition can appear when:

• A. nutrient reserves are depleted.
• B. nutrient intake exceeds daily needs.
• C. energy intake is restricted.
• D. caloric expenditure increases.

Correct answer: A

Rationale: The correct answer is A: 'nutrient reserves are depleted.' Signs of malnutrition manifest when the body's reserves of essential nutrients are exhausted and can no longer sustain health. Choice B is incorrect because excessive nutrient intake exceeding daily needs does not lead to malnutrition but may cause other health issues. Choice C is incorrect as restricting energy intake may lead to weight loss but not necessarily malnutrition. Choice D is also incorrect as increasing caloric expenditure does not directly cause malnutrition.

2. Which observation provides evidence that a person has good nutritional status?

• A. Small muscle mass.
• B. Normal weight-to-height ratio.
• C. Smooth tongue.
• D. Fragile skin.

Correct answer: B

Rationale: A normal weight-to-height ratio is a reliable indicator of good nutritional status as it suggests that the person is well-nourished and not underweight or overweight. Small muscle mass (choice A) can indicate malnutrition, a smooth tongue (choice C) can be a sign of vitamin deficiencies, and fragile skin (choice D) can be a sign of poor nutrition or other health issues, but they are not as direct indicators of good nutritional status as a normal weight-to-height ratio.

3. 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.

4. A physical science that contributes to understanding how nutrition relates to health and well-being is:

• A. anatomy
• B. biochemistry
• C. physics
• D. pharmacology

Correct answer: B

Rationale: Biochemistry is the correct answer because it focuses on understanding the chemical processes related to nutrition and how nutrients affect the body. Anatomy (choice A) primarily deals with the structure of organisms, not the chemical processes of nutrition. Physics (choice C) deals with energy and matter, not specifically related to nutrition. Pharmacology (choice D) focuses on drugs and their interactions with the body, not directly related to nutrition and its effects on health.

5. What are the major sources of energy for the body?

• A. Proteins and fats.
• B. Carbohydrates and fats.
• C. Proteins and carbohydrates.
• D. Vitamins and minerals.

Correct answer: B

Rationale: The correct answer is B: Carbohydrates and fats. Carbohydrates are the body's primary and most efficient source of energy, providing fuel for daily activities. Fats are also a significant energy source, especially during times of prolonged or intense exercise. Proteins are primarily used for building and repairing tissues, not as a major energy source. Vitamins and minerals are essential for various bodily functions but do not serve as direct sources of energy.

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