Nursing Elites

1. Consuming 30 g of which nutrient would provide the highest number of kcalories?

• A. Carbohydrates
• B. Fat
• C. Protein
• D. Micronutrients

Correct answer: B

Rationale: The correct answer is B, 'Fat.' Fat provides 9 kcalories per gram, which is more than carbohydrates and proteins that provide 4 kcalories per gram each. Therefore, consuming 30 g of fat would yield a higher number of kcalories compared to the same amount of carbohydrates or proteins. Micronutrients do not significantly contribute to kcalories, making them an incorrect choice in this scenario.

2. Which component of protein contains nitrogen?

• A. Amino group
• B. Carboxyl group
• C. Peptide bond
• D. Side chain

Correct answer: A

Rationale: The correct answer is the amino group. Amino groups are functional groups found in amino acids, which are the building blocks of proteins. These groups contain nitrogen and are essential for the structure and function of proteins. The carboxyl group (choice B) contains carbon, oxygen, and hydrogen, while the peptide bond (choice C) is a covalent bond formed between amino acids in a protein chain. The side chain (choice D) refers to the unique chemical structure attached to the central carbon of an amino acid and varies among different amino acids, but it does not specifically contain nitrogen.

3. In a low-carbohydrate diet, most of the calories are supplied by:

• A. proteins.
• B. fats.
• C. carbohydrates.
• D. vitamins.

Correct answer: B

Rationale: In a low-carbohydrate diet, fats become the primary source of calories as carbohydrate intake is restricted. Proteins can contribute to caloric intake but are not the primary source in a low-carbohydrate diet. Carbohydrates are intentionally limited in this diet, so they do not supply most of the calories. Vitamins are essential nutrients but do not provide calories.

4. What is the muscle layer on the outside of the intestinal wall called?

• A. serosa
• B. mucosa
• C. submucosa
• D. muscularis mucosae

Correct answer: A

Rationale: The correct answer is A: serosa. The serosa is the outermost layer of the intestinal wall, providing a protective covering. Choice B, mucosa, is the innermost layer responsible for absorption. Choice C, submucosa, lies beneath the mucosa and contains blood vessels and nerves. Choice D, muscularis mucosae, is a smooth muscle layer located within the mucosa, helping to create folds in the intestinal lining to increase surface area for absorption.

5. 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.

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