Nursing Elites

1. How many kilocalories are provided by 15 grams of protein?

• A. 15
• B. 45
• C. 60
• D. 135

Correct answer: C

Rationale: Protein provides 4 kcal per gram. Therefore, 15 grams of protein will provide 15 grams x 4 kcal/gram = 60 kcal. Choices A, B, and D are incorrect because they do not consider the caloric value of protein correctly.

2. The major focus of nutritional recommendations in this century has shifted to:

• A. prevention and control of chronic diseases.
• B. improved sanitation and public health.
• C. prevention and control of infectious diseases.
• D. development of healthful foods using food technology.

Correct answer: A

Rationale: The correct answer is A: prevention and control of chronic diseases. In this century, nutritional recommendations have increasingly emphasized the importance of preventing and managing chronic diseases like obesity, diabetes, cardiovascular diseases, and cancer. Lifestyle factors such as diet play a significant role in the development of these conditions. Option B, improved sanitation and public health, although important for overall health, is not the primary focus of nutritional recommendations. Option C, prevention and control of infectious diseases, is also crucial but does not reflect the current major focus of nutritional recommendations. Option D, development of healthful foods using food technology, is a valid area of interest but is not the primary shift in focus observed in nutritional recommendations.

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. What are the compounds in soy foods with estrogen-like activity examples of?

• A. Indispensable amino acids.
• B. Phytochemicals.
• C. Neurotransmitters.
• D. Metabolic by-products.

Correct answer: B

Rationale: The correct answer is B: Phytochemicals. Phytochemicals in soy foods can mimic estrogen and may have health benefits. Indispensable amino acids are essential amino acids that the body cannot produce on its own. Neurotransmitters are chemical messengers in the nervous system. Metabolic by-products are substances produced during metabolism.

5. The professional primarily responsible for the application of nutrition science in clinical practice settings is the:

• A. nurse.
• B. physician.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: D

Rationale: The correct answer is D: registered dietitian. A registered dietitian is a healthcare professional with specialized training in nutrition and dietetics, making them primarily responsible for applying nutrition science in clinical practice settings. Nurses (choice A) and physicians (choice B) may have some knowledge of nutrition, but a registered dietitian has specific expertise in this area. Public health nutritionists (choice C) typically focus on community nutrition and public health programs, rather than clinical practice settings.

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