Nursing Elites

1. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

2. It has been generally accepted that the percentage of total daily calories supplied by fats should be no more than:

• A. 10% to 15%.
• B. 10% to 35%.
• C. 20% to 35%.
• D. 40% to 55%.

Correct answer: C

Rationale: The recommended fat intake is between 20% to 35% of total daily calories. This range is considered optimal for maintaining a healthy diet. Choice A (10% to 15%) is too low and might not provide enough essential fats for the body. Choice B (10% to 35%) includes an upper limit that exceeds the generally accepted range. Choice D (40% to 55%) suggests a fat intake that is higher than what is recommended, which could lead to health issues if consumed regularly.

3. What is the primary nutritional function of the large intestine?

• A. Absorption of fats.
• B. Excretion of waste products.
• C. Excretion of bacteria.
• D. Absorption of water.

Correct answer: D

Rationale: The correct answer is D: Absorption of water. The primary nutritional function of the large intestine is to absorb water from the indigestible food residue that enters it from the small intestine. This absorption of water helps to form solid waste, which is then eliminated from the body. Choices A, B, and C are incorrect because the large intestine is not primarily responsible for the absorption of fats, excretion of waste products, or excretion of bacteria. While the large intestine does play a role in waste elimination and contains bacteria beneficial for digestion, its main function in terms of nutrition is the absorption of water.

4. What is the recommended dietary intake of protein for adults?

• A. 0.5 g/kg.
• B. 0.8 g/kg.
• C. 1.0 g/kg.
• D. 1.5 g/kg.

Correct answer: B

Rationale: The recommended dietary intake of protein for adults is 0.8 grams per kilogram of body weight. This amount is considered adequate for most healthy adults. Choices A, C, and D are incorrect as they do not align with the generally recommended protein intake for adults.

5. Most fat replacers are made from:

• A. proteins.
• B. carbohydrates.
• C. cholesterol.
• D. monoglycerides.

Correct answer: B

Rationale: Most fat replacers are made from carbohydrates. Carbohydrates are utilized to mimic the texture of fats in food products. Proteins (Choice A) are not commonly used as fat replacers and are more often associated with other functions in food. Cholesterol (Choice C) is a type of fat and not used to replace fat in food products. Monoglycerides (Choice D) are sometimes used as emulsifiers or stabilizers in food products but are not the primary source of fat replacers.

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