Deck 9: Nutrition
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Deck 9: Nutrition
1
The main sugar in the blood and the primary source of energy for the body is:
A) Glycerol
B) Glucose
C) Fatty acids
D) Glycogen
A) Glycerol
B) Glucose
C) Fatty acids
D) Glycogen
Glucose
2
The nurse cautions a teenager who is following a severe fad diet that only allows 80 grams of carbohydrate a day that continuing on this diet can result in:
A) Alkalosis
B) Hyperglycemia
C) Ketosis
D) Hypernatremia
A) Alkalosis
B) Hyperglycemia
C) Ketosis
D) Hypernatremia
Ketosis
3
The nurse is aware that after a meal,the blood sugar level may rise; however,it will return to within the normal range in:
A) 30 to 60 minutes
B) 60 to 90 minutes
C) 2 to 3 hours
D) 4 to 6 hours
A) 30 to 60 minutes
B) 60 to 90 minutes
C) 2 to 3 hours
D) 4 to 6 hours
2 to 3 hours
4
Most digestion of protein begins in the:
A) Mouth
B) Stomach
C) Small intestine
D) Large intestine
A) Mouth
B) Stomach
C) Small intestine
D) Large intestine
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5
The major portion of fat is digested in the:
A) Mouth
B) Stomach
C) Small intestine
D) Large intestine
A) Mouth
B) Stomach
C) Small intestine
D) Large intestine
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6
The digestion of carbohydrates begins in the:
A) Mouth
B) Pharynx
C) Stomach
D) Small intestine
A) Mouth
B) Pharynx
C) Stomach
D) Small intestine
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7
Regulation of the gastrointestinal system requires what two mechanisms?
A) Neural control and cardiovascular control
B) Secretion of hormones and kidney filtration
C) Neural control and secretions of hormones
D) Cardiovascular control and kidney filtration
A) Neural control and cardiovascular control
B) Secretion of hormones and kidney filtration
C) Neural control and secretions of hormones
D) Cardiovascular control and kidney filtration
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8
The three areas of the gastrointestinal system in which the digestion of food occurs include the mouth,stomach,and:
A) Large intestine
B) Small intestine
C) Pancreas
D) Pharynx
A) Large intestine
B) Small intestine
C) Pancreas
D) Pharynx
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9
The villi absorb the nutrients from the small intestine into the:
A) Large intestine
B) Blood and liver
C) Gallbladder and liver
D) Lymph and kidneys
A) Large intestine
B) Blood and liver
C) Gallbladder and liver
D) Lymph and kidneys
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10
The carrier protein responsible for absorption of vitamin B12 is:
A) Pepsin
B) Intrinsic factor
C) Hydrochloric acid
D) Gastrin
A) Pepsin
B) Intrinsic factor
C) Hydrochloric acid
D) Gastrin
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11
What is the name of the sphincter that prevents the backflow of the food mass from the duodenum into the stomach?
A) Pyloric
B) Cardiac
C) Esophageal
D) Mitral
A) Pyloric
B) Cardiac
C) Esophageal
D) Mitral
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12
List the parts of the small intestine in the correct order,beginning with the section that joins the stomach.
A) Jejunum, ileum, and duodenum
B) Ileum, duodenum, and jejunum
C) Duodenum, jejunum, and ileum
D) Duodenum, ileum, and jejunum
A) Jejunum, ileum, and duodenum
B) Ileum, duodenum, and jejunum
C) Duodenum, jejunum, and ileum
D) Duodenum, ileum, and jejunum
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13
Lactose is found in:
A) Sucrose
B) Malt products
C) Milk
D) Honey
A) Sucrose
B) Malt products
C) Milk
D) Honey
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14
Starches,glycogen,and fibers are:
A) Simple sugars
B) Monosaccharides
C) Disaccharides/fatty acids
D) Polysaccharides
A) Simple sugars
B) Monosaccharides
C) Disaccharides/fatty acids
D) Polysaccharides
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15
Normal fasting blood glucose level is:
A) 20 to 50 mg/100 ml
B) 70 to 100 mg/100 ml
C) 200 to 250 mg/100 ml
D) 30 to 60 mg/100 ml
A) 20 to 50 mg/100 ml
B) 70 to 100 mg/100 ml
C) 200 to 250 mg/100 ml
D) 30 to 60 mg/100 ml
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16
The stomach is normally emptied in 1 to 4 hours,depending on the amount and kind of food eaten.Which of the following foods,when eaten separately,leave the stomach most rapidly?
A) Carbohydrates
B) Fats
C) Lipids
D) Proteins
A) Carbohydrates
B) Fats
C) Lipids
D) Proteins
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17
Hormones involved in the regulation of blood glucose levels include growth hormone,epinephrine,glucagon,and:
A) Insulin and the parathyroid hormone
B) Insulin and glucocorticoids
C) Glucocorticoids and thyroxine
D) Estrogen and progesterone
A) Insulin and the parathyroid hormone
B) Insulin and glucocorticoids
C) Glucocorticoids and thyroxine
D) Estrogen and progesterone
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18
After food is masticated and swallowed,it is mixed with gastric secretions in the stomach to form a:
A) Bolus
B) Chyme
C) Protein
D) Lipid
A) Bolus
B) Chyme
C) Protein
D) Lipid
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19
In the body,carbohydrates are primarily converted to:
A) Glucose
B) Amino acids
C) Adipose tissue
D) Fatty acids
A) Glucose
B) Amino acids
C) Adipose tissue
D) Fatty acids
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20
The substance secreted by the liver that breaks down fat globules into small particles is:
A) Bile
B) Pepsin
C) Gastrin
D) Hydrochloric acid
A) Bile
B) Pepsin
C) Gastrin
D) Hydrochloric acid
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21
The nurse outlining the characteristics of fat metabolism points out that they: (Select all that apply.)
A) Are soluble in water.
B) Use more oxygen than carbohydrates.
C) Are stored more compactly in the body.
D) Release more energy than carbohydrates.
E) Are rich in vitamin A.
A) Are soluble in water.
B) Use more oxygen than carbohydrates.
C) Are stored more compactly in the body.
D) Release more energy than carbohydrates.
E) Are rich in vitamin A.
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22
Just as energy balance is measured by weight gain or weight loss,protein balance is measured by:
A) Nitrogen
B) Weight
C) Muscle development
D) Carbon
A) Nitrogen
B) Weight
C) Muscle development
D) Carbon
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23
The patient states that he has been taking high doses of all the vitamins both in tablet form and in food to prepare for his Olympic trials.The most appropriate response by the nurse would be:
A) "That is a very healthy way to build up energy, store vitamins, and control your weight."
B) "You must remember to drink a large glass of water with every meal to utilize those water-soluble vitamins."
C) "Large doses of vitamins may make you extremely photosensitive. You should use a strong sun block when you are out of doors."
D) "Some of those vitamins taken in large doses can cause toxicity."
A) "That is a very healthy way to build up energy, store vitamins, and control your weight."
B) "You must remember to drink a large glass of water with every meal to utilize those water-soluble vitamins."
C) "Large doses of vitamins may make you extremely photosensitive. You should use a strong sun block when you are out of doors."
D) "Some of those vitamins taken in large doses can cause toxicity."
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24
Because the patient is on a low-fat diet,the nurse takes into consideration that his diet should include water-soluble vitamins such as:
A) Vitamin A
B) Vitamin B complex
C) Vitamin D
D) Vitamin K
A) Vitamin A
B) Vitamin B complex
C) Vitamin D
D) Vitamin K
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25
The patient on an enteral feeding suddenly complains of feeling faint and is sweating.The diastolic blood pressure has dropped 20 points.The nurse recognizes the signs of the dumping syndrome,which is caused by:
A) Hypertonic fluid entering the jejunum and pulling large amounts of water from the circulating volume
B) Rich enteral feeding causing bowel irritation with severe cramping
C) Hypertonic solution rapidly entering the stomach causing pyloric spasm
D) Rapid drop in blood glucose as a result of the hypertonic solution pooling in the jejunum
A) Hypertonic fluid entering the jejunum and pulling large amounts of water from the circulating volume
B) Rich enteral feeding causing bowel irritation with severe cramping
C) Hypertonic solution rapidly entering the stomach causing pyloric spasm
D) Rapid drop in blood glucose as a result of the hypertonic solution pooling in the jejunum
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26
The nurse reinforces the information that a well-balanced diet should be a minimum of ____% protein:
A) 10%
B) 20%
C) 30%
D) 40%
A) 10%
B) 20%
C) 30%
D) 40%
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27
The nurse monitors a patient on total parenteral nutrition (TPN)for the complication of:
A) Respiratory congestion
B) Hypoglycemia
C) Vomiting
D) Hypotension
A) Respiratory congestion
B) Hypoglycemia
C) Vomiting
D) Hypotension
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28
The nurse clarifies that the vitamin whose level can be regulated by excretion in the urine is:
A) C
B) A
C) D
D) K
A) C
B) A
C) D
D) K
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29
The standard peripheral parenteral nutrition intravenous (IV)therapy usually infuses:
A) 50% glucose
B) 5% glucose
C) 0.9% sodium chloride
D) Sterile water
A) 50% glucose
B) 5% glucose
C) 0.9% sodium chloride
D) Sterile water
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30
The nurse explains that soluble fibers such as pectin are used by the body for: (Select all that apply.)
A) Stool softeners
B) Absorption blockers
C) Bulk
D) Speeding transit time
E) Source of vitamin D
A) Stool softeners
B) Absorption blockers
C) Bulk
D) Speeding transit time
E) Source of vitamin D
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31
The nurse observes a young patient who accepts her food tray and appears to eat it enthusiastically,but the patient goes into the bathroom immediately after eating.You suspect that your patient is causing herself to vomit.These assessments suggest the patient is suffering from:
A) Bulimia
B) Anorexia nervosa
C) Hyperemesis
D) Diabetes mellitus
A) Bulimia
B) Anorexia nervosa
C) Hyperemesis
D) Diabetes mellitus
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32
Lipoproteins carry cholesterol in the bloodstream.For this reason,primary caregivers are interested in monitoring lipid-density profiles.Which one of the following is of primary interest to the primary caregiver in relationship to the patient's risk for cardiovascular disease?
A) Very low-density lipoproteins (VLDLs) and hematocrit (Hct)
B) VLDLs and high-density lipoproteins (HDLs)
C) Low-density lipoproteins (LDLs) and hemoglobin (Hgb)
D) LDLs and HDLs
A) Very low-density lipoproteins (VLDLs) and hematocrit (Hct)
B) VLDLs and high-density lipoproteins (HDLs)
C) Low-density lipoproteins (LDLs) and hemoglobin (Hgb)
D) LDLs and HDLs
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33
A 13-year-old patient is 5 feet,6 inches tall,weighs 102 pounds,and is constantly worried about getting "too fat" and is refusing to eat.The nurse assesses that the patient is suffering from:
A) Bulimia
B) Anorexia nervosa
C) Malabsorption
D) Peptic ulcer
A) Bulimia
B) Anorexia nervosa
C) Malabsorption
D) Peptic ulcer
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34
To increase the fiber in a patient's diet,the most effective cereal the nurse would recommend is:
A) Rice Krispies
B) Corn Flakes
C) Wheaties
D) Bran Flakes
A) Rice Krispies
B) Corn Flakes
C) Wheaties
D) Bran Flakes
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35
The foods that have the least amount of fat are:
A) Vegetables, cottonseed oil, and safflower oil
B) Fruits, vegetables, and cereal grains
C) Milk, cheese, and ice cream
D) Bagels, cream cheese, and ham
A) Vegetables, cottonseed oil, and safflower oil
B) Fruits, vegetables, and cereal grains
C) Milk, cheese, and ice cream
D) Bagels, cream cheese, and ham
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36
Elements required for enzyme regulation and maintenance of osmotic pressure are:
A) Proteins
B) Minerals
C) Carbohydrates
D) Amino acids
A) Proteins
B) Minerals
C) Carbohydrates
D) Amino acids
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37
For an older man who weighs 125 pounds to be adequately hydrated,the nurse takes into consideration that he should have a daily fluid intake of:
A) 1684 to 1700 ml/day
B) 1704 to 1988 ml/day
C) 2005 to 2200 ml/day
D) 2368 to 2490 ml/day
A) 1684 to 1700 ml/day
B) 1704 to 1988 ml/day
C) 2005 to 2200 ml/day
D) 2368 to 2490 ml/day
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38
Complete proteins are found in:
A) Poultry, milk, and eggs
B) Grains, legumes, and seeds
C) Nuts, beans, and corn
D) Breads, beans, and vegetables
A) Poultry, milk, and eggs
B) Grains, legumes, and seeds
C) Nuts, beans, and corn
D) Breads, beans, and vegetables
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39
Most of the lipids taken into the body are absorbed from the intestinal mucosa into the:
A) Lymphatic system
B) Blood
C) Large intestine
D) Liver
A) Lymphatic system
B) Blood
C) Large intestine
D) Liver
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40
The function of protein in the body is to:
A) Provide the main source of energy.
B) Serve as a catalyst for fat catabolism.
C) Slow the rate of digestion and absorption of nutrients.
D) Furnish amino acids to build and repair tissue.
A) Provide the main source of energy.
B) Serve as a catalyst for fat catabolism.
C) Slow the rate of digestion and absorption of nutrients.
D) Furnish amino acids to build and repair tissue.
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41
The nurse explains that the characteristics of vitamins: (Select all that apply.)
A) Are necessary in large doses.
B) Have the ability to be manufactured by the body.
C) Regulate metabolic functions in the cells.
D) Exist in multiple forms and are called vitamers.
E) Are classified as macronutrients.
A) Are necessary in large doses.
B) Have the ability to be manufactured by the body.
C) Regulate metabolic functions in the cells.
D) Exist in multiple forms and are called vitamers.
E) Are classified as macronutrients.
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42
The nurse counsels the patient to avoid saturated fats such as: (Select all that apply.)
A) Butter
B) Olive oil
C) Coconut oil
D) Canola oil
E) Palm oil
A) Butter
B) Olive oil
C) Coconut oil
D) Canola oil
E) Palm oil
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43
The nurse points out that the cellulose found in celery and lettuce is a source of _________________________.
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44
The nurse calculates the needed kilocalories (kcal)for a 150-pound moderately active person to be ____________________.
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45
Cysteine,proline,isoleucine,valine,tryptophan,phenylalanine,methionine,and histidine are all classified as ______________________________.
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