Chapter_01
MULTIPLE CHOICE
Promoting
1. a health care service that improves diabetes management for
the elderly in a community would assist in which of the following?
a. Supporting the national health goals Healthy People 2020
b. Reducing hunger in a subset of the United States population
c. Improving Medicare reimbursement claims
d. Providing access to primary health care services
ANS: a
Healthy People 2020 has a wide influence and is the focus of the
nation's main objective to promote health and prevent disease.
PTS: 1
DIF: Cognitive Level: Application
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
2.A patient requires a nutrition assessment. The most appropriate
professional to perform the assessment is a
a. physician.
b. nurse.
c. public health nutritionist.
d. registered dietitian.
ANS: d
The registered dietitian is the nutrition expert registered with the
Commission of Dietetic Registration (CDR), the certifying agency of
Academy of Nutrition and Dietetics. Registered dietitians are the only
professionals who have met strict educational and professional
prerequisites and passed a national registration examination that
properly prepares them to conduct a nutrition assessment.
PTS: 1
DIF: Cognitive Level: Application
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
,3.The sum of all body processes inside living cells that sustain life and
health is
a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS: c
Metabolism is the sum of all chemical changes that take place in the
body. Metabolism provides energy, builds tissue, and regulates
metabolic processes in the body.
PTS: 1
DIF: Cognitive Level: Knowledge
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4.The nutrients that provide the body with its primary source of fuel for
energy are
a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS: d
Carbohydrates (e.g., starches and sugars) are the body's primary fuel to
carry out necessary processes; fat is the secondary source of energy.
PTS: 1
DIF: Cognitive Level: Knowledge
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5.Which of the following is the most accurate statement regarding the
functions of protein?
a.Proteins can be a primary fuel source even if there is adequate
carbohydrate intake.
,b. Proteins are a necessary nutrient to provide energy for the body in
times of stress.
c. Proteins can be used as coenzyme factors during cell metabolism.
d. Proteins are essential to building and repairing tissues within the
body.
ANS: d
The primary function of proteins is to provide amino acids, which are
the building units necessary to building and repairing tissues within the
body. This is a constant process that ensures adequate growth and
maintenance of tissues for a strong body.
PTS: 1
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6.A 65-year-old man requires 2000 kcal/day without any specific fat or
carbohydrate requirements. The approximate number of kilocalories per
day from fat that his diet should provide is _____ kcal/day.
a. 400–700
b. 100–300
c. 500–800
d. 900–1200
ANS: a
Fat should provide no more than 20% to 35% of the total kilocalories per
day, so for a 2000-kcal diet, 400–700 kcal should be provided.
PTS: 1
DIF: Cognitive Level: Application
TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
7. The body's main storage form of carbohydrate is
a. glycogen.
b. glycerol.
c. glucagon.
, d. glucose.
ANS: a
Glycogen is a polysaccharide that is the main storage form of
carbohydrate in the human body. It is mainly stored in the liver and to a
lesser extent in muscle tissue.
PTS: 1
DIF: Cognitive Level: Knowledge
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8.The number of kilocalories provided by one slice of bread that
contains 30 g carbohydrate, 3 g protein, and 1 g fat is _____ kcal.
a. 34
b. 136
c. 141
d. 306
ANS: c
Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4
kcal/g, and fat provides 9 kcal/g. Therefore:
30 g carbohydrate × 4 kcal/g = 120 kcal
3 g protein × 4 kcal/g = 12 kcal
1 g fat × 9 kcal/g = 9 kcal
= 141 total kcal (120 kcal + 12 kcal + 9 kcal)
PTS: 1
DIF: Cognitive Level: Application
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
9. The number of kilocalories from fat in a sandwich that contains 22 g
fat is _____ kcal.
a. 88
b. 132
c. 154
d. 198
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