NUTRITION AND DIET THERAPY 15TH
EDITION BY NIX
• Promoting a health care service that improves diabetes management for the elderly in acomm
would assist in which of the following?
• supporting the National Health Goals-Healthy People 2020
• reducing world hunger in the United States and Asia
• improving Medicare reimbursement claims
• providing access to child care services for childrenANS: A
Healthy People 2020 has a wide influence and is the focus of the nation’s main objective topromote health and
prevent disease.
DIF: Cognitive Level: Application REF: 3-Feb
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
• A client requires a nutrition assessment. The most appropriate professional to perform the
assessment is a
• physician.
• nurse.
• public health nutritionist.
• registered dietitian.
ANS: D
The registered dietitian is the nutrition expert registered with the Commission of Dietetic Registration (CDR)
certifying agency of Academy of Nutrition and Dietetics. Registered dietitians are the only professionals who
met strict educational and professional prerequisites and passed a national registration examination, which wo
properly prepare themto conduct a nutrition assessment.
DIF: Cognitive Level: Application REF: 1TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• The sum of all body processes inside living cells that sustain life and health is
• science.
• digestion.
• metabolism.
• nutrition.ANS: C
Metabolism is the sum of all chemical changes that take place in the body. Metabolism providesenergy, builds
tissue, and regulates metabolic processes in the body.
,DIF: Cognitive Level: Knowledge REF: 4-Mar TOP: Nursing Process: PlanningMSC: NCLEX: Physiological
Integrity: Physiological Adaptation
• The nutrients that provide the body with its primary source of fuel for energy are
• vitamins.
• minerals.
• fiber.
• carbohydrates.
ANS: D
Carbohydrates (e.g., starches and sugars) are the body’s primary fuel to carry out necessaryprocesses; fat is th
secondary source of energy.
DIF: Cognitive Level: Knowledge REF: 4 TOP: Nursing Process: PlanningMSC: NCLEX: Physiological Inte
Physiological Adaptation
• Which of the following is the most accurate statement regarding the functions of protein?
• Proteins can be a primary fuel source even if there is adequate carbohydrate intake.
• Proteins are a necessary nutrient to provide energy for the body in times of stress.
• Proteins can be used as coenzyme factors during cell metabolism.
• Proteins are essential to tissue building and repair within the body. ANS: D
The primary function of proteins is to provide amino acids, which are the building units necessary to build an
repair tissues within the body. This is a constant process that ensuresadequate growth and maintenance of tissu
a strong body.
DIF: Cognitive Level: Comprehension REF: 4TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
• A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate requirem
The approximate number of kilocalories per day from fat his diet should provide is
kcal/day.a. 400 to 700
b. 100 to 300
c. 500 to 800
d. 900 to 1200ANS: A
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a 2000-kcaldiet 400 to 70
should be provided.
DIF: Cognitive Level: Application REF: 4 TOP: Nursing Process: PlanningMSC: NCLEX: Health Promotion
Maintenance
• The body’s main storage form of carbohydrate is
• glycogen.
• glycerol.
• glucagon.
• glucose.ANS: A
, Glycogen is a polysaccharide that is the main storage form of carbohydrate in the human body. It is mainly sto
the liver and to a lesser extent in muscle tissue.
DIF: Cognitive Level: Knowledge REF: 4 TOP: Nursing Process: PlanningMSC: NCLEX: Physiological Inte
Physiological Adaptation
• The number of kilocalories provided by one slice of bread that contains 30 g carbohydrate, 3
protein, and 1 g fat is kcal.
• 34
b. 136
c. 141
d. 306 ANS: C
Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4 kcal/g, and fat provides9 kcal/g. The
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)
DIF: Cognitive Level: Application REF: 4TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
• The number of kilocalories from fat in a sandwich that contains 22 g fat is kcal.
• 88
b. 132
c. 154
d. 198 ANS: C
Fat provides 9 kcal/g. Thus, 22 g fat ´ 9 kcal/g = 198 kcal.
DIF: Cognitive Level: Application REF: 4TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
• The number of kilocalories from protein in a sandwich that contains 15 g protein is kca
• 45
• 60
• 75
d. 135 ANS: B
Protein provides 4 kcal/g. Thus, 15 g protein ´ 4 kcal/g = 60 kcal.
DIF: Cognitive Level: Application REF: 4TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
• The basic building units of protein are called acids.
• fatty
• amino
• nucleic
• carboxylANS: B