,Chapter 01: Food, Nutrition and Health
NIX: WILLIAMS’ BASIC NUTRITION AND DIET THERAPY 16TH EDITION
MULTIPLE CHOICE
1. Promoting 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 world hunger in the United States and Asia
c. improving Medicare reimbursement claims
d. providing access to child care services for children
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.
DIF: Cognitive Level: Application REF: 3-Feb
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, which would properly prepare them
to conduct a nutrition assessment.
DIF: Cognitive Level: Application REF: 1
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.
,DIF: Cognitive Level: Knowledge REF: 4-Mar TOP: Nursing Process: Planning
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.
DIF: Cognitive Level: Knowledge REF: 4 TOP: Nursing Process: Planning
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 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 and repair tissues within the body. This is a constant process that ensures
adequate growth and maintenance of tissues for a strong body.
DIF: Cognitive Level: Comprehension REF: 4
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 his diet should provide is
kcal/day.
a. 400 to 700
b. 100 to 300
c. 500 to 800
d. 900 to 1200
ANS: A
Fat ishould iprovide ino imore ithan i20% ito i35% iof ithe itotal ikilocalories iper iday, iso ifor ia i2000-
kcal idiet i400 ito i700 ikcal ishould ibe iprovided.
DIF: iCognitive iLevel: iApplication iREF: i4 iTOP: iNursing iProcess: iPlanning
iMSC: iNCLEX: iHealth iPromotion iand iMaintenance
, 7. The ibody’s imain istorage iform iof icarbohydrate iis
a. glycogen.
b. glycerol.
c. glucagon.
d. glucose.
ANS: iA
Glycogen iis ia ipolysaccharide ithat iis ithe imain istorage iform iof icarbohydrate iin ithe ihuman ibody.
iIt iis imainly istored iin ithe iliver iand ito ia ilesser iextent iin imuscle itissue.
DIF: iCognitive iLevel: iKnowledge iREF: i4 iTOP: iNursing iProcess:
PlanningMSC: iNCLEX: iPhysiological iIntegrity: iPhysiological iAdaptation
8. The inumber iof ikilocalories iprovided iby ione islice iof ibread ithat icontains i30 ig icarbohydrate,
i3 ig iprotein, iand i1 ig ifat iis kcal.
a. 34
b. 136
c. 141
d. 306
ANS: iC
Calculate ias ifollows: iCarbohydrate iprovides i4 ikcal/g, iprotein iprovides i4 ikcal/g, iand ifat
iprovides i9 ikcal/g. iTherefore:
30 ig icarbohydrate i´ i4 ikcal/g i= i120 ikcal
3 ig iprotein i´ i4 ikcal/g i= i12 ikcal
1 ig ifat i´ i9 ikcal/g i= i9 ikcal
= i141 itotal ikcal i(120 ikcal i+ i12 ikcal i+ i9 ikcal)
DIF: iCognitive iLevel: iApplication iREF: i4
iTOP: iNursing iProcess: iAssessment
MSC: iNCLEX: iPhysiological iIntegrity: iPhysiological iAdaptation
9. The inumber iof ikilocalories ifrom ifat iin ia isandwich i that icontains i22 ig ifat iis kcal.
a. 88
b. 132
c. 154
d. 198
ANS: iC
Fat iprovides i9 ikcal/g. iThus, i22 ig ifat i´ i9 ikcal/g i= i198 ikcal.
DIF: iCognitive iLevel: iApplication iREF: i4
iTOP: iNursing iProcess: iAssessment
MSC: iNCLEX: iPhysiological iIntegrity: iPhysiological iAdaptation
10. The inumber iof ikilocalories ifrom iprotein iin ia isandwich ithat icontains i15 ig iprotein iis i
ikcal.
a. 45