,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 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’smainobjective to
promote health and prevent disease.
DIF: Cognitive Level: Application REF: p. 2
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.
DIF: Cognitive Level: Application REF: p. 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: p. 3 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’sprimary fuel to carry out
necessary processes; fat is the secondary source of energy.
DIF: Cognitive Level: Knowledge REF: p. 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 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.
DIF: Cognitive Level: Comprehension REF: p. 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 that 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 should provide no more than 20% to 35% of the total kilocalories per day, so for a
2000-kcal diet, 400 to 700 kcal should be provided.
DIF: Cognitive Level: Application REF: p. 4 TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
7. The zbody’smainstorage zform zof zcarbohydrate zis z
glycogen. z
glycerol. z
, c. glucagon. z
d. glucose. z
ANS: zA
Glycogen zis za zpolysaccharide zthat zis zthe zmain zstorage zform zof zcarbohydrate zin
zthe zhuman zbody. zIt zis zmainly zstored zin zthe zliver zand zto za zlesser zextent zin
zmuscle ztissue.
DIF: Cognitive zLevel: zKnowledge REF: z zp. z4 TOP: zNursing zProcess: zPlanning
MSC: zNCLEX: zPhysiological zIntegrity: zPhysiological zAdaptation
8. The znumber zof zkilocalories zprovided zby zone zslice zof zbread zthat zcontains z30 zg
zcarbohydrate, z3 zg zprotein, zand z1 zg zfat zis zkcal.
a. 34 z
b. 136 z
c. 141 z
d. 306 z
ANS: zC
Calculate zas zfollows: zCarbohydrate zprovides z4 zkcal/g, zprotein zprovides z4 zkcal/g,
zand zfat zprovides z9 zkcal/g. zTherefore:
30 zg zcarbohydrate z z4 zkcal/g z= z120 zkcal
3 zg zprotein z z4 zkcal/g z= z12 zkcal
1 zg zfat z z9 zkcal/g z= z9 zkcal
= z141 ztotal zkcal z(120 zkcal z+ z12 zkcal z+ z9 zkcal)
DIF: Cognitive zLevel: zApplication REF: zp. z4
TOP: zNursing zProcess: zAssessment
MSC: zNCLEX: zPhysiological zIntegrity: zPhysiological zAdaptation
9. z zThe znumber zof zkilocalories zfrom zfat zin za zsandwich zthat zcontains z22
zg zfat zis kcal.
a. 88
b. 132
c. 154
d. 198
ANS: zD
Fat zprovides z9 zkcal/g. zThus, z22 zg zfat z z9 zkcal/g z= z198 zkcal.
DIF: Cognitive zLevel: zApplication REF: zp. z4
TOP: zNursing zProcess: zAssessment
MSC: zNCLEX: zPhysiological zIntegrity: zPhysiological zAdaptation
10. The znumber zof zkilocalories zfrom zprotein zin za zsandwich zthat zcontains z15 zg
zprotein zis zkcal. z
a. 45 z
b. 60 z
c. 75 z