Nutrition And Diet Therapy- 6th Edition by Carroll A. Lutz and Erin E. Mazur – Test Bank
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Sample Test
Chapter 3: Fats
 
 
 
1.    The
descriptive name for fats of all kinds is:
2.    Complete
3.    Essential
4.    Lipids
5.    Saturated
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Complete is not a term used when referring to all types of fat.  | 
 
| 
   2.  | 
  
   Essential is not a term used when referring to all types of fat.
  Essential nutrients are those that are required by the body that must be
  consumed because the body cannot manufacture them.  | 
 
| 
   3.  | 
  
   The descriptive name for
  all fats is lipids and
  includes true fats and oils as well as related fat compounds such as lipoids
  and sterols.  | 
 
| 
   4.  | 
  
   Saturated is a term that refers to one type of fat, that is the
  type that is filled with as many hydrogen atoms as the carbon atoms can bond
  with and has no double bonds between the carbons.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
2.    Fat
contains ______ kcal/g.
3.    2.2
4.    4
5.    7
6.    9
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   One gram of fat yields 9
  kilocalories.  | 
 
| 
   2.  | 
  
   One gram of fat yields 9
  kilocalories  | 
 
| 
   3.  | 
  
   One gram of fat yields 9
  kilocalories  | 
 
| 
   4.  | 
  
   Each gram of fat contains 9
  kilocalories.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
3.    Which
of the following is not a
function of fat in the body?
4.    Build
scar tissue
5.    Lubricate
body tissues
6.    Pad
vital organs
7.    Provide
energy
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Fats are not involved in
  building scar tissue.  | 
 
| 
   2.  | 
  
   Fats lubricate body
  tissues.  | 
 
| 
   3.  | 
  
   Fatty tissue cushions and
  protects vital organs.  | 
 
| 
   4.  | 
  
   Fats supply fuel to most
  tissues and serves as the body’s main fuel or energy reserve.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
4.    Which
of the following would a nurse suggest as a lean meat?
5.    Ground
beef, pork chops, and mozzarella cheese
6.    Corned
beef, spare ribs, and Swiss cheese
7.    Round
steak, pork tenderloin, and cottage cheese
8.    Dark-meat
chicken, eggs, and bologna
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Lean meat contains 1 to 3
  grams of fat. Ground beef, pork chops, and mozzarella cheese contain 5 grams
  of fat.  | 
 
| 
   2.  | 
  
   Lean meat contains 1 to 3
  grams of fat. Corned beef contains 5 grams of fat. Spare ribs and Swiss
  cheese contain 8 grams of fat.  | 
 
| 
   3.  | 
  
   Round steak, pork
  tenderloin, and cottage cheese are considered lean meats because each
  contains 3 grams of fat.  | 
 
| 
   4.  | 
  
   Lean meat contains 1 to 3
  grams of fat. Dark meat chicken and eggs contain 5 grams of fat. Bologna
  contains 8 grams of fat.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need:
Physiological Integrity: Basic Care and Comfort | Cognitive Level:
Application
 
 
 
5.    What
percentage range of an adult’s kilocalories is recommended as the maximum to be
obtained from fat?
6.    20 to
30
7.    20 to
35
8.    30
9.    More
than 50
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   The recommendation is for
  adults to have 20% to 35% of kilocalories from fat.  | 
 
| 
   2.  | 
  
   The recommendation is for
  adults to have 20% to 35% of kilocalories from fat.  | 
 
| 
   3.  | 
  
   The recommendation is for
  adults to have 20% to 35% of kilocalories from fat.  | 
 
| 
   4.  | 
  
   The recommendation is for
  adults to have 20% to 35% of kilocalories from fat.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Health Promotion and
Maintenance | Cognitive
Level: Comprehension
 
 
 
6.    Fats
are classified as saturated, monounsaturated, or polyunsaturated based on which
of the following?
7.    Appearance
after cooking
8.    Source,
whether animal or vegetable
9.    Type
of chemical bonds in their fatty acids
10.  Ease
of emulsification
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   The degree of saturation
  used for classification is based on the extent to which hydrogen is joined to
  the carbon atoms present. It has nothing to do with appearance.  | 
 
| 
   2.  | 
  
   The source of the fat does
  not determine the saturation.  | 
 
| 
   3.  | 
  
   The type of chemical bond
  in the fatty acids determines the saturation of the fat.  | 
 
| 
   4.  | 
  
   The ease of emulsification
  does not determine the saturation of the fat.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
7.    Which
of the following would a nurse instruct a patient to use for one fat exchange?
8.    1
tablespoon of butter
9.    1/2
ounce of cream cheese
10.  Two
slices of bacon
11.  3
tablespoons of mayonnaise
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Each fat exchange provides
  5 grams of fat. A teaspoon of butter would contain 5 grams of total fat. So a
  tablespoon would contain 15 grams of fat.  | 
 
| 
   2.  | 
  
   Each fat exchange provides
  5 grams of fat. A 1/2 ounce amount of cream cheese would provide 5 grams of
  fat.  | 
 
| 
   3.  | 
  
   Each fat exchange provides
  5 grams of fat. One slice of bacon, not two, would provide 5 grams of fat.  | 
 
| 
   4.  | 
  
   Each fat exchange provides
  5 grams of fat. One teaspoon of mayonnaise, not 3 tablespoons, would provide
  5 grams of fat.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need:
Physiological Integrity: Basic Care and Comfort | Cognitive Level:
Application
 
 
 
8.    To be
labeled “lean,” a product must have no more than ______ g of fat per 3
1/2-ounce serving.
9.    5
10.  10
11.  15
12.  20
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Lean can be used on meat, poultry, seafood, or game meat
  products only if the product contains less than 10 grams of fat, less than
  4.5 grams of saturated fat, and less than 95 milligrams of cholesterol per
  100-gram serving (3.5 ounces).  | 
 
| 
   2.  | 
  
   Lean can be used on meat,
  poultry, seafood, or game meat products only if the product contains less
  than 10 grams of fat, less than 4.5 grams of saturated fat, and less than 95
  milligrams of cholesterol per 100-gram serving (3.5 ounces).  | 
 
| 
   3.  | 
  
   Lean can be used on meat,
  poultry, seafood, or game meat products only if the product contains less
  than 10 grams of fat, less than 4.5 grams of saturated fat, and less than 95
  milligrams of cholesterol per 100-gram serving (3.5 ounces).  | 
 
| 
   4.  | 
  
   Lean can be used on meat,
  poultry, seafood, or game meat products only if the product contains less
  than 10 grams of fat, less than 4.5 grams of saturated fat, and less than 95
  milligrams of cholesterol per 100-gram serving (3.5 ounces).  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
9.    In
developing countries, nutrition transition often leads to a combination of
underweight in children and overweight in adults. A partial explanation for
this involves which of the following?
10.  Availability
of low-cost fruits and vegetables
11.  Availability
of cheap energy-dense foods
12.  Home-cooked
meals
13.  Children
exercising too much
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Changes in diet, food
  availability, and lifestyle are all components of transition as countries
  modernize. However, obesity in adults has been linked to the availability of
  cheap, energy-dense foods (including those from street vendors and fast-food
  restaurants) that facilitate the consumption of more fat. In addition, the
  introduction of low-cost vegetable oils from industrialized countries greatly
  increases the amount of fat in the average diet.  | 
 
| 
   2.  | 
  
   Changes in diet, food
  availability, and lifestyle are all components of transition as countries
  modernize. However, obesity in adults has been linked to the availability of
  cheap, energy-dense foods (including those from street vendors and fast-food
  restaurants) that facilitate the consumption of more fat. In addition, the
  introduction of low-cost vegetable oils from industrialized countries greatly
  increases the amount of fat in the average diet.  | 
 
| 
   3.  | 
  
   Changes in diet, food
  availability, and lifestyle are all components of transition as countries
  modernize. However, obesity in adults has been linked to the availability of
  cheap, energy-dense foods (including those from street vendors and fast-food
  restaurants) that facilitate the consumption of more fat. In addition, the
  introduction of low-cost vegetable oils from industrialized countries greatly
  increases the amount of fat in the average diet.  | 
 
| 
   4.  | 
  
   Changes in diet, food
  availability, and lifestyle are all components of transition as countries
  modernize. However, obesity in adults has been linked to the availability of
  cheap, energy-dense foods (including those from street vendors and fast-food
  restaurants) that facilitate the consumption of more fat. In addition, the
  introduction of low-cost vegetable oils from industrialized countries greatly
  increases the amount of fat in the average diet.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Health Promotion and
Maintenance | Cognitive
Level: Comprehension
 
 
 
10.  If 1 cup
of whole milk (3.3% fat) contains 8 gram of fat and gives 150 kcal of energy,
what percent of its kilocalories is derived from fat?
11.  5%
12.  21%
13.  37%
14.  48%
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   To determine the percent of
  kilocalories derived from fat, multiply the number of grams of fat per
  serving by 9 and divide this number by 150 kcal and then multiply the result
  by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%.  | 
 
| 
   2.  | 
  
   To determine the percent of
  kilocalories derived from fat, multiply the number of grams of fat per
  serving by 9 and divide this number by 150 kcal and then multiply the result
  by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%  | 
 
| 
   3.  | 
  
   To determine the percent of
  kilocalories derived from fat, multiply the number of grams of fat per
  serving by 9 and divide this number by 150 kcal and then multiply the result
  by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%  | 
 
| 
   4.  | 
  
   To determine the percent of
  kilocalories derived from fat, multiply the number of grams of fat per
  serving by 9 and divide this number by 150 kcal and then multiply the result
  by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Analysis
 
 
 
11.  Most
of the fat in our diets and in our bodies is in which form?
12.  Fatty
acids
13.  Glycerol
14.  Sterols
15.  Triglycerides
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Fatty acids are one of the
  structural components of a true fat.  | 
 
| 
   2.  | 
  
   Glycerol is one of the
  structural components of a true fat.  | 
 
| 
   3.  | 
  
   Sterols are fatlike
  compounds.  | 
 
| 
   4.  | 
  
   Most of the fat in our diets
  and bodies is in the form of triglycerides.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
12.  The
manufacturing process that helps to make a fat harder is:
13.  Saturation
14.  Modification
15.  Hydrogenation
16.  Emulsification
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Saturation refers to the
  extent to which hydrogen is joined to the carbon atoms present.  | 
 
| 
   2.  | 
  
   Modification refers to the
  changes individuals make.  | 
 
| 
   3.  | 
  
   Hydrogenation refers to the
  process of adding hydrogen to a fat of vegetable origin to extend the shelf
  life or make the fat harder.  | 
 
| 
   4.  | 
  
   Emulsification refers to
  the blending of two substances into one liquid form.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
13.  Which
of the following would a nurse instruct a client about as being on the high-fat
meat exchange lists?
14.  Chicken
with skin, pork chops, and mozzarella cheese
15.  Spare
ribs, cheddar cheese, and bologna
16.  Round
steak, pork tenderloin, and cottage cheese
17.  Fried
salmon, ground beef, and eggs
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   One high-fat meat exchange
  contains 8 or more grams of fat. Chicken with skin, pork chops, and
  mozzarella cheese each contain 5 grams of fat and are considered medium-fat
  meat exchanges.  | 
 
| 
   2.  | 
  
   One high-fat meat exchange
  contains 8 or more grams of fat. Spare ribs, cheddar cheese, and bologna each
  contain 8 grams of fat.  | 
 
| 
   3.  | 
  
   One high-fat meat exchange
  contains 8 or more grams of fat. Round steak, pork tenderloin, and cottage
  cheese each contain 3 grams of fat and are considered lean-meat fat
  exchanges.  | 
 
| 
   4.  | 
  
   One high-fat meat exchange
  contains 8 or more grams of fat. Fried salmon, ground beef, and eggs each
  contain 5 grams of fat and are considered medium-fat meat exchanges.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need:
Physiological Integrity: Basic Care and Comfort | Cognitive Level:
Application
 
 
 
14.  Which
type of oil would a nurse instruct a patient to avoid because it is high in
saturated fatty acids?
15.  Canola
16.  Coconut
17.  Corn
18.  Olive
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Canola oil is high in
  monounsaturated fatty acids.  | 
 
| 
   2.  | 
  
   Coconut oil is high in
  saturated fatty acids.  | 
 
| 
   3.  | 
  
   Corn oil is high in polyunsaturated
  fatty acids.  | 
 
| 
   4.  | 
  
   Olive oil is high in
  monounsaturated fatty acids.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need:
Physiological Integrity: Reduction of Risk Potential | Cognitive Level:
Application
 
 
 
15.  If a
client has been maintaining a stable, healthy body weight by consuming 1800
kcal, what is the maximum fat recommended for him or her?
16.  26
grams
17.  40
grams
18.  70
grams
19.  85
grams
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Twenty-six grams of fat is
  the minimum amount of fat intake recommended for 1200 kcal.  | 
 
| 
   2.  | 
  
   Forty grams of fat is the
  minimum amount of fat intake recommended for 1800 kcal.  | 
 
| 
   3.  | 
  
   Seventy grams of fat is the
  maximum amount of fat intake recommended for 1800 kcal.  | 
 
| 
   4.  | 
  
   Eighty-five grams of fat is
  the maximum amount of fat intake recommended for 2200 kcal.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Health Promotion and
Maintenance | Cognitive
Level: Comprehension
 
 
 
16.  A
patient expresses an interest in controlling his or her blood cholesterol.
Which of the following statements would be least inappropriate for the nurse to
make when teaching this client?
17.  Cholesterol
is a component of adrenal hormones and sex hormones.
18.  Cell
membranes require cholesterol as part of their structure.
19.  Eliminating
cholesterol from the diet will effectively eliminate it from the bloodstream.
20.  Plant
products never increase blood cholesterol levels.
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Cholesterol is important
  for the production of adrenal hormones and sex hormones, estrogen and
  testosterone.  | 
 
| 
   2.  | 
  
   Cholesterol is an essential
  component of all cell membranes.  | 
 
| 
   3.  | 
  
   The Food and Nutrition
  Board of the Institute of Medicine stated that saturated fat and cholesterol
  provide no known beneficial role in preventing chronic diseases and are not
  required at any level in the diet. However, the complete elimination of
  saturated fat and cholesterol from the diet would make it difficult to meet
  other nutritional guidelines.  | 
 
| 
   4.  | 
  
   Cholesterol is present only
  in animal foods. Therefore, foods from plants do not provide cholesterol.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need: Health
Promotion and Maintenance | Cognitive
Level: Application
 
 
 
17.  Which
of the following would appear on the fat exchange list?
18.  Avocado
19.  Baked
beans
20.  Banana
21.  Sweet
potato
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Avocado is part of the fat
  exchange list. Approximately 1/8 of an avocado is equal to one fat exchange.  | 
 
| 
   2.  | 
  
   Baked beans are not part of
  the fat exchange list.  | 
 
| 
   3.  | 
  
   Bananas are not part of the
  fat exchange list.  | 
 
| 
   4.  | 
  
   Sweet potato is not part of
  the fat exchange list.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
18.  A
group of students demonstrate the need for more teaching when they identify
which of the following as a function of fat in the body?
19.  Carrier
of fat-soluble vitamins
20.  Contribute
to satiety
21.  Preferred
source of immediate energy
22.  Provide
insulation protection from heat and cold
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Fat act as a vehicle for
  vitamins A, D, E, and K, the fat-soluble vitamins.  | 
 
| 
   2.  | 
  
   Fats contribute to the
  sensations of fullness and satisfaction after eating.  | 
 
| 
   3.  | 
  
   Fats function as the body’s
  main fuel reserve, being released when an individual does not eat enough to
  meet the body’s energy demands.  | 
 
| 
   4.  | 
  
   The subcutaneous layer of
  fat under the skin helps to insulate the body by protecting it from excessive
  heat and cold.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need:
Physiological Integrity: Basic Care and Comfort | Cognitive Level: Analysis
 
 
 
19.  Which
of the following lipids is an omega-6 fatty acid?
20.  Arachidonic
acid
21.  Linolenic
22.  Cholesterol
23.  Linoleic
acid
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Arachidonic acid is one of
  the essential fatty acids but not an omega-6 fatty acid.  | 
 
| 
   2.  | 
  
   Linolenic acid is one of
  the essential fatty acids but not an omega-6 fatty acid.  | 
 
| 
   3.  | 
  
   Cholesterol is a sterol.  | 
 
| 
   4.  | 
  
   Linoleic acid is called an
  omega-6 fatty acid and plays a major role in the transport and metabolism of
  cholesterol.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
20.  Compared
with those made with unsaturated fats, grocery items containing saturated fats
have:
21.  Longer
shelf lives
22.  More
valid health claims on the labels
23.  Fewer
kilocalories
24.  Permanent
protection against becoming rancid
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Saturated fats are more
  chemically stable and have a fairly long shelf life.  | 
 
| 
   2.  | 
  
   Saturated fats have been
  identified as having unhealthful effects when ingested in excess of the
  body’s needs.  | 
 
| 
   3.  | 
  
   Fats, regardless of the
  type, provide 9 kcal/gram.  | 
 
| 
   4.  | 
  
   Saturated fats become
  rancid more slowly than unsaturated fats; however, they can become rancid.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
21.  A
patient tells the nurse that he chooses “fat-free” foods whenever possible. The
nurse understands that this labeling indicates that the food contains no more
than ______ g of fat per serving.
22.  0.1
23.  0.5
24.  1
25.  5
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Fat-free labeling means
  that the food contains no more than 0.5 grams of fat per serving.  | 
 
| 
   2.  | 
  
   Fat-free labeling means
  that the food contains no more than 0.5 grams of fat per serving.  | 
 
| 
   3.  | 
  
   Fat-free labeling means
  that the food contains no more than 0.5 grams of fat per serving.  | 
 
| 
   4.  | 
  
   Fat-free labeling means
  that the food contains no more than 0.5 grams of fat per serving.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Application
 
 
 
22.  When
teaching consumers about fat consumption, the nurse would recommend that they
should consume as little as possible of which of the following?
23.  Trans
fats
24.  Cholesterol
25.  Monounsaturated
26.  Sucrose
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Currently it is recommended
  that individuals limit trans fats as much as possible in the diet because
  they are not essential and may be linked to increasing the risk of
  cardiovascular disease.  | 
 
| 
   2.  | 
  
   Cholesterol should be
  consumed but in amounts less than 300 mg/day.  | 
 
| 
   3.  | 
  
   Monounsaturated fats are
  recommended in part to help decrease the risk of nonfatal myocardial
  infarction and coronary death.  | 
 
| 
   4.  | 
  
   Sucrose is not a fat.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need: Health
Promotion and Maintenance | Cognitive
Level: Comprehension
 
 
 
23.  Trans
fats are commonly found in which of the following?
24.  Olive
oil
25.  Commercially
baked goods
26.  Shortening
27.  Egg
yolks
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Olive oil is considered
  high in monounsaturated fats.  | 
 
| 
   2.  | 
  
   Commercially baked goods
  are commonly high in trans fats  | 
 
| 
   3.  | 
  
   Shortening typically is
  high in saturated fats.  | 
 
| 
   4.  | 
  
   Egg yolks are high in
  saturated fats and cholesterol  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
24.  After
teaching a group of students about fatty acids, the students demonstrate a need
for additional teaching when they identify fatty acids as varying based on
which of the following?:
25.  Length
of the carbon chain
26.  Composition
27.  Degree
of saturation
28.  Lack
of carbon in the chain
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Fatty acids can vary by the
  length of the carbon chain.  | 
 
| 
   2.  | 
  
   Fatty acids vary in terms
  of composition.  | 
 
| 
   3.  | 
  
   Fatty acids vary in their
  degree of saturation.  | 
 
| 
   4.  | 
  
   Fatty acids all contain a
  chain of carbon atoms with hydrogen and a few oxygen atoms attached.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need:
Physiological Integrity: Basic Care and Comfort | Cognitive Level:
Analysis
 
 
 
25.  The
primary care provider orders a calorie count for a patient who is malnourished.
Over a 24-hour period, the patient consumes 24 grams of fat. Which of the
following denotes the patient’s caloric intake of fat?
26.  96
27.  120
28.  216
29.  240
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Fats yield 9 kcal/g;
  therefore, 24 grams of fat would yield 216 kcalories.  | 
 
| 
   2.  | 
  
   Fats yield 9 kcal/g;
  therefore, 24 grams of fat would yield 216 kcalories.  | 
 
| 
   3.  | 
  
   Fats yield 9 kcal/g;
  therefore, 24 grams of fat would yield 216 kcalories.  | 
 
| 
   4.  | 
  
   Fats yield 9 kcal/g;
  therefore, 24 grams of fat would yield 216 kcalories.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Analysis
 
Chapter 4: Protein
 
 
 
1.    Which
of the following is not a
complete protein?
2.    Baked
beans
3.    Beef
liver
4.    Cottage
cheese
5.    Pork
steak
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Grains, vegetables,
  legumes, nuts, and seeds contain incomplete protein. Complete proteins supply
  all nine essential amino acids in sufficient quantity to maintain tissue and
  support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of
  complete protein.  | 
 
| 
   2.  | 
  
   Complete proteins supply
  all nine essential amino acids in sufficient quantity to maintain tissue and
  support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of
  complete protein.  | 
 
| 
   3.  | 
  
   Complete proteins supply
  all nine essential amino acids in sufficient quantity to maintain tissue and
  support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of
  complete protein.  | 
 
| 
   4.  | 
  
   Complete proteins supply
  all nine essential amino acids in sufficient quantity to maintain tissue and
  support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of
  complete protein.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
2.    In
addition to carbon, hydrogen, and oxygen, proteins are characterized by the
presence of:
3.    Calcium
4.    Nitrogen
5.    Sodium
6.    Sulfur
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Proteins are composed of
  four elements: carbon, hydrogen, oxygen, and nitrogen.  | 
 
| 
   2.  | 
  
   Proteins are composed of
  four elements: carbon, hydrogen, oxygen, and nitrogen.  | 
 
| 
   3.  | 
  
   Proteins are composed of
  four elements: carbon, hydrogen, oxygen, and nitrogen.  | 
 
| 
   4.  | 
  
   Proteins are composed of
  four elements: carbon, hydrogen, oxygen, and nitrogen.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
3.    Essential
amino acids are those:
4.    Available
from grains
5.    Essential
to body processes
6.    Manufactured
by the body because they are essential to life
7.    Unable
to be synthesized in adequate amounts by the body
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   An amino acid is classified
  as essential if the body is unable to make it in sufficient amounts to meet
  metabolic needs. All essential amino acids must be available in the body
  simultaneously and in sufficient quantity for the synthesis of body proteins.  | 
 
| 
   2.  | 
  
   An amino acid is classified
  as essential if the body is unable to make it in sufficient amounts to meet
  metabolic needs. All essential amino acids must be available in the body
  simultaneously and in sufficient quantity for the synthesis of body proteins.  | 
 
| 
   3.  | 
  
   An amino acid is classified
  as essential if the body is unable to make it in sufficient amounts to meet
  metabolic needs. All essential amino acids must be available in the body
  simultaneously and in sufficient quantity for the synthesis of body proteins.  | 
 
| 
   4.  | 
  
   An amino acid is classified
  as essential if the body is unable to make it in sufficient amounts to meet
  metabolic needs. All essential amino acids must be available in the body
  simultaneously and in sufficient quantity for the synthesis of body proteins.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
4.    Protein
provides how many kilocalories per gram?
5.    2
6.    4
7.    5
8.    9
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Proteins provide 4 kilocalories
  per gram.  | 
 
| 
   2.  | 
  
   Proteins provide 4
  kilocalories per gram.  | 
 
| 
   3.  | 
  
   Proteins provide 4
  kilocalories per gram.  | 
 
| 
   4.  | 
  
   Proteins provide 4
  kilocalories per gram.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
5.    One
milk exchange contains how many grams of protein?
6.    4
7.    6
8.    8
9.    10
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   One milk exchange provides
  8 grams of protein.  | 
 
| 
   2.  | 
  
   One milk exchange provides
  8 grams of protein.  | 
 
| 
   3.  | 
  
   One milk exchange provides
  8 grams of protein.  | 
 
| 
   4.  | 
  
   One milk exchange provides
  8 grams of protein.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
6.    Anabolism
describes the process of:
7.    Building
tissue
8.    Destroying
worn-out or infected tissue
9.    Too
few kilocalories and insufficient protein
10.  Use
of body protein for glucose production
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Anabolism is the building
  up of tissues.  | 
 
| 
   2.  | 
  
   Catabolism is the breaking
  down of tissues into simpler substances that the body can use or eliminate.  | 
 
| 
   3.  | 
  
   Marasmus occurs with the
  intake of few too kilocalories and insufficient protein.  | 
 
| 
   4.  | 
  
   Gluconeogensis refers to
  the process in which the body uses protein for glucose production.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
7.    A
protein-containing substance secreted directly into the bloodstream to regulate
body processes is called a(n):
8.    Enzyme
9.    Hormone
10.  Antibody
11.  Nucleoprotein
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Enzymes act as catalysts,
  influencing the speed at which a chemical reaction takes place, but they do
  not actually enter into the reaction.  | 
 
| 
   2.  | 
  
   Hormones are chemicals
  secreted by various organs to regulate body processes. They are secreted
  directly into the bloodstream.  | 
 
| 
   3.  | 
  
   An antibody is produced by
  the body in response to the presence of a foreign substance or a substance
  that the body senses to be foreign.  | 
 
| 
   4.  | 
  
   Nucleoproteins are
  regulatory complexes that direct the maintenance and reproduction of the
  cell.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
8.    Which
of the following is a source of complete protein?
9.    Peanut
butter
10.  Winter
squash
11.  Chicken
nuggets
12.  Whole-grain
bagel
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Nuts, such as peanuts, are
  incomplete proteins.{Ed/Au:
  are peanuts actually nuts, though? Aren’t they a legume (bean)?}  | 
 
| 
   2.  | 
  
   Vegetables, such as winter
  squash, are incomplete proteins.  | 
 
| 
   3.  | 
  
   Meats and poultry are
  complete proteins.  | 
 
| 
   4.  | 
  
   Whole grains are incomplete
  proteins.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
9.    An
infant with phenylketonuria (PKU) lacks an enzyme to digest phenylalanine. To
avoid mental retardation from an accumulation of toxic materials, the infant
can consume only prescribed amounts of:
10.  Chocolate
11.  Milk
12.  Oats
13.  Wheat
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Chocolate is not
  problematic in PKU  | 
 
| 
   2.  | 
  
   Milk contains phenylalanine
  and must be restricted.  | 
 
| 
   3.  | 
  
   Oats is not problematic in
  PKU  | 
 
| 
   4.  | 
  
   Wheat is not problematic in
  PKU  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Reduction of Risk Potential | Cognitive
Level: Application
 
 
 
10.  The
process of breaking down tissue is called:
11.  Anabolism
12.  Catabolism
13.  Metabolism
14.  Nitrogen
imbalance
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Anabolism refers to the
  building up of body tissues.  | 
 
| 
   2.  | 
  
   Catabolism refers to the
  breakdown of body tissues.  | 
 
| 
   3.  | 
  
   Metabolism refers to the
  processes that cells produce energy and necessary substances for life.  | 
 
| 
   4.  | 
  
   Nitrogen balance occurs
  when the amount of nitrogen taken in equals the amount excreted.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
11.  Regardless
of its fat content, one meat exchange contains how many grams of protein?
12.  3
13.  5
14.  7
15.  9
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Each meat exchange contains
  7 grams of protein.  | 
 
| 
   2.  | 
  
   Each meat exchange contains
  7 grams of protein.  | 
 
| 
   3.  | 
  
   Each meat exchange contains
  7 grams of protein.  | 
 
| 
   4.  | 
  
   Each meat exchange contains
  7 grams of protein.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
12.  The
unique function of protein in the human body is to:
13.  Aid
in digestion and absorption of fats
14.  Modify
the passage time to excretion of selected medications
15.  Provide
energy
16.  Serve
as building materials for tissue repair
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Proteins are not involved
  in digestion and storage of fats.  | 
 
| 
   2.  | 
  
   Proteins do no modify the
  passage of time to excretion of medications.  | 
 
| 
   3.  | 
  
   Proteins act as a
  substitute fuel, but their main function is not to provide energy.  | 
 
| 
   4.  | 
  
   Proteins serve to maintain
  and promote tissue growth and repair.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
13.  All
proteins are composed of:
14.  Amino
acids
15.  Hormones
16.  Antibody
17.  Enzymes
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Amino acids are the
  building blocks of protein.  | 
 
| 
   2.  | 
  
   Hormones are regulated by proteins.  | 
 
| 
   3.  | 
  
   Antibodies are a special
  type of protein.  | 
 
| 
   4.  | 
  
   Enzymes facilitate body
  function and require proteins to act.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Knowledge
 
 
 
14.  A
client has been urged to consume high-quality protein foods. Which of the
following choices for lunch would indicate that he or she is implementing the
advice?
15.  Caesar
salad with bacon instead of anchovies
16.  Grilled
chicken salad
17.  Potato
salad
18.  Three-bean
salad
 
Ans: 2
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Meat, poultry, fish, eggs,
  milk, and cheese are good sources of protein. Salad is not; bacon is higher
  in fat than protein.  | 
 
| 
   2.  | 
  
   Grilled chicken provides a
  good complete protein source.  | 
 
| 
   3.  | 
  
   Meat, poultry, fish, eggs,
  milk, and cheese are good sources of protein. Potatoes are not.  | 
 
| 
   4.  | 
  
   Although beans can be an
  important source of protein, it would be important to identify which types of
  beans are included in the salad.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Application
 
 
 
15.  After
reviewing information about albumin, the student demonstrates a need for
additional review based on which statement about albumin?
16.  It
carries nutrients to tissues and cells.
17.  It
affects the metabolism of medications.
18.  It is
a minor blood protein.
19.  It
helps with water balance.
 
Ans: 3
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Albumin is a transport
  protein that carries nutrients or elements to cells.  | 
 
| 
   2.  | 
  
   Albumin plays a significant
  role in metabolism.  | 
 
| 
   3.  | 
  
   Albumin is a major blood
  protein.  | 
 
| 
   4.  | 
  
   Albumin aids in water
  balance.  | 
 
KEY: Integrated
Process: Teaching/Learning | Client Need:
Physiological Integrity: Reduction of Risk Potential | Cognitive Level:
Analysis
 
 
 
16.  When
assessing a patient, which of the following would the nurse identify as least
likely indicating malnutrition?
17.  Frequent
bouts of infection
18.  Low
weight-for-height value
19.  Slow
wound healing
20.  Hyperactivity
 
Ans: 4
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   Malnutrition can affect
  immunity, making the person more susceptible to infection and diseases.  | 
 
| 
   2.  | 
  
   Malnutrition is associated
  with low weight in relation to height.  | 
 
| 
   3.  | 
  
   Malnutrition can affect
  healing, leading to slowed wound healing.  | 
 
| 
   4.  | 
  
   Malnutrition is not
  associated with hyperactivity. The person may be lethargic.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Physiological Adaptation | Cognitive
Level: Application
 
 
 
17.  A
vegan limits food intake to:
18.  Fruits,
grains, nuts, and vegetables
19.  Eggs,
fruits, grains, nuts, and vegetables
20.  Dairy
products, fruits, grains, nuts, and vegetables
21.  Eggs,
dairy products, fruits, grains, nuts, and vegetables
 
Ans: 1
| 
      | 
  
   Feedback  | 
 
| 
   1.  | 
  
   A vegan diet excludes all
  animal sources of protein, dairy products, and eggs. Thus, fruits, grain,
  nuts, and vegetables would be consumed.  | 
 
| 
   2.  | 
  
   A vegan diet excludes all
  animal sources of protein, dairy products and eggs. Thus, fruits, grain,
  nuts, and vegetables would be consumed.  | 
 
| 
   3.  | 
  
   A vegan diet excludes all animal
  sources of protein, dairy products and eggs. Thus fruits, grain, nuts, and
  vegetables would be consumed.  | 
 
| 
   4.  | 
  
   A vegan diet excludes all
  animal sources of protein, dairy products and eggs. Thus fruits, grain, nuts,
  and vegetables would be consumed.  | 
 
KEY: Integrated
Process: Nursing Process | Client Need: Physiological Integrity:
Basic Care and Comfort | Cognitive
Level: Comprehension
 
 
 
18.  The
nurse is caring for a patient who is an ovolactovegetarian. The nurse
understands that this patient’s food intake is limited to:
19.  Fruits,
grains, nuts, and vegetables
20.  Eggs,
fruits, grains, nuts, and vegetables
21.  Dairy
products, fruits, grains, nuts, and vegetables
22.  Eggs,
dairy products, fruits, grains, nuts, and vegetables
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