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Sample Test
Chapter 3: Fats
Test Bank
MULTIPLE CHOICE
ANS: D
In the body, fat around vital organs and under the skin provides insulation and
helps regulate body temperature; fat is also a component of cell membrane
structure.
a. 35.
b. 140.
c. 315.
d. 350.
ANS: C
Fat contains 9 kcal/g, so 35 g ´ 9 kcal/g = 315 kcal.
a. 180-270 calories.
b. 360-630 calories.
c. 540-630 calories.
d. 540-720 calories.
ANS: B
It is recommended that no more than 20% to 35% of total calories come from fat.
In an 1800 calorie diet: 1800 x .20 = 360 calories. 1800 x .35 = 630 calories.
4. An element not found in triglycerides is
a. carbon.
b. hydrogen.
c. nitrogen.
d. oxygen.
ANS: C
Carbon, hydrogen, and oxygen make up fat, whereas nitrogen is found as part of
the protein molecule.
b. trans—fatty acids.
ANS: D
c. source.
ANS: D
Fatty acids are saturated or unsaturated depending on whether they are filled
with hydrogen. A fatty acid that is not completely filled with all the hydrogen it
can hold is unsaturated; the structure of a saturated fatty acid is completely
filled with all the hydrogen bonds it can hold.
a. beef steak.
b. olive oil.
c. green tomatoes.
d. whole-grain bread.
ANS: A
a. safflower oil.
b. corn.
c. cottonseed.
d. soybean.
ANS: A
a. monounsaturated.
b. polyunsaturated.
c. unsaturated.
d. saturated.
ANS: C
Plant foods are mostly composed of unsaturated fats. However, tropical oils
such as palm, palm kernel, and coconut as well as hydrogenated oils are
composed of saturated fats.
10. A patient is concerned with her weight. Her energy intake is calculated to
be 1600 calories. Intake records reveal that her fat intake for the past month
has been 120 calories or less per day. The appropriate intervention would be
to
ANS: A
An essential fatty acid is one that is essential for the body; its absence will
create a specific deficiency. The body cannot manufacture essential fatty acids
and must obtain them from the diet.
a. digestion of food.
b. protein metabolism.
c. fluid balance.
d. blood clotting.
ANS: D
The body needs linoleic acid for functions related to tissue strength, cholesterol
metabolism, muscle tone, blood clotting, and heart action.
a. strawberries.
b. canola oil.
c. raisin toast.
d. lard.
ANS: B
a. salad dressing.
b. skim milk.
c. rice.
d. skinless chicken.
ANS: D
Even when all the visible fat has been removed from meat, approximately 6% of
the total fat that surrounds the muscle fibers remains.
a. hydrolysis.
b. hydrogenation.
c. emulsification.
d. hydration.
ANS: B
Hydrogenation is the process of introducing hydrogen into the fat molecule; this
makes the fat more saturated.
ANS: A
a. liver.
b. sausage.
c. cheese.
d. coconut.
ANS: D
Cholesterol is a substance that naturally occurs in all animal foods but not in
plant foods.
a. intestine.
b. liver.
c. adipose tissue.
d. skin.
ANS: B
ANS: B
According to the Dietary Reference Intakes, no more than 20% to 35% of total
calories should come from fat. Excess fat intakes places a person at risk for
health problems, including obesity, elevated blood fats, and diabetes.
d. gallbladder disease.
ANS: B
factors are associated with heart disease, including excess dietary fat,
especially saturated fat and cholesterol, along with obesity, diabetes, elevated
blood fats, and elevated blood pressure. Additional lifestyle factors include
smoking, stress, and lack of exercise.
20. The substances that serve as the major vehicles for fat transport in the
bloodstream are
a. micelles.
b. glycolipids.
c. chylomicrons.
d. bile salts.
ANS: C
After absorption, monoglycerides and fatty acids are reformed into triglycerides,
which are then packaged into lipoproteins called chylomicrons. Chylomicrons
are made of triglycerides, cholesterol, phospholipids, and proteins, and allow
fatty substances to enter the circulation.
21. After eating a dinner of fried chicken, gravy, and mashed potatoes,
chemical digestion of the fat component primarily takes place in the
a. mouth.
b. stomach.
c. small intestine.
d. large intestine.
ANS: C
The largest part of chemical digestion occurs in the small intestine with bile
salts from the gallbladder (which serve as an emulsifier) and several enzymes,
including gastric lipase (tributyrinase) and pancreatic lipase, which break down
triglycerides to diglycerides and monoglycerides.
22. The hormone responsible for stimulating the gallbladder to contract and
release bile into the small intestine is
a. gastric lipase.
b. cholecystokinin.
c. enteric lipase.
d. enterokinin.
ANS: B
a. fatty acids.
b. glycerol.
c. diglycerides.
d. monosaccharides.
ANS: D
The end products of fat digestion include fatty acids, glycerol, and diglycerides.
Monosaccharides are a type of carbohydrate.
a. digest triglycerides.
ANS: C
25. A type of fat that may be associated with a high risk of atherosclerosis if
consumed on a regular basis is
a. olive oil.
b. safflower oil.
c. margarine.
d. lard.
ANS: D
Lard is a highly saturated fat. Excess intake of cholesterol and saturated fat is
associated with atherosclerosis.
ANS: D
Fat substitutes, such as Simplesse and Olestra, provide improved flavor and
physical texture to low-fat foods and can help reduce total dietary fat.
b. 30 g fat.
c. 60 g carbohydrates.
d. 50 g protein.
ANS: B
Calculations:
a. corn oil.
b. peanut oil.
c. avocado oil.
d. margarine.
ANS: D
Margarine is higher in saturated fat than corn oil, peanut oil, and avocado oil.
Margarine is made from oil by hydrogenation. This makes the oil more solid and
more saturated.
29. In a diet that contains 50 g fat and a total of 1500 kcal, the proportion of
total kilocalories from fat is
a. 3%.
b. 13%.
c. 30%.
d. 33%.
ANS: C
Fat contains 9 kcal/g; 50 g ´ 9 kcal/g = 450 kcal. 450 kcal/1500 total kcal = 0.30,
or 30%.
a. fish.
b. margarine.
c. avocado.
d. tofu.
ANS: C
Monounsaturated fats include olives and olive oil, peanuts and peanut oil, canola
oil, almonds, pecans, and avocados.
Chapter 4: Proteins
Test Bank
MULTIPLE CHOICE
b. amino acids.
c. fatty acids.
d. monosaccharides.
ANS: B
All proteins are made of building block units called amino acids. Proteins are
made from both dispensable and indispensable amino acids.
a. carbon.
b. hydrogen.
c. nitrogen.
d. oxygen.
ANS: C
3. Two types of protein in the body are _____ protein and _____ protein.
a. complete, incomplete
b. animal, vegetable
c. dispensable, indispensable
d. tissue, plasma
ANS: D
Two types of protein in the body are tissue and plasma protein. Amino acids are
classified as indispensable, dispensable, or conditionally indispensable in the
diet according to whether the body can make them.
4. The number of amino acids that are indispensable for human beings is
a. 6.
b. 9.
c. 11.
d. 14.
ANS: B
Nine amino acids are classified as indispensable amino acids because the body
cannot manufacture them in sufficient quantity or at all.
a. black beans.
b. peanuts.
c. safflower oil.
d. turkey.
ANS: D
a. simple.
b. incomplete.
c. complete.
d. indispensable.
ANS: C
A complete protein contains all nine indispensable amino acids in the correct
proportion and ratio needed by the body.
a. 6
b. 96
c. 120
d. 216
ANS: B
a. egg.
b. gelatin.
c. milk.
d. fish.
ANS: B
Gelatin is a protein food of animal origin, but it lacks three essential amino acids
and has only small amounts of leucine.
ANS: A
Grains, peanuts, and corn are examples of plant proteins that are considered
incomplete proteins because the food is deficient in one or more of the nine
indispensable amino acids. Examples include grains, nuts, seeds, and legumes.
a. collagen.
b. hemoglobin.
c. insulin.
d. glycogen.
ANS: D
Glycogen is the storage form of carbohydrates and does not contain protein.
ANS: C
The primary function of protein is to supply material in the body for growth,
maintenance, and repair.
DIF: Cognitive Level: Knowledge REF: 50
TOP: Nursing Process: Planning
ANS: D
Protein assists in the body’s defense against disease and infection by helping
build special white blood cells called lymphocytes.
13. After a piece of grilled chicken is digested by the mouth and stomach, it
eventually reaches the small intestine, where it is digested by the following
enzymes secreted by the pancreas:
ANS: A
a. fatty acids.
b. disaccharides.
c. amino acids.
d. polypeptides.
ANS: C
b. hydrochloric acid.
c. gastric lipase.
d. pancreatic lipase.
ANS: B
a. pregnancy.
b. childhood.
c. puberty.
d. illness.
ANS: D
17. The phase of metabolism that makes growth and repair possible is
a. digestion.
b. catabolism.
c. anabolism.
d. homeostasis.
ANS: C
Anabolism is the metabolic process that makes growth and repair possible in the
body. It is especially necessary after an illness or disease process. Anabolism
also is found during periods of rapid fetal growth during pregnancy, the first year
of life, lactation during breast-feeding, and adolescent growth and development
into adulthood.
18. A gastric enzyme that coagulates the protein in milk and is produced by
infants but not by adults is
a. hydrochloric acid.
b. pepsinogen.
c. trypsin.
d. rennin.
ANS: D
Rennin is the gastric enzyme found in the gastric juice of human infants and
some young animals such as calves. Rennin is important to the infant in the
digestion of milk.
a. trypsin.
b. pepsin.
c. chymotrypsin.
d. carboxypeptidase.
ANS: B
b. bile.
c. gastrin.
d. enterokinase.
ANS: D
a. mouth.
b. stomach.
c. small intestine.
d. pancreas.
ANS: C
ANS: A
DIF: Cognitive Level: Knowledge REF: 51-52
TOP: Nursing Process: Planning
d. coagulated by rennin.
ANS: B
24. Of the following, the food with the highest quality protein is
ANS: A
Eggs are the highest-quality protein food and carry a chemical score of 100.
Other foods are compared to it according to their amino acid ratios.
25. Which of the following conditions might result in the greatest catabolism?
a. growth
ANS: B
Protein catabolism, or the breakdown of protein, is increased during illness or
disease and increases the body’s need for protein and kilocalories to rebuild
tissue and meet the demands of an increased metabolic rate. In this case,
multiple trauma with extensive organ damage requires a greater catabolic rate
compared with the other choices and would create the greatest increase in
metabolic rate and need for tissue repair.
26. If the excretion of nitrogen exceeds the nitrogen intake, the condition is
called
d. anabolism.
ANS: C
If the body takes in less nitrogen than it excretes, a negative balance occurs.
This means that the body has an inadequate protein intake and is losing nitrogen
by breaking down more tissue than it is building up.
27. The grams of high-quality protein required daily for an individual who
weighs 170 lb and is close to ideal body weight would be _____ g.
a. 45.2
b. 55.3
c. 61.8
d. 94.0
ANS: C
The Recommended Daily Allowance for both men and women is set at 0.8 g of
high-quality protein per kilogram of desirable body weight per day. In this case,
170 lb/2.2 lb/kg = 77.3 kg. 77.3 kg ´ 0.8 g/kg = 61.8 g/day of protein.
ANS: A
29. A client weighs 130 lbs. She is close to desirable body weight and
consumes a total of 40 grams of protein/day. The most appropriate nutritional
counseling would be to
ANS: A
The RDA for protein for both men and women is set at 0.8 grams of high-quality
protein per kilogram of desirable body weight per day.
Thus, this client’s protein intake is lower than her estimated needs. It would be
appropriate to recommend an increase in protein intake.