NCLEX : NCLEX

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #4 : Nutrition

Which of the following nutrients, when consumed at the same time as a meal that contains non-heme iron (iron from plant sources such as spinach), can significantly improve iron absorption?

Possible Answers:

Vitamin C

Calcium

Magnesium

Vitamin D

Correct answer:

Vitamin C

Explanation:

Vitamin C chelates non-heme iron in food while exposed to the acidic pH of the stomach. This chelated iron then becomes more soluble in the alkaline pH of the duodenum, resulting in increased intestinal absorption of iron.

Example Question #1 : Nutrition

Serotonin, melatonin, and niacin are synthesized from what precursor?

Possible Answers:

L-tyrosine

L-tryptophan

N-acetylcholine

Taurine

Correct answer:

L-tryptophan

Explanation:

Serotonin, melatonin, and niacin are all synthesized from L-tryptophan, an amino acid prevalent in many foods including chocolate, oats, dates, milk, sesame seeds, eggs, meat, and cheese. L-tyrosine is involved in the synthesis of dopamine. Acetylcholine is the neurotransmitter released at the neuromuscular junction, which stimulates contraction of skeletal muscle. Taurine has many biological functions in the cardiovascular, muscular, and nervous systems, as well as others.

Example Question #441 : Nclex

Which of the following symptoms would be most likely to present in a patient with a biotin deficiency?

Possible Answers:

Nausea

Alopecia

Edema

Thyroiditis

Correct answer:

Alopecia

Explanation:

Biotin, or vitamin B7, plays an important role in the health of the hair, nails, and skin. Deficiency generally manifests as alopecia, loss of hair color, brittle nails, and dermatitis.

Example Question #11 : Nutrition

Nutritional intervention may include all of the following except __________.

Possible Answers:

providing specific nutrient supplementation

diet prescription or recommendation

admonishing patients for dietary indiscretion

initiating tube feeding

Correct answer:

admonishing patients for dietary indiscretion

Explanation:

Offering a treatment plan that includes specific nutrient supplementation and a dietary protocol is a normal part of a nutritional counseling and intervention. Initiating tube feeding is only necessary in cases of anorexia or other forms of malnourishment, but is still within normal procedures. Admonishing patients for their dietary choices, however, would be counterproductive to the nurse's attempt to foster trust and willingness on the part of the patient, and so would be inappropriate in an intervention setting.

Example Question #11 : Nutrition

Which of the following conditions is caused by chronic protein deficiency?

Possible Answers:

Pellagra

Marasmus

Beriberi

Kwashiorkor

Correct answer:

Kwashiorkor

Explanation:

Kwashiorkor is a condition of sufficient caloric intake with severe protein malnutrition, often seen in impoverished areas where individuals must survive on carbohydrate-based sources of nutrition. This results in a severe deficiency of albumin, with symptoms such as edema, ascites, fatty liver, and dermal ulceration. Marasmus is a condition not specifically of protein deficiency but of general starvation, which may be due to lack of food security or to intentional fasting or extreme caloric restriction. Pellagra is a condition caused by niacin deficiency, and beriberi is a thiamine deficiency syndrome with neurological, gastrointestinal, and cardiac manifestations.

Example Question #441 : Nclex

Which of the following nutrients can cause hypercalcification in soft tissues when consumed in excess for prolonged periods?

Possible Answers:

Vitamin D

Niacin

Magnesium

Potassium

Correct answer:

Vitamin D

Explanation:

Hypervitaminosis D, or vitamin D toxicity, has been known to cause calcification in soft tissues due to vitamin D's role in calcium absorption and metabolism. None of the other nutrients are as closely related to calcium metabolism, and do not cause hypercalcification in soft tissues when overconsumed.

Example Question #12 : Nutrition

Methylene tetrahydrofolate reductase (MTHFR) deficiency results in the inability to perform which of the following metabolic processes?

Possible Answers:

Methylation of folate

Methylation of vitamin B12

All of these

Homocysteine remethylation

Correct answer:

All of these

Explanation:

Methylene tetrahydrofolate reductase (MTHFR) is an enzyme with multiple important metabolic roles, including the methylation of folate, vitamin B12, and homocysteine. MTHFR deletions can result in folate and B12 related anemias and high homocysteine due to interruption of homocysteine recycling into methionine.

Example Question #445 : Nclex

Which of the following is an essential amino acid?

Possible Answers:

Cysteine

Glutamate

Alanine

Tryptophan

Correct answer:

Tryptophan

Explanation:

Essential amino acids are amino acids that can not be synthesized within the body, but must be consumed through the diet. Tryptophan is the only essential amino acid listed. In all, there are 9 essential amino acids. 

Example Question #141 : General Biology

All of the following criteria must be taken into account when establishing Daily Reference Intakes (DRI's) except __________.

Possible Answers:

EAR (Estimated Average Requirements)

RDA (Recommended Daily Allowance)

UL's (Upper Intake Levels)

ADI (Active Daily Intake)

Correct answer:

ADI (Active Daily Intake)

Explanation:

All of the criteria listed and AI (Adequate Intake) (not listed) must be taken into account when establishing a Daily Reference Intake (DRI) except for ADI (Active Daily Intake), which is a fictitious criteria.

Example Question #444 : Nclex

Which of the following is the most abundant mineral in the human body?

Possible Answers:

Calcium

Magnesium

Iron

Potassium

Correct answer:

Calcium

Explanation:

The most abundant mineral in the human body is calcium. It is primarily stored in the bones and the teeth, and makes up half of the total weight of the skeleton. In addition, calcium is present in nerves, muscle cells, blood, kidneys, and various other soft tissues of the body. 

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