Nursing Elites

1. A food choice equivalent to one serving from the Grains group of MyPlate is:

• A. one slice of bread
• B. 2 cups of rice
• C. 3 cups of spaghetti
• D. 4 oz of ready-to-eat cereal

Correct answer: A

Rationale: One slice of bread is a standard serving from the Grains group in MyPlate. This choice aligns with the recommended portion size for grains. Choices B, C, and D are excessive portions that do not represent a single serving according to MyPlate guidelines. 2 cups of rice, 3 cups of spaghetti, and 4 oz of ready-to-eat cereal exceed the standard serving size for grains and would provide more than one serving from this food group.

2. How many kilocalories are provided by 15 grams of protein?

• A. 15
• B. 45
• C. 60
• D. 135

Correct answer: C

Rationale: Protein provides 4 kcal per gram. Therefore, 15 grams of protein will provide 15 grams x 4 kcal/gram = 60 kcal. Choices A, B, and D are incorrect because they do not consider the caloric value of protein correctly.

3. What substance activates pepsinogen to pepsin?

• A. Bile
• B. Gastrin
• C. Secretin
• D. Hydrochloric acid

Correct answer: D

Rationale: The correct answer is D: Hydrochloric acid. Hydrochloric acid in the stomach plays a crucial role in converting pepsinogen into its active form, pepsin, which is necessary for digesting proteins. Bile (Choice A) is involved in the emulsification of fats, not in the activation of pepsinogen. Gastrin (Choice B) is a hormone that stimulates the secretion of gastric acid but does not directly activate pepsinogen. Secretin (Choice C) is a hormone that regulates the pH of the duodenum but is not responsible for the activation of pepsinogen.

4. The release of gastric secretions is stimulated by nerve and hormonal stimuli and the:

• A. ingestion of water.
• B. swallowing reflex.
• C. presence of food in the stomach.
• D. closing of the pyloric sphincter.

Correct answer: C

Rationale: The correct answer is C: 'presence of food in the stomach.' Gastric secretions are stimulated when food enters the stomach, triggering nerve and hormonal responses. This process prepares the stomach for digestion. Choices A, B, and D are incorrect because ingesting water, swallowing reflex, and the closing of the pyloric sphincter do not directly stimulate the release of gastric secretions.

5. Pepsinogen secreted by the gastric cells is converted into pepsin by:

• A. enterokinase
• B. hydrochloric acid
• C. gastric lipase
• D. pancreatic lipase

Correct answer: B

Rationale: Pepsinogen is converted into its active form, pepsin, by hydrochloric acid in the stomach. Hydrochloric acid helps in unfolding the pepsinogen molecule to transform it into pepsin, which is crucial for protein digestion. Therefore, the correct answer is hydrochloric acid (choice B). Enterokinase (choice A) is an enzyme produced in the small intestine that activates trypsinogen into trypsin, not pepsinogen. Gastric lipase (choice C) is an enzyme that digests fats, not involved in converting pepsinogen to pepsin. Pancreatic lipase (choice D) is an enzyme produced by the pancreas that aids in breaking down fats in the small intestine, not part of the process of pepsin activation.

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