Nursing Elites

1. A person with lactose intolerance should be most careful to limit their intake of:

• A. milk
• B. yogurt
• C. cheese
• D. corn syrup

Correct answer: A

Rationale: Individuals with lactose intolerance lack the enzyme lactase needed to break down lactose, the sugar in dairy products. Milk contains a high amount of lactose, making it crucial for those with lactose intolerance to limit their intake. Yogurt and cheese, on the other hand, have lower lactose content due to the fermentation process which reduces lactose levels, making them better tolerated by many with lactose intolerance. Corn syrup, although high in sugar, does not contain lactose and is unrelated to lactose intolerance. Therefore, the correct answer is 'milk' as it is a significant source of lactose, which can trigger symptoms in individuals with lactose intolerance.

2. During lactation, where is lactose synthesized in the body?

• A. Liver
• B. Breast
• C. Kidney
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Breast. Lactose is synthesized in the breast during lactation to produce breastmilk. The liver is responsible for various metabolic functions but does not synthesize lactose. The kidney's primary role is in filtering blood and regulating electrolytes, not lactose synthesis. The pancreas is involved in producing digestive enzymes and insulin, not lactose synthesis.

3. How does a nursing infant receive antibodies from its mother?

• A. Through anabolism and catabolism.
• B. Through the absorption of antibodies.
• C. Through the absorption of amino acids and synthesis of antibodies.
• D. Through genetic inheritance.

Correct answer: B

Rationale: A nursing infant receives antibodies from its mother through the absorption of antibodies present in breast milk. Choice A is incorrect as anabolism and catabolism refer to metabolic processes, not the transfer of antibodies. Choice C is incorrect as the infant does not need to synthesize antibodies but directly receives them. Choice D is incorrect because while genetic inheritance plays a role in the immune system, in this case, the direct transfer of antibodies occurs through breast milk.

4. What is the cause of gas formation in the colon?

• A. Consuming refined foods.
• B. Drinking excess water.
• C. Swallowing air while eating.
• D. Bacterial action on organic compounds.

Correct answer: D

Rationale: Gas formation in the colon is primarily due to bacterial fermentation of undigested carbohydrates. Choice A, consuming refined foods, is incorrect as gas formation is not directly linked to refined foods but rather undigested carbohydrates. Choice B, drinking excess water, is incorrect as water consumption does not lead to gas formation in the colon. Choice C, swallowing air while eating, is incorrect as this may cause belching but not gas formation in the colon. The correct answer is D because bacterial action on organic compounds, specifically undigested carbohydrates, leads to gas production in the colon.

5. A chemical feature that distinguishes a saturated fatty acid from an unsaturated fatty acid is the:

• A. arrangement of carbon atoms.
• B. number of oxygen molecules.
• C. number of double bonds.
• D. food source.

Correct answer: C

Rationale: The correct answer is C. Saturated fatty acids have no double bonds between carbon atoms, while unsaturated fatty acids have one or more double bonds. Therefore, the number of double bonds is the chemical feature that distinguishes a saturated fatty acid from an unsaturated fatty acid. Choices A, B, and D are incorrect because the distinguishing factor between saturated and unsaturated fatty acids lies in the presence or absence of double bonds, not in the arrangement of carbon atoms, number of oxygen molecules, or food source.

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