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. Which of the following sandwiches is high in saturated fatty acids?

• A. Tuna salad
• B. Grilled cheese
• C. Turkey and sprouts
• D. Peanut butter and jelly

Correct answer: B

Rationale: The correct answer is Grilled cheese because it is high in saturated fatty acids due to the dairy fat content in cheese. Tuna salad, turkey and sprouts, and peanut butter and jelly do not contain as high levels of saturated fatty acids as grilled cheese. Tuna salad typically contains mayonnaise which may contribute to some saturated fat content, but it is generally lower compared to the cheese in grilled cheese. Turkey and sprouts are leaner options, while peanut butter and jelly are higher in unsaturated fats rather than saturated fats.

3. Which tissue has the highest rate of protein turnover?

• A. Skin
• B. Intestinal mucosa
• C. Muscle
• D. Adipose tissue

Correct answer: B

Rationale: The correct answer is B: Intestinal mucosa. The intestinal mucosa has the highest rate of protein turnover due to its rapid cell renewal. The skin, muscle, and adipose tissue do not exhibit protein turnover rates as high as the intestinal mucosa. Skin cells turnover relatively slower compared to the rapid renewal of intestinal mucosa cells. Muscles have a moderate rate of protein turnover, while adipose tissue has a lower turnover rate compared to the other tissues mentioned.

4. What group makes each amino acid unique?

• A. Radical group
• B. Amino group
• C. Carboxyl group
• D. Peptide bond

Correct answer: A

Rationale: The correct answer is the radical group (R-group) because it is the unique side chain that differentiates each amino acid. The amino group (choice B) and carboxyl group (choice C) are functional groups common to all amino acids but do not make them unique. The peptide bond (choice D) is the bond formed between amino acids in a protein chain, not the group that makes each amino acid unique.

5. Regurgitation or reflux of acidic stomach contents back into the esophagus is known as:

• A. hiatal hernia.
• B. diverticulitis.
• C. gastroenteritis.
• D. gastroesophageal reflux disease.

Correct answer: D

Rationale: The correct answer is D: gastroesophageal reflux disease (GERD). GERD occurs when stomach acid flows back into the esophagus, causing symptoms like heartburn and regurgitation. Choice A, hiatal hernia, is a condition where part of the stomach pushes up into the chest through an opening in the diaphragm. Choice B, diverticulitis, is inflammation or infection of small pouches that can form in the lining of the digestive system. Choice C, gastroenteritis, is inflammation of the stomach and intestines typically caused by a viral or bacterial infection. Therefore, only choice D accurately describes the regurgitation or reflux of acidic stomach contents back into the esophagus.

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