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. 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.

3. 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.

4. What are probiotics?

• A. Indigestible carbohydrates that promote growth of health-promoting bacteria.
• B. Antibiotics that prevent growth of harmful bacteria.
• C. Nutritional supplements of health-promoting bacteria.
• D. Commercial fiber supplements that have a laxative effect.

Correct answer: C

Rationale: Probiotics are live bacteria that are beneficial for gut health and are often taken as supplements. They are not indigestible carbohydrates (Choice A), antibiotics (Choice B), or commercial fiber supplements (Choice D). Probiotics contain live strains of good bacteria that help maintain a healthy balance in the gut microbiome.

5. Which of the following saturated fats does not contain cholesterol?

• A. Butter
• B. Coconut oil
• C. Eggs
• D. Fish

Correct answer: B

Rationale: The correct answer is B, Coconut oil. Coconut oil is a saturated fat derived from plants and does not contain cholesterol, unlike the other options. Butter (choice A) is an animal-derived saturated fat that contains cholesterol. Eggs (choice C) and fish (choice D) also contain cholesterol, making them incorrect choices. Therefore, coconut oil is the only option that is a saturated fat and does not contain cholesterol.

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