Nursing Elites

1. After absorption, the end products of carbohydrate and protein digestion enter the:

• A. enterohepatic circulation.
• B. gastrointestinal circulation.
• C. common bile duct.
• D. portal blood system.

Correct answer: D

Rationale: The correct answer is D: portal blood system. After absorption, carbohydrates and proteins are transported via the portal blood system to the liver for further processing and distribution to the rest of the body. Choices A, B, and C are incorrect. Enterohepatic circulation refers to the recycling of compounds between the liver and the intestines, not the direct route for absorbed nutrients. Gastrointestinal circulation is a vague and non-specific term, not specifically related to the transport of absorbed nutrients. The common bile duct is involved in transporting bile from the liver and gallbladder to the small intestine, not the end products of carbohydrate and protein digestion.

2. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

3. Which of the following types of fiber is not a carbohydrate?

• A. gums
• B. lignin
• C. pectin
• D. cellulose

Correct answer: B

Rationale: Lignin is the correct answer because it is a type of fiber that is not a carbohydrate and provides structure to plant cell walls. Gums (choice A), pectin (choice C), and cellulose (choice D) are all types of dietary fiber that are carbohydrates. Gums are a type of soluble fiber, pectin is found in fruits and is a soluble fiber, and cellulose is a type of insoluble fiber found in plant cell walls.

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. A characteristic of saturated fats is that they are:

• A. mostly found in animal products.
• B. solid at room temperature.
• C. composed of many double bonds.
• D. found primarily in vegetable products.

Correct answer: A

Rationale: The correct answer is A: 'mostly found in animal products.' Saturated fats are primarily found in animal products such as meat, dairy, and eggs. They are typically solid at room temperature. Choice B is incorrect because saturated fats are solid at room temperature, not liquid. Choice C is incorrect because saturated fats do not have double bonds; they have single bonds between carbon atoms. Choice D is incorrect because saturated fats are mainly found in animal products, not vegetable products.

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