Nursing Elites

1. Which of the following is an example of a protein?

• A. Saline.
• B. Hemoglobin.
• C. Cellulose.
• D. Prostaglandins.

Correct answer: B

Rationale: Hemoglobin is a protein that carries oxygen in the blood, making it the correct answer. Choice A, Saline, is a salt solution and not a protein. Choice C, Cellulose, is a complex carbohydrate found in the cell walls of plants, not a protein. Choice D, Prostaglandins, are lipid compounds with hormone-like effects, not proteins.

2. Which of the following foods are major sources of starch?

• A. Fruits
• B. Meats
• C. Legumes
• D. Milk

Correct answer: C

Rationale: The correct answer is C: Legumes. Legumes, such as beans and lentils, are major sources of starch, providing complex carbohydrates. Fruits (choice A) mainly provide sugars rather than starch. Meats (choice B) and milk (choice D) are not significant sources of starch as they mainly provide protein and fats, respectively. Therefore, choices A, B, and D are incorrect.

3. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

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. Which pathogenic bacterium is associated with peptic ulcer disease and gastric cancer?

• A. Lactobacillus.
• B. Bifidobacterium.
• C. H. pylori.
• D. E. coli.

Correct answer: C

Rationale: The correct answer is H. pylori. This bacterium is known to be associated with the development of peptic ulcers and an increased risk of gastric cancer. Lactobacillus (Choice A) and Bifidobacterium (Choice B) are probiotic bacteria that are beneficial to human health and not associated with causing these conditions. E. coli (Choice D) is a diverse group of bacteria, some of which can be pathogenic, but they are not primarily linked to peptic ulcers and gastric cancer like H. pylori.

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