Nursing Elites

1. At what pH does the digestion of protein by pepsin in the stomach require?

• A. 1.8 and 3.5.
• B. 4.8 and 7.0.
• C. 6.8 and 8.5.
• D. 7.8 and 10.0.

Correct answer: A

Rationale: The correct answer is A: 1.8 and 3.5. Pepsin, an enzyme involved in protein digestion, functions optimally in an acidic environment, specifically between pH 1.8 and 3.5. This low pH is necessary for pepsin to break down proteins effectively. Choices B, C, and D are incorrect because pepsin requires a highly acidic environment, ruling out the pH ranges listed in those options.

2. What triggers the release of cholecystokinin (CCK)?

• A. Presence of food in the stomach.
• B. Presence of fat in the duodenum.
• C. Entry of acid chyme into the ileum.
• D. Entry of bile into the gallbladder.

Correct answer: B

Rationale: The correct answer is B: Presence of fat in the duodenum. Cholecystokinin (CCK) is released in response to the presence of fat in the duodenum to aid in digestion by stimulating the release of bile from the gallbladder and enzymes from the pancreas. Options A, C, and D are incorrect because CCK is specifically released in response to the presence of fat in the duodenum, not food in the stomach, acid chyme in the ileum, or bile in the gallbladder.

3. From where are trypsin and chymotrypsin secreted?

• A. Small intestine.
• B. Liver.
• C. Stomach.
• D. Pancreas.

Correct answer: D

Rationale: Trypsin and chymotrypsin are enzymes involved in protein digestion. These enzymes are secreted by the pancreas, not the small intestine, liver, or stomach. The pancreas plays a crucial role in producing digestive enzymes that aid in breaking down proteins in the small intestine. The small intestine is the site where these enzymes act, not where they are secreted. The liver is responsible for producing bile, not digestive enzymes. The stomach secretes gastric juices but not trypsin and chymotrypsin. Therefore, the correct answer is the pancreas.

4. Where is Vitamin B12 found?

• A. Whole grains.
• B. Nuts.
• C. Meats.
• D. Legumes.

Correct answer: C

Rationale: Vitamin B12 is primarily found in animal-derived foods like meats. Choices A, B, and D are incorrect as whole grains, nuts, and legumes do not naturally contain significant amounts of Vitamin B12. Therefore, the correct answer is 'C: Meats.'

5. In the most recent edition of Choose Your Foods: Exchange List for Diabetes, the three groups into which foods are arranged are:

• A. fruits and vegetables, breads, and meats.
• B. fats, starches and sugars, and meat and milk.
• C. fruits and vegetables, meat and milk, and starches.
• D. carbohydrates, meat and meat substitutes, and fats.

Correct answer: D

Rationale: The correct answer is D: carbohydrates, meat and meat substitutes, and fats. The most recent edition of Choose Your Foods: Exchange List for Diabetes categorizes foods into these three groups for easier meal planning. Choice A is incorrect because it does not include carbohydrates and groups bread with fruits and vegetables. Choice B is incorrect because it separates carbohydrates into starches and sugars, which are usually counted together in diabetes meal planning. Choice C is incorrect as it does not specifically categorize foods into carbohydrates, meat, and fats as per the latest edition.

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