Nursing Elites

1. 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.

2. Which of the following provides the best source of nutrients?

• A. specific food combinations.
• B. a variety of foods.
• C. individual foods.
• D. a variety of food supplements.

Correct answer: B

Rationale: A variety of foods is the best source of nutrients because it ensures a balanced intake of all essential nutrients required by the body. Option A, specific food combinations, may not provide all necessary nutrients as relying on only a few types of food may lead to deficiencies. Option C, individual foods, also may not provide a complete range of nutrients necessary for overall health. Option D, a variety of food supplements, is not the best source of nutrients as whole foods are generally more beneficial due to their natural nutrient composition and bioavailability.

3. Individuals with optimal nutritional status differ from those with marginal nutritional status in their:

• A. nutrient reserves.
• B. clinical signs.
• C. body weight.
• D. risk of mental illness.

Correct answer: A

Rationale: Individuals with optimal nutritional status differ from those with marginal nutritional status in their nutrient reserves. Optimal nutritional status implies having adequate nutrient reserves, which is lacking in marginal status. Clinical signs (choice B) may or may not be present in both groups and are not the differentiating factor between optimal and marginal statuses. Body weight (choice C) can vary for reasons other than nutritional status. The risk of mental illness (choice D) is not directly related to the comparison between optimal and marginal nutritional status.

4. In addition to protein, which nutrients contribute to the building and repair of tissue?

• A. Vitamins
• B. Carbohydrates
• C. Fats
• D. Enzymes

Correct answer: A

Rationale: The correct answer is A: Vitamins. Vitamins play a crucial role in tissue building and repair along with protein. Carbohydrates (choice B) are primarily a source of energy and not directly involved in tissue building. Fats (choice C) are important for energy storage and insulation but are not the main contributors to tissue building. Enzymes (choice D) are biological catalysts and do not directly contribute to tissue building and repair.

5. During lactation, where is lactose synthesized in the body?

• A. Liver
• B. Breast
• C. Kidney
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Breast. Lactose is synthesized in the breast during lactation to produce breastmilk. The liver is responsible for various metabolic functions but does not synthesize lactose. The kidney's primary role is in filtering blood and regulating electrolytes, not lactose synthesis. The pancreas is involved in producing digestive enzymes and insulin, not lactose synthesis.

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