Nursing Elites

1. Which body organ is responsible for the metabolic processing of glucose?

• A. Large intestine.
• B. Gallbladder.
• C. Pancreas.
• D. Liver.

Correct answer: D

Rationale: The correct answer is the liver. The liver plays a central role in glucose homeostasis by metabolically processing glucose. The large intestine is primarily involved in absorbing water and electrolytes, not glucose. The gallbladder stores bile produced by the liver but is not directly involved in glucose metabolism. Although the pancreas produces insulin, a hormone that regulates blood sugar levels, the liver is mainly responsible for the metabolic processing of glucose.

2. 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.

3. What is one function of essential fatty acids?

• A. improve skin integrity.
• B. control lipid digestion.
• C. reduce blood clotting time.
• D. form chylomicrons.

Correct answer: A

Rationale: Essential fatty acids play a crucial role in improving skin integrity by supporting the structure and function of cell membranes. This helps in maintaining healthy skin and promoting overall well-being. The other choices are incorrect because essential fatty acids do not directly control lipid digestion, reduce blood clotting time, or form chylomicrons.

4. 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.

5. Which lipoprotein increases the risk of cardiovascular disease?

• A. Low-density lipoprotein (LDL)
• B. High-density lipoprotein (HDL)
• C. Very low-density lipoprotein (VLDL)
• D. Chylomicrons

Correct answer: A

Rationale: The correct answer is A: Low-density lipoprotein (LDL). LDL is often referred to as 'bad cholesterol' because it can lead to plaque buildup in arteries, increasing the risk of cardiovascular disease. High-density lipoprotein (HDL) is considered 'good cholesterol' as it helps remove LDL from the arteries, reducing the risk of cardiovascular issues. Very low-density lipoprotein (VLDL) and chylomicrons are also lipoproteins that transport fats in the bloodstream, but they are not as strongly associated with an increased risk of cardiovascular disease as LDL.

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