Nursing Elites

1. Which hormone is responsible for stimulating the gallbladder to contract and release bile?

• A. gastric lipase
• B. cholecystokinin
• C. vitamin D
• D. enterokinin

Correct answer: B

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone responsible for stimulating the gallbladder to contract and release bile to aid in fat digestion. Gastric lipase (Choice A) is an enzyme that breaks down fats in the stomach, not a hormone involved in gallbladder function. Vitamin D (Choice C) is important for calcium absorption and bone health, but it is not directly related to gallbladder function. Enterokinin (Choice D) is a peptide hormone that affects smooth muscle contractions in the gastrointestinal tract, but it is not specifically responsible for stimulating the gallbladder to release bile.

2. It has been generally accepted that the percentage of total daily calories supplied by fats should be no more than:

• A. 10% to 15%.
• B. 10% to 35%.
• C. 20% to 35%.
• D. 40% to 55%.

Correct answer: C

Rationale: The recommended fat intake is between 20% to 35% of total daily calories. This range is considered optimal for maintaining a healthy diet. Choice A (10% to 15%) is too low and might not provide enough essential fats for the body. Choice B (10% to 35%) includes an upper limit that exceeds the generally accepted range. Choice D (40% to 55%) suggests a fat intake that is higher than what is recommended, which could lead to health issues if consumed regularly.

3. In an analysis of the amino acid composition of foods, the amino acid occurring in the smallest amount is called:

• A. indispensable.
• B. dispensable.
• C. complementary.
• D. limiting.

Correct answer: D

Rationale: The correct answer is D, 'limiting.' In the analysis of the amino acid composition of foods, the amino acid that occurs in the smallest amount is referred to as the limiting amino acid. This term is used because when one essential amino acid is deficient, it limits the synthesis of proteins, making it crucial in determining protein quality. Choices A, B, and C are incorrect. 'Indispensable' and 'dispensable' refer to the essentiality of amino acids, and 'complementary' does not describe the concept of the amino acid occurring in the smallest amount.

4. Which compound is necessary for emulsification of fat in the body?

• A. Bile salts
• B. Cholecystokinin
• C. Chyme
• D. Trypsin

Correct answer: A

Rationale: Bile salts are essential for emulsifying fats in the body. They break down fats into smaller droplets, increasing the surface area for enzymes to work on during digestion. Cholecystokinin is a hormone that stimulates the release of bile and pancreatic enzymes, but it is not directly involved in emulsification. Chyme is the semi-fluid mass of partly digested food that moves from the stomach to the small intestine and does not play a role in emulsifying fats. Trypsin is an enzyme produced by the pancreas that acts on proteins, not fats.

5. The primary responsibility for nutrition care of people in the community belongs to the:

• A. community physician.
• B. public health nurse.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: C

Rationale: Public health nutritionists work within communities to ensure that populations have access to nutritional resources. They focus on promoting good nutrition, developing programs, and educating the public about healthy eating habits. While community physicians, public health nurses, and registered dietitians may also play roles in promoting nutrition in the community, the primary responsibility for nutrition care typically falls under the purview of public health nutritionists.

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