Nursing Elites

1. What are the major sources of energy for the body?

• A. Proteins and fats.
• B. Carbohydrates and fats.
• C. Proteins and carbohydrates.
• D. Vitamins and minerals.

Correct answer: B

Rationale: The correct answer is B: Carbohydrates and fats. Carbohydrates are the body's primary and most efficient source of energy, providing fuel for daily activities. Fats are also a significant energy source, especially during times of prolonged or intense exercise. Proteins are primarily used for building and repairing tissues, not as a major energy source. Vitamins and minerals are essential for various bodily functions but do not serve as direct sources of energy.

2. The hormone secretin stimulates production of a buffering solution for the duodenum by the:

• A. stomach.
• B. liver.
• C. pancreas.
• D. oxyntic cells.

Correct answer: C

Rationale: The correct answer is C: pancreas. Secretin stimulates the pancreas to release bicarbonate, which acts as a buffering solution to neutralize the acid entering the duodenum from the stomach. This process helps in maintaining the pH balance in the small intestine. Choice A, stomach, is incorrect as the stomach does not produce the buffering solution needed for the duodenum. Choice B, liver, is incorrect because secretin does not directly stimulate the liver to produce a buffering solution. Choice D, oxyntic cells, is also incorrect as these cells in the stomach are responsible for producing gastric acid, not the buffering solution needed in the duodenum.

3. Cholecystokinin (CCK) is produced in the:

• A. duodenum.
• B. stomach.
• C. pancreas.
• D. liver.

Correct answer: A

Rationale: Cholecystokinin (CCK) is produced in the duodenum, not the stomach, pancreas, or liver. It is released in response to the presence of food in the duodenum, where it plays a crucial role in regulating digestive processes by stimulating the release of bile from the gallbladder and enzymes from the pancreas. Therefore, the correct answer is the duodenum (Choice A). Choices B, C, and D are incorrect because CCK is not produced in the stomach, pancreas, or liver.

4. What are probiotics?

• A. Indigestible carbohydrates that promote growth of health-promoting bacteria.
• B. Antibiotics that prevent growth of harmful bacteria.
• C. Nutritional supplements of health-promoting bacteria.
• D. Commercial fiber supplements that have a laxative effect.

Correct answer: C

Rationale: Probiotics are live bacteria that are beneficial for gut health and are often taken as supplements. They are not indigestible carbohydrates (Choice A), antibiotics (Choice B), or commercial fiber supplements (Choice D). Probiotics contain live strains of good bacteria that help maintain a healthy balance in the gut microbiome.

5. 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.

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