Nursing Elites

1. What is the muscle layer on the outside of the intestinal wall called?

• A. serosa
• B. mucosa
• C. submucosa
• D. muscularis mucosae

Correct answer: A

Rationale: The correct answer is A: serosa. The serosa is the outermost layer of the intestinal wall, providing a protective covering. Choice B, mucosa, is the innermost layer responsible for absorption. Choice C, submucosa, lies beneath the mucosa and contains blood vessels and nerves. Choice D, muscularis mucosae, is a smooth muscle layer located within the mucosa, helping to create folds in the intestinal lining to increase surface area for absorption.

2. 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.

3. The rate of gastric emptying depends on the:

• A. time of day food is consumed.
• B. composition of food consumed.
• C. rate of food consumption.
• D. frequency of eating.

Correct answer: B

Rationale: The rate at which the stomach empties its contents is primarily determined by the composition of the food consumed. Foods high in fat and protein tend to slow down gastric emptying, while foods high in carbohydrates usually pass through more quickly. Therefore, the composition of food consumed directly impacts the rate of gastric emptying. Choices A, C, and D are incorrect as they do not directly affect the rate of gastric emptying.

4. 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.

5. 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.

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