Nursing Elites

1. The number of kilocalories provided by a food that contains 22g of fat is:

• A. 88
• B. 132
• C. 154
• D. 198

Correct answer: D

Rationale: The correct answer is D. Fat provides 9 kcal per gram, so 22 grams of fat will provide 198 kcal (22g * 9 kcal/g = 198 kcal). Choice A (88) is incorrect because it miscalculates the kcalories. Choice B (132) is incorrect as it does not consider the correct kcaloric value of fat. Choice C (154) is incorrect as it also does not calculate the kcalories accurately based on the fat content.

2. 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.

3. Which option below is an example of a meal or snack that contains complementary proteins?

• A. an egg and cheese omelet
• B. a peanut butter sandwich
• C. trail mix with nuts and raisins
• D. mixed bean salad with green beans, kidney beans, and white beans

Correct answer: B

Rationale: The correct answer is B, a peanut butter sandwich. A peanut butter sandwich combines grains from the bread and proteins from the nuts in the peanut butter, providing complementary proteins. This combination offers all essential amino acids. Choices A, C, and D do not contain complementary proteins as they lack the combination of different protein sources necessary to provide a complete amino acid profile.

4. How is resistant starch digested in the colon?

• A. bacterial fermentation.
• B. pancreatic amylase.
• C. hydrochloric acid.
• D. villi and microvilli.

Correct answer: A

Rationale: In the colon, resistant starch is digested by bacterial fermentation. The correct answer is A. During this process, short-chain fatty acids are produced. Pancreatic amylase, as mentioned in choice B, is responsible for breaking down starch in the small intestine, not in the colon. Choice C, hydrochloric acid, functions in the stomach to aid in the digestion of proteins, not starch. Villi and microvilli, as stated in choice D, are structures in the small intestine that absorb nutrients; they do not participate in the digestion of resistant starch in the colon.

5. Which tissue has the highest rate of protein turnover?

• A. Skin
• B. Intestinal mucosa
• C. Muscle
• D. Adipose tissue

Correct answer: B

Rationale: The correct answer is B: Intestinal mucosa. The intestinal mucosa has the highest rate of protein turnover due to its rapid cell renewal. The skin, muscle, and adipose tissue do not exhibit protein turnover rates as high as the intestinal mucosa. Skin cells turnover relatively slower compared to the rapid renewal of intestinal mucosa cells. Muscles have a moderate rate of protein turnover, while adipose tissue has a lower turnover rate compared to the other tissues mentioned.

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