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. During the process of deamination, the nitrogen portion of amino acids is converted to:

• A. ammonia.
• B. protein.
• C. purines.
• D. glycogen.

Correct answer: A

Rationale: During the process of deamination, the nitrogen portion of amino acids is converted to ammonia. This occurs in the liver as part of the process to remove excess nitrogen from the body. Choice B, 'protein,' is incorrect as deamination breaks down amino acids rather than synthesizing proteins. Choice C, 'purines,' is incorrect as purines are a type of nitrogenous base found in DNA and RNA, not a product of deamination. Choice D, 'glycogen,' is incorrect as glycogen is a storage form of glucose and not a product of amino acid deamination.

3. The end products of digestion of macronutrients include fatty acids, amino acids, and:

• A. monosaccharides.
• B. polysaccharides.
• C. enzymes.
• D. cholesterol.

Correct answer: A

Rationale: The correct answer is A: monosaccharides. When macronutrients like carbohydrates are digested, they are broken down into simpler forms. Carbohydrates are broken down into monosaccharides, proteins into amino acids, and fats into fatty acids. Therefore, the end products of carbohydrate digestion are monosaccharides. Choices B, C, and D are incorrect because polysaccharides are larger carbohydrate molecules, enzymes are not the end products of digestion but rather aid in the process, and cholesterol is not a direct end product of macronutrient digestion.

4. Which hormone stimulates the gallbladder to contract?

• A. Secretin.
• B. Cholecystokinin (CCK).
• C. Gastrin.
• D. Gastric inhibitory polypeptide (GIP).

Correct answer: B

Rationale: Cholecystokinin (CCK) is the hormone responsible for stimulating the gallbladder to contract and release bile into the small intestine. Secretin primarily acts on the pancreas to stimulate the secretion of bicarbonate-rich fluid. Gastrin functions in the stimulation of gastric acid secretion, while Gastric inhibitory polypeptide (GIP) plays a role in inhibiting gastric acid secretion and stimulating insulin release.

5. Regurgitation or reflux of acidic stomach contents back into the esophagus is known as:

• A. hiatal hernia.
• B. diverticulitis.
• C. gastroenteritis.
• D. gastroesophageal reflux disease.

Correct answer: D

Rationale: The correct answer is D: gastroesophageal reflux disease (GERD). GERD occurs when stomach acid flows back into the esophagus, causing symptoms like heartburn and regurgitation. Choice A, hiatal hernia, is a condition where part of the stomach pushes up into the chest through an opening in the diaphragm. Choice B, diverticulitis, is inflammation or infection of small pouches that can form in the lining of the digestive system. Choice C, gastroenteritis, is inflammation of the stomach and intestines typically caused by a viral or bacterial infection. Therefore, only choice D accurately describes the regurgitation or reflux of acidic stomach contents back into the esophagus.

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