Nursing Elites

1. 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.

2. How can cholesterol absorption be decreased?

• A. Vitamin K.
• B. Plant sterols.
• C. Trans fats.
• D. Phospholipids.

Correct answer: B

Rationale: The correct answer is B: Plant sterols. Plant sterols can reduce cholesterol absorption by competing with cholesterol for absorption sites. Vitamin K, choice A, does not have a significant impact on cholesterol absorption. Trans fats, choice C, are known to increase cholesterol levels rather than decrease absorption. Phospholipids, choice D, play a role in cell structure and are not directly involved in reducing cholesterol absorption.

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. The valve that controls the passage of chyme from the small intestine into the cecum is called the:

• A. ileocecal valve.
• B. pyloric valve.
• C. cardiac valve.
• D. hepatic valve.

Correct answer: A

Rationale: The correct answer is A: ileocecal valve. The ileocecal valve is located between the small intestine and the cecum, controlling the passage of chyme. The pyloric valve (choice B) is located between the stomach and the small intestine, regulating the passage of food from the stomach to the small intestine. The cardiac valve (choice C) refers to the valve between the esophagus and the stomach. The hepatic valve (choice D) is not a correct term related to the passage of chyme from the small intestine into the cecum.

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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