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. What is the function of chylomicrons?

• A. Produced in the hepatic system.
• B. Composed of triglycerides and cholesterol only.
• C. Absorbed in the large intestine.
• D. Cleared from the blood by lipoprotein lipase.

Correct answer: D

Rationale: Chylomicrons are particles that transport dietary fats from the small intestine to cells in the body. They are cleared from the bloodstream by lipoprotein lipase, an enzyme that breaks down triglycerides in chylomicrons into fatty acids and glycerol. This process allows fats to be absorbed by the body. Choices A, B, and C are incorrect because chylomicrons are not formed in the hepatic system, they are composed of various lipids including triglycerides and cholesterol, and they are absorbed in the small intestine, not the large intestine.

3. What is the primary function of protein in the diet?

• A. supply energy.
• B. synthesize vitamins.
• C. build and repair tissue.
• D. store glycogen.

Correct answer: C

Rationale: The primary function of protein in the diet is to build and repair tissues. Proteins are essential for the growth, maintenance, and repair of body tissues like muscles, skin, and organs. While proteins can be a source of energy, their primary role is not to supply energy, making choice A incorrect. Choice B is also incorrect as proteins do not synthesize vitamins; rather, they are essential nutrients themselves. Choice D is inaccurate because glycogen is a form of stored glucose in the body, not a function of protein.

4. A high blood cholesterol level appears to be associated with the development of:

• A. chronic kidney disease.
• B. coronary heart disease.
• C. Alzheimer’s disease.
• D. Addison’s disease.

Correct answer: B

Rationale: A high blood cholesterol level is associated with an increased risk of developing coronary heart disease. Elevated cholesterol levels can lead to the buildup of plaque in the arteries, increasing the risk of heart disease. Choices A, C, and D are incorrect as high blood cholesterol is not primarily linked to chronic kidney disease, Alzheimer’s disease, or Addison’s disease.

5. In the most recent edition of Choose Your Foods: Exchange List for Diabetes, the three groups into which foods are arranged are:

• A. fruits and vegetables, breads, and meats.
• B. fats, starches and sugars, and meat and milk.
• C. fruits and vegetables, meat and milk, and starches.
• D. carbohydrates, meat and meat substitutes, and fats.

Correct answer: D

Rationale: The correct answer is D: carbohydrates, meat and meat substitutes, and fats. The most recent edition of Choose Your Foods: Exchange List for Diabetes categorizes foods into these three groups for easier meal planning. Choice A is incorrect because it does not include carbohydrates and groups bread with fruits and vegetables. Choice B is incorrect because it separates carbohydrates into starches and sugars, which are usually counted together in diabetes meal planning. Choice C is incorrect as it does not specifically categorize foods into carbohydrates, meat, and fats as per the latest edition.

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