Nursing Elites

1. The release of gastric secretions is stimulated by nerve and hormonal stimuli and the:

• A. ingestion of water.
• B. swallowing reflex.
• C. presence of food in the stomach.
• D. closing of the pyloric sphincter.

Correct answer: C

Rationale: The correct answer is C: 'presence of food in the stomach.' Gastric secretions are stimulated when food enters the stomach, triggering nerve and hormonal responses. This process prepares the stomach for digestion. Choices A, B, and D are incorrect because ingesting water, swallowing reflex, and the closing of the pyloric sphincter do not directly stimulate the release of gastric secretions.

2. Which of the following foods are major sources of starch?

• A. Fruits
• B. Meats
• C. Legumes
• D. Milk

Correct answer: C

Rationale: The correct answer is C: Legumes. Legumes, such as beans and lentils, are major sources of starch, providing complex carbohydrates. Fruits (choice A) mainly provide sugars rather than starch. Meats (choice B) and milk (choice D) are not significant sources of starch as they mainly provide protein and fats, respectively. Therefore, choices A, B, and D are incorrect.

3. Which chain length of fatty acids is most water-soluble and easily absorbed into the bloodstream?

• A. Very long.
• B. Long.
• C. Medium.
• D. Short.

Correct answer: D

Rationale: Short-chain fatty acids are the most water-soluble and are more easily absorbed into the bloodstream. Very long, long, and medium-chain fatty acids are less water-soluble and are absorbed at a slower rate compared to short-chain fatty acids. Therefore, the correct answer is D.

4. What substance activates pepsinogen to pepsin?

• A. Bile
• B. Gastrin
• C. Secretin
• D. Hydrochloric acid

Correct answer: D

Rationale: The correct answer is D: Hydrochloric acid. Hydrochloric acid in the stomach plays a crucial role in converting pepsinogen into its active form, pepsin, which is necessary for digesting proteins. Bile (Choice A) is involved in the emulsification of fats, not in the activation of pepsinogen. Gastrin (Choice B) is a hormone that stimulates the secretion of gastric acid but does not directly activate pepsinogen. Secretin (Choice C) is a hormone that regulates the pH of the duodenum but is not responsible for the activation of pepsinogen.

5. What are probiotics?

• A. Indigestible carbohydrates that promote growth of health-promoting bacteria.
• B. Antibiotics that prevent growth of harmful bacteria.
• C. Nutritional supplements of health-promoting bacteria.
• D. Commercial fiber supplements that have a laxative effect.

Correct answer: C

Rationale: Probiotics are live bacteria that are beneficial for gut health and are often taken as supplements. They are not indigestible carbohydrates (Choice A), antibiotics (Choice B), or commercial fiber supplements (Choice D). Probiotics contain live strains of good bacteria that help maintain a healthy balance in the gut microbiome.

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