Nursing Elites

1. Where is Vitamin B12 found?

• A. Whole grains.
• B. Nuts.
• C. Meats.
• D. Legumes.

Correct answer: C

Rationale: Vitamin B12 is primarily found in animal-derived foods like meats. Choices A, B, and D are incorrect as whole grains, nuts, and legumes do not naturally contain significant amounts of Vitamin B12. Therefore, the correct answer is 'C: Meats.'

2. How many kilocalories are provided by 15 grams of protein?

• A. 15
• B. 45
• C. 60
• D. 135

Correct answer: C

Rationale: Protein provides 4 kcal per gram. Therefore, 15 grams of protein will provide 15 grams x 4 kcal/gram = 60 kcal. Choices A, B, and D are incorrect because they do not consider the caloric value of protein correctly.

3. 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.

4. 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.

5. From where are trypsin and chymotrypsin secreted?

• A. Small intestine.
• B. Liver.
• C. Stomach.
• D. Pancreas.

Correct answer: D

Rationale: Trypsin and chymotrypsin are enzymes involved in protein digestion. These enzymes are secreted by the pancreas, not the small intestine, liver, or stomach. The pancreas plays a crucial role in producing digestive enzymes that aid in breaking down proteins in the small intestine. The small intestine is the site where these enzymes act, not where they are secreted. The liver is responsible for producing bile, not digestive enzymes. The stomach secretes gastric juices but not trypsin and chymotrypsin. Therefore, the correct answer is the pancreas.

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