Nursing Elites

1. Which enzyme is secreted by the salivary glands?

• A. Pepsin.
• B. Trypsin.
• C. Sucrase.
• D. Amylase.

Correct answer: D

Rationale: The correct answer is D, amylase. Amylase is an enzyme produced by the salivary glands that initiates the digestion of carbohydrates in the mouth. Pepsin (choice A) is produced in the stomach to digest proteins, trypsin (choice B) is produced in the pancreas to digest proteins, and sucrase (choice C) is produced in the small intestine to break down sucrose. Therefore, choices A, B, and C are incorrect in the context of an enzyme secreted by the salivary glands.

2. 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.

3. 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.

4. Signs of malnutrition can appear when:

• A. nutrient reserves are depleted.
• B. nutrient intake exceeds daily needs.
• C. energy intake is restricted.
• D. caloric expenditure increases.

Correct answer: A

Rationale: The correct answer is A: 'nutrient reserves are depleted.' Signs of malnutrition manifest when the body's reserves of essential nutrients are exhausted and can no longer sustain health. Choice B is incorrect because excessive nutrient intake exceeding daily needs does not lead to malnutrition but may cause other health issues. Choice C is incorrect as restricting energy intake may lead to weight loss but not necessarily malnutrition. Choice D is also incorrect as increasing caloric expenditure does not directly cause malnutrition.

5. In a low-carbohydrate diet, most of the calories are supplied by:

• A. proteins.
• B. fats.
• C. carbohydrates.
• D. vitamins.

Correct answer: B

Rationale: In a low-carbohydrate diet, fats become the primary source of calories as carbohydrate intake is restricted. Proteins can contribute to caloric intake but are not the primary source in a low-carbohydrate diet. Carbohydrates are intentionally limited in this diet, so they do not supply most of the calories. Vitamins are essential nutrients but do not provide calories.

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