Nursing Elites

1. Carbohydrates are composed of a combination of carbon, hydrogen, and which other element?

• A. oxygen.
• B. nitrogen.
• C. water.
• D. glucose.

Correct answer: A

Rationale: Carbohydrates are composed of carbon, hydrogen, and oxygen. These three elements combine to form the basic structure of carbohydrates. Oxygen is an essential element in carbohydrates, contributing to their chemical composition. Choice B (nitrogen) is incorrect as nitrogen is not a typical component of carbohydrates. Choice C (water) is incorrect as water is not an element but a compound composed of hydrogen and oxygen. Choice D (glucose) is incorrect as glucose is a specific type of sugar, not an element found in the composition of carbohydrates.

2. The professional primarily responsible for the application of nutrition science in clinical practice settings is the:

• A. nurse.
• B. physician.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: D

Rationale: The correct answer is D: registered dietitian. A registered dietitian is a healthcare professional with specialized training in nutrition and dietetics, making them primarily responsible for applying nutrition science in clinical practice settings. Nurses (choice A) and physicians (choice B) may have some knowledge of nutrition, but a registered dietitian has specific expertise in this area. Public health nutritionists (choice C) typically focus on community nutrition and public health programs, rather than clinical practice settings.

3. The hormone secretin stimulates production of a buffering solution for the duodenum by the:

• A. stomach.
• B. liver.
• C. pancreas.
• D. oxyntic cells.

Correct answer: C

Rationale: The correct answer is C: pancreas. Secretin stimulates the pancreas to release bicarbonate, which acts as a buffering solution to neutralize the acid entering the duodenum from the stomach. This process helps in maintaining the pH balance in the small intestine. Choice A, stomach, is incorrect as the stomach does not produce the buffering solution needed for the duodenum. Choice B, liver, is incorrect because secretin does not directly stimulate the liver to produce a buffering solution. Choice D, oxyntic cells, is also incorrect as these cells in the stomach are responsible for producing gastric acid, not the buffering solution needed in the duodenum.

4. Which component of protein contains nitrogen?

• A. Amino group
• B. Carboxyl group
• C. Peptide bond
• D. Side chain

Correct answer: A

Rationale: The correct answer is the amino group. Amino groups are functional groups found in amino acids, which are the building blocks of proteins. These groups contain nitrogen and are essential for the structure and function of proteins. The carboxyl group (choice B) contains carbon, oxygen, and hydrogen, while the peptide bond (choice C) is a covalent bond formed between amino acids in a protein chain. The side chain (choice D) refers to the unique chemical structure attached to the central carbon of an amino acid and varies among different amino acids, but it does not specifically contain nitrogen.

5. 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.

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