Nursing Elites

1. Dietary guidelines are most useful for:

• A. limiting portion sizes.
• B. designing a personal food plan.
• C. making smart food choices.
• D. avoiding excessive nutrient intakes.

Correct answer: C

Rationale: Dietary guidelines are designed to assist individuals in making smart food choices by providing recommendations on what to eat to maintain good health. While portion sizes may be a part of these guidelines, they are not the primary focus. Designing a personal food plan involves individual preferences and needs, which may go beyond general guidelines. Avoiding excessive nutrient intakes is important, but dietary guidelines aim to provide balanced recommendations rather than just focusing on avoiding excess.

2. The Acceptable Macronutrient Distribution Range for fat recommends that the percentage of total kcalories from fat should fall between:

• A. 10% and 20%.
• B. 20% and 25%.
• C. 20% and 35%.
• D. 30% and 45%.

Correct answer: C

Rationale: The Acceptable Macronutrient Distribution Range (AMDR) for fat suggests that 20% to 35% of total kcalories should come from fat. This range is recommended to maintain good health. Choices A, B, and D are incorrect because they do not fall within the specified range. A lower percentage (10-20%) may not provide enough essential fatty acids, while a higher percentage (30-45%) may increase the risk of health issues associated with excessive fat consumption.

3. Why is fat important in the diet?

• A. It supplies a constant source of vitamins.
• B. It speeds up the digestive process.
• C. It provides satiety.
• D. It stimulates the release of important digestive enzymes.

Correct answer: C

Rationale: Fat is important in the diet because it provides satiety. Fat slows down digestion and absorption, which helps in making you feel full longer. This feeling of fullness is crucial in controlling food intake and managing weight. Choices A, B, and D are incorrect because fat's main role in providing satiety is related to slowing down digestion, not supplying a constant source of vitamins, speeding up digestion, or stimulating the release of digestive enzymes. While some types of fats can provide certain vitamins, the main purpose of fat in satiety is not vitamin supply.

4. 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.

5. Which hormone is responsible for stimulating the gallbladder to contract and release bile?

• A. gastric lipase
• B. cholecystokinin
• C. vitamin D
• D. enterokinin

Correct answer: B

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone responsible for stimulating the gallbladder to contract and release bile to aid in fat digestion. Gastric lipase (Choice A) is an enzyme that breaks down fats in the stomach, not a hormone involved in gallbladder function. Vitamin D (Choice C) is important for calcium absorption and bone health, but it is not directly related to gallbladder function. Enterokinin (Choice D) is a peptide hormone that affects smooth muscle contractions in the gastrointestinal tract, but it is not specifically responsible for stimulating the gallbladder to release bile.

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