Nursing Elites

1. How is resistant starch digested in the colon?

• A. bacterial fermentation.
• B. pancreatic amylase.
• C. hydrochloric acid.
• D. villi and microvilli.

Correct answer: A

Rationale: In the colon, resistant starch is digested by bacterial fermentation. The correct answer is A. During this process, short-chain fatty acids are produced. Pancreatic amylase, as mentioned in choice B, is responsible for breaking down starch in the small intestine, not in the colon. Choice C, hydrochloric acid, functions in the stomach to aid in the digestion of proteins, not starch. Villi and microvilli, as stated in choice D, are structures in the small intestine that absorb nutrients; they do not participate in the digestion of resistant starch in the colon.

2. Which of the following sandwiches is high in saturated fatty acids?

• A. Tuna salad
• B. Grilled cheese
• C. Turkey and sprouts
• D. Peanut butter and jelly

Correct answer: B

Rationale: The correct answer is Grilled cheese because it is high in saturated fatty acids due to the dairy fat content in cheese. Tuna salad, turkey and sprouts, and peanut butter and jelly do not contain as high levels of saturated fatty acids as grilled cheese. Tuna salad typically contains mayonnaise which may contribute to some saturated fat content, but it is generally lower compared to the cheese in grilled cheese. Turkey and sprouts are leaner options, while peanut butter and jelly are higher in unsaturated fats rather than saturated fats.

3. Proteins are absorbed primarily in the form of:

• A. fatty acids.
• B. disaccharides.
• C. amino acids.
• D. polypeptides.

Correct answer: C

Rationale: The correct answer is C: amino acids. Proteins are broken down by digestive enzymes into amino acids before being absorbed in the small intestine. Amino acids are the building blocks of proteins and are the form in which they are primarily absorbed. Choice A (fatty acids) is incorrect as fatty acids are the end products of fat digestion, not protein digestion. Choice B (disaccharides) is incorrect because disaccharides are sugars that are broken down into monosaccharides, not proteins. Choice D (polypeptides) is incorrect as proteins are broken down into amino acids and not absorbed as polypeptides.

4. What is a primary function of macronutrients in the body?

• A. Regulate metabolic processes.
• B. Supply energy.
• C. Maintain homeostasis.
• D. Control cellular activity.

Correct answer: B

Rationale: The correct answer is B: Supply energy. The primary function of macronutrients such as carbohydrates, fats, and proteins is to supply energy for various bodily functions. Choices A, C, and D are incorrect because while regulating metabolic processes, maintaining homeostasis, and controlling cellular activity are essential functions in the body, they are not the primary roles of macronutrients. Macronutrients mainly serve as a source of energy to support daily activities and bodily functions.

5. Regurgitation or reflux of acidic stomach contents back into the esophagus is known as:

• A. hiatal hernia.
• B. diverticulitis.
• C. gastroenteritis.
• D. gastroesophageal reflux disease.

Correct answer: D

Rationale: The correct answer is D: gastroesophageal reflux disease (GERD). GERD occurs when stomach acid flows back into the esophagus, causing symptoms like heartburn and regurgitation. Choice A, hiatal hernia, is a condition where part of the stomach pushes up into the chest through an opening in the diaphragm. Choice B, diverticulitis, is inflammation or infection of small pouches that can form in the lining of the digestive system. Choice C, gastroenteritis, is inflammation of the stomach and intestines typically caused by a viral or bacterial infection. Therefore, only choice D accurately describes the regurgitation or reflux of acidic stomach contents back into the esophagus.

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