Nursing Elites

1. How are lipids carried in the bloodstream?

• A. Micelles.
• B. Glycolipids.
• C. Lecithin.
• D. Lipoproteins.

Correct answer: D

Rationale: Lipids are carried in the bloodstream in the form of lipoproteins. Lipoproteins are complexes of proteins and lipids that transport fats to various parts of the body. While micelles, glycolipids, and lecithin are all related to lipid metabolism, they are not the primary carriers of lipids in the bloodstream. Micelles are small lipid clusters in the intestines, glycolipids are lipids with a carbohydrate attached, and lecithin is a type of phospholipid. Therefore, lipoproteins are the correct answer as they are specifically designed for transporting lipids through the bloodstream.

2. Which lipoprotein carries fat from a meal just consumed to the liver?

• A. Very low-density lipoprotein (VLDL).
• B. Low-density lipoprotein (LDL).
• C. Chylomicrons.
• D. High-density lipoprotein (HDL).

Correct answer: C

Rationale: Chylomicrons are the lipoproteins responsible for transporting dietary fat from the intestines to various tissues, including the liver. VLDL carries lipids synthesized in the liver, LDL transports cholesterol to tissues, and HDL helps transport cholesterol away from tissues to the liver for excretion. Therefore, in the context of carrying fat from a meal just consumed to the liver, chylomicrons are the correct choice.

3. 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.

4. What substance activates pepsinogen to pepsin?

• A. Bile
• B. Gastrin
• C. Secretin
• D. Hydrochloric acid

Correct answer: D

Rationale: The correct answer is D: Hydrochloric acid. Hydrochloric acid in the stomach plays a crucial role in converting pepsinogen into its active form, pepsin, which is necessary for digesting proteins. Bile (Choice A) is involved in the emulsification of fats, not in the activation of pepsinogen. Gastrin (Choice B) is a hormone that stimulates the secretion of gastric acid but does not directly activate pepsinogen. Secretin (Choice C) is a hormone that regulates the pH of the duodenum but is not responsible for the activation of pepsinogen.

5. The Dietary Guidelines are published and revised by the U.S. Department of Agriculture in association with the:

• A. Department of Health and Human Services.
• B. National Institutes of Health.
• C. National Academy of Sciences.
• D. Food and Nutrition Board.

Correct answer: A

Rationale: The correct answer is A. The U.S. Department of Agriculture collaborates with the Department of Health and Human Services to publish and revise the Dietary Guidelines for Americans. This collaboration ensures that the guidelines encompass both agricultural and health aspects. Choices B, C, and D are incorrect as they are not directly involved in the publication and revision of the Dietary Guidelines. The National Institutes of Health focuses on medical research, the National Academy of Sciences provides independent scientific advice, and the Food and Nutrition Board is a part of the National Academies of Sciences, Engineering, and Medicine.

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