Nursing Elites

1. Nutrients interact in the body to regulate metabolic processes, build and repair tissue, and to:

• A. provide energy.
• B. control cellular wastes.
• C. control hormone levels.
• D. regulate absorption.

Correct answer: A

Rationale: The correct answer is A: provide energy. Nutrients play a crucial role in providing energy for the body's various functions. While they do help in regulating metabolic processes and in building and repairing tissue, the primary function related to energy production. Choices B, C, and D are incorrect as nutrients are not primarily responsible for controlling cellular wastes, hormone levels, or absorption.

2. Ketones are produced when:

• A. carbohydrate stores are depleted.
• B. excess protein is consumed.
• C. protein stores are depleted.
• D. fat stores are depleted.

Correct answer: A

Rationale: Ketones are produced when the body uses fat for energy due to the depletion of carbohydrate stores. When carbohydrate stores are depleted, the body turns to fat as its primary source of energy, leading to the production of ketones. Excess protein consumption does not directly lead to ketone production. Similarly, the depletion of protein stores or fat stores is not directly related to the production of ketones.

3. 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.

4. In which health problem is protein catabolism increased?

• A. severe burns
• B. severe obesity
• C. hypothyroidism
• D. food allergies

Correct answer: A

Rationale: Protein catabolism increases in conditions like severe burns because the body breaks down muscle protein to provide energy for healing. Severe obesity does not necessarily increase protein catabolism; instead, it is more related to excessive fat accumulation. Hypothyroidism may lead to a decrease in metabolic rate but does not directly increase protein catabolism. Food allergies trigger an immune response to specific foods but do not directly impact protein catabolism.

5. What is the muscle layer on the outside of the intestinal wall called?

• A. serosa
• B. mucosa
• C. submucosa
• D. muscularis mucosae

Correct answer: A

Rationale: The correct answer is A: serosa. The serosa is the outermost layer of the intestinal wall, providing a protective covering. Choice B, mucosa, is the innermost layer responsible for absorption. Choice C, submucosa, lies beneath the mucosa and contains blood vessels and nerves. Choice D, muscularis mucosae, is a smooth muscle layer located within the mucosa, helping to create folds in the intestinal lining to increase surface area for absorption.

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