Nursing Elites

1. What is one function of essential fatty acids?

• A. improve skin integrity.
• B. control lipid digestion.
• C. reduce blood clotting time.
• D. form chylomicrons.

Correct answer: A

Rationale: Essential fatty acids play a crucial role in improving skin integrity by supporting the structure and function of cell membranes. This helps in maintaining healthy skin and promoting overall well-being. The other choices are incorrect because essential fatty acids do not directly control lipid digestion, reduce blood clotting time, or form chylomicrons.

2. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

3. Which observation provides evidence that a person has good nutritional status?

• A. Small muscle mass.
• B. Normal weight-to-height ratio.
• C. Smooth tongue.
• D. Fragile skin.

Correct answer: B

Rationale: A normal weight-to-height ratio is a reliable indicator of good nutritional status as it suggests that the person is well-nourished and not underweight or overweight. Small muscle mass (choice A) can indicate malnutrition, a smooth tongue (choice C) can be a sign of vitamin deficiencies, and fragile skin (choice D) can be a sign of poor nutrition or other health issues, but they are not as direct indicators of good nutritional status as a normal weight-to-height ratio.

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. What are the small, fingerlike projections into the intestinal lumen called?

• A. Villi
• B. Goblets
• C. Lacteals
• D. Polyps

Correct answer: A

Rationale: The correct answer is A: Villi. Villi are small fingerlike projections in the intestine that increase the surface area for nutrient absorption. Goblets (choice B) are mucus-secreting cells in the intestines. Lacteals (choice C) are lymphatic vessels in the small intestine that absorb dietary fats. Polyps (choice D) are abnormal tissue growths.

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