Nursing Elites

1. People with phenylketonuria should avoid foods made with which nonnutritive sweetener?

• A. acesulfame-K
• B. aspartame
• C. saccharin
• D. sucralose

Correct answer: B

Rationale: People with phenylketonuria should avoid aspartame because it contains phenylalanine, which they cannot metabolize. Acesulfame-K, saccharin, and sucralose do not contain phenylalanine and are safe for individuals with phenylketonuria. Therefore, the correct answer is B. Acesulfame-K, saccharin, and sucralose are incorrect choices because they do not pose a risk for individuals with phenylketonuria due to the absence of phenylalanine in their composition.

2. Which compound is necessary for emulsification of fat in the body?

• A. Bile salts
• B. Cholecystokinin
• C. Chyme
• D. Trypsin

Correct answer: A

Rationale: Bile salts are essential for emulsifying fats in the body. They break down fats into smaller droplets, increasing the surface area for enzymes to work on during digestion. Cholecystokinin is a hormone that stimulates the release of bile and pancreatic enzymes, but it is not directly involved in emulsification. Chyme is the semi-fluid mass of partly digested food that moves from the stomach to the small intestine and does not play a role in emulsifying fats. Trypsin is an enzyme produced by the pancreas that acts on proteins, not fats.

3. After ingested food is mixed and churned with gastric secretions, the resulting semifluid mass is called:

• A. a bolus.
• B. chyme.
• C. rennin.
• D. glycogen.

Correct answer: B

Rationale: The correct answer is B: chyme. Chyme is the partially digested food that forms a semifluid mass after mixing with gastric juices. A is incorrect because a bolus refers to a rounded mass of food ready to be swallowed. C, rennin, is an enzyme involved in the digestion of milk proteins and not the term for the semifluid mass after food mixing with gastric secretions. D, glycogen, is a form of stored glucose in the body and is not the term used to describe the partially digested food mass in the stomach.

4. The professional primarily responsible for the application of nutrition science in clinical practice settings is the:

• A. nurse.
• B. physician.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: D

Rationale: The correct answer is D: registered dietitian. A registered dietitian is a healthcare professional with specialized training in nutrition and dietetics, making them primarily responsible for applying nutrition science in clinical practice settings. Nurses (choice A) and physicians (choice B) may have some knowledge of nutrition, but a registered dietitian has specific expertise in this area. Public health nutritionists (choice C) typically focus on community nutrition and public health programs, rather than clinical practice settings.

5. 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.

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