Nursing Elites

1. Pepsinogen secreted by the gastric cells is converted into pepsin by:

• A. enterokinase
• B. hydrochloric acid
• C. gastric lipase
• D. pancreatic lipase

Correct answer: B

Rationale: Pepsinogen is converted into its active form, pepsin, by hydrochloric acid in the stomach. Hydrochloric acid helps in unfolding the pepsinogen molecule to transform it into pepsin, which is crucial for protein digestion. Therefore, the correct answer is hydrochloric acid (choice B). Enterokinase (choice A) is an enzyme produced in the small intestine that activates trypsinogen into trypsin, not pepsinogen. Gastric lipase (choice C) is an enzyme that digests fats, not involved in converting pepsinogen to pepsin. Pancreatic lipase (choice D) is an enzyme produced by the pancreas that aids in breaking down fats in the small intestine, not part of the process of pepsin activation.

2. Exchange Lists for Meal Planning was originally intended as a meal-planning tool for people who have:

• A. cancer.
• B. diabetes.
• C. hypertension.
• D. heart disease.

Correct answer: B

Rationale: The correct answer is B: diabetes. Exchange Lists for Meal Planning were originally created to assist individuals with diabetes in managing their diet by providing a structured approach to balanced food exchanges. This system helps individuals regulate their blood sugar levels and maintain overall health. Choices A, C, and D are incorrect because Exchange Lists for Meal Planning were not primarily developed for individuals with cancer, hypertension, or heart disease.

3. 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.

4. What are probiotics?

• A. Indigestible carbohydrates that promote growth of health-promoting bacteria.
• B. Antibiotics that prevent growth of harmful bacteria.
• C. Nutritional supplements of health-promoting bacteria.
• D. Commercial fiber supplements that have a laxative effect.

Correct answer: C

Rationale: Probiotics are live bacteria that are beneficial for gut health and are often taken as supplements. They are not indigestible carbohydrates (Choice A), antibiotics (Choice B), or commercial fiber supplements (Choice D). Probiotics contain live strains of good bacteria that help maintain a healthy balance in the gut microbiome.

5. The Acceptable Macronutrient Distribution Range for fat recommends that the percentage of total kcalories from fat should fall between:

• A. 10% and 20%.
• B. 20% and 25%.
• C. 20% and 35%.
• D. 30% and 45%.

Correct answer: C

Rationale: The Acceptable Macronutrient Distribution Range (AMDR) for fat suggests that 20% to 35% of total kcalories should come from fat. This range is recommended to maintain good health. Choices A, B, and D are incorrect because they do not fall within the specified range. A lower percentage (10-20%) may not provide enough essential fatty acids, while a higher percentage (30-45%) may increase the risk of health issues associated with excessive fat consumption.

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