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. 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.

3. In addition to poor eating habits, a factor that often contributes to marginal nutritional status is:

• A. dependence on caffeine.
• B. acute illness.
• C. low income.
• D. size of the family unit.

Correct answer: C

Rationale: Low income is a significant factor contributing to marginal nutritional status due to limited access to nutritious food. While dependence on caffeine or acute illness can impact health, they are not as directly linked to marginal nutrition as low income. The size of the family unit may affect food distribution within the household but is not as directly related to marginal nutritional status as low income.

4. Which types of acids form the basic building blocks of protein?

• A. fatty
• B. amino
• C. nucleic
• D. omega fatty

Correct answer: B

Rationale: The correct answer is 'B: amino.' Amino acids are the fundamental units that make up proteins. They are essential for various bodily functions, including building and repairing tissues. Choice A, 'fatty acids,' are not the basic building blocks of proteins but rather a type of lipid. Choice C, 'nucleic acids,' are the building blocks of nucleic acids like DNA and RNA, not proteins. Choice D, 'omega fatty acids,' are a specific type of fatty acid known for their health benefits but are not directly related to the building blocks of proteins.

5. With respect to its effect on colon microflora, fiber is considered a:

• A. prebiotic.
• B. probiotic.
• C. functional food.
• D. protective agent.

Correct answer: A

Rationale: The correct answer is A: prebiotic. Fiber acts as a prebiotic by providing a food source for beneficial bacteria in the colon, promoting their growth and activity. This helps maintain a healthy balance of microflora in the gut. Choice B, probiotic, is incorrect as fiber itself does not contain live beneficial bacteria but rather supports their growth. Choice C, functional food, is too broad and doesn't specifically address fiber's role in promoting beneficial bacteria. Choice D, protective agent, is vague and does not directly relate to fiber's specific function in colon microflora.

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